Abstract
TEMPOROMANDIBULAR DISORDER – AN ENIGMA

Bhuwan Saklecha, Maj Amit Jain, *Pawankumar Dnyandeo Tekale, Rahul Sharad Kulkarni, Vishwas Diwakar Acharya, Ravindra Gedam, Dr. Chetankumar O. Agrwal

ABSTRACT

Introduction: Temporomandibular disorder (TMD) is defined as ―functional disturbances of the masticatory system‖. It has been a matter of controversy for a long time, yet it is imperative to have a sound knowledge about it for physiological reestablishment of the stomatognathic system. Etiology: The etiology of TMDs is multifactorial which includes occlusal factors, trauma, stress, parafunctional habits etc. which may lead to degenerative changes in the TMJ. Diagnosis: With proper history, physiological evaluation and in chronic cases behavioural or psychological assessment, TMDs can be diagnosed. Various imaging techniques including various radiographs, lateral and computed tomography, joint arthrography and Magnetic resonance imaging (MRI) techniques are used to confirm the diagnosis. However, recently MRI has become the gold standard for evaluation of soft tissue and the positional abnormalities of the joint disc. Management: The noninvasive management of non specific TMDs includes, patient education, exercise therapy and occlusal appliance therapy.

Keywords: Temporomandibular disorder, TMD, computed tomography, MRI.


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