Treatment Emergent TMD-Treatment Emergent TMD Slides

Treatment Emergent TMD Slides

Pdf Summary

The document provides information on the management and treatment of temporomandibular disorders (TMD), particularly in relation to the use of oral appliance therapy (OAT) for obstructive sleep apnea. It emphasizes the importance of accurate screening and diagnosis of TMD, as well as the need for individualized treatment plans focused on specific TMDs and comorbid conditions.<br /><br />Common TMD diagnoses include TMJ arthralgia, masticatory muscle myalgia, myofascial pain, TMJ disc displacement disorders, degenerative joint disease, subluxation, and headache attributed to TMD.<br /><br />The document highlights research on the relationship between occlusion and TMD, indicating weak causal evidence but acknowledging that certain occlusal features may be consequences of TMD rather than causes.<br /><br />Prevalence of TMD in patients seeking OAT for obstructive sleep apnea is discussed, with studies showing a range of prevalence rates. It is important to assess a patient's TMD status before initiating OAT to identify any pre-existing or potential TMD exacerbation.<br /><br />The document also provides information on screening tools for painful TMD, such as a brief and effective TMD pain screening questionnaire, which has shown high sensitivity and specificity for identifying the presence or absence of TMD.<br /><br />Treatment strategies for TMD include medical management, non-surgical rehabilitation, arthroscopic surgery, and arthroplasty. Research has shown that success rates do not differ significantly between these treatment groups, indicating that medical management and rehabilitation can be effective in the majority of cases.<br /><br />The document also discusses the potential side effects of OAT in TMD patients. Studies have shown increased occurrence of TMD in OAT patients compared to other treatment modalities, but these side effects tend to be temporary and do not significantly impact functional limitations or contraindicate the use of OAT.<br /><br />Overall, the document emphasizes the need for a multidisciplinary approach to the management of TMD, including the involvement of physical therapists in the treatment plan. It provides recommendations for self-care and exercises to address TMD symptoms and highlights the importance of further research in this field.

Keywords

temporomandibular disorders

TMD management

oral appliance therapy

obstructive sleep apnea

screening and diagnosis

common TMD diagnoses

occlusion and TMD

prevalence of TMD

treatment strategies for TMD

side effects of OAT