Management of Temporomandibular Disorders in the General Dental Practice.

Management of Temporomandibular Disorders in the General Dental Practice

Carlsson GE, Magnusson T. Carol Stream, IL 60188, Quintessence Publishing Co Inc, 1999, hardcover, 192 pp, illus, ISBN: 0-86715-367-9, $89.

Although this text is written primarily for dentists in clinical practice, the straightforward style of the authors and their use of figures and images make this a useful reference resource for physical therapists who treat temporomandibular disorders (TMD). The 12 chapters describe the nature of the condition as well as typical symptoms, diagnosis, and treatment.

The first chapter of the text introduces TMD and describes the broad spectrum of joint and muscle problems in the orofacial area. The authors point to the controversial nature of TMD and the lack of well-controlled studies that are needed to further support interventions. Epidemiological studies related to TMD are presented in chapter 2. The authors highlight the fact that the high prevalence rate for the disorder does not necessarily translate into a need for treatment. The structural, functional, systemic, and psychosocial factors contributing to TMD are described in chapter 3. The role of occlusion and the biopsychosocial model are offered to help readers understand the often complex etiology of TMD disorders. Chapters 4, 5, and 6 describe disorders of the temporomandibular joint, bruxism, and tooth wear, respectively, and they may provide the physical therapist with an understanding of dental terminology and oral parafunctions.

The following 3 chapters deal with symptoms and diagnosis of TMD, and chapters 9 and 10 focus on treatment and give the reader a clear description of the use of dental appliances. This treatment approach is further elicited in the 30 case studies written in the final chapter. The case studies point out that multidisciplinary interventions are often necessary, especially in cases of somatic complaints in the absence of organic disease.

Clear figures and radiographs complement the text. Also, the authors' technique of summarizing key points at the conclusion of each chapter is very helpful. For those readers who are not familiar with TMD terminology, the book contains a glossary.

Physical therapists who treat people with TMD will benefit from using this resource. It is highly recommended for those interested in gaining a greater understanding of TMD, its diagnosis, and its management.

Ron Schenk, PT, PhD, OCS D'Youville College Buffalo, NY

Dr Schenk is Associate Professor in the physical therapy program and President and owner of Schenk Physical Therapy.