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Behandeling van temporomandibulaire aandoeningen

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Orale kinesiologie

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Samenvatting

Temporomandibulaire disfuncties worden vooral behandeld als pijn deel uitmaakt van het klachtenpatroon of in geval van hinderlijke functieproblemen. De behandelaar kan een keuze maken uit één of meer, vooral reversibele behandelvormen, zoals counseling, farmacotherapie, stabilisatieopbeetplaattherapie, fysiotherapie, psychosociale therapie en – in mindere mate – kaakchirurgie. De vier eerstgenoemde behandelvormen horen grotendeels thuis in de algemene praktijk van de tandarts. Echter, bij onvoldoende affiniteit of ervaring met de TMD-patiëntenpopulatie, of in geval van ernstige, persisterende en/of recidiverende klachten met een grote betrokkenheid van psychosociale factoren, doet de tandarts-algemeen practicus er beter aan de patiënt te verwijzen naar een tandarts die zich heeft toegelegd op de diagnostiek en behandeling van patiënten met orofaciale pijn en disfunctie. Deze gedifferentieerde collega’s (tandarts-gnathologen) werken meestal in een multidisciplinair teamverband tezamen met een orofaciaal fysiotherapeut en een klinisch psycholoog, en hebben goede werkrelaties met kaakchirurgen. Op die manier kan optimale zorg geleverd worden aan patiënten met TMD-aandoeningen.

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Authors and Affiliations

  1. Sectie Orale Kinesiologie, Acta, Amsterdam, The Netherlands

    Prof. dr F. Lobbezoo (tandarts-gnatholoog, hoogleraar orale bewegingsstoornissen) & Dr. C.M. Visscher (orofaciaal fysiotherapeut, universitair hoofddocent)

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  1. Prof. dr F. Lobbezoo
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  2. Dr. C.M. Visscher
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Editors and Affiliations

  1. Leerstoelgroep Orale Kinesiologie, ACTA, Amsterdam, The Netherlands

    M. Naeije

  2. Amsterdam, The Netherlands

    F. Lobbezoo

  3. Amsterdam, The Netherlands

    C.M. Visscher

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© 2015 Bohn Stafleu van Loghum

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Lobbezoo, F., Visscher, C. (2015). Behandeling van temporomandibulaire aandoeningen. In: Naeije, M., Lobbezoo, F., Visscher, C. (eds) Orale kinesiologie. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-0433-2_11

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  • DOI: https://doi.org/10.1007/978-90-368-0433-2_11

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  • Print ISBN: 978-90-368-0432-5

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