The therapy of masticatory organ dysfunctions (CMD)

Abstract

The authors have been dealing with disorders of the masticatory organ (CMD) for several decades and they published
their experience and summarized findings that they have gained from over 2,000 cases. They gave a summary of masticatory
organ dysfunction diagnostics in 3rd issue of Fogorvosi Szemle in 2011. In their current paper they discuss the
treatment of masticatory organ dysfunctions (CMD) according to the logic of diagnostic algorythm and they present it to
the practising dentist. They would like to emphasize that it is not allowed to indicate any treatment especially an irreversible
one, without a diagnosis. The cause of the disease can very often be identified or specified after the symptom relieving
treatment. After summarizing the general treatment principles depending on the functional condition of the masticatory
organ, they give a detailed explanation of systematic functional therapy i.e. symptomatic treatment or medical
treatment, physiotherapy, occlusal splint therapy and the definitive treatment that follows (such as occlusal adjustment,
prosthetic rehabilitation, orthodontics and surgical intervention). They classify the occlusal instruments (splint), which
are often misinterpreted or not used in the proper way in practice (and bibliography), according to indications. They outline
some orthodontic anomalies in connection with the masticatory organ: on the one hand when the patient who undergoes
an orthodontic treatment has a latent or manifest masticatory organ dysfunction (CMD), on the other hand when
the dysfunction appears during the orthodontic treatment. Among the definitive treatment principles they emphasize the
gnathological aspects of prosthetic rehabilitation. They draw attention to the maintenance therapy of patients suffering
from masticatory organ dysfunction.