PMID: 1819285Dec 1, 1991Paper

Etiologic theory and the prevention of temporomandibular disorders

Advances in Dental Research
G T Clark

Abstract

Over the last 75 years, a variety of etiologic factors has been suggested as the cause of pain and dysfunction in the temporomandibular system. The earliest and still-popular etiologic theory proposed that temporomandibular disorders are induced by abnormal structure, usually described as a malocclusion of the teeth or jaws. The fact that this theory was based on mechanical concepts, ignored biologic diversity, and had limited factual experimental evidence to support it as well as extensive evidence in opposition did not seem to matter to its proponents. In the late 1960's and early 1970's, the structural occlusal model for TM Disorders was challenged and has yielded ground to a more multifactorial model of TMD causation. Other etiologic factors for TM disorders--such as anatomical susceptibility of TM tissues to trauma, polyarthritic diseases, joint laxity, repetitive parafunctional behaviors, and stress-related muscle dysfunction--need to be recognized and quantified. Unfortunately, many practicing dentists demonstrate a very poor understanding of and often fail to recognize these etiologic factors as agents that produce TM disorders. This failure is largely due to the fact that the dental profession has spent the last 90 yea...Continue Reading

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Citations

Jul 5, 2002·Journal of Dental Research·G J HuangM T Drangsholt
Jul 1, 1994·Journal of General Internal Medicine·L C GarroB J Good
Aug 21, 2003·Pain·Ana M VellyPierre Philippe
Jul 31, 2002·Journal of Dental Research·Pentti Alanen
Mar 12, 2020·Health and Quality of Life Outcomes·Ling SunColman P J McGrath
Sep 12, 2002·Acta Odontologica Scandinavica·Yrsa Le BellPentti Alanen
Jun 26, 2014·Arquivos de neuro-psiquiatria·Lucas S C CarvalhoLuciane R Rodrigues
Nov 8, 2018·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Mitra FarzinMoslem Babooie
Apr 23, 2017·Cranio : the Journal of Craniomandibular Practice·Fadi IsmailMichael Eisenburger
Nov 24, 2012·Dental Clinics of North America·James A Howard
Oct 18, 2003·The Journal of Prosthetic Dentistry·Major M Ash
May 1, 1996·The Journal of the American Dental Association·B Lalonde

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