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Difference between revisions of "Are we sure to know everything?"
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The chapter concludes by advocating for a more interdisciplinary approach to diagnosing and treating TMDs, suggesting that the integration of dental and neurological expertise is crucial. It proposes moving beyond traditional diagnostic models towards a system that embraces the complexity of TMDs and utilizes a broader spectrum of scientific insights to enhance diagnostic accuracy and patient care. | The chapter concludes by advocating for a more interdisciplinary approach to diagnosing and treating TMDs, suggesting that the integration of dental and neurological expertise is crucial. It proposes moving beyond traditional diagnostic models towards a system that embraces the complexity of TMDs and utilizes a broader spectrum of scientific insights to enhance diagnostic accuracy and patient care. | ||
In summary, this text pushes for a revolution in how TMDs are understood and diagnosed, arguing for the abandonment of outdated statistical models and the adoption of new methodologies that reflect the complex, interrelated nature of neuromuscular and cognitive factors in TMDs. This approach aims not only to improve diagnostic accuracy but also to foster a more holistic understanding of patient care in the field of orofacial pain management. | In summary, this text pushes for a revolution in how TMDs are understood and diagnosed, arguing for the abandonment of outdated statistical models and the adoption of new methodologies that reflect the complex, interrelated nature of neuromuscular and cognitive factors in TMDs. This approach aims not only to improve diagnostic accuracy but also to foster a more holistic understanding of patient care in the field of orofacial pain management. | ||
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===Introduction=== | ===Introduction=== | ||
During the previous chapters of Masticationpedia we wanted to highlight the diagnostic complexity in the field of Orofacial Pain and Temporomandibular Disorders (TMDs) which sometimes hide much more serious neurological and/or systemic pathologies with a diagnostic course of decades. One of the most striking data that emerges from research in the literature is the high prevalence of TMD (30%-50%) throughout the world<ref>Ouanounou A, Goldberg M, Haas DA. Pharmacotherapy in '''Temporomandibular''' '''Disorders''': A '''Review'''. J Can Dent Assoc. 2017 Jul;83:h7.</ref> combined with their variability between clinical studies (3-20%)..<ref>Poveda Roda R, Bagan JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. '''Review''' of '''temporomandibular''' '''joint''' pathology. Part I: classification, '''epidemiology''' and risk factors. Med Oral Patol Oral Cir Bucal. 2007 Aug 1;12(4):E292-8.</ref><ref>Türp JC, Schindler HJ.Schmerz. Chronic '''temporomandibular''' '''disorders''']. 2004 Apr;18(2):109-17. doi: 10.1007/s00482-003-0279-x.PMID: 15067530 </ref><ref>Fricton JR. The relationship of '''temporomandibular''' '''disorders''' and fibromyalgia: implications for diagnosis and treatment. Curr Pain Headache Rep. 2004 Oct;8(5):355-63. doi: 10.1007/s11916-996-0008-0.PMID: 15361319 </ref><ref>De Meyer MD, De Boever JA.The role of bruxism in the appearance of '''temporomandibular''' '''joint''' '''disorders'''].Rev Belge Med Dent (1984). 1997;52(4):124-38. PMID: 9709800 | During the previous chapters of Masticationpedia we wanted to highlight the diagnostic complexity in the field of Orofacial Pain and Temporomandibular Disorders (TMDs) which sometimes hide much more serious neurological and/or systemic pathologies with a diagnostic course of decades. One of the most striking data that emerges from research in the literature is the high prevalence of TMD (30%-50%) throughout the world<ref>Ouanounou A, Goldberg M, Haas DA. [https://jcda.ca/h7 Pharmacotherapy in '''Temporomandibular''' '''Disorders''': A '''Review'''.] J Can Dent Assoc. 2017 Jul;83:h7.</ref> combined with their variability between clinical studies (3-20%)..<ref>Poveda Roda R, Bagan JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. '''Review''' of '''temporomandibular''' '''joint''' pathology. Part I: classification, '''epidemiology''' and risk factors. Med Oral Patol Oral Cir Bucal. 2007 Aug 1;12(4):E292-8.</ref><ref>Türp JC, Schindler HJ.Schmerz. Chronic '''temporomandibular''' '''disorders''']. 2004 Apr;18(2):109-17. doi: 10.1007/s00482-003-0279-x.PMID: 15067530 </ref><ref>Fricton JR. The relationship of '''temporomandibular''' '''disorders''' and fibromyalgia: implications for diagnosis and treatment. Curr Pain Headache Rep. 2004 Oct;8(5):355-63. doi: 10.1007/s11916-996-0008-0.PMID: 15361319 </ref><ref>De Meyer MD, De Boever JA.The role of bruxism in the appearance of '''temporomandibular''' '''joint''' '''disorders'''].Rev Belge Med Dent (1984). 1997;52(4):124-38. PMID: 9709800 | ||
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Per Alstergren, Jean-Paul Goulet, Frank Lobbezoo, Ambra Michelotti, Richard Ohrbach, Chris Peck, Eric Schiffman | Per Alstergren, Jean-Paul Goulet, Frank Lobbezoo, Ambra Michelotti, Richard Ohrbach, Chris Peck, Eric Schiffman | ||
International RDC/TMD Consortium Network and IADR</ref> which essentially reach the following conclusion by R. Ohrbach and S.F. Dworkin.<ref name=":2">R. Ohrbach and S.F. Dworkin. The Evolution of TMD Diagnosis. Past, Present, Future Monitoring Editor: Ronald Dubner. J Dent Res. 2016 Sep; 95(10): 1093–1101. Published online 2016 Jun 16. doi: 10.1177/0022034516653922 PMCID: PMC5004241, PMID: 27313164 | International RDC/TMD Consortium Network and IADR</ref>** which essentially reach the following conclusion by R. Ohrbach and S.F. Dworkin.<ref name=":2">R. Ohrbach and S.F. Dworkin. The Evolution of TMD Diagnosis. Past, Present, Future Monitoring Editor: Ronald Dubner. J Dent Res. 2016 Sep; 95(10): 1093–1101. Published online 2016 Jun 16. doi: 10.1177/0022034516653922 PMCID: PMC5004241, PMID: 27313164 | ||
</ref> | </ref> | ||