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ABSTRACT
Degenerative joint disease, primarily in the form of osteoarthrosis, affects the temporomandibular joints (TMJs) with symptoms similar to those found in other body joints. These symptoms include stiffness, pain, restriction of movement, inflammation, crepitus and radiographic changes. Symptoms can occur in both males and females at any age, starting with pre-adolescent, but most often occur in females age 30 and over. Most symptoms will last nine to 18 months (followed by remission) and are managed using anti-inflammatory medications, physical therapy, occlusal splints and dietary changes. Major areas for consideration in this article include epidemiology, signs and symptoms, radiography, etiopathology and symptom management.
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Notes on contributors
Robert E. Bates
Dr. Robert E. Bates Jr. received his D.D.S. degree in 1970 from the University of Nebraska College of Dentistry. He is currently an associate professor in the Department of Prosthodontics with joint appointment in the Department of Oral Biology at the University of Florida College of Dentistry. Dr. Bates is also a consultant of the Naval Dental School in Bethesda, Maryland, and of the U.S. Army Dental Program.
Henry A. Gremillion
Dr. Henry A. Gremillion received his D.D.S. degree in 1977 from the Louisiana State University School of Dentistry. He is currently the director of the Parker E. Mahan Facial Pain Center at the University of Florida College of Dentistry and an assistant professor in the Department of Oral and Maxillofacial Surgery. Dr. Gremillion is an associate faculty member at the LD. Pankey Institute in Key Biscayne, Florida.
Carol M. Stewart
Dr. Carol M. Stewart received her D.D.S. degree in 1980 from the Indiana University School of Dentistry. She is an associate professor in the Department of Oral Diagnostic Sciences at the University of Florida College of Dentistry. Dr. Stewart has a masters degree in Oral Medicine and is the director of the Division of Oral Medicine.