Universität zu Köln

Klur, Tobias ORCID: 0000-0003-1059-2110, Portegys, Sara, Graf, Isabelle, Scharf, Sven, Braumann, Bert ORCID: 0000-0002-5031-9816 and Kruse, Teresa ORCID: 0000-0002-3431-7749 (2025). Temporomandibular Disorders: Management of Diagnostics and Therapy in the Context of Orthodontic Treatment—A Survey Among German Orthodontists. Dentistry Journal, 13 (4). MDPI. ISSN 2304-6767

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Abstract

[Artikel-Nr.: 167] Background/Objectives: To evaluate the role of temporomandibular disorder (TMD)-related diagnostics in orthodontic treatment routines and investigate what consequences are drawn from symptoms concerning orthodontic treatment planning and therapy. Methods: All officially listed orthodontists in Germany were surveyed about their professional background, TMD-related specialization, and concrete clinical procedures. Anonymized responses were systematized, manually checked, and statistically analyzed. Differences in reported TMD-related procedures depending on orthodontists’ professional experience and specialization were determined using Fisher’s exact tests. Results: A total of 2359 questionnaires were sent out, of which 630 could be evaluated. The majority of the orthodontists surveyed stated that they perform either a brief TMD screening or a complete functional analysis. In total, 21.1% of the respondents base their examination on the patient’s medical history. A second complete functional analysis is performed by 33% of the responding orthodontists during the course of orthodontic therapy, and by 56.6% only in the case of an initial pathological finding. For 60.1% of the respondents, pre-therapeutically diagnosed, non-painful temporomandibular joint clicking has an influence on orthodontic treatment planning. Only 4.3% of respondents take no further action prior to orthodontic therapy in the case of TMD symptoms. There is an indication that professional experience has no influence on the procedure, whereas a specialization in the field of TMDs does. Conclusions: A discrepancy between the current state of research and standard procedures in German orthodontic practices may lead to an overly detailed examination. However, this has no health disadvantages for the patient.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Klur, Tobias UNSPECIFIED https://orcid.org/0000-0003-1059-2110 UNSPECIFIED Portegys, Sara UNSPECIFIED UNSPECIFIED UNSPECIFIED Graf, Isabelle UNSPECIFIED UNSPECIFIED UNSPECIFIED Scharf, Sven UNSPECIFIED UNSPECIFIED UNSPECIFIED Braumann, Bert UNSPECIFIED https://orcid.org/0000-0002-5031-9816 UNSPECIFIED Kruse, Teresa UNSPECIFIED https://orcid.org/0000-0002-3431-7749 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-799929
Identification Number:	10.3390/dj13040167
Journal or Publication Title:	Dentistry Journal
Volume:	13
Number:	4
Number of Pages:	12
Date:	17 April 2025
Publisher:	MDPI
ISSN:	2304-6767
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Zahn-, Mund- und Kieferheilkunde > Poliklinik für Kieferorthopädie
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language temporomandibular disorder ; orthodontic therapy ; TMD ; orthodontic treatment ; temporomandibular joint clicking ; functional occlusal factors ; TMD screening English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/79992