The Psychosomatic Disorders Pertaining to Dental Practice with Revised Working Type Classification

Shamim, Thorakkal

doi:10.3344/kjp.2014.27.1.16

Cited by 30 publications

(45 citation statements)

References 32 publications

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“…Due to the large subjectiveness of the symptoms, TMDs are very difficult to diagnose, especially because patients usually search for help from other specialists besides dentists (e.g., neurologist, otolaryngologist or ophthalmologist) [ 10 , 20 ]. The anomalies of the masticatory system including pain caused by increased tension of masticatory muscles are classified as masticatory pain dysfunction syndrome (MPDS) [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Reported concepts for the treatment modalities and pain management of temporomandibular disorders

et al. 2015

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BackgroundPain related to temporomandibular disorders (TMD) is a common problem in modern societies. The aim of the article is to present the concepts of TMD pain clinical management.MethodsA survey was performed using the PubMed, SCOPUS and CINAHL databases for documents published between 1994 and 2014. The following search keywords were selected using MeSH terms of the National Library of Medicine in combination: TMD pain, TMD, TMJ, TMJ disorders, occlusal splint, TMD physiotherapy, TMJ rheumatoid disorders and TMJ surgery. Original articles and review papers which presented the clinical relevance and practical validity regarding the possibility of application in TMD management have been included. Authors have excluded articles without outstanding practical aspect and evidence-based background. A first selection was carried out by reviewing titles and abstracts of all articles found according to the criteria. After that the full texts of potentially suitable articles were assessed. In line with these criteria, among 11467 results the writers have included 66 papers.ResultsThe most commonly reported conservative treatments are massage therapy and individually fabricated occlusal splints. In addition to massage, other popular methods include manual therapy and taping, warming/cooling of aching joints, and light and laser therapy. Drugs are also commonly used. In the most severe cases of the temporomandibular joint degeneration, surgical restoration of the joint is sometimes applied.ConclusionsThe authors concluded that conservative treatment including counselling, exercises, occlusal splint therapy, massage, manual therapy and others should be considered as a first choice therapy for TMD pain because of their low risk of side effects. In the case of severe acute pain or chronic pain resulting from serious disorders, inflammation and/or degeneration pharmacotherapy, minimally invasive and invasive procedures should be considered.

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Section: Introductionmentioning

confidence: 99%

Reported concepts for the treatment modalities and pain management of temporomandibular disorders

et al. 2015

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“…They are cognitively stressed (excessive preoccupation with the meaning of their symptoms), emotionally stressed (high levels of anxiety) or behaviourally stressed (excessive time required for treating their occlusion) . OD meets the criteria for a “somatic symptom disorder” (Code 300.82) pursuant to the criteria laid down in the 5th edition of the Diagnostic and Statistical Guide to Mental Disorders (DSM‐5).…”

Section: Clinical Characteristicsmentioning

confidence: 99%

Occlusal dysesthesia—A clinical guideline

Imhoff¹,

Ahlers

Hugger

et al. 2020

J of Oral Rehabilitation

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Background The diagnosis and management of patients suffering from occlusal dysesthesia (OD) remain a major challenge for dental practitioners and affected patients. Objectives To present the results of a literature‐based expert consensus intended to promote better understanding of OD and to facilitate the identification and management of affected patients. Methods In 2018, electronic literature searches were carried out in PubMed, Cochrane Library and Google Scholar as well as in the archives of relevant journals not listed in these databases. This approach was complemented by a careful assessment of the reference lists of the identified relevant papers. The articles were weighted by evidence level, followed by an evaluation of their contents and a discussion. The result represents an expert consensus. Results Based on the contents of the 77 articles identified in the search, the current knowledge about clinical characteristics, epidemiology, aetiology, diagnostic process, differential diagnosis and management of OD is summarised. Conclusions Occlusal dysesthesia exists independently of the occlusion. Instead, it is the result of maladaptive signal processing. The focus should be on patient education, counselling, defocusing, cognitive behavioural therapy, supportive drug therapy and certain non‐specific measures. Irreversible, specifically an exclusively dental treatment approach must be avoided.

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“…On the other hand morsicatio buccarum are often observed in people who are under stress, anxiey or with psychogenic background. 2 Biting of oral mucosa is seen in 750 per million persons. In a Mexican dental school clinic of 23,785 patients, cheek-biting lesions were found to be fifth most common oral mucosal finding with a prevalence of 21.7 cases per 1000 patients.…”

Section: Introductionmentioning

confidence: 99%