There is a shift to treating TMD in terms of psychological factors and pain physiology.
Long believed to be dominant cause now gradually being completely debunked. Information, reassurance, analgesics for pain relief, and jaw exercises will help majority of TMD patients.
Placebo splint covering only hard palate is largely as effective as occlusal splint. Proposed mechanisms for effects of intraoral appliances (excluding debunked occlusal)
- Occlusal disengagement
- Neurophysiological effect on masticatory system
- Change of vertical
- Change of caput-fossa relation
- Cognitive awareness of harmful behaviors
- Stress absorber
- Placebo effect
- Conservative, reversible, and evidence based therapeutic modalities (not occlusal adjustments)
- Home care program