The orthodontist's role in the diagnosis and treatment of temporomandibular joint disorders

Abstract

The orthodontist can play an important role in the diagnosis and treatment of temporomandibular joint disorders. The broad biologic approach demanded by the problems of growth and development which arise in his specialty provides an advantage. The very nature of orthodontic practice—conservative treatment carried out over long periods of time—does not exist to the same extent in other branches of dentistry. Such treatment requires patience, which is of great value in managing such disorders as the temporomandibular joint pain-dysfunction syndrome. For effective management of temporomandibular joint disorders, the orthodontist must master the art of diagnosis. In addition, he must receive training in methods of therapy other than occlusal therapy. The gaining of such diversified skills will provide a large therapeutic armamentarium. With experience will come the judgment that enables the practitioner to evaluate prognosis and select methods of treatment that are best suited for the particular clinical problem of the individual patient.