All Sciences Academy, Konya, 2024
Temporomandibular joint disorders (TMD) include various conditions affecting the temporomandibular joint, masticatory muscles, and associated structures, resulting in pain, restricted jaw movement and joint sounds. TMD impacts an estimated 10-15% of adults and is the second most common musculoskeletal pain condition, significantly affecting patients’ quality of life. This review provides a comparative Comparison of surgical and prosthodontic treatment approaches, focusing on their efficacy, safety and patient suitability.
Surgical interventions, such as arthrocentesis, arthroscopy and open joint surgery, are effective for severe cases and are particularly useful when conservative treatments have failed or structural joint abnormalities require correction. These procedures show high success rates in pain relief and functional improvement. Prosthodontic approaches, including occlusal splints and stabilization devices, offer non-invasive alternatives that reduce joint strain and muscle hyperactivity, providing effective symptom relief for mild to moderate TMD cases.
The findings underscore the importance of a patient-centered approach that considers individual needs, severity and symptoms of TMD. The review also highlights the value of interdisciplinary treatment strategies that integrate surgical and prosthodontic perspectives, addressing TMD’s multifactorial nature. Additionally, advancements in digital imaging, CAD/CAM technology and minimally invasive techniques enhance diagnostic accuracy and treatment outcomes, supporting more personalized care. This review advocates a balanced approach to TMD management, suggesting that combining surgical and prosthodontic methods can improve patient quality of life and long-term treatment outcomes.