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KMID : 0362720120500050244
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Journal of the Korean Dental Association
2012 Volume.50 No. 5 p.244 ~ p.255
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Diagnosis and Treatment of the Temporomandibular Disorder
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Kim Cheol-Hun
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Abstract
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Temporomandibular disorder(TMD) is described as a cluster of disorders characterized by pain in the preauricular area and/or the muscles of mastication; limitations or deviations in mandibular range of motion; and noises in the TMJ during mandibular function. The most common symptom in TMD patients is pain that is aggravated by chewing or other jaw function. These symptoms are appeared when the stimuli loaded in TMJ are over the physiologic tolerance.
The primary goal in treatment of TMD is to alleviate pain and /or mandibular dysfunction. TMD treatment can be divided into 2 categories: reversible and irreversible methods. Reversible methods include medication, thermal therapy, habit modification, physical therapy, appliance therpy and arthrocentesis and lavage and irreversible methods include arthroscopic lysis, surgery, occlusal adjustment et al. It is widely accepted that reversible methods are ther first choice of treatments. However if reversible ones are not effective, irreversible methods are considered.
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KEYWORD
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Temporomandibular disorder, diagnosis, treatment, arthrocentesis and lavage
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