Skip to main content

Temporomandibular Disorders and Occlusal Disease

  • Chapter
  • First Online:
Extra-Coronal Restorations

Part of the book series: BDJ Clinician’s Guides ((BDJCG))

  • 2567 Accesses

Abstract

This chapter will emphasise the need to:

  • Provide restorations in harmony with a patient’s occlusion

  • Check if patients who require extra-coronal restorations have one or more existing temporomandibular disorders (TMDs) or a history of them

  • Appreciate that some patients are susceptible to developing TMDs, but the cause is not usually related to the occlusion

  • Take care in making occlusal changes because patients with a history of TMDs can react with pain and discomfort

  • Diagnose and manage existing symptoms of TMDs before embarking on extra-coronal restorations

  • Be aware of patients who complain of occlusal problems but for which there is no underlying occlusal cause. These patients may require specialist management.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Le Bell Y, Niemi PM, Jamsa T, Kylmala M, Alanen P. Subjective reactions to intervention with artificial interferences in subjects with and without a history of temporomandibular disorders. Acta Odontol Scand. 2006;64:59–63.

    Article  Google Scholar 

  2. Wassell RW, Naru A, Steele J, Nohl F. Applied occlusion. 2nd ed. London: Quintessence; 2014.

    Google Scholar 

  3. Suvinen TI, Reade PC, Kemppainen P, Kononen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur J Pain. 2005;9:613–33.

    Article  Google Scholar 

  4. McNeill C. Management of temporomandibular disorders: concepts and controversies. J Prosthet Dent. 1997;77:510–22.

    Article  Google Scholar 

  5. Al-Ani Z, Gray R. TMD current concepts: 1. An update. Dent Update. 2007;34:278–80, 282–274, 287–278.

    Article  Google Scholar 

  6. Durham J, Wassell RW. Recent advancements in temporomandibular disorders (TMDs). Rev Pain. 2011;5:18–25.

    Article  Google Scholar 

  7. McNeill C, Mohl ND, Rugh JD, Tanaka TT. Temporomandibular disorders: diagnosis, management, education, and research. J Am Dent Assoc. 1990;120:253, 255, 257 passim.

    Article  Google Scholar 

  8. Ohrbach R, Fillingim RB, Mulkey F, Gonzalez Y, Gordon S, Gremillion H, et al. Clinical findings and pain symptoms as potential risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. J Pain. 2011;12:T27–45.

    Article  Google Scholar 

  9. Naeije M, Te Veldhuis AH, Te Veldhuis EC, Visscher CM, Lobbezoo F. Disc displacement within the human temporomandibular joint: a systematic review of a ‘noisy annoyance’. J Oral Rehabil. 2013;40:139–58.

    Article  Google Scholar 

  10. Greene CS, Laskin DM. Long-term status of TMJ clicking in patients with myofascial pain and dysfunction. J Am Dent Assoc. 1988;117:461–5.

    Article  Google Scholar 

  11. Ohrbach R. Disability assessment in temporomandibular disorders and masticatory system rehabilitation. J Oral Rehabil. 2010;37:452–80.

    Article  Google Scholar 

  12. Brown RS, Johnson CD, Fay RM. The misdiagnosis of temporomandibular disorders in lateral pharyngeal space infections—two case reports. Cranio. 1994;12:194–8.

    Article  Google Scholar 

  13. Reiter S, Gavish A, Winocur E, Emodi-Perlman A, Eli I. Nasopharyngeal carcinoma mimicking a temporomandibular disorder: a case report. J Orofac Pain. 2006;20:74–81.

    PubMed  Google Scholar 

  14. Hoffmann RG, Kotchen JM, Kotchen TA, Cowley T, Dasgupta M, Cowley AW Jr. Temporomandibular disorders and associated clinical comorbidities. Clin J Pain. 2011;27:268–74.

    Article  Google Scholar 

  15. Dworkin SF. Research diagnostic criteria for temporomandibular disorders: current status & future relevance. J Oral Rehabil. 2010;37:734–43.

    Article  Google Scholar 

  16. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the international RDC/TMD consortium network* and orofacial pain special interest group. J Oral Facial Pain Headache. 2014;28:6–27.

    Article  Google Scholar 

  17. Hasanain F, Durham J, Moufti A, Steen IN, Wassell RW. Adapting the diagnostic definitions of the RDC/TMD to routine clinical practice: a feasibility study. J Dent. 2009;37:955–62.

    Article  Google Scholar 

  18. Okeson JP. Management of temporomandibular disorders and occlusion. 6th ed. St Louis: Mosby; 2008.

    Google Scholar 

  19. AADR. Temporomandibular disorders (TMD). Reaffirmed 2015. [cited June 2018]. Available from: https://tinyurl.com/yaxcz5hl.

  20. Greene CS. Managing the care of patients with temporomandibular disorders: a new guideline for care. J Am Dent Ass. 2010;141:1086–8.

    Article  Google Scholar 

  21. Aggarwal VR, Tickle M, Javidi H, Peters S. Reviewing the evidence: can cognitive behavioral therapy improve outcomes for patients with chronic orofacial pain? J Orofac Pain. 2010;24:163–71.

    PubMed  Google Scholar 

  22. Gray RJ, Quayle AA, Hall CA, Schofield MA. Physiotherapy in the treatment of temporomandibular joint disorders: a comparative study of four treatment methods. Br Dent J. 1994;176:257–61.

    Article  Google Scholar 

  23. Michelotti A, de Wijer A, Steenks M, Farella M. Home-exercise regimes for the management of non-specific temporomandibular disorders. J Oral Rehabil. 2005;32:779–85.

    Article  Google Scholar 

  24. Al-Ani MZ, Davies SJ, Gray RJ, Sloan P, Glenny AM. Stabilisation splint therapy for temporomandibular pain dysfunction syndrome. Cochrane Database Syst Rev. 2004: Cd002778.

    Google Scholar 

  25. Mujakperuo HR, Watson M, Morrison R, Macfarlane TV. Pharmacological interventions for pain in patients with temporomandibular disorders. Cochrane Database Syst Rev. 2010: CD004715.

    Google Scholar 

  26. Cairns BE. Pathophysiology of TMD pain—basic mechanisms and their implications for pharmacotherapy. J Oral Rehabil. 2010;37:391–410.

    Article  Google Scholar 

  27. Beddis HP, Davies SJ, Budenberg A, Horner K, Pemberton MN. Temporomandibular disorders, trismus and malignancy: development of a checklist to improve patient safety. Br Dent J. 2014;217:351–5.

    Article  Google Scholar 

  28. Turp JC, Schindler H. The dental occlusion as a suspected cause for TMDs: epidemiological and etiological considerations. J Oral Rehabil. 2012;39:502–12.

    Article  Google Scholar 

  29. List T, Axelsson S. Management of TMD: evidence from systematic reviews and meta-analyses. J Oral Rehabil. 2010;37:430–51.

    Article  Google Scholar 

  30. Cairns B, List T, Michelotti A, Ohrbach R, Svensson P. JOR-CORE recommendations on rehabilitation of temporomandibular disorders. J Oral Rehabil. 2010;37:481–9.

    Article  Google Scholar 

  31. Marbach JJ. Phantom bite. Am J Orthod. 1976;70:190–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pamela Yule .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Yule, P., Steele, J., Wassell, R. (2019). Temporomandibular Disorders and Occlusal Disease. In: Wassell, R., Nohl, F., Steele, J., Walls, A. (eds) Extra-Coronal Restorations. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-319-79093-0_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-79093-0_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-79092-3

  • Online ISBN: 978-3-319-79093-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics