Temporomandibular Disorders and Dental Occlusion: What Do We Know so Far?

Dent Clin North Am. 2023 Apr;67(2):299-308. doi: 10.1016/j.cden.2022.11.002. Epub 2023 Feb 1.

Abstract

Throughout the recorded history in the literature of temporomandibular disorders (TMD) there have been a variety of opinions as to its primary cause. Those supporting an occlusal basis of TMD opined that occlusal dysfunction is either the primary cause for or a significant etiopathogenic factor in the causation of TMD. Most of the current literature, however, points to evidence in another direction and questions the causal role of occlusion and occlusal disharmony in TMD etiopathogenesis. Recognition of this evidence-based literature is paramount in eliminating and preventing the chances of overtreatment of patients with TMD.

Keywords: Malocclusion; Occlusal disharmonies; Occlusion; Orofacial pain; TMD; Temporomandibular disorders.

Publication types

  • Review

MeSH terms

  • Dental Occlusion
  • Humans
  • Malocclusion* / complications
  • Malocclusion* / therapy
  • Temporomandibular Joint Disorders* / complications
  • Temporomandibular Joint Disorders* / therapy