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Difference between revisions of "4° Clinical case: Temporomandibular disorders"
4° Clinical case: Temporomandibular disorders (view source)
Revision as of 17:05, 19 October 2024
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{{ArtBy|autore=Gianni Frisardi}} | {{ArtBy|autore=Gianni Frisardi}} | ||
'''Abstract:''' This article explores the complex relationship between Temporomandibular Joint Disorders (TMD) and Orofacial Pain, as highlighted by Ahmad and Schiffman, who reported that 4.6% of the U.S. population is affected by these conditions. The cost of managing TMDs is considerable, yet their diagnostic complexity often leads to delays in appropriate care. A critical element in the differential diagnosis between orofacial pain and TMD is the high incidence rate of the condition, which can distort the predictive value of diagnostic tools like Bayes' theorem. Moreover, while TMD is the second most common chronic musculoskeletal condition after low back pain, its symptoms often overlap with other pathologies, making diagnosis even more challenging. | |||
Through clinical case examples, this study underlines the limitations of current gnathological approaches, which focus predominantly on dental occlusion without sufficiently considering the neuromotor network. The Neurognathological Functional (NGF) method is introduced as a paradigm shift in diagnosing and treating TMDs, emphasizing the role of trigeminal neuromotor responses over occlusal parameters alone. This method utilizes advanced trigeminal electrophysiological techniques, such as the bRoot-MEPs (bilateral motor evoked potentials), to assess the organic and functional integrity of the trigeminal system and restore masticatory function through neuro-evoked centric rehabilitation. | |||
The study also discusses mandibular spatial analysis and its role in determining the optimal occlusal position, moving away from manual and traditional methods. Clinical results from patients treated with the NGF method reveal improvements in both neurophysiological symmetry and masticatory function. Furthermore, the article delves into the broader neuro-occlusal correlation, showing that chewing and occlusal patterns can influence brain activity and potentially affect neurodegenerative diseases. | |||
In conclusion, TMD and orofacial pain require a more integrated diagnostic approach that considers the trigeminal system's role in masticatory and neuromotor function. The NGF method offers a new perspective on TMD management, addressing both the dental and neurological aspects of the condition for a more precise and effective treatment. | |||
===Introduction=== | ===Introduction=== | ||
An article by Ahmad and Schiffman<ref name=":0">Mansur Ahmad, Eric L Schiffman. [https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/26614951/ Temporomandibular Joint Disorders and Orofacial Pain.] Dent Clin North Am. 2016 Jan;60(1):105-24. doi: 10.1016/j.cden.2015.08.004.Epub 2015 Oct 21.</ref> revealed interesting elements that call for a more in-depth analysis of the TMD phenomenon. The authors reported, in fact, that about 5-12% of the US population is affected by TMD and the annual cost of TMD management, excluding imaging costs, is about $4 billion. Interview Survey (NHIS) that included a total of 189,977 people, 4.6% (n = 8964) had temporomandibular joint and muscle disorders (TMJD). | An article by Ahmad and Schiffman<ref name=":0">Mansur Ahmad, Eric L Schiffman. [https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/26614951/ Temporomandibular Joint Disorders and Orofacial Pain.] Dent Clin North Am. 2016 Jan;60(1):105-24. doi: 10.1016/j.cden.2015.08.004.Epub 2015 Oct 21.</ref> revealed interesting elements that call for a more in-depth analysis of the TMD phenomenon. The authors reported, in fact, that about 5-12% of the US population is affected by TMD and the annual cost of TMD management, excluding imaging costs, is about $4 billion. Interview Survey (NHIS) that included a total of 189,977 people, 4.6% (n = 8964) had temporomandibular joint and muscle disorders (TMJD). | ||