Portal de Periódicos da CAPES

Assessment of clinical treatment of patients with temporomandibular joint dysfunction

1970; Elsevier BV; Volume: 24; Issue: 5 Linguagem: Inglês

10.1016/0022-3913(70)90062-4

1097-6841

George A. Zarb, Gordon W. Thompson,

Botulinum Toxin and Related Neurological Disorders

1 emporomandibular joint dysfunctions are fairly common occurrences and are comprehensively documented in the dental literature. Several authors maintain that inadequate dentitions and unsatisfactory occlusions are the most frequent causes of temporomandibular joint disorders. l-4 Other investigators, while noting that hyperfunction may give rise to myofascial pain, assert that temporomandibular joint disturbances are usually related to dysfunction of the masticatory muscles and/or to emotional disorders.5-10 The objective of this investigation was to assess, from a clinical point of view, the history, symptomatology, clinical findings, radiographic appearance, dental status, treatment, and longitudinal follow-up of patients suffering from functional temporomandibular joint disturbances. This article is a preliminary report based on a 30 to 36 month follow-up of a sample of treated patients. For each patient, an assessment was made of (1) the chief complaint and its duration, (2) the onset of pain and associated joint activity, (3) bruxing and/or clenching activity, (4) the medical history findings, (5) the emotional state, (6) subjective symptoms, (7) clinical findings, (8) pain distribution, (9) the occlusal/prosthetic status, (10) the occlusion, (11) a charting of the existing teeth, carious lesions, periodontal status, attrition, facets, and the like, (12) full-mouth and Panorex radiographs, (13) the treatment prescribed, (14) the time interval in obtaining relief, (15) the permanent treatment plan, and (16) referral consultations.