Department of Facial Pain, Royal National ENT & Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, UK; University College London Eastman Dental Institute, London, UK.
Department of Radiology, University of Cambridge School of Clinical Medicine, Cambridge, UK.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2023 Jul;136(1):54-69. doi: 10.1016/j.oooo.2023.02.001. Epub 2023 Feb 12.
Temporomandibular disorders (TMDs) are a prevalent but complex group of conditions that cause orofacial pain. Temporomandibular disorders are recognized as one of the most common chronic pain conditions, alongside back pain and headache disorders. Given the competing theories surrounding what causes TMDs and limited high-equality evidence on optimally treating TMDs, clinicians often encounter challenges in developing an effective management plan for patients. Furthermore, patients will often seek advice from multiple health care providers from varying specialties, seeking curative management, often resulting in inappropriate treatments and no improvement in pain symptoms. Throughout this review, we explore the existing evidence base surrounding the pathophysiology, diagnosis, and management of TMDs. An existing United Kingdom-based multidisciplinary care pathway for the management of TMDs is described herein, highlighting the benefits of a multidisciplinary approach to patient care for TMDs.
颞下颌关节紊乱病（TMDs）是一组常见但复杂的疾病，可引起口颌面部疼痛。TMDs 被认为是最常见的慢性疼痛疾病之一，与背痛和头痛疾病并列。鉴于导致 TMDs 的理论相互竞争，以及关于 TMDs 最佳治疗方法的高质量证据有限，临床医生在为患者制定有效的管理计划时经常会遇到挑战。此外，患者通常会向来自不同专业的多个医疗保健提供者寻求建议，寻求治疗性管理，这通常会导致不适当的治疗和疼痛症状没有改善。在本综述中，我们探讨了 TMDs 的病理生理学、诊断和管理的现有证据基础。本文描述了一个现有的英国多学科 TMD 管理护理途径，强调了多学科方法对 TMD 患者护理的益处。
