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Temporomandibular Disorders: Occlusion Matters!

机译:颞下颌疾病:咬合很重要!

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摘要

By analogy with the journal's title Pain Research and Management, this review describes TMD Research and Management. More specific are the (1) research aspects of “occlusion,” still one of the most controversial topics in TMD, and (2) as much as possible evidence-based management aspects of “TMD” for the dental practitioner. Research. The disorders temporomandibular dysfunction and the synonymous craniomandibular dysfunction are still being discussed intensely in the literature. Traditionally, attention is mostly devoted to occlusion and its relationship with these disorders. The conclusions reached are often contradictory. Considering the definitions of temporomandibular and craniomandibular dysfunctions/disorders and “occlusion,” a possible explanation for this controversy can be found in the subsequent methodological problems of the studies. Based on a Medline search of these terms over the past 40 years related to contemporary terms such as “Evidence Based Dentistry” and “Pyramid of Evidence,” these methodological aspects are examined, resulting in recommendations for future research and TMD-occlusal therapy. Management. To assist the dental practitioner in his/her daily routine to meet the modern standards of best practice, 7 guidelines are formulated that are explained and accompanied with clinical examples for an evidence-based treatment of patients with this disorder in general dental practices.
机译:类似于该期刊的标题《疼痛研究与管理》,该评论描述了TMD研究与管理。更具体的是(1)“咬合”的研究方面,仍然是TMD中最具争议的主题之一,以及(2)尽可能为牙医提供基于证据的“ TMD”管理方面。研究。颞下颌功能障碍和同义颅下颌功能障碍在文献中仍在激烈讨论。传统上,注意力主要集中在闭塞及其与这些疾病的关系上。得出的结论通常是矛盾的。考虑到颞下颌和颅下颌功能障碍/障碍和“闭塞”的定义,可以在随后的研究方法问题中找到对此争议的可能解释。根据对过去40年来与现代用语(例如“循证牙科”和“证据金字塔”)相关的这些术语的Medline搜索,对这些方法论方面进行了研究,从而为将来的研究和TMD咬合疗法提供了建议。管理。为了帮助牙科医生的日常工作达到最佳实践的现代标准,制定了7条指导原则,对这些指导原则进行了解释并附有临床实例,用于在一般牙科实践中对这种疾病的患者进行循证治疗。

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