SACRAMENTO, Calif., USA: In the August issue of the Journal of the California Dental Association, four authors state their differing philosophies on temporomandibular disorder (TMD). In the issue, each statement of philosophy is reviewed by the other authors, giving readers a greater understanding of the opinions presented by the TMD experts.
“This issue presents just four of the many different TMD philosophies that exist,” said Kerry K. Carney, DDS, editor-in-chief of the journal. “The differences between the statements presented from the authors may seem slight, but those differences are clearly important.”
The first article presented is titled “Temporomandibular Disorders: A Human Systems Approach.” This paper presents a broad, inclusive approach to diagnosis and management of TMD that reflects both conceptual models of human systems in understanding chronic illnesses as well as systematic reviews of treatment for successful management.
In an article titled “Temporomandibular Joint Orthopedics With Anterior Repositioning Appliance Therapy and Therapeutic Injections,” the second author discusses how ARA therapy for TMJ internal derangements is successful in long-term recapturing of disks.
The author of the third statement, “Airway Centric TMJ Philosophy, “explains that any TMJ or occlusal philosophy must address airway patency while managing pain and dysfunction, identifying contributing factors and alleviating perpetuating factors.
The final article, “Physiologic Neuromuscular Dental Paradigm for the Diagnosis and Treatment of Temporomandibular Disorders,” discusses PNMD, a paradigm that acknowledges the primacy of physiology in shaping and controlling anatomy in a functioning human body.
Following each of these reviews, the authors respond to the critiques of their individual philosophies.
(Source: California Dental Association)
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