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Management of Temporomandibular Disorders and Occlusion

Table of Contents:

1. The Concept of Complete Dentistry
2. Perspectives on Occlusion and “Everyday Dentistry”
3. Occlusal Disease
4. The Determinants of Occlusion
5. The Temporomandibular Joint
6. The Masticatory Musculature
7. Centric Relation
8. Adapted Centric Posture
9. Determining Centric Relation
10. Load Testing for Verification of Centric Relation
11. Recording centric relation
12. Classification of Occlusions 13. Vertical Dimension
14. The Neutral Zone
15. The Envelope of Function
16. Functional Smile Design
17. Anterior Guidance and Its Relationship to Smile Design
18. Restoring Lower Anterior Teeth
19. Long Centric
20. The Plane of Occlusion
21. Posterior Occlusion
22. Simplifying Instrumentation for Occlusal Analysis and Treatment
23. Differential Diagnosis of Temporomandibular Disorders
24. Occluso-Muscle Disorders
25. Intracapsular Disorders of the TMJ
26. Classification of Intracapsular Disorders
27. Imaging the TMJs
28. Bruxism
29. Requirements for Occlusal Stability
30. Solving Occlusal Problems through Programmed Treatment Planning
31. The Diagnostic Wax-Up
32. Occlusal Splints
33. Occlusal Equilibration
34. Neuromuscular Dentistry: Bioelectronic instrumentation
35. Solving Occlusal Wear Problems
36. Solving Deep Overbite Problems
37. Solving Anterior Overjet Problems
38. Solving Anterior Open Bite Problems
39. Treating End-to-End Occlusions
40. Treating Splayed or Separated Anterior Teeth
41. Treating the Cross Bite Patient
42. Treating Crowded, Irregular or Interlocking Anterior Teeth
43. Solving Severe Arch Malrelationship Problems
44. Using Cephalometrics for Occlusal Analysis
45. Post Operative Care of Occlusal Therapy Patients
46. The Technological Future of Occlusal Restoration
47. Criteria for Success of Occlusal Treatment

Key Features

- Comprehensive coverage of the physical examination of the masticatory system provides an invaluable aid in diagnosis. - Diagnostic algorithms for various classes of disorders serve as a road map for readers as they sort through a patient?s signs and symptoms. - Case examples accompany each major treatment chapter to increase understanding and relevance. - A thorough discussion of the etiology of temporomandibular disorders makes readers more familiar with the causes of chronic orofacial pain. - Discussions of specific treatment techniques such as using muscle relaxants and bite plates highlight current clinical studies.

Reviews
From Joseph A. Toljanic  
This book is in its sixth edition (first published in 1985). It is intended to review the anatomic and physiological bases of temporomandibular dysfunction and occlusion as well as provide guidance in diagnosis and treatment. The purpose of this book is, first, to provide a practical approach to understanding masticatory function and the relationship to temporomandibular dysfunction; and second, to provide a step-by-step guide for patient diagnosis and treatment. This text successfully offers a concise and logically formatted review of a complex and often misunderstood area of dentistry. The author does not specifically identify a target audience, but it appears to be practitioners of restorative dentistry and prosthodontics as well as students at the resident/graduate level. This text is too advanced for use at the undergraduate level. This author is unknown to the reviewer. However, the command of the subject matter demonstrated in the text suggests credible authority. The illustrations (diagrams, drawings, and black-and-white photographs) are typically of adequate quality and quantity for the subject matter. Some photographs demonstrating material on occlusion lack sufficient detail to complement text description. The text is very well and often heavily referenced using the latest literature. A very useful appendix is included, demonstrating in flow chart format the decision making process in diagnosis and treatment for all of the muscular and joint pathologies. The overall appearance of the book is adequate for subject matter presented and in keeping with other similar books currently on the market. This is a well written and organized book that should serve as an excellent reference resource for the complex field of occlusion and temporomandibular dysfunction. The addition of references describing the most up-to-date research in the field suggests value for the new edition.
 
From Doody Review Services  
Reviewer: Joseph A. Toljanic, DDS (University of Chicago Medical Center)
Description: This book is in its sixth edition (first published in 1985). It is intended to review the anatomic and physiological bases of temporomandibular dysfunction and occlusion as well as provide guidance in diagnosis and treatment.
Purpose: The purpose of this book is, first, to provide a practical approach to understanding masticatory function and the relationship to temporomandibular dysfunction; and second, to provide a step-by-step guide for patient diagnosis and treatment. This text successfully offers a concise and logically formatted review of a complex and often misunderstood area of dentistry.
Audience: The author does not specifically identify a target audience, but it appears to be practitioners of restorative dentistry and prosthodontics as well as students at the resident/graduate level. This text is too advanced for use at the undergraduate level. This author is unknown to the reviewer. However, the command of the subject matter demonstrated in the text suggests credible authority.
Features: The illustrations (diagrams, drawings, and black-and-white photographs) are typically of adequate quality and quantity for the subject matter. Some photographs demonstrating material on occlusion lack sufficient detail to complement text description. The text is very well and often heavily referenced using the latest literature. A very useful appendix is included, demonstrating in flow chart format the decision making process in diagnosis and treatment for all of the muscular and joint pathologies. The overall appearance of the book is adequate for subject matter presented and in keeping with other similar books currently on the market.
Assessment: This is a well written and organized book that should serve as an excellent reference resource for the complex field of occlusion and temporomandibular dysfunction. The addition of references describing the most up-to-date research in the field suggests value for the new edition.

Author Information

By Jeffrey P Okeson, DMD, Professor, Director of the Orofacial Pain Center, Director of the Division of Masticatory Function, Department of Oral Health Practice, University of Kentucky College of Dentistry, Lexington, KY

Spanish version of 4th edition also available, ISBN: 84-8174-371-2