{"id":26698,"date":"2026-09-08T09:38:01","date_gmt":"2026-09-08T06:38:01","guid":{"rendered":"https:\/\/innovationmedical.ro\/?p=26698"},"modified":"2026-09-08T09:46:55","modified_gmt":"2026-09-08T06:46:55","slug":"mi-s-a-blocat-maxilarul-de-ce-nu-mai-pot-deschide-gura-si-ce-trebuie-sa-fac","status":"publish","type":"post","link":"https:\/\/innovationmedical.ro\/en\/mi-s-a-blocat-maxilarul-de-ce-nu-mai-pot-deschide-gura-si-ce-trebuie-sa-fac\/","title":{"rendered":"Mi s-a blocat maxilarul. De ce nu mai pot deschide gura \u0219i ce trebuie s\u0103 fac?"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"26698\" class=\"elementor elementor-26698\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0032010 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0032010\" 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-0297a8c\" data-id=\"0297a8c\" 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-326516c elementor-widget elementor-widget-text-editor\" data-id=\"326516c\" 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>\u201eDoamna doctor, p\u00e2n\u0103\u00a0ieri\u00a0\u00eemi\u00a0pocnea maxilarul. Ast\u0103zi nu mai pocne\u0219te, dar nici nu mai pot deschide gura.\u201d<\/p><p>Aud\u00a0povestea\u00a0asta \u00een cabinet \u0219i, firesc, sperie. Pacientul \u00eencearc\u0103 s\u0103 deschid\u0103 mai mult, mandibula pare c\u0103 se opre\u0219te undeva, apare durerea \u00een fa\u021ba urechii, uneori senza\u021bia c\u0103 articula\u021bia e efectiv \u201eag\u0103\u021bat\u0103\u201d. Prima reac\u021bie e s\u0103 for\u021beze. A doua e s\u0103 caute pe internet cum poate \u201epune discul la loc\u201d.<\/p><p>Eu a\u0219 \u00eencepe altfel: mai \u00eent\u00e2i trebuie s\u0103 \u00een\u021belegem de ce nu se mai deschide gura. Pentru c\u0103 \u201emaxilar\u00a0blocat\u201d descrie un simptom, nu un diagnostic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39ce85a elementor-widget elementor-widget-heading\" data-id=\"39ce85a\" 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 \u00eenseamn\u0103, de fapt, un maxilar blocat\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d57f3ce elementor-widget elementor-widget-text-editor\" data-id=\"d57f3ce\" 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>Limitarea deschiderii gurii poate avea mai multe cauze. Una dintre cele mai cunoscute \u00een patologia ATM este deplasarea discului f\u0103r\u0103 reducere, cu limitarea deschiderii \u2014 ceea ce literatura nume\u0219te frecvent closed lock.<\/p><p>Articula\u021bia temporo-mandibular\u0103 con\u021bine un disc fibrocartilaginos, \u00eentre condilul mandibular \u0219i osul temporal. \u00centr-o\u00a0articula\u021bie\u00a0func\u021bional\u0103\u00a0discul \u0219i condilul se mi\u0219c\u0103 coordonat. La unii pacien\u021bi, discul este deplasat cu gura \u00eenchis\u0103, dar revine \u00eentr-o rela\u021bie func\u021bional\u0103 cu condilul \u00een timpul deschiderii \u2014 de aici poate ap\u0103rea click-ul despre care am vorbit \u00een articolul anterior. Aceasta este deplasarea discului cu reducere.<\/p><p>\u00cen alte situa\u021bii, discul nu mai revine la rela\u021bia sa func\u021bional\u0103 cu condilul \u00een timpul deschiderii. Mi\u0219carea complexului condil-disc poate deveni limitat\u0103, iar pacientul constat\u0103 c\u0103 nu mai poate deschide gura ca \u00eenainte. Important \u00eens\u0103: nu orice gur\u0103 care se deschide greu \u00eenseamn\u0103 closed lock \u2014 acesta nu este un diagnostic care se pune acas\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b6e655c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b6e655c\" 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-50 elementor-inner-column elementor-element elementor-element-16dad6e\" data-id=\"16dad6e\" 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-8557d24 elementor-widget elementor-widget-image\" data-id=\"8557d24\" 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=\"315\" height=\"299\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/tmj.webp\" class=\"attachment-large size-large wp-image-26701\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/tmj.webp 315w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/tmj-300x285.webp 300w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/tmj-13x12.webp 13w\" sizes=\"auto, (max-width: 360px) 147px, (max-width: 315px) 100vw, 315px\" title=\"\">\t\t\t\t\t\t\t\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<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3fde48e\" data-id=\"3fde48e\" 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-225c02b elementor-widget elementor-widget-image\" data-id=\"225c02b\" 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=\"294\" height=\"299\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/articular-dark.webp\" class=\"attachment-large size-large wp-image-26702\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/articular-dark.webp 294w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/articular-dark-12x12.webp 12w\" sizes=\"auto, (max-width: 360px) 147px, (max-width: 294px) 100vw, 294px\" title=\"\">\t\t\t\t\t\t\t\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 class=\"elementor-element elementor-element-c55c5fd elementor-widget elementor-widget-heading\" data-id=\"c55c5fd\" 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 arat\u0103, de obicei, un closed lock\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34ce2b4 elementor-widget elementor-widget-text-editor\" data-id=\"34ce2b4\" 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>Povestea este adesea destul de caracteristic\u0103: articula\u021bia pocnea de luni sau ani, apoi \u00eentr-o zi click-ul dispare \u2014 dar odat\u0103 cu el apare limitarea deschiderii. Gura nu se mai deschide c\u00e2t \u00eenainte, mestecatul poate deveni dureros, apare presiune sau durere \u00een fa\u021ba urechii, iar mandibula poate devia c\u0103tre partea afectat\u0103.<\/p><p>Criteriile\u00a0interna\u021bionale DC\/TMD includ, pentru acest diagnostic, un istoric de blocaj suficient de important \u00eenc\u00e2t s\u0103 interfereze cu alimenta\u021bia, \u00eempreun\u0103 cu o deschidere mandibular\u0103 limitat\u0103, obiectivat\u0103 clinic. Pentru forma \u201ecu limitarea deschiderii\u201d, unul dintre criteriile de examinare este o deschidere maxim\u0103 asistat\u0103, incluz\u00e2nd overbite-ul vertical, sub 40 mm. Nu este suficient ca pacientul s\u0103 spun\u0103 \u201esimt mandibula pu\u021bin tensionat\u0103\u201d. Conteaz\u0103 istoricul, m\u0103sur\u0103torile \u0219i examenul clinic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a860fb9 elementor-widget elementor-widget-heading\" data-id=\"a860fb9\" 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 nu e discul, ce poate fi\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-65d0419 elementor-widget elementor-widget-text-editor\" data-id=\"65d0419\" 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>Diagnosticul diferen\u021bial conteaz\u0103 enorm aici. Limitarea deschiderii poate ap\u0103rea \u0219i \u00een durerea muscular\u0103 sever\u0103 sau contractura musculaturii masticatorii, dup\u0103 traumatisme, \u00een procese inflamatorii sau infec\u021bioase, dup\u0103 proceduri dentare, \u00een patologie dentar\u0103, \u00een boli articulare \u0219i, mult mai rar, \u00een alte afec\u021biuni care nu trebuie confundate cu TMD.<\/p><p>Exist\u0103 \u0219i situa\u021bia opus\u0103 \u2014 pacientul nu mai poate \u00eenchide gura dup\u0103 o deschidere foarte mare. Asta poate sugera o luxa\u021bie mandibular\u0103, o problem\u0103 diferit\u0103 de closed lock.<\/p><p>De aceea, \u201emi s-a blocat maxilarul\u201d ar trebui urmat de c\u00e2teva \u00eentreb\u0103ri: nu-l po\u021bi deschide sau nu-l po\u021bi \u00eenchide? A ap\u0103rut brusc sau progresiv? Exist\u0103 durere? A existat \u00eenainte un click care a disp\u0103rut? A existat un traumatism sau o interven\u021bie stomatologic\u0103 recent\u0103? R\u0103spunsurile schimb\u0103 complet conduita.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7be8dc4 elementor-widget elementor-widget-heading\" data-id=\"7be8dc4\" 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 merit\u0103 evaluare rapid\u0103\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4bc6922 elementor-widget elementor-widget-text-editor\" data-id=\"4bc6922\" 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 orice limitare a deschiderii este o urgen\u021b\u0103, dar sunt situa\u021bii \u00een care n-a\u0219 a\u0219tepta: blocaj ap\u0103rut dup\u0103 un traumatism important, febr\u0103, tumefac\u021bie, semne de infec\u021bie, dificult\u0103\u021bi la \u00eenghi\u021bire sau respira\u021bie, stare general\u0103 alterat\u0103, deficit neurologic sau gura r\u0103mas\u0103 blocat\u0103 larg deschis\u0103 \u0219i care nu mai poate fi \u00eenchis\u0103. La fel, o limitare sever\u0103 \u0219i brusc\u0103, mai ales dac\u0103 interfereaz\u0103 cu alimenta\u021bia sau se agraveaz\u0103, merit\u0103 evaluat\u0103 rapid.<\/p><p>Nu recomand\u00a0\u00eencerc\u0103ri\u00a0agresive de \u201edeblocare\u201d acas\u0103. Exist\u0103 manevre de mobilizare \u0219i manipulare mandibular\u0103 pe care le folosim clinic \u00een anumite situa\u021bii, dar este foarte diferit de a trage singur de mandibul\u0103 p\u00e2n\u0103 \u201epocne\u0219te\u201d. O limitare muscular\u0103, un proces inflamator, o leziune traumatic\u0103 \u0219i un closed lock nu se abordeaz\u0103 identic \u2014 mai \u00eent\u00e2i diagnosticul, apoi mobilizarea potrivit\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df2e1f0 elementor-widget elementor-widget-heading\" data-id=\"df2e1f0\" 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 po\u021bi face p\u00e2n\u0103 ajungi la medic?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-86fb001 elementor-widget elementor-widget-text-editor\" data-id=\"86fb001\" 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>P\u00e2n\u0103 ajungi la evaluare, nu \u00eencerca s\u0103 for\u021bezi mandibula \u0219i evit\u0103 temporar deschiderile foarte largi ale gurii. Alege alimente care nu necesit\u0103 mastica\u021bie intens\u0103 \u0219i observ\u0103 dac\u0103 apar durere \u00een cre\u0219tere, tumefac\u021bie, febr\u0103 sau agravarea rapid\u0103 a blocajului. Nu \u00eencerca manevre de \u201erepozi\u021bionare a discului\u201d v\u0103zute online.<\/p><p>Dac\u0103 nu po\u021bi \u00eenchide gura, dac\u0103 blocajul a ap\u0103rut dup\u0103 un traumatism important sau este asociat cu febr\u0103, tumefac\u021bie important\u0103, dificult\u0103\u021bi la \u00eenghi\u021bire ori respira\u021bie, evaluarea trebuie f\u0103cut\u0103 urgent.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d726b9 elementor-widget elementor-widget-heading\" data-id=\"4d726b9\" 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 discul nu se mai reduce, trebuie \u201epus la loc\u201d?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3b8b21 elementor-widget elementor-widget-text-editor\" data-id=\"a3b8b21\" 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 \u2014 \u0219i aici literatura este destul de lini\u0219titoare. Revizuirile asupra deplas\u0103rilor discului ATM arat\u0103 c\u0103 simptomele unui closed lock se pot ameliora \u00een timp la numero\u0219i pacien\u021bi, inclusiv durerea \u0219i limitarea deschiderii. De aceea, \u00een absen\u021ba unei indica\u021bii de escaladare, managementul ini\u021bial este de regul\u0103 conservator \u0219i non-chirurgical.<\/p><p>Obiectivul nu este un disc \u201eperfect\u201d pe RMN. Obiectivul este recuperarea func\u021biei, reducerea durerii \u0219i adaptarea favorabil\u0103 a articula\u021biei.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18dff09 elementor-widget elementor-widget-heading\" data-id=\"18dff09\" 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 tratament exist\u0103 pentru un maxilar blocat\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-330cb83 elementor-widget elementor-widget-text-editor\" data-id=\"330cb83\" 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>Depinde de cauz\u0103 \u0219i de momentul la care ajunge pacientul la mine \u2014 un closed lock recent se abordeaz\u0103 diferit fa\u021b\u0103 de o limitare\u00a0veche de\u00a0c\u00e2teva\u00a0luni. Tratamentul conservator poate include educa\u021bie \u0219i self-management, exerci\u021bii mandibulare atent dozate, mobilizare, terapie manual\u0103, recuperarea progresiv\u0103 a amplitudinii \u0219i controlului motor, medica\u021bie acolo unde este indicat\u0103 \u0219i, \u00een anumite cazuri, aparate ocluzale.<\/p><p>Un studiu randomizat care a comparat tratamentul conservator cu artrocenteza la pacien\u021bi cu closed lock simptomatic a raportat rezultate favorabile \u00een ambele grupuri la un an. Revizuirile sistematice sus\u021bin, \u00een ansamblu, o abordare etapizat\u0103, \u00een care op\u021biunile mai simple \u0219i mai pu\u021bin invazive sunt preferate ini\u021bial atunci c\u00e2nd tabloul clinic permite acest lucru.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cec0e4b elementor-widget elementor-widget-heading\" data-id=\"cec0e4b\" 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 rol are fotobiomodularea\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e4ce4a elementor-widget elementor-widget-text-editor\" data-id=\"4e4ce4a\" 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>Literatura s-a dezvoltat\u00a0mult \u00een ultimii ani. O meta-analiz\u0103 din 2025, cu 18 studii randomizate \u0219i peste 1.000 de participan\u021bi, a raportat efecte favorabile ale PBM asupra durerii \u0219i func\u021biei mandibulare, cu rezultate mai consistente \u00een formele articulare de TMD. O alt\u0103 analiz\u0103 publicat\u0103 \u00een 2026, care a inclus 40 de trialuri randomizate, a raportat de asemenea beneficii pentru durere \u0219i anumi\u021bi parametri func\u021bionali \u0219i a subliniat influen\u021ba parametrilor de iradiere \u0219i a duratei tratamentului. Aceste rezultate nu definesc \u00eens\u0103 un protocol universal pentru closed lock \u0219i trebuie interpretate \u00een contextul\u00a0heterogenit\u0103\u021bii\u00a0studiilor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-85f41ac elementor-widget elementor-widget-image\" data-id=\"85f41ac\" 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=\"304\" height=\"346\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/ce-rol-are-fotobiomodularea.webp\" class=\"attachment-large size-large wp-image-26703\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/ce-rol-are-fotobiomodularea.webp 304w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/ce-rol-are-fotobiomodularea-264x300.webp 264w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/09\/ce-rol-are-fotobiomodularea-11x12.webp 11w\" sizes=\"auto, (max-width: 360px) 147px, (max-width: 304px) 100vw, 304px\" 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-1a48b93 elementor-widget elementor-widget-text-editor\" data-id=\"1a48b93\" 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>La Innovation Medical Center folosesc sisteme profesionale THOR Photomedicine \u00eentr-un program individualizat. Avantajul nu este \u201eun laser puternic\u201d \u2014 \u00een fotobiomodulare, mai mult nu \u00eenseamn\u0103 automat mai bine. Conteaz\u0103 alegerea parametrilor, anatomia tratat\u0103, diagnosticul \u0219i asocierea cu celelalte componente ale recuper\u0103rii. Lumina nu \u00eenlocuie\u0219te mi\u0219carea. Mi\u0219carea nu \u00eenlocuie\u0219te diagnosticul.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c05107c elementor-widget elementor-widget-heading\" data-id=\"c05107c\" 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 tratamentul conservator nu e suficient\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a9d888 elementor-widget elementor-widget-text-editor\" data-id=\"8a9d888\" 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>Artrocenteza ATM este o procedur\u0103 minim invaziv\u0103 prin care spa\u021biul articular este irigat \u0219i poate fi mobilizat \u2014 nu este chirurgie deschis\u0103.<\/p><p>O meta-analiz\u0103 din 2025 a g\u0103sit un avantaj al artrocentezei fa\u021b\u0103 de tratamentul conservator pentru reducerea durerii pe termen scurt \u0219i intermediar. Pentru deschiderea gurii, diferen\u021ba medie pe termen scurt a fost mic\u0103, aproximativ 2,4 mm, \u0219i nu a fost considerat\u0103 clinic relevant\u0103 de autori. \u00cen acela\u0219i timp, o analiz\u0103 \u00een re\u021bea din 2024 dedicat\u0103 deplas\u0103rii discului f\u0103r\u0103 reducere nu a demonstrat o superioritate uniform\u0103 a procedurilor invazive pentru recuperarea deschiderii mandibulare; tratamentul conservator a avut rezultate favorabile pentru acest obiectiv pe termen scurt. Certitudinea dovezilor pentru multe dintre compara\u021bii r\u0103m\u00e2ne \u00eens\u0103 redus\u0103.<\/p><p>\u00cen practic\u0103, tratamentul se construie\u0219te \u00een trepte: \u00eencep conservator atunci c\u00e2nd situa\u021bia permite, reevaluez r\u0103spunsul \u0219i merg c\u0103tre proceduri minim invazive doar atunci c\u00e2nd diagnosticul, severitatea \u0219i evolu\u021bia o justific\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dac7402 elementor-widget elementor-widget-heading\" data-id=\"dac7402\" 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\">\u0218i chirurgia\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-68224a4 elementor-widget elementor-widget-text-editor\" data-id=\"68224a4\" 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>Este necesar\u0103 doar unei minorit\u0103\u021bi de pacien\u021bi cu TMD. Pozi\u021bia AADOCR 2026 sus\u021bine un management \u00een primul r\u00e2nd conservator, reversibil \u0219i bazat pe dovezi, iar interven\u021biile chirurgicale sunt rezervate cazurilor selectate. Unele situa\u021bii care necesit\u0103 escaladare pot fi gestionate prin proceduri minim invazive, precum artrocenteza.<\/p><p>Chirurgia deschis\u0103 \u00ee\u0219i are locul \u00een patologii structurale severe \u2014 de exemplu anchiloz\u0103, traumatisme, tumori, deform\u0103ri importante sau alte cazuri atent selec\u021bionate. Simplul fapt c\u0103 RMN-ul arat\u0103 un disc deplasat nu \u00eenseamn\u0103 indica\u021bie chirurgical\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4f90b00 elementor-widget elementor-widget-heading\" data-id=\"4f90b00\" 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 fac diferit la Innovation Medical Center\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b091f0 elementor-widget elementor-widget-text-editor\" data-id=\"7b091f0\" 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>\u00cen func\u021bie de caz, evaluarea\u00a0poate\u00a0integra examenul ATM \u0219i muscular, func\u021bia mandibular\u0103, componenta cervical\u0103 \u0219i postural\u0103 atunci c\u00e2nd este relevant\u0103 clinic, evaluarea\u00a0stomatologic\u0103 \u0219i ocluzal\u0103 \u0219i imagistica indicat\u0103. Evalu\u0103m\u00a0prin\u00a0ecografie\u00a0dinamic\u0103 ATM, termografie medical\u0103, scanare dentar\u0103 3D, evaluarea for\u021bei de mu\u0219c\u0103tur\u0103 \u2014 dar le folosesc pentru \u00eentreb\u0103ri clinice specifice, nu ca \u00eenlocuitor al diagnosticului.<\/p><p>Pentru mine, un standard de calitate \u00eenseamn\u0103 s\u0103 nu tratez toate blocajele la fel: s\u0103 diferen\u021biez closed lock-ul articular de o limitare muscular\u0103, o problem\u0103 ATM de o infec\u021bie sau o cauz\u0103 dentar\u0103, un blocaj recuperabil conservator de o situa\u021bie care are nevoie de artrocentez\u0103 sau chirurgie \u2014 \u0219i, la fel de important, un pacient care r\u0103m\u00e2ne \u00een clinic\u0103 de unul care trebuie trimis imediat c\u0103tre alt\u0103 specialitate. Uneori calitatea \u00eenseamn\u0103 s\u0103 faci mai pu\u021bin. Alteori \u00eenseamn\u0103 s\u0103 \u0219tii exact c\u00e2nd conservatorul nu mai este suficient.<\/p><p>Activitatea echipei se desf\u0103\u0219oar\u0103 \u0219i \u00eentr-un context de formare \u0219i colaborare interna\u021bional\u0103 \u00een medicina \u0219i stomatologia laser, cu leg\u0103turi academice \u0219i profesionale cu AALZ Aachen \u0219i Sigmund Freud University Vienna (SFU), precum \u0219i cu organiza\u021bii interna\u021bionale din domeniul laserelor medicale \u0219i dentare. Valoarea\u00a0acestor\u00a0leg\u0103turi\u00a0const\u0103 \u00een\u00a0accesul la educa\u021bie \u0219i \u00eentr-o\u00a0aliniere\u00a0la nivelul\u00a0interna\u021bional \u00een care tehnologia se leag\u0103 de indica\u021bie, parametri \u0219i biologia \u021besutului.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43f26d6 elementor-widget elementor-widget-heading\" data-id=\"43f26d6\" 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\">Mit sau realitate?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-06c0010 elementor-widget elementor-widget-text-editor\" data-id=\"06c0010\" 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>\u201e<\/strong><strong>Dac\u0103<\/strong><strong> nu mai pot deschide gura, sigur mi-a ie\u0219it discul.\u201d \u2014 <\/strong>Mit. Deplasarea discului f\u0103r\u0103 reducere este o cauz\u0103 important\u0103, dar exist\u0103 \u0219i cauze musculare, inflamatorii, traumatice, dentare sau infec\u021bioase.<\/p><p><strong>\u201eDac\u0103 \u00eenainte pocnea \u0219i acum s-a blocat, sigur s-a vindecat click-ul.\u201d \u2014 <\/strong>Mit. Dispari\u021bia click-ului asociat\u0103 cu limitarea deschiderii poate ap\u0103rea tocmai c\u00e2nd discul nu se mai reduce.<\/p><p><strong>\u201eTrebuie s\u0103 for\u021bez mandibula p\u00e2n\u0103 se deblocheaz\u0103.\u201d \u2014 <\/strong>Mit. Mobilizarea trebuie adaptat\u0103 diagnosticului; for\u021barea necontrolat\u0103 nu este recomandat\u0103.<\/p><p><strong>\u201eDac\u0103 discul nu revine la pozi\u021bia lui, articula\u021bia nu mai poate func\u021biona.\u201d \u2014 <\/strong>Mit. Adaptarea func\u021bional\u0103 este posibil\u0103, iar literatura descrie o evolu\u021bie favorabil\u0103 la numero\u0219i pacien\u021bi.<\/p><p><strong>\u201eClosed lock \u00eenseamn\u0103 automat opera\u021bie.\u201d \u2014 <\/strong>Mit. Managementul \u00eencepe, de regul\u0103, cu interven\u021bii conservatoare \u0219i reversibile; procedurile minim invazive intr\u0103 \u00een discu\u021bie la pacien\u021bi selecta\u021bi.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf9fcf3 elementor-widget elementor-widget-heading\" data-id=\"cf9fcf3\" 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\">Frequently Asked Questions\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b7c62d elementor-widget elementor-widget-accordion\" data-id=\"2b7c62d\" 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-4551\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-4551\" 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\">Mi s-a blocat maxilarul \u0219i nu pot deschide gura. Ce fac acum?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4551\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-4551\"><p>Nu-l for\u021ba agresiv. Dac\u0103 limitarea este important\u0103, dureroas\u0103 sau ap\u0103rut\u0103 brusc, ai nevoie de o evaluare care s\u0103 diferen\u021bieze o problem\u0103 articular\u0103 de cauzele musculare, traumatice, dentare sau infec\u021bioase.<\/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-4552\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-4552\" 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\">C\u00e2t ar trebui s\u0103 pot deschide gura normal?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4552\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-4552\"><p>Valorile difer\u0103 \u00eentre persoane \u0219i diagnosticul nu se pune dup\u0103 un singur num\u0103r. \u00cen DC\/TMD, pentru deplasarea discului f\u0103r\u0103 reducere cu limitarea deschiderii, unul dintre criteriile de examinare este o deschidere maxim\u0103 asistat\u0103, incluz\u00e2nd overbite-ul vertical, sub 40 mm, al\u0103turi de istoricul compatibil.<\/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-4553\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-4553\" 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\">Maxilarul pocnea \u00eenainte \u0219i acum nu mai pocne\u0219te, dar se deschide mai pu\u021bin. Ce \u00eenseamn\u0103?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4553\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-4553\"><p>Poate ridica suspiciunea unei deplas\u0103ri discale f\u0103r\u0103 reducere (closed lock), dar diagnosticul trebuie confirmat clinic \u0219i, atunci c\u00e2nd este necesar, imagistic.<\/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-4554\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-4554\" 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\">Se poate recupera f\u0103r\u0103 opera\u021bie?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4554\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-4554\"><p>Da. Mul\u021bi pacien\u021bi se amelioreaz\u0103 prin management conservator, iar evolu\u021bia natural\u0103 poate fi favorabil\u0103. Tratamentul se adapteaz\u0103 severit\u0103\u021bii, duratei \u0219i diagnosticului.<\/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-4555\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-4555\" 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\">E nevoie de RMN?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4555\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-4555\"><p>Nu pentru orice limitare a deschiderii. RMN-ul r\u0103m\u00e2ne investiga\u021bia de referin\u021b\u0103 pentru disc \u0219i \u021besuturile moi ATM atunci c\u00e2nd confirmarea patologiei intra-articulare poate schimba conduita.<\/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-4556\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-4556\" 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\">Laserul poate debloca maxilarul?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4556\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-4556\"><p>Nu \u00eel folosesc ca metod\u0103 mecanic\u0103 de \u201edeblocare\u201d sau repozi\u021bionare a discului. PBM este folosit\u00a0\u00a0pentru\u00a0controlul\u00a0durerii \u0219i recuperarea func\u021bional\u0103 la pacien\u021bi selecta\u021bi.<\/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-4557\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-4557\" 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 am discul deplasat, voi ajunge la opera\u021bie?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4557\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-4557\"><p>Nu, de regul\u0103. AADOCR 2026 sus\u021bine un management TMD \u00een primul r\u00e2nd conservator, reversibil \u0219i bazat pe dovezi. Chirurgia este rezervat\u0103 unei minorit\u0103\u021bi de cazuri.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\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-31256e1 elementor-widget elementor-widget-text-editor\" data-id=\"31256e1\" 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><em><strong>C\u00e2nd<\/strong><\/em><em><strong> un pacient <\/strong><\/em><em><strong>ajunge<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>speriat<\/strong><\/em><em><strong> and <\/strong><\/em><em><strong>\u00eemi<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>spune<\/strong><\/em><em><strong> c\u0103 maxilarul s-a blocat, primul obiectiv este, desigur, s\u0103-l ajut s\u0103-\u0219i recapete <\/strong><\/em><em><strong>mobilitatea \u0219i s\u0103 reducem durerea. Dar nu vreau s\u0103 c\u00e2\u0219tig\u0103m c\u00e2\u021biva milimetri f\u0103r\u0103 s\u0103 \u00een\u021belegem ce s-a \u00eent\u00e2mplat. Vreau s\u0103 \u0219tiu de ce s-a blocat, ce structur\u0103 limiteaz\u0103 mi\u0219carea, ce putem recupera conservator \u0219i c\u00e2nd este nevoie de alt nivel de interven\u021bie.<\/strong><\/em><\/p><p><em><strong>\u00ce<\/strong><\/em><em><strong>n multe cazuri, un maxilar blocat nu \u00eenseamn\u0103 o articula\u021bie \u201edistrus\u0103\u201d \u0219i nici \u00eenceputul inevitabil al unei opera\u021bii. \u00censeamn\u0103 \u00eens\u0103 c\u0103 merit\u0103 evaluat corect \u2014 diagnosticul \u00eenaintea procedurii \u0219i cea mai pu\u021bin invaziv\u0103 interven\u021bie capabil\u0103 s\u0103 redea func\u021bia.<\/strong><\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc090df elementor-widget elementor-widget-heading\" data-id=\"bc090df\" 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\">Surse medicale \u0219i lecturi recomandate\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8458829 elementor-widget elementor-widget-text-editor\" data-id=\"8458829\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><a href=\"https:\/\/www.aadocr.org\/science-policy\/temporomandibular-disorders-tmd\" rel=\"nofollow noopener\" target=\"_blank\"><u>AADOCR. Temporomandibular Disorders (TMDs) Position Statement. 7 aprilie 2026.<\/u><\/a><\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24482784\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic Criteria for Temporomandibular Disorders (DC\/TMD). J Oral Facial Pain Headache. 2014. PMID: 24482784.<\/u><\/a><\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23199296\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>Naeije M, Te Veldhuis AH, Te Veldhuis EC, Visscher CM, Lobbezoo F. Disc displacement within the human temporomandibular joint: a systematic review of a \u201cnoisy annoyance\u201d. J Oral Rehabil. 2013. PMID: 23199296.<\/u><\/a><\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38395688\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>Al-Moraissi EA, et al. Treatment of painful temporomandibular joint disc displacement without reduction: network meta-analysis of randomized clinical trials. Int J Oral Maxillofac Surg. 2024;53(7):584\u2013595. PMID: 38395688.<\/u><\/a><\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39668018\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>Tang YH, et al. Arthrocentesis versus conservative treatments for temporomandibular joint disorders: a systematic review with meta-analyses and trial sequential analyses. J Craniomaxillofac Surg. 2025;53:250\u2013261. PMID: 39668018.<\/u><\/a><\/li><li><a href=\"https:\/\/www.bmj.com\/content\/383\/bmj-2023-076227\" rel=\"nofollow noopener\" target=\"_blank\"><u>Busse JW, et al. Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline. BMJ. 2023;383:e076227.<\/u><\/a><\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41251874\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>Ca<\/u><u>ndido-do-Prado LG, Ribeiro-Silva VHA, Sim\u00f5es-Barbosa AF, et al. Differential effectiveness of photobiomodulation in muscular and articular temporomandibular disorders: a systematic review and critical appraisal. Lasers Med Sci. 2025;40:487. PMID: 41251874.<\/u><\/a><\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41420455\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>Ok SM, Jeon HM, Ahn YW, Jeo<\/u><u>ng SH, Ju HM, Lee MS. Effects of Photobiomodulation Therapy Irradiation Intensity, Frequency, and Duration on Pain, and Functional Improvements in Patients with Temporomandibular Disorder. Photobiomodul Photomed Laser Surg. 2026;44:138\u2013156. PMID: 41420455.<\/u><\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59952b6 elementor-widget elementor-widget-text-editor\" data-id=\"59952b6\" 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>Programeaz\u0103-te<\/strong><strong>\u00a0<\/strong><strong>for<\/strong><strong> o <\/strong><strong>evaluate<\/strong><strong>\u00a0<\/strong><strong>complete<\/strong><br \/>\u00a0\ud83d\udccd\u00a0Bucure\u0219ti &#8211;\u00a0 <a href=\"https:\/\/innovationmedical.ro\/en\/\"><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-a9a04e5 elementor-widget elementor-widget-text-editor\" data-id=\"a9a04e5\" 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>Author<\/strong><strong>: Dr. Anca Adam<\/strong> \u2014 Medic Specialist \u00een Medicin\u0103 Fizic\u0103 \u0219i de Reabilitare, compartiment recuperare neurologic\u0103 \u0219i disfunc\u021bii ATM\/TMJ | Expert Acupunctur\u0103 Laser &amp; Competen\u021b\u0103 Medicin\u0103 Tradi\u021bional\u0103 Chinez\u0103 (Tai Yuan, China) | Termografie Medical\u0103 (Barcelona, Spania) | LSO \u2014 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>","protected":false},"excerpt":{"rendered":"<p>\u201eDoamna doctor, p\u00e2n\u0103\u00a0ieri\u00a0\u00eemi\u00a0pocnea maxilarul. Ast\u0103zi nu mai pocne\u0219te, dar nici nu mai pot deschide gura.\u201d Aud\u00a0povestea\u00a0asta \u00een cabinet \u0219i, firesc, sperie. Pacientul \u00eencearc\u0103 s\u0103 deschid\u0103 mai mult, mandibula pare c\u0103 se opre\u0219te undeva, apare durerea \u00een fa\u021ba urechii, uneori senza\u021bia c\u0103 articula\u021bia e efectiv \u201eag\u0103\u021bat\u0103\u201d. Prima reac\u021bie e s\u0103 for\u021beze. A doua e s\u0103 caute [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":26699,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30,47],"tags":[],"class_list":["post-26698","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articulatia-temporo-mandibulara-atm","category-disfunctii-cranio-mandibulare"],"_links":{"self":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/26698","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=26698"}],"version-history":[{"count":5,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/26698\/revisions"}],"predecessor-version":[{"id":26707,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/26698\/revisions\/26707"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/media\/26699"}],"wp:attachment":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/media?parent=26698"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/categories?post=26698"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/tags?post=26698"}],"curies":[{"name":"WordPress","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}