{"id":29991,"date":"2026-10-07T08:43:39","date_gmt":"2026-10-07T05:43:39","guid":{"rendered":"https:\/\/innovationmedical.ro\/?p=29991"},"modified":"2026-10-07T08:47:15","modified_gmt":"2026-10-07T05:47:15","slug":"disfunctie-atm-medicina-traditionala-chineza-stres-acupunctura","status":"publish","type":"post","link":"https:\/\/innovationmedical.ro\/en\/disfunctie-atm-medicina-traditionala-chineza-stres-acupunctura\/","title":{"rendered":"Disfunc\u021bia ATM \u00eentre structur\u0103, func\u021bie \u0219i emo\u021bie: perspectiva prezentat\u0103 de Dr. Anca Adam la Congresul Interna\u021bional de Medicin\u0103 Tradi\u021bional\u0103 Chinez\u0103"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"29991\" class=\"elementor elementor-29991\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-02d6064 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"02d6064\" 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-a3fdaeb\" data-id=\"a3fdaeb\" 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-79f7317 elementor-widget elementor-widget-text-editor\" data-id=\"79f7317\" 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>De ce\u00a0doi\u00a0pacien\u021bi cu modific\u0103ri\u00a0aparent\u00a0asem\u0103n\u0103toare ale articula\u021biei\u00a0temporo-mandibulare pot avea\u00a0simptome\u00a0complet\u00a0diferite?<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2626a4d elementor-widget elementor-widget-text-editor\" data-id=\"2626a4d\" 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>Aceasta a fost una\u00a0dintre\u00a0\u00eentreb\u0103rile de la care am pornit \u00een lucrarea\u00a0pe care am prezentat-o \u00een luna iunie, la Cluj-Napoca, \u00een cadrul\u00a0Congresului\u00a0Interna\u021bional de Medicin\u0103\u00a0Tradi\u021bional\u0103 Chinez\u0103 2026.\u00a0Lucrarea, realizat\u0103\u00a0\u00eempreun\u0103 cu Dr. Angela Tudor,\u00a0Pre\u0219edinte\u00a0onorific al Societ\u0103\u021bii\u00a0Rom\u00e2ne de Medicin\u0103\u00a0Tradi\u021bional\u0103 Chinez\u0103 (SRMTC),\u00a0avut ca tem\u0103 \u201e<strong>Disfunc\u021bia<\/strong><strong>\u00a0<\/strong><strong>articula\u021biei<\/strong><strong>\u00a0<\/strong><strong>temporo-mandibulare<\/strong><strong>: <\/strong><strong>punte<\/strong><strong>\u00a0<\/strong><strong>\u00eentre<\/strong><strong>\u00a0<\/strong><strong>psihosomatic<\/strong><strong> \u0219i <\/strong><strong>diagnosticul<\/strong><strong> energetic \u00een Medicina <\/strong><strong>Tradi\u021bional\u0103<\/strong><strong> Chinez\u0103<\/strong>\u201d.<\/p><p>Pentru mine, subiectul a venit\u00a0foarte\u00a0firesc din practica de zi cu zi cu pacien\u021bii cu disfunc\u021bii\u00a0temporo-mandibulare\u00a0pentru\u00a0c\u0103, \u00een cabinet, lucrurile\u00a0sunt\u00a0rareori\u00a0at\u00e2t de simple precum par \u00eentr-o imagine.\u00a0Pot avea \u00een fa\u021b\u0103 doi\u00a0pacien\u021bi cu modific\u0103ri\u00a0articulare\u00a0asem\u0103n\u0103toare, dar unul are doar un click pe care aproape c\u0103 nu \u00eel\u00a0observ\u0103, iar\u00a0cel\u0103lalt are durere, contractur\u0103 muscular\u0103, cefalee, bruxism, somn\u00a0neodihnitor \u0219i perioade \u00een care simptomele se accentueaz\u0103 evident odat\u0103 cu stresul.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f60a3a4 elementor-widget elementor-widget-heading\" data-id=\"f60a3a4\" 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\">Disfunc\u021bia ATM nu este doar o problem\u0103 a articula\u021biei\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79ed4f4 elementor-widget elementor-widget-text-editor\" data-id=\"79ed4f4\" 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>Tulbur\u0103rile\u00a0temporo-mandibulare (TMD) reprezint\u0103 un grup de afec\u021biuni care pot implica\u00a0articula\u021bia\u00a0temporo-mandibular\u0103, musculatura\u00a0masticatorie \u0219i structurile\u00a0asociate.<\/p><p>Pacientul\u00a0poate\u00a0ajunge la consulta\u021bie\u00a0pentru\u00a0durere \u00een zona\u00a0maxilarului, limitarea\u00a0deschiderii\u00a0gurii, zgomote\u00a0articulare, oboseal\u0103 muscular\u0103, bruxism, cefalee\u00a0sau\u00a0simptome\u00a0percepute \u00een regiunea\u00a0urechii. Exact aceast\u0103\u00a0diversitate a manifest\u0103rilor a constituit\u00a0punctul de plecare al prezent\u0103rii\u00a0mele.<\/p><p>Medicina contemporan\u0103 nu mai prive\u0219te\u00a0durerea TMD exclusiv\u00a0printr-un model mecanic.<\/p><p>\u00cen special \u00een durerea persistent\u0103, <strong>evaluarea<\/strong><strong>\u00a0<\/strong><strong>devine<\/strong><strong>\u00a0<\/strong><strong>biopsihosocial\u0103<\/strong>: structura\u00a0conteaz\u0103, dar conteaz\u0103 \u0219i func\u021bia, sistemul\u00a0nervos, comportamentele, somnul \u0219i factorii\u00a0psihologici care pot influen\u021ba\u00a0percep\u021bia \u0219i persisten\u021ba\u00a0durerii. O analiz\u0103\u00a0sistematic\u0103 recent\u0103 privind\u00a0cronicizarea\u00a0durerii TMD a identificat, de exemplu, intensitatea\u00a0ini\u021bial\u0103 a durerii \u0219i anumi\u021bi\u00a0factori\u00a0psihologici\u00a0printre\u00a0predictorii\u00a0cei mai constan\u021bi ai persisten\u021bei\u00a0simptomelor. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41976799\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>PubMed \u2013 PMID 41976799<\/u><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d91b2df elementor-widget elementor-widget-image\" data-id=\"d91b2df\" 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 fetchpriority=\"high\" decoding=\"async\" width=\"545\" height=\"352\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/durerea-este-in-capul-pacientului.webp\" class=\"attachment-large size-large wp-image-29996\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/durerea-este-in-capul-pacientului.webp 545w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/durerea-este-in-capul-pacientului-300x194.webp 300w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/durerea-este-in-capul-pacientului-18x12.webp 18w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/durerea-este-in-capul-pacientului-441x285.webp 441w\" sizes=\"(max-width: 360px) 147px, (max-width: 545px) 100vw, 545px\" 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-e85cf05 elementor-widget elementor-widget-text-editor\" data-id=\"e85cf05\" 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>Asta<\/strong><\/em><em><strong> nu <\/strong><\/em><em><strong>\u00eenseamn\u0103<\/strong><\/em><em><strong> c\u0103 \u201e<\/strong><\/em><em><strong>durerea<\/strong><\/em><em><strong> este \u00een <\/strong><\/em><em><strong>capul<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>pacientului<\/strong><\/em><em><strong>\u201d.<\/strong><\/em><\/p><p><em><strong>\u00censeamn\u0103<\/strong><\/em><em><strong> exact <\/strong><\/em><em><strong>contrariul<\/strong><\/em><em><strong>: <\/strong><\/em><em><strong>durerea<\/strong><\/em><em><strong> este un <\/strong><\/em><em><strong>fenomen<\/strong><\/em><em><strong> biologic complex, <\/strong><\/em><em><strong>iar<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>articula\u021bia<\/strong><\/em><em><strong> este <\/strong><\/em><em><strong>numai<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>una<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>dintre<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>componentele<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>pe<\/strong><\/em><em><strong> care <\/strong><\/em><em><strong>trebuie<\/strong><\/em><em><strong> s\u0103 <\/strong><\/em><em><strong>le<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>evalu\u0103m<\/strong><\/em><em><strong>.<\/strong><\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-793fec3 elementor-widget elementor-widget-heading\" data-id=\"793fec3\" 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 evalu\u0103m, de fapt, la un pacient cu disfunc\u021bie ATM?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-309e8b0 elementor-widget elementor-widget-image\" data-id=\"309e8b0\" 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 decoding=\"async\" width=\"1024\" height=\"96\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/ce-evaluam-1024x96.webp\" class=\"attachment-large size-large wp-image-29997\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/ce-evaluam-1024x96.webp 1024w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/ce-evaluam-300x28.webp 300w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/ce-evaluam-768x72.webp 768w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/ce-evaluam-1536x144.webp 1536w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/ce-evaluam-18x2.webp 18w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/ce-evaluam-990x93.webp 990w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/ce-evaluam-441x41.webp 441w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/ce-evaluam.webp 1670w\" sizes=\"(max-width: 360px) 147px, (max-width: 1024px) 100vw, 1024px\" 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-c4c3405 elementor-widget elementor-widget-text-editor\" data-id=\"c4c3405\" 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 practic\u0103, tocmai\u00a0rela\u021biile\u00a0dintre\u00a0aceste\u00a0componente\u00a0fac\u00a0diferen\u021ba.<\/p><h2><strong>Articula\u021bia<\/strong><strong>\u00a0<\/strong><strong>temporo-mandibular\u0103<\/strong><\/h2><p>Evalu\u0103m\u00a0durerea, mobilitatea\u00a0mandibulei, zgomotele\u00a0articulare, devia\u021biile\u00a0sau\u00a0deflexiile la deschidere \u0219i eventualele\u00a0episoade de blocaj. Atunci\u00a0c\u00e2nd exist\u0103 indica\u021bie, examinarea clinic\u0103 poate fi completat\u0103 imagistic. RMN-ul \u0219i CBCT-ul nu r\u0103spund\u00a0\u00eens\u0103\u00a0aceleia\u0219i\u00a0\u00eentreb\u0103ri \u0219i nu sunt\u00a0necesare automat fiec\u0103rui pacient.<\/p><h2><strong>Musculatura<\/strong><strong>\u00a0<\/strong><strong>masticatorie<\/strong><\/h2><p>Maseterul, temporalul \u0219i musculatura\u00a0pterigoidian\u0103 pot participa important la tabloul\u00a0dureros. C\u0103ut\u0103m\u00a0sensibilitate, hipertonie, puncte trigger \u0219i rela\u021bia\u00a0dintre\u00a0activitatea muscular\u0103 \u0219i simptomele\u00a0pacientului.<\/p><h2><strong>Regiunea<\/strong><strong>\u00a0<\/strong><strong>cranio-cervical\u0103<\/strong><\/h2><p>Un pacient care spune \u201em\u0103 doare\u00a0maxilarul\u201d poate\u00a0avea\u00a0concomitent\u00a0durere cervical\u0103, contractur\u0103\u00a0suboccipital\u0103, cefalee\u00a0sau\u00a0modific\u0103ri\u00a0func\u021bionale ale centurii\u00a0scapulare. De aceea, evaluarea\u00a0noastr\u0103 nu se opre\u0219te\u00a0\u00eentotdeauna la marginea\u00a0mandibulei.<\/p><h2><strong>Postura<\/strong><\/h2><p>Postura este evaluat\u0103\u00a0atunci\u00a0c\u00e2nd are relevan\u021b\u0103\u00a0pentru\u00a0tabloul clinic, nu pentru a c\u0103uta cu orice pre\u021b o \u201epostur\u0103 perfect\u0103\u201d. Ne intereseaz\u0103 mai ales modul \u00een care pacientul \u00ee\u0219i organizeaz\u0103\u00a0func\u021bional\u00a0capul, coloana cervical\u0103 \u0219i centura scapular\u0103 \u0219i dac\u0103\u00a0anumite\u00a0compens\u0103ri se coreleaz\u0103 cu simptomele.<\/p><h2><strong>Somnul<\/strong><strong>, <\/strong><strong>stresul<\/strong><strong> \u0219i <\/strong><strong>parafunc\u021biile<\/strong><\/h2><p>Scr\u00e2\u0219nitul\u00a0sau\u00a0\u00eencle\u0219tarea\u00a0din\u021bilor, somnul\u00a0neodihnitor \u0219i perioadele de stres pot modifica\u00a0tabloul clinic.<\/p><p>O revizuire\u00a0sistematic\u0103\u00a0publicat\u0103 recent a g\u0103sit o asociere\u00a0\u00eentre bruxism\/TMD \u0219i factori\u00a0psihologici, de\u0219i mecanismele \u0219i rela\u021biile\u00a0dintre ace\u0219ti factori\u00a0r\u0103m\u00e2n\u00a0complexe. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40127752\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>PubMed \u2013 PMID 40127752<\/u><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e6d8ad elementor-widget elementor-widget-image\" data-id=\"8e6d8ad\" 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 decoding=\"async\" width=\"427\" height=\"366\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/lantul-de-evaluare.webp\" class=\"attachment-large size-large wp-image-29998\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/lantul-de-evaluare.webp 427w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/lantul-de-evaluare-300x257.webp 300w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/lantul-de-evaluare-14x12.webp 14w\" sizes=\"(max-width: 360px) 147px, (max-width: 427px) 100vw, 427px\" 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-91f5408 elementor-widget elementor-widget-text-editor\" data-id=\"91f5408\" 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>De <\/strong><\/em><em><strong>aceea<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>\u00eentreb\u0103rile<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>despre<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>somn<\/strong><\/em><em><strong> \u0219i <\/strong><\/em><em><strong>stres<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>fac<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>parte<\/strong><\/em><em><strong> din <\/strong><\/em><em><strong>anamnez\u0103<\/strong><\/em><em><strong>. Nu <\/strong><\/em><em><strong>pentru<\/strong><\/em><em><strong> c\u0103 <\/strong><\/em><em><strong>reducem<\/strong><\/em><em><strong> TMD la <\/strong><\/em><em><strong>anxietate<\/strong><\/em><em><strong>, <\/strong><\/em><em><strong>ci<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>pentru<\/strong><\/em><em><strong> c\u0103 <\/strong><\/em><em><strong>ignorarea<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>lor<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>poate<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>\u00eensemna<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>ignorarea<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>unei<\/strong><\/em><em><strong> p\u0103r\u021bi din<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>tabloul<\/strong><\/em><em><strong> complex al <\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>pacient<\/strong><\/em><em><strong>ului<\/strong><\/em><em><strong>.<\/strong><\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8924829 elementor-widget elementor-widget-heading\" data-id=\"8924829\" 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\">Unde intr\u0103 Medicina Tradi\u021bional\u0103 Chinez\u0103?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ea1d3e3 elementor-widget elementor-widget-text-editor\" data-id=\"ea1d3e3\" 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>Formarea\u00a0 \u00een Medicina Tradi\u021bional\u0103 Chinez\u0103 mi-a oferit\u00a0posibilitatea de a privi\u00a0acela\u0219i pacient \u0219i printr-un al doilea\u00a0sistem medical de interpretare.\u00a0\u00cen terminologia MTC, evaluarea\u00a0poate\u00a0lua \u00een considerare\u00a0circula\u021bia\u00a0Qi-ului \u0219i a S\u00e2ngelui, meridianele care traverseaz\u0103\u00a0regiunea\u00a0cranio-facial\u0103, meridianele\u00a0tendino-musculare Jing Jin, rela\u021biile\u00a0Zang-Fu \u0219i pattern-ul individual al pacientului. Acestea au constituit \u0219i elementele\u00a0principale ale perspectivei MTC prezentate \u00een lucrare.<\/p><p>Aici\u00a0\u00eens\u0103 este esen\u021bial\u0103 o distinc\u021bie.<\/p><p><em><strong>Diagnosticul<\/strong><\/em><em><strong> energetic din Medicina <\/strong><\/em><em><strong>Tradi\u021bional\u0103<\/strong><\/em><em><strong> Chinez\u0103 nu <\/strong><\/em><em><strong>\u00eenlocuie\u0219te<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>diagnosticul<\/strong><\/em><em><strong> biomedical al <\/strong><\/em><em><strong>unei<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>disfunc\u021bii<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>temporo-mandibulare<\/strong><\/em><em><strong>.<\/strong><\/em><\/p><p>Nu folosesc MTC pentru a decide dac\u0103 un pacient are o deplasare de disc, o modificare\u00a0degenerativ\u0103\u00a0condilian\u0103\u00a0sau o limitare\u00a0mecanic\u0103 a deschiderii. Pentru\u00a0acestea\u00a0avem\u00a0anamneza, examenul clinic \u0219i investiga\u021biile\u00a0medicale indicate.<\/p><p><em><strong>MTC <\/strong><\/em><em><strong>adaug\u0103<\/strong><\/em><em><strong> un alt <\/strong><\/em><em><strong>nivel<\/strong><\/em><em><strong> de <\/strong><\/em><em><strong>individualizare<\/strong><\/em><em><strong>.<\/strong><\/em><\/p><p>\u0218i tocmai\u00a0aceast\u0103\u00a0rela\u021bie\u00a0dintre\u00a0cele\u00a0dou\u0103\u00a0modele a reprezentat\u00a0concluzia\u00a0lucr\u0103rii\u00a0prezentate la congres: <strong>modelul<\/strong><strong> energetic nu <\/strong><strong>substituie<\/strong><strong>\u00a0<\/strong><strong>diagnosticul<\/strong><strong> biomedical, <\/strong><strong>ci<\/strong><strong>\u00a0<\/strong><strong>\u00eel<\/strong><strong>\u00a0<\/strong><strong>completeaz\u0103<\/strong><strong> \u00een <\/strong><strong>cadrul<\/strong><strong>\u00a0<\/strong><strong>unei<\/strong><strong>\u00a0<\/strong><strong>abord\u0103ri<\/strong><strong>\u00a0<\/strong><strong>individualizate<\/strong><strong>.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5fe6c1 elementor-widget elementor-widget-heading\" data-id=\"d5fe6c1\" 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\">Jing Jin: o perspectiv\u0103 interesant\u0103 asupra durerii cranio-faciale\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40c36bd elementor-widget elementor-widget-text-editor\" data-id=\"40c36bd\" 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\u00a0p\u0103r\u021bile\u00a0pe care le-am\u00a0considerat\u00a0cele mai interesante \u00een preg\u0103tirea\u00a0lucr\u0103rii a fost cea\u00a0referitoare la Jing Jin, <strong>meridianele<\/strong><strong>\u00a0<\/strong><strong>tendino-musculare<\/strong>\u00a0descrise \u00een Medicina Tradi\u021bional\u0103 Chinez\u0103.<\/p><p>\u00cen modelul\u00a0tradi\u021bional, <strong>traseele<\/strong><strong>\u00a0<\/strong><strong>acestora<\/strong><strong>\u00a0<\/strong><strong>traverseaz\u0103<\/strong><strong>\u00a0<\/strong><strong>regiuni<\/strong><strong>\u00a0<\/strong><strong>cranio-faciale<\/strong><strong>, <\/strong><strong>cervicale<\/strong><strong> \u0219i <\/strong><strong>musculare<\/strong> care pot fi relevante\u00a0pentru\u00a0simptomatologia\u00a0pacientului cu TMD. \u00cen prezentare am discutat\u00a0paralela\u00a0dintre\u00a0distribu\u021bia Jing Jin \u0219i teritoriile\u00a0clinice \u00een care pacien\u021bii cu TMD pot descrie\u00a0durere\u00a0sau\u00a0tensiune.<\/p><p>Pentru mine, valoarea\u00a0acestei perspective este alta: ofer\u0103 un sistem\u00a0suplimentar\u00a0prin care pot fi analizate\u00a0rela\u021biile\u00a0dintre\u00a0simptomul local \u0219i tabloul mai larg al pacientului.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58072c2 elementor-widget elementor-widget-heading\" data-id=\"58072c2\" 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 atunci, unde intr\u0103 acupunctura?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28ee537 elementor-widget elementor-widget-text-editor\" data-id=\"28ee537\" 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>Dup\u0103 diagnosticul medical \u0219i identificarea\u00a0tiparului MTC, acupunctura poate fi integrat\u0103 \u00een planul\u00a0terapeutic\u00a0atunci\u00a0c\u00e2nd exist\u0103 indica\u021bie.\u00a0<strong>\u00cen MTC, <\/strong><strong>prescrip\u021bia<\/strong><strong> se <\/strong><strong>construie\u0219te<\/strong><strong> \u00een func\u021bie de <\/strong><strong>tabloul<\/strong><strong> individual.<\/strong>\u00a0Dou\u0103\u00a0persoane care vin cu durere ATM pot primi o selec\u021bie\u00a0diferit\u0103 de puncte\u00a0dac\u0103\u00a0ansamblul\u00a0semnelor \u0219i simptomelor este diferit.<\/p><p>O meta-analiz\u0103\u00a0publicat\u0103 \u00een 2026, care a inclus 19 studii\u00a0randomizate \u0219i 708 pacien\u021bi, a g\u0103sit o <strong>asociere<\/strong><strong>\u00a0<\/strong><strong>\u00eentre<\/strong><strong>\u00a0<\/strong><strong>acupunctur\u0103<\/strong><strong> \u0219i <\/strong><strong>reducerea<\/strong><strong>\u00a0<\/strong><strong>durerii<\/strong><strong>, <\/strong><strong>respectiv<\/strong><strong>\u00a0<\/strong><strong>\u00eembun\u0103t\u0103\u021birea<\/strong><strong>\u00a0<\/strong><strong>deschiderii<\/strong><strong>\u00a0<\/strong><strong>gurii<\/strong><strong>\u00a0<\/strong>fa\u021b\u0103 de interven\u021biile de control. Autorii\u00a0subliniaz\u0103\u00a0\u00eens\u0103\u00a0necesitatea\u00a0unor\u00a0studii de calitate \u0219i a urm\u0103ririi\u00a0pe\u00a0termen lung. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/42362085\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>PubMed \u2013 PMID 42362085<\/u><\/a><\/p><p>O alt\u0103 meta-analiz\u0103 de re\u021bea, publicat\u0103 \u00een 2025, a analizat 35 de studii \u0219i 1.937 de pacien\u021bi \u0219i a comparat mai multe\u00a0metode de acupunctur\u0103\u00a0pentru TMD. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39286939\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>PubMed \u2013 PMID 39286939<\/u><\/a><\/p><p>Exist\u0103 inclusiv\u00a0<strong>cercetare<\/strong><strong>\u00a0<\/strong><strong>asupra<\/strong><strong>\u00a0<\/strong><strong>laser-acupuncturii<\/strong><strong>. <\/strong>O revizuire\u00a0sistematic\u0103 \u0219i meta-analiz\u0103 din 2024 a analizat\u00a0studiile\u00a0randomizate\u00a0privind acupunctura clasic\u0103 \u0219i laser-acupunctura \u00een TMD. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38308258\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>PubMed \u2013 PMID 38308258<\/u><\/a><\/p><p>Pentru mine, aceasta este o zon\u0103\u00a0deosebit de interesant\u0103\u00a0tocmai\u00a0pentru c\u0103 se afl\u0103 la <strong>intersec\u021bia<\/strong><strong>\u00a0<\/strong><strong>dintre<\/strong><strong>\u00a0<\/strong><strong>dou\u0103<\/strong><strong>\u00a0<\/strong><strong>dintre<\/strong><strong>\u00a0<\/strong><strong>domeniile<\/strong><strong> \u00een care m-am format: medicina de recuperare \u0219i <\/strong><strong>fotomedicina<\/strong><strong>, <\/strong><strong>respectiv<\/strong><strong> Medicina <\/strong><strong>Tradi\u021bional\u0103<\/strong><strong> Chinez\u0103.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a888505 elementor-widget elementor-widget-image\" data-id=\"a888505\" 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=\"621\" height=\"321\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/jing-jing-si-atm.webp\" class=\"attachment-large size-large wp-image-29999\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/jing-jing-si-atm.webp 621w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/jing-jing-si-atm-300x155.webp 300w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/jing-jing-si-atm-18x9.webp 18w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/jing-jing-si-atm-441x228.webp 441w\" sizes=\"(max-width: 360px) 147px, (max-width: 621px) 100vw, 621px\" 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-45d8054 elementor-widget elementor-widget-heading\" data-id=\"45d8054\" 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\">Un caz poate avea mai multe niveluri \u00een acela\u0219i timp\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-256f299 elementor-widget elementor-widget-text-editor\" data-id=\"256f299\" 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 lucrarea\u00a0prezentat\u0103 la congres am inclus un pacient cu TMD complex\u0103, la care coexistau\u00a0bruxismul, malocluzia, durerea ATM \u0219i hiperactivitatea\u00a0lan\u021bului muscular cranio-cervical.\u00a0Evaluarea a ar\u0103tat c\u0103 tabloul nu putea fi redus la o singur\u0103 component\u0103. <strong>Au <\/strong><strong>coexistat<\/strong><strong>\u00a0<\/strong><strong>factori<\/strong><strong>\u00a0<\/strong><strong>structurali<\/strong><strong>, <\/strong><strong>func\u021bionali<\/strong><strong> \u0219i <\/strong><strong>psiho-emo\u021bionali<\/strong><strong>, <\/strong><strong>iar<\/strong><strong>\u00a0<\/strong><strong>strategia<\/strong><strong>\u00a0<\/strong><strong>terapeutic\u0103<\/strong><strong> a fost <\/strong><strong>individualizat\u0103<\/strong><strong>.<\/strong><\/p><p>Dup\u0103 integrarea\u00a0abord\u0103rii\u00a0stomatognatice \u0219i a componentei MTC, \u00een cazul\u00a0prezentat au fost urm\u0103rite clinic modific\u0103ri ale durerii, tensiunii\u00a0musculare, func\u021biei\u00a0mandibulare \u0219i asimetriilor\u00a0func\u021bionale\u00a0documentate\u00a0termografic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad099d9 elementor-widget elementor-widget-heading\" data-id=\"ad099d9\" 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 aceast\u0103 abordare pentru pacientul care vine la Innovation Medical Center?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa9b19a elementor-widget elementor-widget-text-editor\" data-id=\"fa9b19a\" 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>\u00censeamn\u0103 c\u0103 <strong>nu <\/strong><strong>pornim<\/strong><strong> de la <\/strong><strong>ideea<\/strong><strong> c\u0103 <\/strong><strong>orice<\/strong><strong>\u00a0<\/strong><strong>durere<\/strong><strong> ATM are <\/strong><strong>aceea\u0219i<\/strong><strong>\u00a0<\/strong><strong>cauz\u0103<\/strong> \u0219i nici c\u0103 fiecare pacient trebuie s\u0103 treac\u0103\u00a0prin\u00a0aceea\u0219i\u00a0succesiune de proceduri.\u00a0\u00cen func\u021bie de caz, evaluarea\u00a0poate\u00a0cuprinde\u00a0articula\u021bia, musculatura\u00a0masticatorie, componenta\u00a0cranio-cervical\u0103, postura, parafunc\u021biile, somnul \u0219i factorii care moduleaz\u0103\u00a0durerea.<\/p><p>Putem\u00a0utiliza\u00a0investiga\u021bii\u00a0structurale\u00a0atunci\u00a0c\u00e2nd\u00a0sunt indicate \u0219i evalu\u0103ri\u00a0func\u021bionale\u00a0atunci\u00a0c\u00e2nd\u00a0ne\u00a0ajut\u0103 s\u0103 \u00een\u021belegem\u00a0sau s\u0103 monitoriz\u0103m\u00a0pacientul, iar\u00a0pentru\u00a0pacien\u021bii la care exist\u0103 indica\u021bie \u0219i care doresc\u00a0aceast\u0103\u00a0component\u0103, Medicina Tradi\u021bional\u0103 Chinez\u0103 \u0219i acupunctura pot fi integrate ca parte a unei\u00a0strategii\u00a0terapeutice mai largi, f\u0103r\u0103 a \u00eenlocui\u00a0diagnosticul medical.<\/p><p><em><strong>Aceasta<\/strong><\/em><em><strong> este <\/strong><\/em><em><strong>diferen\u021ba<\/strong><\/em><em><strong>\u00a0<\/strong><\/em><em><strong>dintre<\/strong><\/em><em><strong> a <\/strong><\/em><em><strong>trata<\/strong><\/em><em><strong> o <\/strong><\/em><em><strong>articula\u021bie<\/strong><\/em><em><strong> \u0219i a <\/strong><\/em><em><strong>trata<\/strong><\/em><em><strong> un pacient care are o problem\u0103 a <\/strong><\/em><em><strong>articula\u021biei<\/strong><\/em><em><strong>.<\/strong><\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-91f7f8e elementor-widget elementor-widget-heading\" data-id=\"91f7f8e\" 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 ce am ales s\u0103 prezint aceast\u0103 tem\u0103\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8323a8 elementor-widget elementor-widget-text-editor\" data-id=\"e8323a8\" 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>Pentru c\u0103 se afl\u0103 exact la intersec\u021bia\u00a0domeniilor \u00een care lucrez.<\/p><p>Sunt medic specialist \u00een Medicin\u0103\u00a0Fizic\u0103 \u0219i de Reabilitare, iar o parte important\u0103 a activit\u0103\u021bii\u00a0mele\u00a0clinice este dedicat\u0103\u00a0pacien\u021bilor cu disfunc\u021bii\u00a0temporo-mandibulare \u0219i durere\u00a0cranio-facial\u0103. \u00cen paralel, formarea mea \u00een Medicina Tradi\u021bional\u0103 Chinez\u0103 \u0219i acupunctur\u0103 mi-a oferit un al doilea\u00a0limbaj\u00a0prin care pot analiza\u00a0anumite\u00a0aspecte ale pacientului.<\/p><p>Nu consider c\u0103 trebuie s\u0103 alegem\u00a0\u00eentre\u00a0cele\u00a0dou\u0103.<\/p><p><strong>Medicina occidental\u0103<\/strong>\u00a0\u00eemi ofer\u0103 diagnosticul biomedical, anatomia, fiziologia \u0219i criteriile dup\u0103 care pot m\u0103sura func\u021bia. Medicina Tradi\u021bional\u0103 Chinez\u0103 \u00eemi ofer\u0103 un model complementar de individualizare a pacientului.<\/p><p>Important este s\u0103 \u0219tim\u00a0ce\u00a0poate\u00a0spune\u00a0fiecare \u0219i, la fel de important, cum le\u00a0putem\u00a0integra.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4b332a elementor-widget elementor-widget-image\" data-id=\"f4b332a\" 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=\"321\" height=\"428\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/Dr.-Anca-Adam.webp\" class=\"attachment-large size-large wp-image-30003\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/Dr.-Anca-Adam.webp 321w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/Dr.-Anca-Adam-225x300.webp 225w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/Dr.-Anca-Adam-9x12.webp 9w\" sizes=\"(max-width: 360px) 147px, (max-width: 321px) 100vw, 321px\" 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-68537ef elementor-widget elementor-widget-image\" data-id=\"68537ef\" 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=\"1024\" height=\"126\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/in-mtc-1024x126.webp\" class=\"attachment-large size-large wp-image-30004\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/in-mtc-1024x126.webp 1024w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/in-mtc-300x37.webp 300w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/in-mtc-768x94.webp 768w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/in-mtc-1536x189.webp 1536w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/in-mtc-18x2.webp 18w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/in-mtc-990x122.webp 990w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/in-mtc-441x54.webp 441w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/10\/in-mtc.webp 1667w\" sizes=\"(max-width: 360px) 147px, (max-width: 1024px) 100vw, 1024px\" 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-53e0f08 elementor-widget elementor-widget-heading\" data-id=\"53e0f08\" 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-ce58219 elementor-widget elementor-widget-accordion\" data-id=\"ce58219\" 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-2161\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2161\" 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 stresul s\u0103 provoace o disfunc\u021bie ATM?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2161\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2161\"><p>Stresul nu este o explica\u021bie universal\u0103 pentru TMD, dar poate\u00a0influen\u021ba\u00a0comportamente\u00a0precum\u00a0\u00eencle\u0219tarea, activitatea muscular\u0103, somnul \u0219i modularea\u00a0durerii. La unii\u00a0pacien\u021bi\u00a0poate\u00a0contribui la apari\u021bia\u00a0sau\u00a0persisten\u021ba\u00a0simptomelor. Literatura recent\u0103 sus\u021bine\u00a0existen\u021ba\u00a0unei\u00a0rela\u021bii\u00a0\u00eentre\u00a0factorii\u00a0psihologici, bruxism \u0219i TMD.<\/p><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40127752\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>PubMed \u2013 <\/u><u>factori<\/u><u>\u00a0<\/u><u>psihologici<\/u><u>, bruxism \u0219i TMD (PMID 40127752)<\/u><\/a><\/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-2162\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2162\" 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 bruxism \u00eenseamn\u0103 c\u0103 problema este psihologic\u0103?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2162\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2162\"><p>Nu. Bruxismul este un comportament complex \u0219i nu trebuie\u00a0redus la stres\u00a0sau\u00a0anxietate. Evalu\u0103m forma de bruxism, simptomele\u00a0musculare \u0219i articulare, somnul \u0219i ceilal\u021bi\u00a0factori\u00a0relevan\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-2163\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2163\" 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\">Acupunctura poate fi folosit\u0103 pentru durerea ATM?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2163\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2163\"><p>Da, poate fi integrat\u0103 \u00een toate\u00a0\u00a0formele de TMD dureroas\u0103, \u00een special ca parte a unei\u00a0abord\u0103ri conservative \u0219i multimodale. Meta-analize\u00a0recente\u00a0raporteaz\u0103\u00a0beneficii\u00a0asupra\u00a0durerii \u0219i, \u00een unele\u00a0analize, asupra\u00a0func\u021biei\u00a0mandibulare.<\/p><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39286939\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>PubMed \u2013 network meta-analysis <\/u><u>acupunctur\u0103<\/u><u> \u00een TMD (PMID 39286939)<\/u><\/a><\/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-2164\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2164\" 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\">Exist\u0103 acupunctur\u0103 f\u0103r\u0103 ace?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2164\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2164\"><p>Da. Laser-acupunctura stimuleaz\u0103\u00a0punctele\u00a0selectate f\u0103r\u0103 penetrarea\u00a0pielii. Exist\u0103 studii\u00a0clinice \u0219i revizuiri\u00a0sistematice care au investigat laser-acupunctura \u00een TMD.<\/p><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38308258\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>PubMed \u2013 <\/u><u>acupunctur\u0103<\/u><u> \u0219i <\/u><u>laser-acupunctur\u0103<\/u><u> \u00een TMD (PMID 38308258)<\/u><\/a><\/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-2165\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2165\" 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\">Medicina Tradi\u021bional\u0103 Chinez\u0103 \u00eenlocuie\u0219te investiga\u021biile ATM?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2165\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2165\"><p>Nu. Dac\u0103 exist\u0103 indica\u021bie pentru RMN, CBCT sau alt\u0103 investiga\u021bie, diagnosticul MTC nu o \u00eenlocuie\u0219te. Cele dou\u0103\u00a0modele au roluri\u00a0diferite.<\/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-2166\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2166\" 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\">De ce este evaluat\u0103 \u0219i coloana cervical\u0103 dac\u0103 m\u0103 doare maxilarul?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2166\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2166\"><p>Pentru c\u0103 func\u021bia mandibular\u0103, musculatura\u00a0masticatorie \u0219i regiunea\u00a0cranio-cervical\u0103 pot interac\u021biona\u00a0func\u021bional. \u00cen plus, unele\u00a0dureri\u00a0cervicale, cefalee \u0219i simptome\u00a0miofasciale pot coexista cu TMD. \u00cen durerea TMD cronic\u0103, ghidurile\u00a0actuale\u00a0includ\u00a0exerci\u021biile\u00a0mandibulare, mobilizarea, terapia\u00a0punctelor trigger \u0219i exerci\u021biul postural printre\u00a0interven\u021biile conservative relevante.<\/p><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38101929\/\" rel=\"nofollow noopener\" target=\"_blank\"><u>PubMed \u2013 <\/u><u>ghid<\/u><u> clinic <\/u><u>pentru<\/u><u>\u00a0<\/u><u>durerea<\/u><u>\u00a0<\/u><u>cronic\u0103<\/u><u> TMD (PMID 38101929)<\/u><\/a><\/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-2167\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-2167\" 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\">To\u021bi pacien\u021bii cu TMD au nevoie de acupunctur\u0103?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2167\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-2167\"><p>Nu. Tratamentul este individualizat. La un pacient poate fi suficient\u0103\u00a0educa\u021bia \u0219i recuperarea\u00a0func\u021bional\u0103; altul\u00a0poate\u00a0avea indica\u021bie pentru PBM, exerci\u021bii, abordare muscular\u0103, acupunctur\u0103\u00a0sau\u00a0alte\u00a0interven\u021bii. Num\u0103rul\u00a0procedurilor nu define\u0219te\u00a0calitatea\u00a0tratamentului. Alegerea\u00a0lor\u00a0corect\u0103 o face.<\/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\":\"Poate stresul s\\u0103 provoace o disfunc\\u021bie ATM?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Stresul nu este o explica\\u021bie universal\\u0103 pentru TMD, dar poate\\u00a0influen\\u021ba\\u00a0comportamente\\u00a0precum\\u00a0\\u00eencle\\u0219tarea, activitatea muscular\\u0103, somnul \\u0219i modularea\\u00a0durerii. La unii\\u00a0pacien\\u021bi\\u00a0poate\\u00a0contribui la apari\\u021bia\\u00a0sau\\u00a0persisten\\u021ba\\u00a0simptomelor. Literatura recent\\u0103 sus\\u021bine\\u00a0existen\\u021ba\\u00a0unei\\u00a0rela\\u021bii\\u00a0\\u00eentre\\u00a0factorii\\u00a0psihologici, bruxism \\u0219i TMD.<\\\/p><p><a href=\\\"https:\\\/\\\/pubmed.ncbi.nlm.nih.gov\\\/40127752\\\/\\\"><u>PubMed \\u2013 <\\\/u><u>factori<\\\/u><u>\\u00a0<\\\/u><u>psihologici<\\\/u><u>, bruxism \\u0219i TMD (PMID 40127752)<\\\/u><\\\/a><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Dac\\u0103 am bruxism \\u00eenseamn\\u0103 c\\u0103 problema este psihologic\\u0103?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Nu. Bruxismul este un comportament complex \\u0219i nu trebuie\\u00a0redus la stres\\u00a0sau\\u00a0anxietate. Evalu\\u0103m forma de bruxism, simptomele\\u00a0musculare \\u0219i articulare, somnul \\u0219i ceilal\\u021bi\\u00a0factori\\u00a0relevan\\u021bi.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Acupunctura poate fi folosit\\u0103 pentru durerea ATM?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Da, poate fi integrat\\u0103 \\u00een toate\\u00a0\\u00a0formele de TMD dureroas\\u0103, \\u00een special ca parte a unei\\u00a0abord\\u0103ri conservative \\u0219i multimodale. Meta-analize\\u00a0recente\\u00a0raporteaz\\u0103\\u00a0beneficii\\u00a0asupra\\u00a0durerii \\u0219i, \\u00een unele\\u00a0analize, asupra\\u00a0func\\u021biei\\u00a0mandibulare.<\\\/p><p><a href=\\\"https:\\\/\\\/pubmed.ncbi.nlm.nih.gov\\\/39286939\\\/\\\"><u>PubMed \\u2013 network meta-analysis <\\\/u><u>acupunctur\\u0103<\\\/u><u> \\u00een TMD (PMID 39286939)<\\\/u><\\\/a><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Exist\\u0103 acupunctur\\u0103 f\\u0103r\\u0103 ace?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Da. Laser-acupunctura stimuleaz\\u0103\\u00a0punctele\\u00a0selectate f\\u0103r\\u0103 penetrarea\\u00a0pielii. Exist\\u0103 studii\\u00a0clinice \\u0219i revizuiri\\u00a0sistematice care au investigat laser-acupunctura \\u00een TMD.<\\\/p><p><a href=\\\"https:\\\/\\\/pubmed.ncbi.nlm.nih.gov\\\/38308258\\\/\\\"><u>PubMed \\u2013 <\\\/u><u>acupunctur\\u0103<\\\/u><u> \\u0219i <\\\/u><u>laser-acupunctur\\u0103<\\\/u><u> \\u00een TMD (PMID 38308258)<\\\/u><\\\/a><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Medicina Tradi\\u021bional\\u0103 Chinez\\u0103 \\u00eenlocuie\\u0219te investiga\\u021biile ATM?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Nu. Dac\\u0103 exist\\u0103 indica\\u021bie pentru RMN, CBCT sau alt\\u0103 investiga\\u021bie, diagnosticul MTC nu o \\u00eenlocuie\\u0219te. Cele dou\\u0103\\u00a0modele au roluri\\u00a0diferite.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"De ce este evaluat\\u0103 \\u0219i coloana cervical\\u0103 dac\\u0103 m\\u0103 doare maxilarul?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Pentru c\\u0103 func\\u021bia mandibular\\u0103, musculatura\\u00a0masticatorie \\u0219i regiunea\\u00a0cranio-cervical\\u0103 pot interac\\u021biona\\u00a0func\\u021bional. \\u00cen plus, unele\\u00a0dureri\\u00a0cervicale, cefalee \\u0219i simptome\\u00a0miofasciale pot coexista cu TMD. \\u00cen durerea TMD cronic\\u0103, ghidurile\\u00a0actuale\\u00a0includ\\u00a0exerci\\u021biile\\u00a0mandibulare, mobilizarea, terapia\\u00a0punctelor trigger \\u0219i exerci\\u021biul postural printre\\u00a0interven\\u021biile conservative relevante.<\\\/p><p><a href=\\\"https:\\\/\\\/pubmed.ncbi.nlm.nih.gov\\\/38101929\\\/\\\"><u>PubMed \\u2013 <\\\/u><u>ghid<\\\/u><u> clinic <\\\/u><u>pentru<\\\/u><u>\\u00a0<\\\/u><u>durerea<\\\/u><u>\\u00a0<\\\/u><u>cronic\\u0103<\\\/u><u> TMD (PMID 38101929)<\\\/u><\\\/a><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"To\\u021bi pacien\\u021bii cu TMD au nevoie de acupunctur\\u0103?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Nu. Tratamentul este individualizat. La un pacient poate fi suficient\\u0103\\u00a0educa\\u021bia \\u0219i recuperarea\\u00a0func\\u021bional\\u0103; altul\\u00a0poate\\u00a0avea indica\\u021bie pentru PBM, exerci\\u021bii, abordare muscular\\u0103, acupunctur\\u0103\\u00a0sau\\u00a0alte\\u00a0interven\\u021bii. Num\\u0103rul\\u00a0procedurilor nu define\\u0219te\\u00a0calitatea\\u00a0tratamentului. Alegerea\\u00a0lor\\u00a0corect\\u0103 o face.<\\\/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-bac3d4a elementor-widget elementor-widget-heading\" data-id=\"bac3d4a\" 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 s\u0103 faci o evaluare ATM?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-72f4002 elementor-widget elementor-widget-text-editor\" data-id=\"72f4002\" 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>O evaluare este util\u0103 dac\u0103 ai durere persistent\u0103 \u00een zona\u00a0maxilarului\u00a0sau \u00een fa\u021ba urechii, limitarea\u00a0deschiderii\u00a0gurii, episoade de blocaj mandibular, tinitus de cauz\u0103 ATM, durere la mastica\u021bie, cefalee\u00a0asociat\u0103 cu tensiunea\u00a0musculaturii\u00a0masticatorii, bruxism simptomatic\u00a0sau\u00a0simptome\u00a0cranio-cervicale care coexist\u0103 cu durerea\u00a0maxilarului.<\/p><p>La Innovation Medical Center, evaluarea\u00a0pacientului cu disfunc\u021bie ATM porne\u0219te de la medicina modern\u0103 \u0219i de la tehnologiile\u00a0actuale de diagnostic \u0219i evaluare\u00a0func\u021bional\u0103, dar poate\u00a0integra, atunci\u00a0c\u00e2nd exist\u0103 indica\u021bie, \u0219i perspectiva\u00a0Medicinei\u00a0Tradi\u021bionale\u00a0Chineze. Examenul clinic poate fi completat\u00a0prin CBCT \u0219i RMN de articula\u021bie\u00a0temporo-mandibular\u0103, ecografie\u00a0dinamic\u0103 ATM, termografie medical\u0103, analiz\u0103 postural\u0103 asistat\u0103 digital, scanare 3D \u0219i evaluarea\u00a0for\u021belor\u00a0ocluzale, pentru a \u00een\u021belege nu doar\u00a0structura\u00a0articula\u021biei, ci \u0219i func\u021bia mandibular\u0103, musculatura \u0219i rela\u021biile\u00a0cranio-cervicale. Tratamentul este la r\u00e2ndul s\u0103u individualizat \u0219i poate\u00a0integra\u00a0recuperarea\u00a0func\u021bional\u0103, exerci\u021biile\u00a0miofunc\u021bionale, fotobiomodularea cu sisteme\u00a0medicale THOR \u0219i terapiile\u00a0specifice\u00a0componentei\u00a0musculo-articulare, \u00een func\u021bie de diagnosticul\u00a0fiec\u0103rui pacient.<\/p><p>Al\u0103turi de aceste\u00a0tehnologii moderne, avem\u00a0posibilitatea de a privi\u00a0pacientul \u0219i prin\u00a0unul\u00a0dintre\u00a0cele mai vechi\u00a0sisteme\u00a0medicale\u00a0practicate\u00a0continuu: Medicina Tradi\u021bional\u0103 Chinez\u0103. \u00cen cadrul IMC, aceast\u0103 component\u0103 nu este aplicat\u0103 dup\u0103 o schem\u0103 standard de puncte, ci\u00a0porne\u0219te de la diagnosticul individual MTC, cu evaluarea\u00a0pattern-ului\u00a0pacientului \u0219i selec\u021bia\u00a0unei\u00a0prescrip\u021bii\u00a0terapeutice\u00a0adaptate\u00a0acestuia\u00a0astfel\u00a0\u00eenc\u00e2t\u00a0perspectiva\u00a0tradi\u021bional\u0103 s\u0103 completeze \u2014 nu s\u0103 \u00eenlocuiasc\u0103 \u2014 diagnosticul biomedical \u0219i evaluarea\u00a0func\u021bional\u0103.<\/p><p>Este, \u00een esen\u021b\u0103, <strong>\u00eent\u00e2lnirea<\/strong><strong>\u00a0<\/strong><strong>dintre<\/strong><strong>\u00a0<\/strong><strong>dou\u0103<\/strong><strong>\u00a0<\/strong><strong>lumi<\/strong><strong>\u00a0<\/strong><strong>medicale<\/strong><strong>\u00a0<\/strong><strong>foarte<\/strong><strong>\u00a0<\/strong><strong>\u00eendep\u0103rtate<\/strong><strong> \u00een <\/strong><strong>timp<\/strong><strong>: <\/strong>tehnologii\u00a0capabile\u00a0ast\u0103zi s\u0103 investigheze \u00een detaliu\u00a0structura \u0219i func\u021bia \u0219i un sistem medical construit de-a lungul\u00a0mileniilor \u00een jurul\u00a0individualit\u0103\u021bii\u00a0pacientului. La Innovation Medical Center le\u00a0folosim\u00a0acolo\u00a0unde\u00a0fiecare\u00a0dintre ele \u00ee\u0219i are locul, pentru a construi\u00a0tratamentul \u00een jurul\u00a0pacientului, nu pacientul \u00een jurul\u00a0unui protocol.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b312f80 elementor-widget elementor-widget-text-editor\" data-id=\"b312f80\" 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>Program\u0103ri<\/strong><\/p><p><strong>Innovation Medical Center<\/strong><strong><br \/>\u00a0<\/strong><strong>innovationmedical.ro<\/strong><strong><br \/>\u00a0Telefon: <\/strong><strong>0753<\/strong><strong> 666 111<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53600a7 elementor-widget elementor-widget-text-editor\" data-id=\"53600a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3><strong>Autor<\/strong><strong>:<\/strong><strong>\u00a0<\/strong><strong>Dr. Anca Adam<\/strong><\/h3><p>Medic specialist \u00een Medicin\u0103\u00a0Fizic\u0103 \u0219i de Reabilitare, cu activitate clinic\u0103 \u00een evaluarea \u0219i recuperarea\u00a0disfunc\u021biilor\u00a0temporo-mandibulare (ATM\/TMD). Formare \u00een acupunctur\u0103 \u0219i Medicin\u0103\u00a0Tradi\u021bional\u0103 Chinez\u0103 \u2013 Tai Yuan, China; fotomedicin\u0103 \u0219i laserterapie; termografie medical\u0103 \u2013 Barcelona; Laser Safety Officer \u2013 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>De ce\u00a0doi\u00a0pacien\u021bi cu modific\u0103ri\u00a0aparent\u00a0asem\u0103n\u0103toare ale articula\u021biei\u00a0temporo-mandibulare pot avea\u00a0simptome\u00a0complet\u00a0diferite? Aceasta a fost una\u00a0dintre\u00a0\u00eentreb\u0103rile de la care am pornit \u00een lucrarea\u00a0pe care am prezentat-o \u00een luna iunie, la Cluj-Napoca, \u00een cadrul\u00a0Congresului\u00a0Interna\u021bional de Medicin\u0103\u00a0Tradi\u021bional\u0103 Chinez\u0103 2026.\u00a0Lucrarea, realizat\u0103\u00a0\u00eempreun\u0103 cu Dr. Angela Tudor,\u00a0Pre\u0219edinte\u00a0onorific al Societ\u0103\u021bii\u00a0Rom\u00e2ne de Medicin\u0103\u00a0Tradi\u021bional\u0103 Chinez\u0103 (SRMTC),\u00a0avut ca tem\u0103 \u201eDisfunc\u021bia\u00a0articula\u021biei\u00a0temporo-mandibulare: punte\u00a0\u00eentre\u00a0psihosomatic \u0219i diagnosticul energetic \u00een Medicina Tradi\u021bional\u0103 Chinez\u0103\u201d. [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":29995,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-29991","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\/29991","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=29991"}],"version-history":[{"count":4,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/29991\/revisions"}],"predecessor-version":[{"id":30007,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/29991\/revisions\/30007"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/media\/29995"}],"wp:attachment":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/media?parent=29991"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/categories?post=29991"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/tags?post=29991"}],"curies":[{"name":"WordPress","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}