Objectives

Abstract

In TMD, both excessive central inputs from the brain and excessive afferents from trigeminal receptors are working to generate and keep up muscular spasticity conditions. Hence, an interceptive, specific, and early therapeutic objective is to reach both myorelaxation and moderation of these abnormal inputs. But spastic conditions always make exact diagnoses about possible peripheral factors more difficult. Dental malocclusion or postural problems are harder to evaluate accurately. So the parafunctional habit called as severe clenching seems a “Gordian knot” to be mainly sliced through. In a second phase, the causal factors (peripheral and/or central) will be easily evaluated and eliminated by adapted methodical responses based on a mostly multidisciplinary vision.