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What are effective approaches to management and treatment of patients with persistent TMD pain and dysfunction?

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What are effective approaches to management and treatment of patients with persistent TMD pain and dysfunction?

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From the information provided, the clinical conditions usually classified as TMD include those with pain or dysfunction in the joint or contiguous structures. These conditions are linked in their presentation by their common signs and symptoms. Given the lack of epidemiological information and the collection of as yet undefined etiologies that are likely to be described as TMD, a conventional disease classification system would be difficult to describe, possibly mis-leading, and unlikely to receive broad acceptance. For the time being, therefore, classification must depend primarily on the detailed description of symptoms and underlying conditions. “Parameters of Care for Oral and Maxillofacial Surgery” (1995), developed by the American Association of Oral and Maxillofacial Surgeons, provides useful information of this type. Conditions primarily affecting the muscles of mastication include systemic diseases of muscles such as polymyositis, dermatomyositis, hereditary myopathies, and ch

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