Temporomandibular disorders: improving outcomes using a multidisciplinary approach

被引:34
作者
Garrigos-Pedron, Miriam [1 ,2 ,3 ]
Elizagaray-Garcia, Ignacio [1 ,2 ,3 ]
Dominguez-Gordillo, Adelaida A. [4 ]
Luis Del-Castillo-Pardo-de-Vera, Jose [3 ,5 ]
Gil-Martinez, Alfonso [1 ,3 ,5 ,6 ]
机构
[1] Univ Autonoma Madrid, Ctr Super Estudios Univ La Salle, Dept Fisioterapia, C La Salle 10, Madrid 28023, Spain
[2] Univ Autonoma Madrid, Ctr Super Estudios Univ La Salle, Mot Brains Res Grp, Inst Neurociencias & Ciencias Movimeinto INCIMOV, Madrid, Spain
[3] Univ Autonoma Madrid, Ctr Super Estudios Univ La Salle, CranioSPain Res Grp, Inst Neurociencias & Ciencias Movimeinto INCIMOV, Madrid, Spain
[4] Univ Complutense Madrid, Dept Odontol, Madrid, Spain
[5] Hosp Univ La Paz, Dept Cirugia Oral & Maxilofacilal, Madrid, Spain
[6] Hosp Univ La Paz, IdiPAZ, Dept Fisioterapia, Madrid, Spain
关键词
temporomandibular disorders; physiotherapy; psychology; odontology; surgery; EXPERIMENTAL OCCLUSAL INTERFERENCES; SLEEP-APNEA SYNDROME; HEAD-NECK MOVEMENTS; MYOFASCIAL PAIN; PHYSICAL-THERAPY; MANUAL THERAPY; ELECTROACUPUNCTURE ANALGESIA; ACUPUNCTURE ANALGESIA; INTERNAL DERANGEMENT; SPLINT THICKNESS;
D O I
10.2147/JMDH.S178507
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Patients with temporomandibular disorders (TMD) can become very complex. This article aims to highlight the importance of the multimodal and multidisciplinary approach in this type of patients to improve clinical outcomes. At present we have innumerable techniques and tools to approach this type of patients from a biopsychosocial model where active and adaptive type treatments are fundamental. There are various health professions that have competence in the treatment of TMD, however, although in the most complex cases should be treated simultaneously, still too many patients receive unique treatments and only from one point of view. This review exposes the treatments available from a clinical-scientific perspective and also emphasizes the importance of working in specialized units with those professionals who have competencies on the different conditions that may occur.
引用
收藏
页码:733 / 747
页数:15
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