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Myofascial Temporomandibular Disorders at a Turning Point: Pragmatic or Evidence-Based Management?

Authors :
Zagury JG
Ananthan S
Quek SYP
Subramanian G
Source :
Dental clinics of North America [Dent Clin North Am] 2023 Apr; Vol. 67 (2), pp. 335-348. Date of Electronic Publication: 2023 Feb 01.
Publication Year :
2023

Abstract

Unvalidated theories have been proposed for the etiopathogenesis of masticatory myofascial temporomandibular disorders (mTMD). Modalities such as cone-beam computed tomography/computed tomography and MRI contributes little to the diagnosis of mTMD. Diagnosing mTMD is based on the recognition of "familiar pain" presentation in the masticatory myofascial tissue. This assessment tool contributes little our understanding of the underlying disease process. Thus, management of mTMD is empirical and arbitrary. Exploring emerging technologies to identify biomarkers and objectively assess myofascial tissue physiology in disease and health may be key in moving the diagnosis of mTMD from the pragmatic paradigm to an evidence-based paradigm.<br /> (Copyright © 2022 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1558-0512
Volume :
67
Issue :
2
Database :
MEDLINE
Journal :
Dental clinics of North America
Publication Type :
Academic Journal
Accession number :
36965935
Full Text :
https://doi.org/10.1016/j.cden.2022.12.003