The Importance of Treating Both Muscles and Internal Derangement in TMD
In this chapter, the speakers discuss the significance of treating both the muscles and internal derangement in patients with temporomandibular joint disorder (TMD). They emphasize the need to correct the joint's anatomical position for long-lasting stability, and they mention using physiotherapy, adjunctive treatments, and laser therapy to achieve this. The speakers also highlight the high success rate of this approach and stress the importance of effectively communicating it to patients.
Play episode from 03:27
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Episode notes
I am going to say something controversial, but we kind of all know it’s true:
The management of Temporomandibular disorders is like the Wild West.
There are either no rules, or the rules are based on poor quality data.
In this episode, we’re joined by Dr. Patrick Grossmann, a retired orthodontist with 30 years of experience in TMD treatment using an orthopaedic approach. Together, we’ll unravel the complexities of TMD, discussing different viewpoints in TMD management.
Whilst Dr Grossmann and I do not fully agree on everything (typical Dentists!) it is helpful to understand the ‘working out’ and philosophy of a treatment modality.
Protrusive Dental Pearl: TMD History Form – which I send to all my patients before they come to see me for a TMD consultation. Premium members scroll down on the App to download (or check the Protrusive Vault). Otherwise download from https://www.protrusive.co.uk/tmd-history
A message from Dr Grossmann: “As of September 1st, I shall for the first time be offering a one-on- one (in person) 2 day intensive course in London. The course will cover ALL important aspects of TMD for the general practitioner as well as a half day ‘hands on’ session with the participant’s own splint. This will include using the splint for myofascial pain dysfunction syndrome as well as internal derangements-clicking/ locking. Moreover the importance of a night time appliance (Garcia) will be addressed and evidence for its efficacy.
