{"id":26249,"date":"2026-09-04T18:36:18","date_gmt":"2026-09-04T15:36:18","guid":{"rendered":"https:\/\/innovationmedical.ro\/?p=26249"},"modified":"2026-09-13T09:40:05","modified_gmt":"2026-09-13T06:40:05","slug":"de-ce-imi-pocneste-maxilarul-cand-deschid-gura-cand-trebuie-investigat-un-click-atm","status":"publish","type":"post","link":"https:\/\/innovationmedical.ro\/en\/de-ce-imi-pocneste-maxilarul-cand-deschid-gura-cand-trebuie-investigat-un-click-atm\/","title":{"rendered":"De ce \u00eemi pocne\u0219te maxilarul c\u00e2nd deschid gura? C\u00e2nd trebuie investigat un click ATM"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"26249\" class=\"elementor elementor-26249\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3159089 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3159089\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-02f3f05\" data-id=\"02f3f05\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-531bbd3 elementor-widget elementor-widget-text-editor\" data-id=\"531bbd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Pocnetul maxilarului este unul dintre cele mai frecvente motive pentru care pacien\u021bii ajung la o consulta\u021bie dedicat\u0103 articula\u021biei temporo-mandibulare.<\/p><p>\u201e\u00cemi pocne\u0219te c\u00e2nd casc.\u201d<br \/>\u00a0\u201eSe aude c\u00e2nd mestec.\u201d<br \/>\u00a0\u201eNu m\u0103 doare, dar parc\u0103 mandibula sare.\u201d<br \/>\u00a0\u201eUneori pocne\u0219te, alteori nu.\u201d<\/p><p>Prima \u00eentrebare este aproape \u00eentotdeauna aceea\u0219i: <strong>este ceva grav?<\/strong>\u00a0R\u0103spunsul scurt este: nu neap\u0103rat.<\/p><p>Un click al articula\u021biei temporo-mandibulare (ATM) nu reprezint\u0103, singur, o indica\u021bie de tratament \u0219i nici nu \u00eenseamn\u0103 automat c\u0103 articula\u021bia se deterioreaz\u0103. Dar exist\u0103 situa\u021bii \u00een care zgomotul articular este unul dintre semnele unei disfunc\u021bii temporo-mandibulare \u0219i merit\u0103 investigat.<\/p><p>Diferen\u021ba o fac simptomele asociate, istoricul pacientului \u0219i examenul clinic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e217701 elementor-widget elementor-widget-heading\" data-id=\"e217701\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ce este, de fapt, articula\u021bia temporo-mandibular\u0103?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87c7481 elementor-widget elementor-widget-text-editor\" data-id=\"87c7481\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>ATM este articula\u021bia care une\u0219te mandibula de craniu. Avem dou\u0103 articula\u021bii temporo-mandibulare, dreapt\u0103 \u0219i st\u00e2ng\u0103, iar ele func\u021bioneaz\u0103 simultan de fiecare dat\u0103 c\u00e2nd vorbim, mestec\u0103m, c\u0103sc\u0103m sau \u00eenghi\u021bim.\u00a0\u00centre condilul mandibular \u0219i osul temporal se afl\u0103 <strong>discul articular<\/strong>, o structur\u0103 fibrocartilaginoas\u0103 care particip\u0103 la distribuirea solicit\u0103rilor \u0219i la mecanica normal\u0103 a articula\u021biei.<\/p><p>Mi\u0219carea mandibulei nu este o simpl\u0103 deschidere \u0219i \u00eenchidere. Include rota\u021bie \u0219i transla\u021bie, coordonate bilateral \u0219i integrate cu activitatea musculaturii masticatorii \u0219i a complexului cranio-cervical.\u00a0De aceea, atunci c\u00e2nd evalu\u0103m un pacient cu un click ATM, nu ne intereseaz\u0103 doar zgomotul. Ne intereseaz\u0103 <strong>cum func\u021bioneaz\u0103 \u00eentregul sistem<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-30c16ab elementor-widget elementor-widget-heading\" data-id=\"30c16ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">De unde vine acel \u201eclick\u201d?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fdb0ab4 elementor-widget elementor-widget-text-editor\" data-id=\"fdb0ab4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Una dintre cauzele frecvente este modificarea rela\u021biei dintre discul articular \u0219i condil.<\/p><p>\u00cen a\u0219a-numita <strong>deplasare de disc cu reducere<\/strong>, discul se afl\u0103 \u00eentr-o pozi\u021bie modificat\u0103 atunci c\u00e2nd gura este \u00eenchis\u0103, iar \u00een timpul deschiderii condilul recupereaz\u0103 rela\u021bia cu discul.\u00a0Momentul acestei recaptur\u0103ri poate produce click-ul caracteristic.\u00a0Uneori apare un al doilea zgomot la \u00eenchiderea gurii.<\/p><p>Acest mecanism este \u00eens\u0103 doar una dintre explica\u021biile posibile pentru zgomotele articulare. Tocmai de aceea nu este corect s\u0103 stabilim diagnosticul exclusiv dup\u0103 sunet.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf30406 elementor-widget elementor-widget-heading\" data-id=\"cf30406\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dac\u0103 \u00eemi pocne\u0219te maxilarul, \u00eenseamn\u0103 c\u0103 am o boal\u0103?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-311a4d5 elementor-widget elementor-widget-text-editor\" data-id=\"311a4d5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Nu.\u00a0Zgomotele ATM pot ap\u0103rea \u0219i la persoane f\u0103r\u0103 durere \u0219i f\u0103r\u0103 limitare func\u021bional\u0103. Deplasarea de disc cu reducere poate r\u0103m\u00e2ne stabil\u0103 foarte mult timp, f\u0103r\u0103 s\u0103 evolueze obligatoriu c\u0103tre o form\u0103 sever\u0103 de disfunc\u021bie.<\/p><p>Prin urmare, <strong>nu trat\u0103m un sunet. Trat\u0103m pacientul \u0219i disfunc\u021bia clinic relevant\u0103, atunci c\u00e2nd aceasta exist\u0103.<\/strong><\/p><p>Un click izolat, nedureros, stabil de ani de zile, la o persoan\u0103 care deschide normal gura \u0219i mestec\u0103 f\u0103r\u0103 dificultate are o semnifica\u021bie diferit\u0103 fa\u021b\u0103 de un click ap\u0103rut recent \u00eempreun\u0103 cu durere, blocaje sau limitarea deschiderii.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac4a595 elementor-widget elementor-widget-image\" data-id=\"ac4a595\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"382\" height=\"485\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/Cand-ar-trebui-investigat.webp\" class=\"attachment-large size-large wp-image-26257\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/Cand-ar-trebui-investigat.webp 382w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/Cand-ar-trebui-investigat-236x300.webp 236w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/Cand-ar-trebui-investigat-9x12.webp 9w\" sizes=\"auto, (max-width: 360px) 147px, (max-width: 382px) 100vw, 382px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ab48d4 elementor-widget elementor-widget-heading\" data-id=\"7ab48d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">C\u00e2nd ar trebui investigat?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12a9c63 elementor-widget elementor-widget-text-editor\" data-id=\"12a9c63\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A\u0219 recomanda o evaluare mai atent\u0103 atunci c\u00e2nd zgomotul este \u00eenso\u021bit de unul sau mai multe dintre urm\u0103toarele elemente:<\/p><ul><li>durere \u00een fa\u021ba urechii sau la nivelul ATM;<\/li><li>durere la mastica\u021bie;<\/li><li>episoade \u00een care mandibula se blocheaz\u0103;<\/li><li>reducerea progresiv\u0103 a deschiderii gurii;<\/li><li>devia\u021bia evident\u0103 a mandibulei;<\/li><li>modificarea recent\u0103 a modului \u00een care se \u00eent\u00e2lnesc din\u021bii;<\/li><li>senza\u021bie de instabilitate articular\u0103;<\/li><li>traumatism recent;<\/li><li>dureri persistente ale musculaturii masticatorii;<\/li><li>cefalee sau dureri cranio-cervicale asociate;<\/li><li>apari\u021bia brusc\u0103 sau modificarea important\u0103 a unui zgomot articular vechi.<\/li><\/ul><p>\u00cen aceste situa\u021bii, click-ul devine o pies\u0103 dintr-un tablou clinic mai larg.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b27a11a elementor-widget elementor-widget-heading\" data-id=\"b27a11a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dac\u0103 pocnetul dispare, este \u00eentotdeauna un semn bun?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-727ff84 elementor-widget elementor-widget-text-editor\" data-id=\"727ff84\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Nu neap\u0103rat.\u00a0Uneori pacien\u021bii spun:\u00a0\u201e\u00cenainte \u00eemi pocnea. Acum nu mai pocne\u0219te, dar nu mai pot deschide bine gura.\u201d\u00a0Aceast\u0103 schimbare este important\u0103.<\/p><p>\u00cen anumite situa\u021bii, un disc care anterior se reducea \u00een timpul deschiderii poate s\u0103 nu se mai reduc\u0103. Poate ap\u0103rea ceea ce pacientul descrie drept \u201eblocarea maxilarului\u201d sau <strong>closed lock<\/strong>.\u00a0Dar nici aici evolu\u021bia nu este identic\u0103 pentru to\u021bi pacien\u021bii. Literatura arat\u0103 c\u0103 multe deplas\u0103ri de disc au o evolu\u021bie natural\u0103 favorabil\u0103 \u0219i c\u0103 simptomele se pot ameliora \u00een timp.<\/p><p>De aceea, diagnosticul trebuie pus \u00eenainte de a decide tratamentul.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69e2592 elementor-widget elementor-widget-heading\" data-id=\"69e2592\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Este nevoie de RMN dac\u0103 \u00eemi pocne\u0219te maxilarul?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-740d70e elementor-widget elementor-widget-text-editor\" data-id=\"740d70e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Nu pentru orice click.\u00a0Examenul clinic r\u0103m\u00e2ne primul pas.\u00a0Medicul analizeaz\u0103 istoricul simptomelor, amplitudinea deschiderii, traiectoria mandibulei, zgomotele articulare, sensibilitatea ATM \u0219i a musculaturii, func\u021bia mandibular\u0103 \u0219i celelalte elemente relevante ale sistemului cranio-mandibular.<\/p><p>Atunci c\u00e2nd exist\u0103 indica\u021bie pentru evaluarea discului \u0219i a \u021besuturilor moi intraarticulare, <strong>RMN-ul reprezint\u0103 investiga\u021bia imagistic\u0103 de referin\u021b\u0103<\/strong>.<\/p><p>Dar investiga\u021bia trebuie s\u0103 r\u0103spund\u0103 unei \u00eentreb\u0103ri clinice. Nu recomand\u0103m RMN automat doar pentru c\u0103 exist\u0103 un click.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-94c8b3b elementor-widget elementor-widget-heading\" data-id=\"94c8b3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dar CBCT-ul?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3272746 elementor-widget elementor-widget-text-editor\" data-id=\"3272746\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>RMN-ul \u0219i CBCT-ul nu ne ofer\u0103 aceea\u0219i informa\u021bie.\u00a0RMN-ul este superior pentru disc, \u021besuturi moi \u0219i anumite modific\u0103ri inflamatorii intraarticulare.\u00a0CBCT-ul este foarte util atunci c\u00e2nd vrem s\u0103 evalu\u0103m structurile osoase: condilul mandibular, corticala, remodelarea, eroziunile, osteofitele \u0219i alte modific\u0103ri structurale.<\/p><p>Uneori avem nevoie de una dintre investiga\u021bii. Alteori de ambele. Alteori examenul clinic este suficient \u00een etapa respectiv\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0326847 elementor-widget elementor-widget-heading\" data-id=\"0326847\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ce leg\u0103tur\u0103 au mu\u0219chii \u0219i g\u00e2tul cu ATM?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39d3350 elementor-widget elementor-widget-text-editor\" data-id=\"39d3350\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Una foarte important\u0103.\u00a0ATM nu func\u021bioneaz\u0103 separat de musculatura masticatorie \u0219i de regiunea cervical\u0103.\u00a0De aceea, \u00een evaluarea func\u021bional\u0103 a pacientului cu TMD analiz\u0103m nu doar articula\u021bia, ci \u0219i musculatura masticatorie, mobilitatea mandibular\u0103, componenta cervical\u0103 \u0219i, atunci c\u00e2nd tabloul clinic o justific\u0103, postura \u0219i factorii care pot modifica \u00eenc\u0103rcarea sistemului.<\/p><p>Bruxismul, clenching-ul, somnul, stresul \u0219i comportamentele parafunc\u021bionale pot participa la tabloul clinic, f\u0103r\u0103 ca vreunul dintre ace\u0219ti factori s\u0103 reprezinte singur explica\u021bia tuturor cazurilor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7ae5b0 elementor-widget elementor-widget-heading\" data-id=\"a7ae5b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cum evalu\u0103m ATM \u00een cadrul Innovation Medical Center?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-158674c elementor-widget elementor-widget-text-editor\" data-id=\"158674c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Evaluarea este individualizat\u0103.<\/p><p>\u00cen func\u021bie de caz, examenul clinic poate fi completat cu metode de evaluare func\u021bional\u0103 \u0219i imagistic\u0103: analiza mi\u0219c\u0103rii mandibulare, evaluarea muscular\u0103 \u0219i cranio-cervical\u0103, analiza ocluzal\u0103 digital\u0103, evaluarea distribu\u021biei for\u021belor de mu\u0219c\u0103tur\u0103, termografie medical\u0103, ecografie dinamic\u0103 \u0219i, atunci c\u00e2nd exist\u0103 indica\u021bie, CBCT sau RMN.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-badb7cf elementor-widget elementor-widget-image\" data-id=\"badb7cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"331\" height=\"415\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/termografie-faciala.webp\" class=\"attachment-large size-large wp-image-26258\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/termografie-faciala.webp 331w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/termografie-faciala-239x300.webp 239w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/termografie-faciala-10x12.webp 10w\" sizes=\"auto, (max-width: 360px) 147px, (max-width: 331px) 100vw, 331px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-82d64f3 elementor-widget elementor-widget-text-editor\" data-id=\"82d64f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Scopul nu este s\u0103 g\u0103sim c\u00e2t mai multe \u201eanomalii\u201d.<\/p><p>Scopul este s\u0103 stabilim <strong>care dintre constat\u0103rile existente explic\u0103 simptomele pacientului \u0219i care au relevan\u021b\u0103 terapeutic\u0103<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5dcf3b0 elementor-widget elementor-widget-heading\" data-id=\"5dcf3b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cum se trateaz\u0103 un click ATM?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1725cf4 elementor-widget elementor-widget-text-editor\" data-id=\"1725cf4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Uneori nu trebuie tratat.\u00a0Dac\u0103 exist\u0103 \u00eens\u0103 durere sau disfunc\u021bie, abordarea este de regul\u0103 conservatoare \u0219i adaptat\u0103 mecanismului dominant.<\/p><p>Poate include educa\u021bie \u0219i modificarea temporar\u0103 a anumitor comportamente, exerci\u021bii \u0219i recuperare func\u021bional\u0103, terapie manual\u0103, managementul componentelor musculare \u0219i cervicale \u0219i, \u00een cazurile atent selectate, dispozitive intraorale reversibile.<\/p><p>\u00cen cadrul abord\u0103rii de recuperare pot fi integrate \u0219i tehnologii precum fotobiomodularea, atunci c\u00e2nd exist\u0103 o indica\u021bie clinic\u0103 potrivit\u0103. PBM este una dintre ariile \u00een care echipa noastr\u0103 are experien\u021b\u0103 specific\u0103, inclusiv prin utilizarea tehnologiei THOR \u0219i formare interna\u021bional\u0103 \u00een domeniul laserelor medicale.<\/p><p>Important este \u00eens\u0103 principiul: <strong>tehnologia nu \u00eenlocuie\u0219te diagnosticul.<\/strong><\/p><p>\u00cen practica noastr\u0103, abordarea TMD este construit\u0103 \u00een jurul evalu\u0103rii func\u021bionale \u0219i interdisciplinare, \u00een contextul colabor\u0103rilor \u0219i form\u0103rii interna\u021bionale, inclusiv \u00een rela\u021bie cu mediul academic de la Viena\/SFU \u0219i cu educa\u021bia european\u0103 \u00een laser medical prin Aachen\/AALZ.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe2a462 elementor-widget elementor-widget-heading\" data-id=\"fe2a462\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u00centreb\u0103ri frecvente\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5847b8f elementor-widget elementor-widget-accordion\" data-id=\"5847b8f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9251\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-9251\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Pocnetul \/ click-ul ATM \u00eenseamn\u0103 c\u0103 discul este deplasat?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-9251\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-9251\"><p>Poate fi asociat cu deplasarea de disc cu reducere, dar diagnosticul nu se pune doar dup\u0103 zgomot.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9252\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-9252\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Dac\u0103 nu m\u0103 doare, trebuie tratat?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-9252\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-9252\"><p>Nu neap\u0103rat. Un click izolat \u0219i nedureros nu reprezint\u0103 automat indica\u021bie de tratament.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9253\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-9253\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Poate disp\u0103rea singur?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-9253\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-9253\"><p>Da. Zgomotele articulare se pot modifica \u00een timp. Important\u0103 este func\u021bia articula\u021biei \u0219i apari\u021bia sau absen\u021ba simptomelor.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9254\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-9254\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Poate ajunge maxilarul s\u0103 se blocheze?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-9254\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-9254\"><p>\u00cen unele cazuri pot ap\u0103rea episoade de blocaj, dar acest lucru nu reprezint\u0103 evolu\u021bia obligatorie a unei articula\u021bii care face click.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9255\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-9255\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Am nevoie de RMN?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-9255\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-9255\"><p>Nu automat. Indica\u021bia se stabile\u0219te dup\u0103 examenul clinic.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9256\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-9256\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">La ce medic merg?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-9256\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-9256\"><p>Ideal, la un clinician cu experien\u021b\u0103 \u00een diagnosticul \u0219i managementul disfunc\u021biilor temporo-mandibulare \u0219i al durerii oro-faciale, capabil s\u0103 diferen\u021bieze componenta articular\u0103 de cea muscular\u0103 \u0219i cranio-cervical\u0103.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Pocnetul \\\/ click-ul ATM \\u00eenseamn\\u0103 c\\u0103 discul este deplasat?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Poate fi asociat cu deplasarea de disc cu reducere, dar diagnosticul nu se pune doar dup\\u0103 zgomot.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Dac\\u0103 nu m\\u0103 doare, trebuie tratat?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Nu neap\\u0103rat. Un click izolat \\u0219i nedureros nu reprezint\\u0103 automat indica\\u021bie de tratament.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Poate disp\\u0103rea singur?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Da. Zgomotele articulare se pot modifica \\u00een timp. Important\\u0103 este func\\u021bia articula\\u021biei \\u0219i apari\\u021bia sau absen\\u021ba simptomelor.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Poate ajunge maxilarul s\\u0103 se blocheze?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>\\u00cen unele cazuri pot ap\\u0103rea episoade de blocaj, dar acest lucru nu reprezint\\u0103 evolu\\u021bia obligatorie a unei articula\\u021bii care face click.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Am nevoie de RMN?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Nu automat. Indica\\u021bia se stabile\\u0219te dup\\u0103 examenul clinic.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"La ce medic merg?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Ideal, la un clinician cu experien\\u021b\\u0103 \\u00een diagnosticul \\u0219i managementul disfunc\\u021biilor temporo-mandibulare \\u0219i al durerii oro-faciale, capabil s\\u0103 diferen\\u021bieze componenta articular\\u0103 de cea muscular\\u0103 \\u0219i cranio-cervical\\u0103.<\\\/p>\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aad8734 elementor-widget elementor-widget-text-editor\" data-id=\"aad8734\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Un maxilar care pocne\u0219te nu este automat un maxilar bolnav. Dar un zgomot care se modific\u0103, devine dureros sau este \u00eenso\u021bit de blocaj \u0219i pierderea func\u021biei merit\u0103 investigat.<\/strong><\/p><p>\u00a0<\/p><p><strong>Programeaz\u0103-te<\/strong><strong>\u00a0<\/strong><strong>pentru<\/strong><strong> o evaluare <\/strong><strong>complet\u0103<\/strong><br \/>\u00a0\ud83d\udccd\u00a0Bucure\u0219ti &#8211;\u00a0 <a href=\"http:\/\/www.innovationmedical.ro\/\"><u>www.innovationmedical.ro<\/u><\/a><br \/>\u00a0\ud83d\udcde 0753 666 111<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a552c6 elementor-widget elementor-widget-text-editor\" data-id=\"8a552c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Autor: Dr. Anca Adam, Medic Specialist in Medicina Fizica si de Reabilitare, compartiment recuperare neurologic\u0103 \u0219i\u00a0disfunc\u021bii ATM\/TMJ, Expert Acupunctur\u0103 Laser &amp; Competenta Medicina Traditionala\u00a0Chineza (Tai Yuan China), Termografie Medical\u0103 (Barcelona, Spania) &#8211; LSO (Laser Safety\u00a0Officer) AALZ Aachen Germania.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Pocnetul maxilarului este unul dintre cele mai frecvente motive pentru care pacien\u021bii ajung la o consulta\u021bie dedicat\u0103 articula\u021biei temporo-mandibulare. \u201e\u00cemi pocne\u0219te c\u00e2nd casc.\u201d\u00a0\u201eSe aude c\u00e2nd mestec.\u201d\u00a0\u201eNu m\u0103 doare, dar parc\u0103 mandibula sare.\u201d\u00a0\u201eUneori pocne\u0219te, alteori nu.\u201d Prima \u00eentrebare este aproape \u00eentotdeauna aceea\u0219i: este ceva grav?\u00a0R\u0103spunsul scurt este: nu neap\u0103rat. Un click al articula\u021biei temporo-mandibulare (ATM) nu [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":26250,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-26249","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/26249","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/comments?post=26249"}],"version-history":[{"count":7,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/26249\/revisions"}],"predecessor-version":[{"id":27373,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/26249\/revisions\/27373"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/media\/26250"}],"wp:attachment":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/media?parent=26249"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/categories?post=26249"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/tags?post=26249"}],"curies":[{"name":"WordPress","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}