J Oral Med Pain.  2024 Sep;49(3):43-48. 10.14476/jomp.2024.49.3.43.

Considerations in the Diagnosis and Management of Temporomandibular Disorders in Older Adults: A Narrative Review

• Ryu JW

• KMID: 2559999
• DOI: http://doi.org/10.14476/jomp.2024.49.3.43

Abstract

This narrative review discusses the changes in the masticatory system due to the physiologic aging process in humans and how these changes should be considered when diagnosing and managing temporomandibular disorders (TMDs) in older adults. Age-related changes in the masticatory system, specifically the temporomandibular joint (TMJ) and masticatory muscles, are associated with an increased prevalence of degenerative TMJ osteoarthritis in older adults, changes in muscle function and often affect masticatory function. Considering older adults’ physiologic changes and comorbidities and their quality of life, diagnosing and managing TMDs in older adults needs a more comprehensive approach than in younger adults. Managing TMDs in older adults can improve orofacial function, such as mastication, leading to improved physical function and quality of life by reducing the risk of frailty.

Keyword

Aged; Frailty; Mastication; Temporomandibular disorders