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Adjunctive Therapies for Temporomandibular Disorders

  • César Fernández-de-las-PeñasEmail author
  • Kimberly Bensen
Chapter

Abstract

Proper management of patients with temporomandibular pain disorders (TMD) needs a multidisciplinary approach including several professionals such as medical doctors, dentists, physical therapists, osteopaths, chiropractors, acupuncturists, orthodontists, surgeons, and psychologists [1]. Each professional will conduct an exhaustive clinical examination and will plan a multimodal program for these patients. In fact, treatment should be personalized based on the patient’s experience and including different therapeutic strategies such as passive and active techniques, active listening, empathy, and management of psychosocial issues, i.e., depression, anxiety, and catastrophizing, always based on clinical findings during the history and examination. For instance, dentists could recommend hard stabilization appliances [2] or splint therapy [3] for reducing pain in patients with TMD, whereas physical therapists can apply manual therapies or exercises for the same objective. Clinical and scientific evidence suggest that an interdisciplinary work between dentistry and physical therapy increases the effects of each isolated intervention for patients with TMD [4]. The current chapter summarizes different adjunctive therapies including physical therapy and chiropractic therapy for TMD.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • César Fernández-de-las-Peñas
    • 1
    • 2
    • 3
    Email author
  • Kimberly Bensen
    • 4
  1. 1.Department of Physical Therapy, Occupational Therapy, Physical Medicine and RehabilitationUniversidad Rey Juan Carlos, AlcorcónMadridSpain
  2. 2.Esthesiology LaboratoryUniversidad Rey Juan Carlos, AlcorcónMadridSpain
  3. 3.Centre for Sensory-Motor Interaction (SMI), Laboratory for Musculoskeletal Pain and Motor ControlAalborg UniversityAalborgDenmark
  4. 4.TMJ TherapySan JoseUSA

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