Management of Temporomandibular Disorders and Occlusion

Part I. Functional Anatomy

Introduction
1. Functional Anatomy and Biomechanics of the Masticatory System
Functional Anatomy
Biomechanics of the Temporomandibular Joint
2. Functional Neuroanatomy and Physiology of the Masticatory System
Anatomy and Function of the Neuromuscular System
Major Functions of the Masticatory System
Considerations of Orofacial Pain
3. Alignment and Occlusion of the Dentition
Factors and Forces that Determine Tooth Position
Intraarch Tooth Alignment
Interarch Tooth Alignment
4. Mechanics of Mandibular Movement
Types of Movement
Single Plane Border Movements
Envelope of Motion
5. Criteria for Optimum Functional Occlusion
History of the Study of Occlusion
Criteria for the Optimum Functional Occlusion
6. Determinants of Occlusal Morphology
Posterior Controlling Factors (Condylar Guidance)
Anterior Controlling Factors (Anterior Guidance)
Understanding the Controlling Factors
Vertical Determinants of Occlusal Morphology
Horizontal Determinants of Occlusal Morphology
Relationship between Anterior and Posterior Controlling Factors

Part II. Etiology and Identification of Functional Disturbances in the Masticatory System

Introduction
7. Etiology of Functional Disturbances in the Masticatory System
Terminology
History of Temporomandibular Disorders
Epidemiologic Studies of Temporomandibular Disorders
Etiologic Considerations of Temporomandibular Disorders
Summary
8. Signs and Symptoms of Temporomandibular Disorders
Functional Disorders of the Muscles
A Clinical Masticatory Muscle Pain Model
Functional Disorders of the Temporomandibular Joints
Functional Disorders of the Dentition
Other Signs and Symptoms Associated With Temporomandibular Disorders
9. History and Examination for Temporomandibular Disorders
Screening History and Examination
History Taking for Temporomandibular Disorders
Clinical Examination
10. Diagnosis of Temporomandibular Disorders
Diagnosing Pain Disorders
Diagnostic Analgesic Blocking
Keys in Making a Differential Diagnosis
Classification of Temporomandibular Disorders
Summary

Part III. Treatment of Functional Disturbances of the Masticatory System

Introduction
11. General Considerations in the Treatment of Temporomandibular Disorders
Interrelationships of Various Temporomandibular Disorders
Treatment of Temporomandibular Disorders
The Concept of Physical Self-Regulation
12. Treatment of Masticatory Muscle Disorders
Protective Co-Contraction (Muscle Splinting)
Local Myalgia (Noninflammatory Myalgia)
Myospasms (Tonic Contraction Myalgia)
Myofascial Pain (Trigger Point Myalgia)
Centrally Mediated Myalgia (Chronic Myositis)
Fibromyalgia (Fibrositis)
Central Generated Motor Disorders
Case Reports
13. Treatment of Temporomandibular Joint Disorders
Derangements of the Condyle-Disc Complex
Structural Incompatibility of the Articular Surfaces
Inflammatory Disorders of the Temporomandibular Joint
General Considerations When Treating Acute Trauma to the Temporomandibular Joint
Case Reports
14. Treatment of Chronic Mandibular Hypomobility and Growth Disorders
Chronic Mandibular Hypomobility
Growth Disorders
Case Reports
15. Occlusal Appliance Therapy
General Considerations
Types of Occlusal Appliances
Common Treatment Considerations of Appliance Therapy
16. Treatment Sequencing

Part IV. Occlusal Therapy

Introduction
17. General Considerations in Occlusal Therapy
Treatment of Temporomandibular Disorders
Treatment Goals for Occlusal Therapy
Treatment Planning for Occlusal Therapy
Factors That Influence Treatment Planning
Prioritizing the Factors
18. Use of Articulators in Occlusal Therapy
Uses of the Articulator
General Types of Articulators
Selection of an Articulator
19. Selective Grinding
Indications
Predicting the Outcome of Selective Grinding
Important Considerations in Selective Grinding
Treatment Goals for Selective Grinding
Partial Selective Grinding
20. Restorative Considerations in Occlusal Therapy
Operative Considerations in Occlusal Therapy
Fixed Prosthodontic Considerations in Occlusal Therapy