Temporomandibular joint dysfunction: clinical discussion
I.N. Lyashev1, E.V. Ekusheva2
1 Federal Research and Clinical Center of Otorhinolaryngology, Moscow
2 Institution of Advanced Training of Federal Medical and Biological Agency, Moscow
Pain syndrome in face and mouth is characterized by a polymorphic clinical picture, characterized by multifactorial etiology and objective complexity of determining a variety of causes for its occurrence. Temporomandibular joint pain dysfunction (TMJPD) is one of the most common causes of chronic pain in the face and oral cavity in clinical practice, not related to dental diseases, but the vast majority of these patients are at the initial consultation at the dentist less often — at the maxillofacial surgeon. It should be noted that a violation of anatomical relationships in the TMJ, including the dislocation of the intra-articular disc and compression of the richly innervated and vascularized bilaminar joint zone makes a particular contribution to the development and further maintenance of the pathological process in TMJPD, which is essential to consider in the management of these patients. The article presents a clinical observation of a patient with TMJPD. A comprehensive approach of clinicians of various profiles to the management of patients with orofacial pain was the key to the successful outcome of its treatment. Thus, diagnosis and further treatment of comorbid diseases and conditions in patients with orofacial pain are crucial, as they allow more effective help to these patients.
Key words: orofacial pain, facial pain, temporomandibular joint dysfunction, migraine.
For citation: Lyashev I.N., Ekusheva E.V. Temporomandibular joint dysfunction: clinical discussion // RMJ. Medical Review. 2018. № 9. P. 22–24.
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2. Ляшев И.Н., Екушева Е.В. Боль в клинической практике стоматолога: ускользающая простота // РМЖ. 2017. № 24. С. 1770–1774 [Lyashev I.N., Yekusheva Ye.V. Bol’ v klinicheskoy praktike stomatologa: uskol’zayushchaya prostota // RMZH. 2017. № 24. S. 1770–1774 (in Russian)].
3. Shephard M.K., MacGregor A., Zakrzewska J.M. Orofacial pain: a guide for the headache physician // Headache. 2014. Vol. 54. P. 22–39.
4. Hoffmann R.G., Kotchen J.M., Kotchen T.A. et al. Temporomandibular disorders and associated clinical comorbidities // Clin. J. Pain. 2011. Vol. 27(3). P. 268–274.
5. Silva Jr. A.A., Brandao K.V., Faleiros B.E. et al. Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache // Arq Neuropsiquiatr. 2014. Vol. 72(2). P. 99–103.
6. Schiffman E., Ohrbach R., Truelove E. et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group // J. Oral. Facial. Pain Headache. 2014. Vol. 28(1). P. 6–27.
7. Goncalves M.C., Lidiane L.F., Thais C.C. et al. Do Women with Migraine Have Higher Prevalence of Temporomandibular Disorders? // Braz. J. Phys. Ther. 2013. Vol. 17(1). P. 64–68.
8. Schoenen J., Dodick D.W., Sandor P.S. (Eds.). Comorbidity in Migraine. London: Wiley-Blackwell. 2011. 152 p.
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