TemporoMandibular Dysfunctions


UGS : LIV0011455 Catégorie : Auteur : Jean-Daniel OrthliebEditeur : Information DentaireAnnée : 2023ISBN : 978-2-36134-100-8Nombre de pages : 320
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TemporoMandibular Dysfunctions (TMDs)

Understanding – Identification – Treatment

By Jean-Daniel Orthlieb
Armelle Manière-Ezvan, Anne Giraudeau, Diwakar Singh, Jean-Philippe Ré

Here are the TemporoMandibular Dysfunctions (TMDs) Understanding – identification – Treatment. Behind this term hides all myoathropathies of the masticatory apparatus, a functional disorder very frequently observed, but often poorly understood, poorly treated or on the contrary overtreated.

Polystructural, multifunctional, the masticatory apparatus is complex. A tridimentionnal etiopathogenic model with mechanical (Axe I), psychological (Axe II) and biological (Axe III) create sometime some confusions and prohibit overly simplistic binary concepts. At present, based on broad knowledge, consensual clarifications have emerged.

Clarification is the goal; clarification means the action of making a statement or situation less confused and more comprehensible; clarification is the opposite of confusion. Diagnosis is the key of successfully treatment, Diagnosis is often confusingly presented and then the care approach is not efficient.

The objective of this book is to serve optimization of daily practice:

  1. – defining simple and proven diagnostic procedures;
  2. – explaining how to stimulate the important adaptive capacities of the manducatory apparatus;
  3. – facilitating the understanding of new therapeutic approaches which are far from the usual overly invasive treatments;
  4. – acting only wisely on dental occlusion without it being the necessity of a specialist.


I – Understanding

1. Temporomandibular dysfunctions (TDMs) framework
2. Anatomical features: strengths and weaknesses
3. Better understanding of pain
4. Imaging and tmd (panoramic, condylography, mri, computed tomography)
5. Classification of TDMs
6. Non-tmd orofacial pains
7. Secondary TDM
8. Epidemiology and etiopathogenesis of TDM
9. Occlusion and TDM
10. Oral dysfunctions/parafunctions and TDM
11. TDM and posture
12. Psychosocial dimension of TDM

II – Identification

13. TDM consultation
14. Myoarticular clinical examination
15. Clinical examination of occlusion
16. Occlusal analysis on articulator
17. Psychological dimension of oral parafunctions / dysfunctions
18. Diagnostic algorithm for TDM

III – Treatment

19. Therapeutic concepts of TDM
20. TDM and pharmacotherapy
21. Educational therapeutics and TDM
22. TDM and physiotherapy
23. Occlusal orthosis (splint)
24. Occlusal adjustment and TDM
25. Orthodontics and TDM
26. TDM and prosthodontic rehabilitations
27. Emergency and TDM
28. TDM management in private practice


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