The Paradigm Traps of TMD-The Paradigm Traps of TMD Presentation Slides

The Paradigm Traps of TMD Presentation Slides

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The document outlines the history, development, and current practices in the diagnosis and treatment of temporomandibular disorders (TMD), presented by Dr. Connor Peck under the American Academy of Dental Sleep Medicine (AADSM). The document emphasizes the importance of evidence-based approaches and the need to avoid misinterpretations of endorsements by AADSM.<br /><br />Key points include:<br /><br />1. **Historical Perspectives**: The evolution of TMD treatment approaches from the early 1900s, highlighting contributions by Prentiss, Costen, Thompson, Moyers, Jarabak, and Jankelson. Early theories focused on biomechanical aspects such as muscle activity and occlusal adjustments.<br /><br />2. **Biopsychosocial Model**: From the 1950s, researchers like Schwartz and Laskin proposed psychological and social factors as significant in TMD, leading to a biopsychosocial model. By the 1980s, the American Academy of Orofacial Pain (AAOP) advocated a multifactorial approach.<br /><br />3. **Recent Developments**: The 2000s saw advancements in understanding TMD through research on trigeminal system neurobiology and the publication of diagnostic criteria by Dr. Schiffman. The OPPERA study further supported the multifactorial etiology and biopsychosocial model.<br /><br />4. **Current Standards**: As of 2020, TMD education is recommended in dental curricula by NASEM and CODA, emphasizing the biopsychosocial model. In 2021, AAOP published core curriculum recommendations, focusing on multidisciplinary care and critical evaluation of evidence.<br /><br />5. **Treatment Approaches**: Current evidence-based treatment strategies include self-care, psychological treatments, physical therapy, occlusal appliances, intramuscular and intra-articular injections, and pharmacologic management. Surgery is considered for specific cases.<br /><br />6. **Goals**: The document highlights the ongoing efforts to standardize TMD management practices, improve education at various levels, and recognize the orofacial pain specialty to enhance access to evidence-based treatments.<br /><br />The presentation underscores the field's evolution from mechanistic theories to a holistic biopsychosocial model that incorporates psychological, environmental, and physical factors in treating TMD.

Keywords

Temporomandibular disorders

TMD diagnosis

TMD treatment

Biopsychosocial model

Evidence-based approaches

Orofacial pain

Historical perspectives

Multidisciplinary care

Current standards

TMD education