Temporomandibular Joint Dysfunction Syndrome

The purpose of this article is to describe pertinent clinical data used by periodontists and physical therapists and to give examples of coordinated treatment. This will be done by using two case reports of patients who have typical temporomandibular joint (TMJ) dysfunction syndrome. Within the last several years, TMJ dysfunction syndrome has received attention from many medical disciplines. Because of the increased knowledge about its existence and treatment, numerous allied professionals have become involved with its management and have contributed greatly to the efficacy of treatment. Included among these medical specialties are periodontics, orthodontics, prosthodontics, oral and maxilla facial surgery, orthopedics, neurology, physiatry, otolaryngology, and physical therapy. Historically, clinicians have considered a patient with head, neck, and TMJ pain to have TMJ dysfunction syndrome.1 This syndrome was considered to be in relation to the joint proper. Dentists in the past have been concerned primarily with certain physiological and psychogenic etiological factors, including bruxing and clenching, parafunctional habits, occlusal disorders, tension, and anxiety.