Initial treatment in cases of functional disorders of the masticatory organ
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Department of Prosthodontics, Medical University of Warsaw, Polska
Zakład Protetyki Stomatologicznej, Uniwersytet Medyczny w Białymstoku, Polska
Katedra Protetyki Stomatologicznej, Pracownia Zaburzeń Czynnościowych Narządu Żucia, Instytut Stomatologii UJ CM, Polska
Uniwersyteckie Centrum Stomatologii, Uniwersytet Medyczny im. K. Marcinkowskiego w Poznaniu, Polska
Zakład Zaburzeń Czynnościowych Narządu Żucia, Uniwersytet Medyczny w Lublinie Stomatologiczne Centrum Kliniczne, Polska
Submission date: 2019-02-05
Final revision date: 2019-03-18
Acceptance date: 2019-08-12
Publication date: 2019-08-12
Corresponding author
Jolanta Kostrzewa-Janicka   

Department of Prosthodontics, Medical University of Warsaw, Nowogrodzka 59, pav.XIa, 02-006, Warsaw, Polska
Prosthodontics 2019;69(3):304-312
There is an increasing number of patients in dental practice with signs and symptoms of masticatory organ dysfunction. The multifactorial nature of these disorders and their multisymptomatic character create considerable diagnostic and therapeutic problems. This paper presents a report from the meeting within the framework of the 2nd Conference of the Union of Polish Dentistry in Poznan on 26/09/2018, called “Experts’ Forum”, which dealt with initial therapeutic treatment of patients with symptoms of functional disorders within the masticatory organ. Members of the Experts’ Forum found that the symptoms of functional disorders which last no longer than two months are sufficient to undertake the procedure which consists of patient education, analgesic and anti-inflammatory pharmacological treatment and relaxation of masticatory muscles, as well as unloading of the temporomandibular joint structures. Depending on the diagnosis, it was indicated that the implementation of appropriate physio- and physical therapy could be considered. It was emphasized that chronic symptoms and lack of improvement after two weeks of observation and/or the necessity to perform the second stage of treatment (replacement of missing teeth, pathological tooth wear, necessity of orthodontic treatment) require a referral for specialist treatment.
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