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Review
. 2016 Jul-Aug;24(4):411-9.
doi: 10.1590/1678-775720150295.

Occlusal changes secondary to temporomandibular joint conditions: a critical review and implications for clinical practice

Waleska Caldas  1 , Ana Cláudia de Castro Ferreira Conti  2 , Guilherme Janson  1 , Paulo César Rodrigues Conti  3
Affiliations
Review

Occlusal changes secondary to temporomandibular joint conditions: a critical review and implications for clinical practice

Waleska Caldas et al. J Appl Oral Sci. 2016 Jul-Aug.

Abstract

Objectives: The aim of this article is to present the most commonly occlusal changes secondary to TMD.

Methods: The clinical presentation of these conditions is discussed. Details regarding diagnosis, treatment, and follow-up of patients presenting TMD prior or during treatment are also presented.

Conclusions: All plans for irreversible therapy should be preceded by a meticulous analysis of TMD signs and symptoms in such a way that patients are not submitted to irreversible treatment, based on an untrue occlusal relationship, secondary to articular and/or muscular disorders. When present, TMD symptoms must always be controlled to reestablish a "normal" occlusion and allow proper treatment strategy.

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Figures

Figure 1
Figure 1. Anterior open bite secondary to rheumatoid arthritis radiographic and clinical images
Figure 2
Figure 2. Magnetic resonance image evidencing integrity of condyle cortical on the right side (A) and a high degree of condylar resorption on the left side (B) of a patient presenting posterior open bite on the unaffected side
Figure 3
Figure 3. Posterior open bite on the right side secondary to resorption of the opposite side condyle
Figure 4
Figure 4. Joint effusion on the left temporomandibular joint resulting in a posterior open bite on the affected side
Figure 5
Figure 5. Mandible shift accompanied by a lower midline deviation to the right side secondary to joint effusion on the opposite temporomandibular joint
Figure 6
Figure 6. Assessment of signs and symptoms of TMD
Figure 7
Figure 7. Protocol of management of patients presenting signs and symptoms of temporomandibular disorder before orthodontic treatment
Figure 8
Figure 8. Counseling and home self-care guidelines for the TMD patient
Figure 9
Figure 9. Protocol of management of patients presenting signs and symptoms of temporomandibular disorder during orthodontic treatment
See this image and copyright information in PMC

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