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Abstract:
According to a systematic review, the main temporomandibular disorders (TMD) are found in 9 to 16% of the general population. This DTM term encompasses several very different entities, the main ones being muscle pain, joint pain, disc displacement, osteoarthrosis, osteoarthritis, with or without limitation of mouth opening.
Since 2014, a group of international experts in this field has established diagnostic criteria for the main DTMs, the Diagnostic Criteria / Temporo-Mandibular Disorders (DC / TMD). It is important to know these criteria and their limits.
3.6 to 7% of the general population consults for a TMD. The dentist is regularly confronted with these patients. Currently, his role is not only to take care of patients who feel the need to consult. He must also prevent the occurrence of TMD. Thus, rapid systematic screening allows treatment sessions to be adapted in the dental office to limit their occurence.
We offer a diagnostic approach based on DC / TMD, organized around a clinical form allowing a diagnosis of TMD as well as the search for associated risk factors. This clinical form is currently used in the Charles Foix Hospital Orofacial Functional Disorders department in Ivry-sur-Seine.
Two approaches are proposed depending on the situation. The first one consists of a rapid systematic diagnosis of patients before taking care in the dental office. The second one is a more specific consultation to be reserved for patient consultant for a TMD.
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