Temporomandibular disorders: a review of current concepts in aetiology, diagnosis and management. 2020

Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
Department of Epidemiology, School of Public Health, University of Washington, Seattle, United States.

Temporomandibular disorders (TMD) is a collective term for a group of musculoskeletal conditions involving pain and/or dysfunction in the masticatory muscles, temporomandibular joints (TMJ) and associated structures. It is the most common type of non-odontogenic orofacial pain and patients can present with pain affecting the face/head, TMJ and or teeth, limitations in jaw movement, and sounds in the TMJ during jaw movements. Comorbid painful and non-painful conditions are also common among individuals with TMD. The diagnosis of TMD have significantly improved over time with the recent Diagnostic Criteria for TMD (DC/TMD) being reliable and valid for most common diagnoses, and an efficient way to communicate in multidisciplinary settings. This classification covers 12 most common TMD, including painful (myalgia, arthralgia and headache attributed to TMD) as well as the non-painful (disc displacements, degenerative joint disease and subluxation) TMD diagnoses. Recent studies have demonstrated that the pathophysiology of common painful TMD is biopsychosocial and multifactorial, where no one factor is responsible for its development. Importantly, research has suggested different predisposing, initiating and perpetuating factors, including both peripheral and central mechanisms. This is an active field of investigation and future studies will not only seek to clarify specific causal pathways but translate this knowledge into mechanism-directed diagnosis and treatment. In accordance with this complex aetiology, current evidence supports primarily conservative multidisciplinary treatment including self-management strategies, behavioural therapy, physical therapy and pharmacotherapy. The aim of this review is to present an overview of most recent developments in aetiology, pathophysiology, diagnosis and management of TMD.

UI MeSH Term Description Entries

Related Publications

Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
March 2021, Diagnostics (Basel, Switzerland),
Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
January 2023, Medicina (Kaunas, Lithuania),
Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
October 2022, Revue medicale suisse,
Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
March 1994, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons,
Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
January 2003, Scandinavian journal of urology and nephrology,
Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
September 2005, The Nigerian postgraduate medical journal,
Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
May 1997, The Journal of prosthetic dentistry,
Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
January 1990, The Journal of the Michigan Dental Association,
Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
April 1976, Military medicine,
Flavia Penteado Kapos, and Fernando Gustavo Exposto, and Juan Fernando Oyarzo, and Justin Durham
April 1993, Journal of pain and symptom management,
Copied contents to your clipboard!