Saran Stefano, Saccomanno Sabina, Petricca Maria Teresa, Carganico Andrea, Bocchieri Salvatore, Mastrapasqua Rodolfo Francesco, Caramaschi Elena, Levrini Luca
Department of Human Sciences, Innovation and Territory, School of Dentistry, Postgraduate of Orthodontics, University of Insubria, 21100 Varese, Italy.
Department of Health, Life and Environmental Science, University of L'Aquila, Piazza Salvatore Tommasi, 67100 L'Aquila, Italy.
Dent J (Basel). 2022 Nov 4;10(11):210. doi: 10.3390/dj10110210.
Temporomandibular disorders (TMDs) are a condition which has multifactorial etiology. The most acknowledged method to classify TMDs is the diagnostic criteria (DC) introduced firstly by Dworkin. This protocol considers different aspects that are not only biological, but even psychosocial. Diagnosis is often based on anamnesis, physical examination and instrumental diagnosis. TMDs are classified as intra-articular and/or extra-articular disorders. Common signs and symptoms include jaw pain and dysfunction, earache, headache, facial pain, limitation to opening the mouth, ear pain and temporomandibular joint (TMJ) noises. This study regards two kind of clinicians that started in the last years to be more involved in the treatment of TMDs: osteopaths (OOs) and physiotherapists (PTs). The purpose is to analyze their attitude and clinical approach on patients affected by TMDs. Four hundred therapists answered an anonymous questionnaire regarding TMJ and TMDs. OOs showed greater knowledges on TMDs and TMJ and, the therapists with both qualifications seemed to be most confident in treating patients with TMDs. In conclusion this study highlights OOs and all the clinicians with this qualification, have a higher confidence in treating patients with TMD than the others. Dentists and orthodontists, according to this study, should co-work with OOs and PTs, because they are the specialists more requested by them than other kinds of specialists.
颞下颌关节紊乱病（TMDs）是一种病因多因素的病症。目前最被认可的TMDs分类方法是德沃金首先提出的诊断标准（DC）。该方案考虑了不仅是生物学方面，甚至还有社会心理方面的不同因素。诊断通常基于病史、体格检查和器械诊断。TMDs分为关节内和/或关节外紊乱。常见的体征和症状包括颌面部疼痛和功能障碍、耳痛、头痛、面部疼痛、张口受限、耳痛和颞下颌关节（TMJ）弹响。本研究关注近年来开始更多参与TMDs治疗的两类临床医生：整骨疗法医生（OOs）和物理治疗师（PTs）。目的是分析他们对TMDs患者的态度和临床治疗方法。四百名治疗师回答了一份关于TMJ和TMDs的匿名问卷。OOs对TMDs和TMJ表现出更丰富的知识，并且，具备两种资质的治疗师在治疗TMDs患者时似乎最有信心。总之，本研究强调OOs以及所有具备该资质的临床医生，在治疗TMDs患者方面比其他人更有信心。根据这项研究，牙医和正畸医生应该与OOs和PTs合作，因为与其他专科医生相比，他们是牙医和正畸医生更需要的专家。
