The Paradigm Traps of TMD-The Paradigm Traps of TMD

Video Transcription

Video Summary

Dr. Farshid Areez welcomes Dr. Conor Peck to a webinar on the topic of "Paradigm Traps of TMD" organized by the AADSM. The AADSM does not endorse any services, products, devices, or appliances mentioned during the webinar. The discussion will address current treatment strategies, historical perspectives, variations in treatment philosophies, and the importance of a comprehensive, evidence-based approach to temporomandibular disorders (TMD).<br /><br />Dr. Peck outlines the agenda, focusing first on the history of TMD treatments. Early theories from the 1910s to 1930s, led by Dr. Prentice and Dr. Costin, identified dental factors as primary causes of TMD, suggesting treatment through dental correction. This view gave rise to biomechanical models emphasizing the correction of occlusion as a solution to TMD.<br /><br />From the 1950s to 1980s, the biopsychosocial model emerged, suggesting TMD involves multifactorial causes including psychological and social factors. Key researchers like Dr. Laszlo Schwartz and Dr. Daniel Laskin highlighted emotional stress as a significant factor, alongside dental issues.<br /><br />Dr. Peck then covers the evolution towards evidence-based treatments, with significant contributions from research in the 1990s and 2000s. Notably, the OPERA study and other systematic reviews questioned the effectiveness of occlusal adjustments, advocating for conservative treatments.<br /><br />Modern approaches emphasize a multidisciplinary, biopsychosocial model, integrating physical therapy, psychological therapy, and conservative medical treatments. The AADSM and other dental institutions are promoting better education to standardize evidence-based care. Overall, the webinar seeks to shift the treatment paradigm from aggressive, outdated methods to more holistic and patient-centered approaches.

Keywords

TMD

webinar

AADSM

evidence-based

biopsychosocial model

occlusion

conservative treatments

historical perspectives

multidisciplinary

holistic approaches