Cavidan AKÖREN

I graduated from Ankara College in 1980 and then  from the Faculty of Dentistry of Ankara University, in 1985. I had the profession of the PhD degree with the subject of “ Electromyographic and pantographic evaluation of unilateral balanced occlusion and canine guidance occlusion” in 1991, Associate Professor in 1995 and Professor in 2001. I was the vice director of Graduate School of Health Sciences of Ankara University between 2004-2007 years and the Director of the same instutue between 2010-2012 years and the head of the Department of Prosthodontics in 2016.   I studied on the subjects that complete dentures, treatment of temporomandibular disorders and occlusal splints. Now i am still working at the Prosthodontic Department of Ankara University.

Prosthetic approaches in temporomandibular disorders

Temporomandibular disorders are using as a term which  include a number of clinical conditions that involve the muscles and/or temporomandibular disorders and associated structures. Because of the limited knowledge regarding the etiology and course of TMD , controversy exists among the researchers. There are some predisposing, initiating and perpetuating factors that can be seen as etiologic factors. And also sometimes, iatrogenic factors as occlusal disturbances caused by restorative procedures may be asssociated with TMD symptoms.
Allthough there are some simple  treatment procedures, the complex TMD patients requires a multidisciplinary approach. Nearly in all TMD patients, multidisciplinary approaches, which are  patient education and self-care, cognitive behavioral intervention, pharmacotherapy, physical therapy and interocclusal splints will be adequate for the management of TMD. However some patients experience continuing pain and ungoing disability. In these individuals, , probably there is a risk of emotional and behavioral problems. In these cases, a psychiatrist must be included in the treaatment plan of TMD.
During occlusal splint therapy, although there are a large variety of appliances, the most preferred appliance is stabilisation splints for TMD. Secondly anterior repositioning splints are applied, however anterior repositioning and some other splints may change occlusal relationships if not used correctly.

As a conclusion,  it is recommended that, an irreversible treatments and extensive occlusal therapy may be avoided in the early  phase of TMD and reversible teatment approaches must be take into consideration.