The etiology, diagnosis, and treatment of TMJ dysfunction-pain syndrome. Part III: treatment

There is general agreement that TMJ dysfunction-pain syndrome is multicausal. Definitive diagnosis is sometimes difficult, and as a result, empirical methods must be utilized. However, in most patients, etiologic causes can be established and specific treatment plans utilized for correction. There are many approaches and methods for palliative treatment which are usually used in combination. Since TMJ dysfunction is multicausal, many clinicians favor one definitive treatment procedure over another, with generally positive results. Those not intimately involved with the treatment of patients with TMJ dysfunction-pain syndrome regard the current state of the art as in complete disarray. If palliative therapy were separated from causative therapy, a new clarification would be possible. Definitive techniques and methods that improve the health of the joint and/or the muscles will usually improve the condition of the patient. There are different approaches to the same disease or dysfunction. This does not alter the essence of the problem, but only how it is viewed and treated by different clinicians. There is much to learn, and only by more documented research can the gaps in current knowledge be filled so that better service can be rendered to our patients.