Abstract
With painful temporomandibular disorders, the physiotherapist treatment makes it possible to treat the pains and dysfunctions of the masticatory apparatus. When these are diagnosed before orthodontic treatment, it is necessary to treat them so that they do not interfere with the dentofacial orthopaedics treatment. In this perspective, lingual rehabilitation according to the method «Fournier» is associated with Schultz Autogenic Training.
Highlights
A significant portion of the population has temporomandibular disorder (TMD), but the percentage of patients seeking treatment is low compared to the prevalence of TMD (TMDs)
“the signs of TMD cannot be considered pathological in all cases and do not require systematic therapeutic management.”[20] patients who eventually decide to consult for pain, joint noises, or dyskinesies are in many cases stuck in a kind of medical limbo being sent from doctor to doctor before they can find the specialist capable of diagnosing and proposing a therapeutic solution[20]
In order to be able to intervene on TMD on a long-term basis, it is preferable to refer the patient to a therapist capable of managing lingual dyspraxia while working on the behavioral aspect
Summary
A significant portion of the population has temporomandibular disorder (TMD), but the percentage of patients seeking treatment is low compared to the prevalence of TMD (TMDs). “the signs of TMD cannot be considered pathological in all cases and do not require systematic therapeutic management.”[20] patients who eventually decide to consult for pain, joint noises, or dyskinesies are in many cases stuck in a kind of medical limbo being sent from doctor to doctor before they can find the specialist capable of diagnosing and proposing a therapeutic solution[20] It is often ENT physicians or general dentists who often receive the patient’s concerns first. It is recognized that multifactorial etiopathy of TMD can combine occlusal, parafunction, postural imbalances, orofacial dyspraxia, and stress Faced with this etiological heterogeneity, treatment cannot be only local and mechanical, but must be overall and behavioral. The former makes it possible to achieve a biomechanical balance of oral function, and the latter is used to stop parafunctions
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