Germain Lisa, Malcmacher Louis
Faculty, American Academy of Facial Esthetics; Private Practice, New Orleans, Louisiana.
President, American Academy of Facial Esthetics; Private Practice, Bay Village, Ohio.
Compend Contin Educ Dent. 2017 May;38(5):299-305; quiz 306.
Temporomandibular disorders (TMD) are a group of conditions affecting the temporomandibular joint and/or muscles of mastication. TMD may present along with many comorbid pain syndromes such as myofascial pain, headache, and neck and back stiffness with limited range of motion, as well as fibromyalgia and chronic fatigue syndrome. The diagnosis and management of TMD is complex and, many times, multidisciplinary. However, dentists can provide their patients with frontline temporomandibular/orofacial pain therapy with didactic and hands-on training that provides a better understanding and a conservative approach for treatment of TMDs.
颞下颌关节紊乱病（TMD）是一组影响颞下颌关节和/或咀嚼肌的病症。TMD可能与许多共病性疼痛综合征同时出现，如肌筋膜疼痛、头痛、颈部和背部僵硬且活动范围受限，以及纤维肌痛和慢性疲劳综合征。TMD的诊断和管理很复杂，而且很多时候需要多学科协作。然而，牙医可以通过教学和实践培训为患者提供一线颞下颌关节/口腔面部疼痛治疗，从而更好地理解并采用保守方法治疗TMD。
