Chapter-04 Temporomandibular Joint Diseases

BOOK TITLE: Fundamentals of Oral Medicine and Radiology

1. DN Bailoor
2. KS Nagesh
Publishing Year
Author Affiliations
1. Yenepoya Dental College and Hospital, Mangalore
2. RV Dental College, Jayanagar, Bangalore
Chapter keywords


The need to use interdisciplinary treatment plans can hardly be emphasized. This complex subject and its application to the TMJ treatment are still in a state of continuous flux with new treatment modalities emerging every day. In diagnostic procedures, it is advised not to involve any invasive procedures in the patient until we have measured the risk versus the benefit, cost and utility of the diagnostic modality. This is specially so because with the advent of MR imaging the role of arthroscopy is likely to be very narrow. One of the important principles in treatment is when in doubt, do conservative treatment. Throughout history of Medical treatment the disorders of the Temporomandibular Joint (TMJ) have been difficult to treat. Vast amount of data regarding the basic anatomy and the psychophysiology of the TMJ is available now, what probably is lacking is its correct application. TMJ is functionally the most important joint, because it helps in masticating, talking and even kissing. The disorders affecting the TMJ are collectively referred to as Temporo­mandibular Disorders or TMD in the following discussion. It is evident from the brief discussion of the various disorders that TMJ disease diagnosis and treatment provides a veritable challenge to the practicing Dental Surgeon as well as Dental Specialists who undertake this difficult task.

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