The role of occlusal factor in the etiology of temporomandibular dysfunction

Abstract

The study conformed the validity of irreversible occlusal therapy (selective grinding) in patients with TMD.

Correlation analysis of craniomandibular index and gothic arch tracing in patients with craniomandibular disorders

“…Changes in the gothic arch records in patients in relation to the same records in healthy subjects tend to be con- firmed by differences in the values of some of its parameters. Analogous studies conducted by various authors report similar results 23,25 . Similar results have been presented by other authors as well [20][21][22] .…”

“…Gesch et al 10 and Dodić et al 14 also find a wide representation of these symptoms in patients with craniomandibular dysfunctions, while Cooper and Kleinberg 19 assign headache to the dominant symptom class as well. Dodić et al 23 , Nielsen et al 24 , Obrez and Stobler 25 point out that the difference in the length of lateral movements in subjects with and without dysfunctional disorder amounts to 3-5 mm on average. Data analysis showed a significant difference in the length values of the right and left lateral movement records between the experimental and control groups, ie the average value of this parameter was significantly higher in the control group.…”

Efficacy of Selective Grinding Guided by an Occlusal Splint in Management of Myofascial Pain: A Prospective Clinical Trial

“…Moreover, the final MCD analysis carried out five months after selective grinding found no clinical differences, suggesting that short- to medium-term musculoskeletal stability had been achieved. This fact was endorsed by the Helkimo Index performed at the same point, similarly to other studies in which an occlusal adjustment carried out in patients with chronic myofascial pain [ 36 ] or temporomandibular dysfunction [ 37 ] resulted in a significant reduction of the EMG activity of the chewing muscles, patients´self-reported pain or patients´ TMD symptoms.…”

“…Procedures such as selective grinding [ 16 - 18 ] can facilitate this ‘no shift’ situation. Selective grinding of the tooth surfaces to produce occlusal adjustment has been described as a valid adjunct to orthodontic treatment for improving the overall contact pattern of the teeth [ 19 , 20 ]. However, the procedure must be well planned, based on precise diagnosis, and use a controlled and accurate method.…”

Temporomandibular dysfunction: causes and treatments

“…Los valores de CMI II (30 días después del tratamiento) oscilaron entre 0,038 y 0,19. El estudio conformó la validez de la terapia oclusal irreversible en pacientes con DTM (11) .…”