Interest of Behavioural Reeducation in Dysfunctions of Masticatory Apparatus. Relations Between Parafunctions and Dysfunctions of Mastixatory Apparatus (PARADYSAM)
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If etiologies of temporomandibular disorders (TMD) are various, parafunctions become more and more important. Treatment of patients presenting TMD is based on conservative and reversible therapeutics. The behavioural reeducation of these patients which aims at decreasing their parafunctions is a treatment often performed.
Assessment of pain based on the analogical visual scale [ Time Frame: 1 year ]
To know the incidence of a treatment which is unique, reversible and performed in first intention: behavioural reeducation in the evolution of clinical signs of TMD : pain; disc deplacement with reduction, limitation or mandibular deviation during mouth opening.
Secondary Outcome Measures :
Amplitude of mouth opening, mandibular deviation, joint clicking or crepitations,disc deplacement with reduction [ Time Frame: 1 year ]
Evaluation of parafunctions as an etiological factor of dysfunctions of masticatory apparatus.
Assessment of behavioural reeducation [ Time Frame: 1 year ]
Interest of diagnosis criteria of investigation on temporomandibular disorders.
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Ages Eligible for Study:
18 Years and older (Adult, Senior)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Patients with temporomandibular disorders
Male and female over 18,
Patient who was informed about the protocol and who did not refuse to take part in the programme,
Patient who suffers of dysfunctions of masticatory apparatus: myofascial pain, joint clicking or crepitations, disc deplacement with reduction, mandibular limitation and/or deviation,
Patient who presents more or less obvious parafunctions, which are associated or not to other etiologies
Patient consulting for the 1st time for TMD
Persons over 18 who are under legal protection (guardianship), persons who are deprived of their freedom,
Patient who is already followed in the consultation of dysfunctions of masticatory apparatus and who is under treatment,
Patient who is under treatment of occlusal splint (not in the framework of the consultation of TMD
Patient with pains other than orofacial pains (cephalalgia, neuralgia, vascular algia of the face, migraine),
Patient who needs a treatment other than a behavioural reeducation (pharmacological treatment, occlusal splint , addressed to another therapist, prosthetic treatment)