Manual of Temporomandibular Disorders

DOI: https://doi.org/10.25241/stomaeduj.2020.7(2).bookreview.4

Authors: Edward F. Wright, Gary D. Klasser

Lately, clinicians have faced various forms of TMDs. Additional proof to that is the Manual of Temporomandibular Disorders, 4th edition by professors Edward F. Wright, University of Texas, USA and Gary D. Klasser, Louisiana State University, USA.
The manual has 6 parts, accompanied by a glossary of terms and an index.
The introduction defines the cardinal signs and symptoms of TMD, stating that approximately 33% of the population has at least one TMD symptom, while 3.67% have severe TMD which causes patients to seek care.
Part I, Initial Evaluation, presents a patient interview, a review of the “Initial Patient Questionnaire”, clinical examination, imaging, TMD diagnostic categories, contributing factors.
Part II, Common Acute TMD Conditions and Therapies, describes TMD secondary to trauma, TMD secondary to dental treatment, lateral Pterygoid spasm, intermittent and continuous forms of TMJ disc displacement without reduction with limited opening and TMJ subluxation and luxation.
Part III, Occlusal Appliance Therapy, describes and exemplifies stabilization appliance and anterior positioning appliance.
Part IV, Multidisciplinary Management Approach, addresses self-management therapy, physical medicine, cognitive-behavioral intervention, pharmacological management, other dental procedures, integrating multidisciplinary therapies.
Part V, Case Scenarios, presents 20 clinical cases, from the simplest, symptomatic irreversible pulpitis mimicking TMD symptoms, to the most complex, appliance that positioned condyles into their “proper position”.
Part VI, Fundamentals of Clinical Studies, synthesizes study designs, from case reports to Randomized Controlled Trial (RCT) and other types of publications.
Each chapter is accompanied by an explicit iconography, but also by the last references on the approached subject. To better understand the book, the authors developed a companion website on patient handouts, examples and additional TMD information.
The book is a good source of information on the field, very clearly written, targeting general dentists, dental students, residents and other practitioners, tempted to effectively address TMD patients.

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