Dogmas Related to Temporomandibular Disorders—Discussion on the Role of a Prosthodontic Approach in the Management of TMD—

Osamu Komiyama
2011 Annals of Japan Prosthodontic Society  
A 2010 statement by the American Association for Dental Research in regard to temporomandibular disorders (TMDs) strongly recommended that the treatment of TMD patients should initially be based on the use of conservative, reversible, and evidence-based therapeutic modalities. However, we often see a full-mouth prosthesis with too much crown height, which will cause the wrong setting of vertical dimension, or too much occlusal equilibration. So we asked why this confusion (dogma) in relation
more » ... ween TMD and occlusion still continues. And the following questions and answers were presented. Question 1: What is your opinion about the problem still believed to remain in the causal relation between TMDs and occlusion? Answer 1: Better information. Question 2: How should we manage TMD patients with an occlusal splint? Answer 2: It is effective, but not always necessary. Question 3: What do you think about prosthodontic intervention after the disappearance of TMD symptoms? Answer 3: It is, of course, OK to improve the occlusion.
doi:10.2186/ajps.3.329 fatcat:sui2ulk3kvbgriy4gszftolj4y