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Osteopathic Manipulative Treatment for Temporomandibular Disorders

Journal: The Journal of the American Osteopathic Association Date: 2019/06, 119(6):Pages: e29-e30. doi: Subito , type of study: article

Free full text   (https://jom.osteopathic.org/abstract/osteopathic-manipulative-treatment-for-temporomandibular-disorders/)

Keywords:

temporomandibular disorders [10]
TMD [14]
muscles [32]
TMJ [4]
osteopathic manipulative treatment [2973]
OMT [2951]
article [2076]

Abstract:

Temporomandibular disorder (TMD) is subclassified as a secondary headache disorder that affects more than 25% of the general population, and 85% to 95% of the population will exhibit at least 1 TMD symptom in their lifetime.1,2 Chronic cases may lead to depression, poor sleep quality, and low energy and can negatively affect social activity and employment.3 While the causes of TMD are multifactorial, including psychological factors, most symptoms are due to hyperactive and dysfunctional musculature.4 Thus, addressing the musculature through manipulative techniques may improve TMD. The muscles of mastication include the masseter, lateral and medial pterygoid, and temporalis, as well as the temporomandibular joint (TMJ) capsule and articular disk, which are crucial players of TMD's most common myofascial etiology.4 These muscular and ligamentous dysfunctions can cause abnormal mandibular tracking, clicking, and jaw locking, ultimately leading to pain and disability. Conservative treatment should be attempted before considering invasive options such as orthodontics or surgery.


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