Therapy target Improvement of the symptomatology Therapy recommendations In acute pain, to avoid chronicity, medication should be used: Analgesics (painkillers), if necessary also anti-inflammatory drugs/drugs that inhibit inflammatory processes (non-steroidal anti-inflammatory drugs, NSAIDs); do not use long-term. In myalgia (muscle pain): possibly tizanidine due tomuscle tone-reducing effects. See under “Dental Therapy”
Craniomandibular dysfunction is usually diagnosed on the basis of medical history and physical examination. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. 3D spine measurement – provides information about anatomical changes of the back and spine without … Craniomandibular Dysfunction: Diagnostic Tests
Parafunctions represent the most important factor in the muscular causes of CMD. Parafunctions include tongue clenching, teeth clenching, and teeth grinding. In this case, there is a strong overload in the area of teeth, temporomandibular joints and musculature, i.e. the entire craniomandibular system.Most often, parafunctions have psychological causes, such as stress, anger or anxiety. To … Craniomandibular Dysfunction: Parafunctions
To prevent craniomandibular dysfunction, attention must be paid to reducing individual risk factors. Behavioral risk factors Posture Mouth breathing – especially in children Muscular overloads Psychological factors – stress Disease-related risk factors Malpositions Occlusion disorders Parafunctions Causes of the temporomandibular joint Other risk factors Time factor – the longer a source of interference exists, the … Craniomandibular Dysfunction: Prevention
It is now demonstrably recognized that psychological factors play a major role in the development of CMD. Many patients are permanently under stress, the fear for the job, too little money, private problems in the partnership or overload by job and family. Often these problems remain unspoken, they are suppressed.But the body forgets nothing and … Craniomandibular Dysfunction: Stress
The following symptoms and complaints may indicate craniomandibular dysfunction (CMD): Toothache Myalgia (muscle pain) Back pain Neck pain Facial and jaw pain Unclear bite position Temporomandibular joint noises Tinnitus (ringing in the ears) Otalgia (earache) Vertigo (dizziness) Symptoms can originate from the teeth as well as the temporomandibular joints and muscles. It should be noted … Craniomandibular Dysfunction: Symptoms, Complaints, Signs
Therapy for a complex condition such as CMD usually takes place over a long period of time and in several steps, depending on the severity. Relatively simple initial steps include grinding-in measures and checking and, if necessary, correcting dentures, fillings, or prostheses. Bite splints are used for non-invasive, reversible therapy. Orthodontic measures may also be … Craniomandibular Dysfunction: Therapy
Poor posture or orthopedic misalignments, such as a shorter leg, affect the entire posture of the body, right down to the temporomandibular joint. Likewise, an incorrect bite position can negatively affect posture.These relationships result from the fact that the body always acts in its entirety. No part of the body is independent, everything influences each … Craniomandibular Dysfunction: Posture
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or joint posture (upright, bent, gentle posture). Malpositions (deformities, contractures, shortenings). Muscle atrophies (side … Craniomandibular Dysfunction: Examination
