Abstract
Historically, the role occlusion plays in TMD has proven controversial and inconclusive. Some studies demonstrate an association between TMD and occlusion (Pullinger et al., J Prosthet Dent 59:363, 1988), and others find no connection (Dworkin et al., J Am Dent Assoc 120:273, 1990). Given this lack of consensus and clear causal relationship between occlusion and TMD, the idea of treating TMD by making modifications to the occlusion seems unmerited. On the other hand, as a major component of the stomatognathic complex, the occlusion is of course an important consideration when formulating a diagnosis and treatment plan for the TMD patient. Specifically, it is critical to develop a stable and reproducible occlusion to achieve a stable result of various surgical and nonsurgical manipulations aimed at directly treating the TMD. Additionally, as discussed below, the goals of obtaining a mutually protected occlusion and minimizing the centric relation/centric occlusal variance may very well, either directly or indirectly, contribute to a decrease in TMD symptoms and improvement in function. Regardless, the reality is that the restorative dentist will be called to provide dental care for the TMD patient and this necessitates that the clinician possesses an understanding of TMD and the dental considerations involved. Thus, the purpose of this chapter is to demonstrate a conservative diagnostic and treatment protocol that can be used as a guideline to provide appropriate dental care to the TMD patient.
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References
Pullinger AG, Seligman DA, Solberg WK. Temporomandibular disorders: part II: occlusal factors associated with temporomandibular joint tenderness and dysfunction. J Prosthet Dent. 1988;59:363.
Dworkin SF, Huggins KH, LeResche L, et al. Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. J Am Dent Assoc. 1990;120:273.
Okenson JP. Occlusion and functional disorders of the masticatory system. Dent Clin North Am. 1995;30(2):285.
McHorris WH. TMJ dysfunction—resolution before reconstruction delivered before In The sixth international gnathological conference, Mexico City, —November 1973. Oral Rehabilitation and Occlusion, Vol. 5. p. 151–67.
Pullinger AG, Seligman DA. The degree to which attrition characterizes differentiated patient groups of temporomandibular disorders. J Orofac Pain. 1993;7:196–208.
Okeson JP. Management of temporomandibular disorders and occlusion. 4th ed. London: Mosby; 1998. p. 475.
Shillingburg HT. Fundamental of fixed prosthodontics. 4th ed. Batavia: Quintessence Publishing; 2012. p. 17.
Stuart CE. Good occlusion for natural teeth. J Prosthet Dent. 1964;14:716–24.
Williamson EH, Lundquist DO. Anterior guidance; its effect on electromyographic activity of the temporal and masseter muscles. J Prosthet Dent. 1983;49:816–23.
Stuart CE. Why dental restorations should have cusps. J South Calif Dent Assoc. 1959;27:198–200.
Stewart KL, Rudd KD, Kuebker WA. Clinical removable partial prosthodontics. Maryland Heights: C V Mosby; 1983. p. 406–7.
Manfredini D, Lombrado L, Siciliani G. Temporomandibular disorders and dental occlusion. A systematic review of associated studies: end of an era? J Oral Rehabil. 2017;44:11.
DeBoever JA, Adriaens PA. Occlusal relationships in patients with pain-dysfunction symptoms in the temporomandibular joint. J Oral Rehabil. 1983;10:1.
Seligman DA, Pullinger AG. The role of intercuspal occlusal relationships in temporomandibular disorders: a review. J Craniomandib Disord. 1991;5:96–106.
Seligman DA. Occlusal risk factors in craniomandibular disorders: recommendations for diagnostic examination and treatment. European Academy of Craniomandibular Disorders. Hamburg: Quintessence; 1994.
Posselt U. Studies of the mobility of the human mandible. Acta Odont Scand. 1952;10:1–160.
Pullinger AG, Seligman DA, Gornbein JA. A multiple regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res. 1993;72:968.
Okenson JP. Causes of functional disturbances in the masticatory system. In: Management of temporomandibular disorders and occlusion. St Louis: Mosby-Year Book; 2003. p. 149–89.
Hartman GE, Swepston JH. Mandibular stabilization prosthesis. J Prosthet Dent. 1982;48:215–9.
Tsukiyama Y, Baba K, Clark GT. An evidenced-based assessment of occlusal adjustment as a treatment for temporomandibular disorders. J Prosthet Dent. 2001;86:57–66.
McHorris WH. Occlusal adjustment via selective cutting of natural teeth. J Gnathol. 1997;16:1.
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Jacobs, M. (2019). TMD and Occlusion. In: Connelly, S.T., Tartaglia, G.M., Silva, R.G. (eds) Contemporary Management of Temporomandibular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-99912-8_5
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DOI: https://doi.org/10.1007/978-3-319-99912-8_5
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