Temporomandibular disorders in the medical practice.

Patients suffering with various orofacial pain conditions are likely to seek advice and treatment from a family physician. Temporomandibular disorders (TMD) are common in the general population, and the clinician should be aware of the common associated signs and symptoms so that proper therapy can be provided. The family physician can often provide initial therapies that are effective in reducing TMD symptoms. In some instances, it is appropriate for the family physician to refer the patient to a dentist for a more comprehensive evaluation of the masticatory system. This article describes the common patient complaints associated with TM disorders. A few simple therapies are discussed along with suggestions regarding the appropriate time for referral to a dentist for a thorough dental evaluation.

[1]  Occlusal equilibration and temporomandibular joint dysfunction , 1960 .

[2]  W. Solberg,et al.  Prevalence of mandibular dysfunction in young adults. , 1979, Journal of the American Dental Association.

[3]  W. Solberg,et al.  Position paper of the American Academy of Craniomandibular Disorders. Craniomandibular (TMJ) disorders--the state of the art. , 1980, The Journal of prosthetic dentistry.

[4]  R. H. Griffiths.  Report of the president's conference on the examination, diagnosis, and management of temporomandibular disorders. , 1983, American journal of orthodontics.

[5]  D. Goldberg,et al.  Somatic presentation of DSM III psychiatric disorders in primary care. , 1985, Journal of psychosomatic research.

[6]  W. Solberg,et al.  Oral health status in the United States: temporomandibular disorders. , 1985, Journal of dental education.

[7]  S. Harkins,et al.  Extrinsic trauma: a significant precipitating factor in temporomandibular dysfunction. , 1985, The Journal of prosthetic dentistry.

[8]  C H Gibbs,et al.  Limits of human bite strength. , 1986, The Journal of prosthetic dentistry.

[9]  Seligman Da,et al.  TMJ osteoarthrosis: a differentiation of diagnostic subgroups by symptom history and demographics. , 1987 .

[10]  A. Pullinger,et al.  TMJ osteoarthrosis: a differentiation of diagnostic subgroups by symptom history and demographics. , 1987, Journal of craniomandibular disorders : facial & oral pain.

[11]  M. Ash,et al.  An evaluation of a moist heating pad for the treatment of TMJ/muscle pain dysfunction. , 1988, Cranio : the journal of craniomandibular practice.

[12]  Z. J. Lipowski.  Somatization: the concept and its clinical application. , 1988, The American journal of psychiatry.

[13]  J. Morrison,et al.  Secondary affective disorder in women with somatization disorder. , 1988, Comprehensive psychiatry.

[14]  W. Solberg,et al.  Temporomandibular disorders. Part I: Functional status, dentomorphologic features, and sex differences in a nonpatient population. , 1988, The Journal of prosthetic dentistry.

[15]  Seligman Da,et al.  Association of occlusal variables among refined TM patient diagnostic groups. , 1989 .

[16]  Lund Jp,et al.  Evaluation of the use of surface electromyography in the diagnosis, documentation, and treatment of dental patients. , 1989 .

[17]  J. Okeson.  Management of Temporomandibular Disorders and Occlusion , 1989 .

[18]  Association of occlusal variables among refined TM patient diagnostic groups. , 1989, Journal of craniomandibular disorders : facial & oral pain.

[19]  J. Kamiya,et al.  Altered autonomic function in patients with arthritis or with chronic myofascial pain , 1989, Pain.

[20]  J. P. Lund,et al.  Evaluation of the use of surface electromyography in the diagnosis, documentation, and treatment of dental patients. , 1989, Journal of craniomandibular disorders : facial & oral pain.

[21]  S. Dworkin,et al.  Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. , 1990, Journal of the American Dental Association.

[22]  E. Schiffman,et al.  The prevalence and treatment needs of subjects with temporomandibular disorders. , 1990, Journal of the American Dental Association.

[23]  G. Agerberg,et al.  Craniomandibular disorders in an urban Swedish population. , 1990, Journal of craniomandibular disorders : facial & oral pain.

[24]  C. Greene,et al.  Conservative management of temporomandibular disorders: a posttreatment comparison between patients from a university clinic and from private practice. , 1990, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[25]  D. Turk,et al.  The robustness of an empirically derived taxonomy of chronic pain patients , 1990, Pain.

[26]  A. Pullinger,et al.  Trauma history in diagnostic groups of temporomandibular disorders. , 1991, Oral surgery, oral medicine, and oral pathology.

[27]  Clifford J. Woolf,et al.  The induction and maintenance of central sensitization is dependent on N-methyl-d-aspartic acid receptor activation; implications for the treatment of post-injury pain hypersensitivity states , 1991, Pain.

[28]  A. Pullinger,et al.  The role of intercuspal occlusal relationships in temporomandibular disorders: a review. , 1991, Journal of craniomandibular disorders : facial & oral pain.

[29]  A. Pullinger,et al.  The role of functional occlusal relationships in temporomandibular disorders: a review. , 1991, Journal of craniomandibular disorders : facial & oral pain.

[30]  J. P. Lund,et al.  The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity. , 1991, Canadian journal of physiology and pharmacology.

[31]  Seligman Da,et al.  The role of functional occlusal relationships in temporomandibular disorders: a review. , 1991 .

[32]  G. Carlsson,et al.  A cross-sectional and longitudinal study of craniomandibular dysfunction in an elderly population. , 1992, Journal of craniomandibular disorders : facial & oral pain.

[33]  R. De Kanter,et al.  Prevalence in the Dutch Adult Population and a Meta-analysis of Signs and Symptoms of Temporomandibular Disorder , 1993, Journal of dental research.

[34]  M. Harris,et al.  Tyramine conjugation deficit in patients with chronic idiopathic temporomandibular joint and orofacial pain , 1993, Pain.

[35]  T. Graber.  Management of temporomandibular disorders and occlusion. 3rd ed , 1993 .

[36]  D. Hubbard,et al.  Myofascial trigger points show spontaneous needle EMG activity. , 1993, Spine.

[37]  P. Koidis,et al.  Effect of age and sex on craniomandibular disorders. , 1993, The Journal of prosthetic dentistry.

[38]  A. Pullinger,et al.  A Multiple Logistic Regression Analysis of the Risk and Relative Odds of Temporomandibular Disorders as a Function of Common Occlusal Features , 1993, Journal of dental research.

[39]  S. Mense,et al.  Nociception from skeletal muscle in relation to clinical muscle pain , 1993, Pain.

[40]  A. Nitz,et al.  Comparison of psychologic and physiologic functioning between patients with masticatory muscle pain and matched controls. , 1993, Journal of orofacial pain.

[41]  J. Lipton,et al.  Estimated prevalence and distribution of reported orofacial pain in the United States. , 1993, Journal of the American Dental Association.

[42]  A longitudinal study of craniomandibular disorders in Finnish adolescents. , 1993, Journal of orofacial pain.

[43]  Treatment of craniomandibular disorders in children and young adults. , 1993, Journal of orofacial pain.

[44]  B. Stegenga,et al.  Temporomandibular joint osteoarthrosis: clinical and radiographic characteristics 30 years after nonsurgical treatment: a preliminary report. , 1993, Cranio : the journal of craniomandibular practice.

[45]  R. Gevirtz,et al.  Needle electromyographic evaluation of trigger point response to a psychological stressor. , 1994, Psychophysiology.

[46]  S. Levitt,et al.  Validating the TMJ scale in a national sample of 10,000 patients: demographic and epidemiologic characteristics. , 1994, Journal of orofacial pain.

[47]  P. Westesson,et al.  Prepubertal trauma and mandibular asymmetry in orthognathic surgery and orthodontic patients. , 1994, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[48]  C. Greene.  Temporomandibular disorders in the geriatric population. , 1994, The Journal of prosthetic dentistry.

[49]  A. Arntz,et al.  The influence of anxiety on pain: attentional and attributional mediators , 1994, Pain.

[50]  A. P. Vanderas.  Relationship between craniomandibular dysfunction and malocclusion in white children with and without unpleasant life events. , 1994, Journal of oral rehabilitation.

[51]  J. Okeson,et al.  Occlusion, Orthodontic treatment, and temporomandibular disorders: a review. , 1995, Journal of orofacial pain.

[52]  Jeffrey P. Okeson,et al.  Bell's Orofacial Pains , 1995 .

[53]  J. B. Costen.  A Syndrome of Ear and Sinus Symptoms Dependent upon Disturbed Function of the Temporomandibular Joint , 1934, The Annals of otology, rhinology, and laryngology.