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Article: Volume 43 Number 1 Page 39 - January/February 2016

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  Dent Update 2016; 43: 39-48

Oral surgery:  Pain Part 6: Temporomandibular Disorders

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Abstract: TMDs are a complex collection of conditions which can have a significant impact on an individual’s quality of life. The aetiology, diagnosis and management of TMDs will be described in this article with the hope of increasing a general dental practitioner’s knowledge of these problems, thus helping them to institute simple, initial, conservative therapies for such patients. Diagnosis of TMDs can be simplified by following recent published clinical diagnostic criteria such as those outlined in this article.

Clinical relevance: Pain and functional disturbances related to TMDs are common and require simple and pragmatic interventions for most patients. After providing a diagnosis, reassure patients that they do not have a sinister disease, and explain that the condition is usually self-limiting.

Author notes: Pamela L Yule, BDS, MFDS RCPS(Glasg), Specialty Registrar and Associate Clinical Lecturer in Restorative Dentistry, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne NE2 4AZ, Justin Durham, BDS, PhD, MFDS RCS(Ed), FDS RCS(OS), Senior Lecturer in Oral Surgery and Orofacial Pain and Honorary Consultant Oral Surgeon, School of Dental Sciences, Newcastle University and Robert W Wassell, BDS, MSc, PhD, FDS RCS(Eng), Senior Lecturer and Honorary Consultant in Restorative Dentistry, School of Dental Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne, Tyne and Wear NE2 4BW, UK.

Objective: To outline the aetiology, diagnosis and management of TMDs.