Temporomandibular disorders are defined as a subgroup of craniofacial pain problems that involve the TMJ, masticatory muscles, and associated head and neck musculoskeletal structures. pain, limited or asymmetric mandibular motion, and TMJ sounds. The pain or discomfort .is often localized to the jaw, TMJ, and muscles of mastication. Common associated symptoms include ear pain and stuffiness, tinnitus, dizziness, neck pain, and headache. In some cases, the onset is acute and symptoms are mild and self-limiting. In other patients, a chronic temporomandibular disorder develops, with persistent pain and physical, behavioral, psychological, and psychosocial symptoms similar to those of patients with chronic pain syndromes in other areas of the body (e.g., arthritis, low back pain, chronic headache, fibromyalgia, and chronic regional pain.
This book would be great value for benefit to those interested in matters of the current FACIALPAIN subject's listservers, and has followed the listserve postings for several years and felt that there would be great value to those interested in matters orofacial to have an organized and searchable collection of the communications arranged by topic or subject. As you go through this book, you will appreciate the tremendous effort tirelessly to bring all of the posting to the FACIALPAIN listserve into a book format, that he has been put forth for our benefit, this book represents posting on a variety of subjects and contains much controversy that we in OFP are still struggling with. Nevertheless, the book's value is in the organization of the material that can be searched by subject matter. It should be understood that the diagnoses and treatments are only suggestions and do not represent standards of care but help us to move toward those standards.
Sleep bruxism is an involuntary mandibular movement with tooth grinding or clenching occurring during sleep that can lead to several dental, oral, and facial complications.1 according to the American academy of sleep medicine, the diagnosis of sleep bruxism is based on the report of tooth grinding or clenching in combination with at least 1 of the following signs: abnormal tooth wear, sounds associated with bruxism, and jaw muscle discomfort.2,3 sleep bruxism is reported in up to 20%% of children younger than 11 years of age.1 this is probably an underestimate and may indicate only clinically significant Bruxism. The prevalence decreases with age. Polysomnography studies in adults have investigated the sleep architecture in patients with bruxism.
This book reviews and discusses some of these approaches, and some of the controversies aroused by them in the hope that the dental profession will soon arrive at more effective, scientifically based treatments. Health professionals have dealt with temporomandibular disorders, a major cause of non-dental pain in the orofacial region, by developing a broad range of treatments, ranging from occlusal alteration to multidisciplinary care regimens. It is with this background that health practitioners have responded to their patients' needs by developing a broad range of treatments, often determined more by the specialty of the practitioner than by scientifically-based treatment. There are practitioners claiming successful outcomes from a diverse number of treatments ranging from education and behavioral counseling, use of medications, occlusal therapies, surgery and splints, to a combination of various treatments.
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