颞下颌关节紊乱病（TMD）是除龋病、牙周病和错畸形外口腔临床中发病率较高的疾病。因发病原因不明、未形成统一的诊疗模式，以及诊疗效果不明确等，成为口腔专业领域中的疑难杂病之一。其诊疗重点包括关节盘、髁突骨质、咀嚼肌和咬合等。近年来，TMD患者心理方面的治疗也得到越来越多的重视，但均未建立一个系统的诊疗模式。广州医科大学附属口腔医院颞下颌关节科通过8年累积8万余例TMD患者的临床诊疗经验，在"序列化、微创化、数字化、舒适化、人文化、整合化"的特色诊疗模式的基础上，提出"盘骨肌心"（MOODE）五维同治理念，即从关节盘（disc）、（occlusion）、骨组织（osseous tissue）、肌肉（muscle）及心理（emotion）这5个维度上共同诊疗TMD，为TMD提供更加系统化、全面化和多维度化的诊疗新思路。

Temporomandibular joint disorder (TMD) is a disease with a high incidence in dental clinics except for caries, periodontal disease, and malocclusion. Due to the unknown etiology, ununified diagnosis and treatment mode, and unclear diagnosis and treatment outcome, TMD is recognized as an intractable disease. The key of diagnosis and treatment for TMD includes the articular disc, condylar bone, masticatory muscles, and occlusion. Recently, more and more attention has been paid to psychotherapy. However, there have not been established systematic diagnosis and treatment models. Based on the previous unique diagnosis and treatment model, we put forward the 'MOODE’ novel treatment model including disc, occlusion, osseous tissue, muscle, and emotion. We hope to provide a more systematic, comprehensive, and multidimensional diagnosis and treatment model for TMD.