How Do Different Temporomandibular Disorder Subsets Change the Treatment Options?

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The purpose of this review is to explain what temporomandibular disorder (TMD) is and how to approach the different treatment options for this disorder. TMD is a musculoskeletal and neuromuscular condition that affects the temporomandibular joint (TMJ), the muscles of mastication and the tissues in the jaw. These structures are essential for movement of the jaw, including chewing and speaking. Clenching or grinding of the teeth is one of the most common causes of TMD, this causes increased tension on the muscles. TMD can be very debilitating with symptoms including pain, headaches and myalgia. Psychological disorders in an individual can result in decreased coping strategies, which can affect the long-term damage that TMD can have on the individual. This needs to be taken into account when developing a treatment plan. Treatment for TMD is aimed to reverse the damage that has been done and control the pain and dysfunction of the TMJ. This review discusses different treatment regimens for TMD with close attention to different patient populations and psychosocial comorbidities. The treatment options discussed include: self-management, relaxation exercises, Botox injections, platelet-rich plasma (PRP) injections, orthopedic manual physical therapy, laser acupuncture and surgery. It is important that health care providers obtain a thorough history and physical in an effort to provide the best outcome for the patient when deciding treatment options for TMD.

First Advisor

William Schweinle

Research Area

Physician Assistant Studies

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