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2015 | OriginalPaper | Hoofdstuk

11. Behandeling van temporomandibulaire aandoeningen

Auteurs : Prof. dr F. Lobbezoo, Dr. C.M. Visscher

Gepubliceerd in: Orale kinesiologie

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Temporomandibulaire disfuncties worden vooral behandeld als pijn deel uitmaakt van het klachtenpatroon of in geval van hinderlijke functieproblemen. De behandelaar kan een keuze maken uit één of meer, vooral reversibele behandelvormen, zoals counseling, farmacotherapie, stabilisatieopbeetplaattherapie, fysiotherapie, psychosociale therapie en – in mindere mate – kaakchirurgie. De vier eerstgenoemde behandelvormen horen grotendeels thuis in de algemene praktijk van de tandarts. Echter, bij onvoldoende affiniteit of ervaring met de TMD-patiëntenpopulatie, of in geval van ernstige, persisterende en/of recidiverende klachten met een grote betrokkenheid van psychosociale factoren, doet de tandarts-algemeen practicus er beter aan de patiënt te verwijzen naar een tandarts die zich heeft toegelegd op de diagnostiek en behandeling van patiënten met orofaciale pijn en disfunctie. Deze gedifferentieerde collega’s (tandarts-gnathologen) werken meestal in een multidisciplinair teamverband tezamen met een orofaciaal fysiotherapeut en een klinisch psycholoog, en hebben goede werkrelaties met kaakchirurgen. Op die manier kan optimale zorg geleverd worden aan patiënten met TMD-aandoeningen.
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Metagegevens
Titel
Behandeling van temporomandibulaire aandoeningen
Auteurs
Prof. dr F. Lobbezoo
Dr. C.M. Visscher
Copyright
2015
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-0433-2_11