Presentations, Management and Outcomes of Temporomandibular Disorders (TMDs) in Port Harcourt: One-Year Prospective Analysis
DOI:
https://doi.org/10.12974/2311-8695.2016.04.02.2Keywords:
Temporomandibular pain-dysfunction, Myofascial pain syndrome, biopsychosocial model, intraarticular cortocosterooids, chronic facial pain.Abstract
Temporomandibular joint disorders (TMDs) constitute a spectrum of chronic orofacial pain condition for which no specific treatment modality has proven to be always effectual. Experiences and outcomes vary between patients. Management is always a dilemma for clinicians who must be skilled and knowledgeable in making diagnosis and providing holistic care for the TMD patient. Literature documenting clinical experiences with TMD patients is very sparse; in fact, none was found from the Nigerian medical literature. This article presents our experience in a Nigerian teaching hospital and a secondary state facility for oral and maxillofacial care. It is a record of management of TMD patients encountered over a one-year period during which patients were prospectively followed and their treatment profiled according to a self designed protocol adopted by our department. Here, we present our experience with fifteen patients followed up for a minimum of 6 months during the study period. Treatments were administered at various levels according to our protocol and outcome was satisfactory in over 50% of cases.
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