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Review Article
Medical Progress
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Volume 359:2693-2705 December 18, 2008 Number 25
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Temporomandibular Disorders
Steven J. Scrivani, D.D.S., D.Med.Sc., David A. Keith, B.D.S., D.M.D., and Leonard B. Kaban, D.M.D., M.D.

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The temporomandibular joint (TMJ) may be affected by inflammatory, traumatic, infectious, congenital, developmental, and neoplastic diseases, as seen in other joints. However, the most common affliction of the TMJ and masticatory apparatus is a group of functional disorders with associated pain that occurs predominantly in women and was previously known as the TMJ pain dysfunction syndrome. Since 1978, there have been substantial changes in the study of etiologic factors, pathophysiology, diagnosis, and management of what are now called temporomandibular disorders.1,2 The general perception that all symptoms in the head, face, and jaw region without an identifiable cause constitute a "TMJ" . . . [Full Text of this Article]

Etiology

Clinical Evaluation

Imaging

Treatment Options

Common Clinical Disorders and Their Treatment

Myofascial Pain Disorder

            Reassurance and Counseling

            Rest

            Heat

            Medications

            Jaw Appliances

            Behavioral Approaches

            Physical Medicine

Intra-articular Disk Derangement Disorder

Osteoarthritis

Rheumatoid Arthritis

Conclusions


Source Information

From the Craniofacial Pain and Headache Center, Tufts University School of Dental Medicine, Tufts Medical Center (S.J.S.); the Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, and the Harvard School of Dental Medicine (D.A.K., L.B.K.); and Harvard Vanguard Medical Associates (D.A.K.) — all in Boston.

Address reprint requests to Dr. Kaban at the Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, 55 Fruit St., Warren Bldg., Suite 1201, Boston, MA 02114, or at lkaban@partners.org.




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