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Daniele Manfredini
Current Concept s on
Tem porom andibular Disorders
QUIN TESSEN CE PUBLISHING

London, Berlin, Chicago, Tokyo, Barcelona, Istanbul, Milan, Moscow,
New Delhi, Paris, Beijing, Prague, Sao Paulo, Seoul and Warsaw

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British Library Cataloguing in Publication Data
Current concepts on temporomandibular disorders.

1. Temporomandibular joint—Diseases-Diagnosis.
2. Temporomandibular joint—Diseases-Treatment.
3. Temporomandibular joint-Pathophysiology.
I. Manfredini, Daniele.
617.6'43-dc22
ISBN-13: 9781850971993
Copyright © 2010 by Quintessence Publishing Co. Ltd.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod
1. Dorland. Diccionario enciclopedico ilustrado de me- 1995;80:242- 249.
dicina, ed 30. Madrid: Elsevier Espana S.A., 2005. 21. Kaugars G, Mercuri L, Laskin DM . Pneumatization
2. Mongini F. The Stomatognathic System. Chicago, of the articular eminence of the temporal bone:
IL: Quintessence Publishing, 1984. prevalence, development, and surgical treatment.
3. The Academy of Prosthodontics. The Glossary of Pros- J Am Dent Assoc 1986;113:55- 57.
thodontic Terms, ed 6. Chicago, IL: Mosby, 1994. 22. Rees LA. The structure and function of the man
4. The American Academy of Orofacial Pain, de Leeuw dibular joint. Br Dent J 1954;96:125- 133.
R (eds). Orofacial Pain: Guidelines for Assessment, 23. Testut L. Tratado de anatomia humana. Tomo I. Bar
Diagnosis, and M anagement, ed 4. Chicago, IL: celona: Salvat Editores, 1904.
Quintessence Publishing, 2008. 24. Kino K, Ohmura Y, Amagasa T. Reconsideration
5. Hylander WL. Functional anatomy and biomechan of the bilaminar zone in the retrodiskal area of the
ics of the masticatory apparatus. In: Laskin DL, temporomandibular joint. Oral Surg Oral Med Oral
Green CS, Hylander W L (eds). Temporomandibular Pathol 1993;75:410^ J21.
Disorders: An Evidence-based Approach to Diagno 25. DuBrul LL. Sicher and DuBrul's Oral Anatomy, ed 8.
sis and Treatment. Chicago, IL: Quintessence Pub Tokyo: Ishiyaky Euroamerica, 1988.
lishing, 2006:3- 34. 26. Jagger RG. The surface structure of the temporo
6. Okeson JP. M anagement of Temporomandibular mandibular joint disk: a scanning electron micro
Disorders and Occlusion. St. Louis, M O: Mosby- scopic study. J Oral Rehab 1980;7:225- 234.
Elsevier, 2008. 27. Johns DE, Athanasiou KA. Design characteristics for
7. Perez Casas A, Bengoechea M E. Anatomia funcio- temporomandibular joint disc tissue engineering:
nal del aparato locomotor. M adrid: Paz M ontalvo, learning from tendon and articular cartilage. Proc
1978. Inst Mech Eng 2007;221 (5):509- 526.
8. M cDevitt WE. Functional Anatomy of the M astica 28. Tanaka E, van Eijden T. Biomechanical behavior of
tory System. London: Butterworth, 1989. the temporomandibular joint disc. Crit Rev Oral Biol
9. Rodnan GP, Schumacher HR (eds). Primer on Rheu Med 2003 ;14(2):138- 150.
matic Diseases, ed 8. Atlanta, GA: The Arthritis 29. Detamore M S, Athanasiou KA. Structure and func
Foundation, 1983. tion of the temporomandibular joint disc: implica
10. Testut L. Tratado de anatomia, Vol I, ed 7. Barce tions for tissue engineering. J Oral M axillofac Surg
lona: Salvat Editores, 1925. 2003;61 (4):494- 506.
11. Rouviere H. Anatomia humana, Vol I, Cabeza 30. Kurita K, Westesson PL, Sternby NH, Eriksson L,
cuello, ed 7. Madrid: Bailly-Bailliere, 1964. Carlsson LE, Lundh H et al. Histologic features of
12. Bouchet A, Cuilleret J. Anatomia descriptiva, topo- the temporomandibular joint disk and posterior disk
grafica funcional. Cara, cabeza organos de los attachment: comparison of symptom-free persons
sentidos. Buenos Aires: Medica Panamericana, 1979. with normally positioned disks and patients with
13. M cKay GS, Yemm R. Estructura funcion de la ar- internal derangement. Oral Surg Oral Med Oral
ticulacion temporomandibular. Arch Odontoestom- Pathol 1989;67:635- 643.
atol 1993;9(1):36—15. 31. Sabu C, Carvalho de Moraes LO, de Cuadros Uze-
14. Zarb GA, Carlsson GE (eds). Temporomandibu da-Gonzalez S, Marques SR, Vretos C, Aguillera AH
lar Joint: Function and Dysfunction. Copenhagen: et al. Ultrastructural evidence of vascularization of
Munksgaard, 1979. the central zone of the temporomandibular joint
15. Basmajian JV. Grant's method of Anatomy, ed 10. disc in human fetuses. Eur J Anat 2006;10:45- 48.
Baltimore, M D: Williams and Wilkins, 1980. 32. Gonzalez-Sequeros O, Guijarro de Pablos JE, Ber-
16. Orts Llorca F. Anatomia humana, Vol I, ed 5. Barce mejo-Fenoll A, Gonzalez-Gonzalez J. Caracteristi-
lona: Cientifico-M edica, 1981. cas morfologicas de las superficies del menisco del
17. Lanton DP, Eggleton TM . Functional Anatomy of complejo articular temporomandibular humano
the Temporomandibular Joint Complex. Santiago, (CATM ): Estudio a microscopla electronica de bar-
Chile: Alfabeta, 1992. rido. Arch Esp Morfol 1996;1:151- 158.
18. Haskell B, Day M , Tetz J. Computer-aided model 33. Gallo LM . Modeling of temporomandibular joint
ing in the assessment of the biomechanical deter function using M RI and jaw-tracking technologies -
minants of diverse skeletal patterns. Am J Orthod mechanics. Cells Tissues Organs 2005;180:54- 68.
1986;89:363- 382. 34. Nitzan DW. The process of lubrication impairment
19. Pereira FJ, Lundh H, Westesson P-L, Carlsson LE. and its involvement in temporomandibular joint disc
Clinical findings related to morphologic changes in displacement: a theoretical concept. J Oral M axil
TM J autopsy specimens. Oral Surg Oral Med Oral lofac Surg 2001;59,1:36- 45.
Pathol 1994;78:288- 295. 35. M eng QG, Long X. A hypothetical biological syn
20. Galante G, Paesani D, Tallents RH, Hatala M A, ovial fluid for treatment of temporomandibular joint
Katzberg RW, M urphy W. Angle of the articular disease. Med Hypotheses 2008;70:835- 837.
eminence in patients with temporomandibular

36. Sato , Strom D, Carlsson GE. Controversies on 54. Barie J. Mecanisme de I'oclusion dentaire. Actual
anatomy and function of the ligaments associated Odontostomatol 1986;156:747- 759.
with the temporomandibular joint: a literature sur 55. Alvarez-Arenal A, Villa-Vigil M A, Saban-Gutierrez
vey. J Orofacial Pain 1995;9:308- 316. L, Ibasseta-Dias G, Casado-Lompart JR, Aguado-
37. Deodato F, Trusendi R, Giorgetti R, Scalese M U. Blazquez M . Situacion del eje vertical de rotation del
Predisposition for temporomandibular joint disor condilo de trabajo en los movimientos de lateralidad
ders: loose ligaments. Cranio 2006;24(3):179- 183. mandibular. Av Odontostomatol 1992;8:595- 598.
38. Koolstra JH. Dynamics of the human masticatory 56. Naeije M , Huddleston Slater JJ, Lobbezoo F. Varia
system. Crit Rev Oral Biol Med 2002;13:366- 376. tion in movement traces of the kinematic center
39. Carvalho de Moraes LO, Sabii C, de Cuadros of the temporomandibular joint. J Orofac Pain
Uzeda-Gonzalez S, Marques SR, Vretos C, Iteze- 1999;13:121- 127.
rote AM , et al. Macroscopy and light microscopy 57. Gallo LM , Gossi DB, Colombo V, Palla S. Relation
of the discomallear ligament passing through the ship between kinematic center and TM J anatomy
petrotympanic fissure in human fetuses. Eur J Anat and function. J Dent Res 2008;87:726- 730.
2007;11:47- 51. 58. Schiffman EL, Fricton JR, Haley DP, Shapiro BL. The
40. Rowicki T, Zakrzewska J. A study of the discomal- prevalence and treatment needs of subjects with
leolar ligament in the adult human. Folia Morphol temporomandibular disorders. J Am Dent Assoc
(Warsz) 2006;65:121- 125. 1990;120:295- 303.
41. Sencimen M , Yalgin B, Dogan N, Varol A, Okgu 59. Jirman R, Fricova M , Horak Z, Krystufek J, Konvick-
KM , Ozan H et al. Anatomical and functional as ova S, M azanek J. Analyses of the temporoman
pects of ligaments between the malleus and the dibular disc. Prague Med Rep 2007;108:368- 379.
temporomandibular joint. Int J Oral M axillofac Surg 60. Wood WW. A review of masticatory muscle func
2008;37:943- 947. tion. J Prosthet Dent 1987;57(2):222- 232.
42. Ide Y, Nakazawa K. Anatomical Atlas of the Tem 61. Gaudy JF, Zouaoui A, Bravetti P, Charrier JL, Guettaf
poromandibular Joint. Osaka, Japan: Quintessence, A. Functional organization of the human masseter
1991. muscle. Surg Radiol Anat 2000;22:181- 190.
43. Gonzalez-Gonzalez JM , Bermejo-Fenoll A, Gonzalez- 62. Gaudy JF, Zouaoui A, Bravetti P, Charrier JL, Laison
Sequeros O. Morfogenesis de la articulacion tem F. Functional anatomy of the human temporal mus
poromandibular: relacion entre el origen en un cle. Surg Radiol Anat 2001 ;23:389- 398.
doble blastema el concepto de doble articulacion. 63. El Haddioui A, Bravetti P, Gaudy JF. Anatomical
Rev Eur Odontoestomatol 1992;4,5:277- 280. study of the arrangement and attachments of the
44. Keith DA. Development of the human temporo human medial pterygoid muscle. Surg Radiol Anat
mandibular joint. Br J Oral Surg 1982;20:217- 224. 2007;29:115- 124.
45. Cascone P, Scopelliti D, Capuano A, Borrachini A, 64. M cNamara JA. The independent functions of the
Contarelli L. Anatomia miscroscopica della artico- two heads of the lateral pterygoid muscle. Am J
lazione temporomandibolare. Min Stom 1987;36: Anat 1973;138:197- 206.
857- 866. 65. Usui A, Akita K, Yamaguchi K. An anatomic study of
46. Checa Sagra M , Marti Pena M , Rodriguez Mateos the divisions of the lateral pterygoid muscle based
V. Artropatias temporomaxilares. An Otorrinolarin- on the findings of the origins and insertions. Surg
gol IberoAm 1987;XIV:47- 49. Radiol Anat 2008;30:327- 333.
47. Molina W, Pino S, Sosa G. Distribution of muco- 66. M urray GM , Phanachet I, Uchida S, Whittle R. The
polyshaccarides and glycoproteins in the articular human lateral pterygoid muscle: a review of some
discs of temporomandibular joints in human fetus experimental aspects and possible clinical relevance.
es. J Orofac Pain 2005;19:325- 330. Aust Dent J 2004;49:2- 8.
48. Posselt U. Range of movement of the mandible. 67. Bhutada M K, Phanachet I, Whittle T, Peck CC,
J Am Dent Assoc 1958;56:10- 13. M urray GM . Regional properties of the superior
49. McMillan AS, M cMillan DR, Darwell BW. Centers head of human lateral pterygoid muscle. Eur J Oral
of rotation during jaw movements. Acta Odontol Sci 2008;116:518- 524.
Scand 1989;47:323- 328. 68. Meyenberg K, Kubik S, Palla S. Relationships of the
50. Bennett NG. A contribution to the study of the muscles of mastication to the articular disc of the
movements of the mandible. Proc Roy Soc Med temporomandibular joint. Schweiz Mschr Zahmed
1908;1:79- 98. 1986;96:815- 834.
51. Posselt U. M ovement areas of the mandible. 69. Merida-Velasco JR, Rodriguez JF, de la Cuadra C,
J Prosth Dent 1957;7:375- 385. Peces M D, Merida JA, Sanchez I. The posterior seg
52. Koolstra JH, Naeije M , van Eijden TM . The three- ment of the temporomandibular joint capsule and
dimensional active envelope of jaw border movement its anatomic relationship. J Oral M axillofac Surg
and its determinants. J Dent Res 2001 ;80(19):1908- 2007;65:30- 33.
1912. 70. Bourton BM. Anatomy and biomechanics of the
53. Forrest R. Finge-axes: intercondylar versus intrafos- TM J. In: Kraus SL (ed). Temporomandibular Joint
sal. J Am Dent Assoc 1961;63:71- 76. Disorders. New York: Churchill Livingstone, 1988.

-
71. Posselt U. Fisiologia de la oclusion rehabilitation, 76. Bermejo-Fenoll A, Gonzalez-Sequeros O, Gonzalez-

ed 2. Barcelona: Editorial JIM S, 1973. Gonzalez JM . The pig: an animal model for ex
72. Bermejo-Fenoll A, Puchades-Orts A, Sanchez-del- perimentation of the temporomandibular ar
Campo F, Panchon-Ruiz A, Flerrera-Lara M . Mor- ticular complex. Oral Surg Oral Med Oral Pathol
phologische Untersuchungen an der menschlichen 1993;75:18- 23.
articulatio temporo-mandibularis. Verh Anat Ges 77. Gonzalez-Gonzalez JM , Bermejo-Fenoll A, Gonzalez-
1986;80:S761. Sequeros O, Panchon-Ruiz A. Anatomia funcion
73. Bermejo-Fenoll A, Puchades-Orts A, Sanchez- del menisco dentro del concepto de complejo ar
del-Campo F, Panchon-Ruiz A, Herrera-Lara M. ticular temporomandibular. Revision bibliografica.
Morphology of the meniscotemporal part of the Av Odontoestomatol 1998;14:391- 402.
temporomandibular joint and its biomechanical im 78. Bermejo-Fenoll A. Articulaciones temporomandi-
plications. Acta Anat 1987;129:220- 226. bulares: conceptos morfologicos funcionales de
74. Bermejo-Fenoll A, Gonzalez-Sequeros O, Gonzalez- aplicacion clinica. In: Bagan JV, Ceballos A, Bermejo
Gonzalez JM . Histological study of the temporo A, Aguirre JM , Penarrocha M (eds). Medicina Oral.
mandibular joint capsule: theory of the articular Barcelona: Masson SA, 1995.
complex. Acta Anat 1992;145:24- 28. 79. Bermejo-Fenoll A. Parte II: Desordenes temporo-
75. Bermejo-Fenoll A, Panchon A, Gonzalez J, Gonzalez mandibulares. In: Bermejo-Fenoll A (ed). Medicina
O. A study of the movements of the human tem Bucal II. Madrid: Editorial Sintesis, 1998.
poromandibular joint complex in the cadaver. 80. Bermejo-Fenoll A. Desordenes Temporomandibu-
J Cranio Mandib Pract 2002;20(3):181- 191. lares: Tomos 1 ,2 3. M adrid: Editorial Science Tools
SL, 2008.

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-
15. Nassif NJ, Al-Salleeh F, Al-Admawi M . The preva

lence and treatment needs of symptoms and signs
1. McNeill . M anagement of temporomandibular of temporomandibular disorders among young
disorders: concepts and controversies. J Prosthet adult males. J Oral Rehabil 2003;30:944- 950.
Dent 1997;77:510- 522. 16. Pow EH, Leung KCM , McMillan A. Prevalence of
2. Okeson JP. Th e classification o f orofacial pains. Oral symptoms associated with temporomandibular
Maxillofac Surg Clin North Am 2008;20:133- 144. disorders in Hong Kong Chinese. J Orofac Pain
3. McNeill C. History and evolution of TM D concepts. 2001;15:228- 234.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod 17. Otuyemi OD, Owotade FJ, Ugboko VI, Ndukwe
1997;83:51- 60. , Olusile OA. Prevalence of signs and symptoms
4. LeResche L. Epidemiology of temporomandibular of temporomandibular disorders in young Nigerian
disorders: implications for the investigation of etio- adults. J Orthod 2000;27:61- 65.
logic factors. Crit Rev Oral Biol Med 1997;8:291- 18. Goulet JP, Lavigne GJ, Lund JP. Jaw pain prevalence
305. among French-speaking Canadians in Quebec and
5. Laskin DM. Etiology of the pain-dysfunction syn related symptoms of temporomandibular disorders.
drome. J Am Dent Assoc 1969;79:147- 153. J Dent Res 1995;74:1738- 1744.
6. Dworkin SF, Huggins KH, LeResche L, Von Korff M , 19. Fillingim RB. Sex, gender, and pain: women and men
Howard J, Truelove E et al. Epidemiology of signs really are different. Curr Rev Pain 2000;4:24- 30.
and symptoms in temporomandibular disorders: 20. Al-Jundi M A, John MT, Setz JM , Szentperry A, Kuss
clinical signs in cases and con t rols. J Am D en t Asso c O. M eta-analysis of treatment need for temporo
1990;120:273- 281. mandibular disorders in adult nonpatients. J Orofac
7. Fricton JR, Schiffmann EL. Epidemiology of tem Pain 2008;22:97- 107.
poromandibular disorders, in: Fricton JR, Dubner R 21. Gr een e C. The etiology o f t em porom an dibu lar dis
(eds). Orofacial Pain and Temporomandibular Dis orders: implications for treatment. J Orofac Pain
orders. New York: Raven Press, 1995:1- 14. 2001;15:93- 105.
8. Rutkiewicz T, Kononen M , Suominen-Taipale L, 22. Suvinen Tl, Reade PC, Kemppainen P, Kononen M,
Nordblad A, Alanen P. Occurrence of clinical signs Dworkin SF. Review of aetiological concepts of tem
of temporomandibular disorders in adult Finns. poromandibular pain disorders: a biopsychosocial
J Orofac Pain 2006;20:208- 217. model for integration of physical disorder factors
9. Casanova-Rosado JF, Medina-Solis CE, Vallejos- with psychological and psychosocial illness impact
Sanchez AA, Casanova-Rosado A), Hernandez- factors. Eur J Pain 2005;9:613- 633.
Prado B, Avila-Burgos L. Prevalence and associated 23. Lobbezoo F, Drangsholt M , Peck C, Sato H, Kopp
factors for temporomandibular disorders in a group S, Svensson P. Topical review: new insights into
of M exican adolescents and youth adults. Clin Oral the pathology and diagnosis of disorders of the
Investig 2006;10:42- 49. temporomandibular joint. J Orofac Pain 2004;18:
10. M cM illan A, Wong M C, Zheng J, Kam CL. Preva 181-191.
lence of orofacial pain and treatment seeking in 24. Cost en JB. A syn d rom e o f ear and sinus symptoms
Hong Kong Chinese. J Orofac Pain 2006;20:218- dependent upon disturbed function of the tem
225. poromandibular joint. Ann Otol Rhinol Laryngol
11. Johansson A, Unell L, Carlsson GE, Soderfeldt B, 1934;43:1- 15.
Hailing A. Risk factors associated with symptoms 25. Alanen P. Occlusion and temporomandibular dis
of temporomandibular disorders in a population orders (TM D): still unsolved question? J Dent Res
of 50- and 60-year-old subjects. J Oral Rehabil 2002;81:518- 519.
2006;33:473- 481. 26. Pullinger AG, Seligman DA. Quantification and vali
12. Schmitter M , Rammelsberg P, Hassel A. The preva dation of predictive values of occlusal variables in
lence of signs and symptoms of temporomandib temporomandibular disorders using a multifactorial
ular disorders in very old subjects. J Oral Rehabil analysis. J Prosthet Dent 2000;83:66- 75.
2005;32:467- 473. 27. Landi N, Manfredini D, Tognini F, Romagnoli M ,
13. Gesch D, Bernhardt O, Kocher T, John U, Hensel Bosco M . Quantification of the relative risk of
E, Alte D. Association of malocclusion and func multiple occlusal variables for muscle disorders
tional occlusion with signs of temporomandibu of the stomatognathic system. J Prosthet Dent
lar disorders in adults: results of the population- 2004;92:190- 195.
based study of health in Pomerania. Angle Orthod 28. Molin C. From bite to mind: TM D - a personal
2004;74:512- 520. and literature review. Int J Prosthodnt 1999;12:
14. Rantala M AI, Ahlberg J, Suvinen Tl, Savolainen A, 279- 288.
Kononen M . Symptoms, signs, and clinical diagno 29. Manfredini D, Landi N, Bandettini Di Poggio A,
ses according to the Research Diagnostic Criteria Dell'Osso L, Bosco M . A critical review on the im
for Temporomandibular Disorders among Finnish portance of psychological factors in temporoman
multiprofessional media personnel. J Orofac Pain dibular disorders. M inerva Stomatol 2003;52:321-
2003;17:311- 316. 330.

30. Dworkin S, LeResche L. Research diagnostic criteria Jewish and Arab populations according to RDC/
for temporomandibular disorders: review, criteria, TM D evaluation. J Orofac Pain 2006;20:36- 12.
examinations and specifications, critique. J Crani- 46. Plesh O, Sinisi SE, Crawford PB, Gansky SA. Diag
omandib Disord Fac Oral Pain 1992;6:301- 355. noses based on the research diagnostic criteria for
31. Steenks M H, de Wijer A. Validity of the research temporomandibular disorders in a biracial population
diagnostic criteria for temporomandibular disorders of young women. J Orofac Pain 2005;19:65- 76.
axis I in clinical and research settings. J Orofac Pain 47. Manfredini D, Segu M , Bertacci A, Binotti G, Bosco
2009;23:9- 16. M . Diagnosis of temporomandibular disorders ac
32. Ohrbach R, Svensson P (Orgs). Validation studies of cording to RDC/ TM D axis I findings: a multicenter
the RDC/ TM D: progress toward version 2. Sympo Italian study. M inerva Stomatol 2004;53:429- 438.
sium, International Association for Dental Research, 48. Yap AU, Dworkin SF, Chua EK, List T, Tan KB, Tan
Toronto, 2008. FILL Prevalence of temporomandibular disorder
33. Fishbain DA, Cutler R, Romosoff HL, Romosoff RS. subtypes, psychologic distress, and psychoso
Chronic pain-associated depression: antecedent or cial dysfunction in Asian patients. J Orofac Pain
consequence of chronic pain? A review. Clin J Pain 2003;17:21- 28.
1997;13:116- 137. 49. List T, Dworkin SF. Comparing TM D diagnoses and
34. Manfredini D, Lobbezoo F. Role of psychosocial clinical findings at Swedish and US TM D centers
factors in the etiology of bruxism. J Orofac Pain using research diagnostic criteria for temporoman
2009;23:153- 166. dibular disorders. J Orofac Pain 1996;10:240- 253.
35. Dao TT, LeResche L. Gender differences in pain. 50. Gran JT. The epidemiology of chronic generalized
J Orofac Pain 2000;14:169- 184. musculoskeletal pain. Gr Best Pract Res Clin Rheu
36. Abubaker AO, Hebda PC, Gunsolley JN. Effects of matol 2003;17:547- 561.
sex hormones on protein and collagen content of 51. Westesson P-L, Eriksson L, Kurita K. Reliability of a
the temporomandibular joint disc of the rat. J Oral negative clinical temporomandibular joint examina
M axillofac Surg 1996;54:721- 727. tion: prevalence of disk displacement in asymptom
37. Landi N, Lombardi I, Manfredini D, Casarosa E, atic temporomandibular joints. Oral Surg Oral Med
Biondi K, Gabbanini M et al. Sexual hormone serum Oral Pathol 1989;68:551- 554.
levels and temporomandibular disorders. A prelimi 52. Greene C. Concepts of TM D etiology: effects on
nary study. Gynecol Endocrinol 2005;20:99- 103. diagnosis and treatment. In: Laskin DM , Greene
38. LeResche L. The global year against pain in women. CS, Plylander W L (eds). TM Ds: An Evidence-based
J Orofac Pain 2008;22:95- 96. Approach to Diagnosis and Treatment. Chicago, IL:
39. LeResche L, Mancl L, Drangsholt MT, Fluang G, Quintessence Publishing, 2006:219- 228.
Von Korff M . Predictors of onset of facial pain and 53. De Leeuw R, Boering G, Stegenga B. Clinical signs
temporomandibular disorders in early adolescence. of TM J osteoarthrosis and internal derangement 30
Pain 2007;129:269- 278. years after non-surgical treatment. J Orofac Pain
40. Stohler CS. Taking stock: from chasing occlusal con 1994;8:18- 24.
tacts to vulnerability alleles. Orthod Craniofac Res 54. Kononen M , Waltimo A, Nystrom M . Does clicking
2004;7:157- 161. in adolescence lead to painful temporomandibular
41. Ren K, Dubner R. Central nervous system plasticity joint locking? Lancet 1996;347:1080- 1081.
and persistent pain. J Orofac Pain 1999;13:155-163. 55. De Laat A. TM D as a source of orofacial pain. Acta
42. De Leeuw R. (ed) / The American Academy of Oro Neurol Belg 2001;101:26- 31.
facial Pain. Orofacial Pain: Guidelines for Assess 56. Milam SB. TM J osteoarthritis. In: Laskin DM , Greene
ment, Diagnosis, and M anagement. Chicago, IL: CS, Hylander WL (eds). TM Ds: An Evidence-based
Quintessence Publishing, 2008. Approach to Diagnosis and Treatment. Chicago, IL:
43. Winocur E, Steinkeller-Dekel M , Reiter S, Eli I. A Quintessence Publishing, 2006:105- 123.
retrospective analysis of temporomandibular find 57. Rammelsberg P, LeResche L, Dworkin SF et al. Long
ings among Israeli-born patients based on the RDC/ itudinal outcome of temporomandibular disorders:
TM D. J Oral Rehabil 2009;36:11- 17. a 5-year epidemiologic study of muscle disorders
44. Manfredini D, Chiappe G, Bosco M . Research Di defined by research diagnostic criteria for temporo
agnostic Criteria for Temporomandibular Disorders mandibular disorders. J Orofac Pain 2003;17:9- 20.
(RDC/ TM D) axis I diagnosis in an Italian patient 58. Magnusson T, Egermark I, Carlsson GE. A longitu
population. J Oral Rehabil 2006;33:551- 558. dinal epidemiologic study of signs and symptoms of
45. Reiter S, Eli I, Gavish A, Winocur E. Ethnic differ temporomandibular disorders from 15 to 35 years
ences in temporomandibular disorders between of age. J Orofac Pain 2000;14:251- 260.

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14. Laskin DM , Greene CS, Hylander W L. Temporo
mandibular Disorders. An Evidence-based Approach
1. Merskey . Classification of chronic pain: descrip to Diagnosis and Treatment. Chicago, IL: Quintes
tions of chronic pain syndromes and definitions of sence Publishing, 2006.
pain terms. Pain 1986;(Suppl 3):1- 8. 15. Forssell H, Ohrbach R. Temporomandibular disor
2. M elzack R, Wall PD. Pain mechanisms: a new theo ders. In: Zakrzewska JM (ed). Orofacial Pain. New
ry. Science 1965;150:971- 979. York: Oxford University Press, 2009.
3. M elzack R, Casey KL. Sensory, motivational, and 16. Von Korff M , Miglioretti DL. A prognostic approach
central control determinants of pain: a new concep to defining chronic pain. Pain 2005;117:304- 313.
tual model. In: Kenshalo DR (ed). The Skin Senses. 17. Melzack R. Pain: an overview. In: Proceedings of
Springfield, IL: Thomas, 1968:423^ 143. the 2nd International Copenhagen Pain Sympo
4. De Leeuw (ed). Orofacial Pain: Guidelines for As sium: Aspects of Chronic Pain, 1999;43:880- 884.
sessment, Diagnosis, and M anagement. Hanover 18. M cM ahon SB, Koltzenburg M . Wall and Melzack's
Park, IL: Quintessence Publishing, 2008. Textbook of Pain, ed 5. London: Elsevier, 2006.
5. Okeson JP (ed). M anagement of Temporoman 19. Turk DC, M elzack R (eds). Handbook of Pain As
dibular Disorders and Occlusion, ed 5. Edinburgh: sessment, ed 2. New York: Guilford Press, 2001.
Mosby, 2003. 20. Rudy , Turk DC, Zaki HS, Curtin HD. An empiri
6. Turp JC, Sommer C, Hugger A (eds). The Puzzle of cal taxometric alternative to traditional classification
Orofacial Pain: Integrating Research into Clinical of temporomandibular disorders. Pain 1989;70:
M anagement. Pain Headache. Basel: Karger, 2007. 158-164.
7. Suvinen T, Reade PC, Kemppainen P, Kononen 21. Suvinen Tl, Hanes KR, Gerschman JA, Reade PC.
M , Dworkin SF. Review of aetiological concepts Psychophysical subtypes of temporomandibular
of temporomandibular pain disorders: towards an disorders. J Orofac Pain 1997;11:200- 205.
integrated conceptual model of physical disorders 22. Suvinen Tl, Kononen M , Reade PC, Kemppainen
and psychological and psychosocial illness impact P. Temporomandibular disorder subtypes according
factors. Eur J Pain 2005;9:613- 633. to self-reported physical and psychosocial variables
8. Dworkin SF. Psychological and psychosocial as in female patients: a re-evaluation. J Oral Rehabil
sessment. In: Laskin DM , Greene CS, Hylander WL 2005;32:166- 173.
(eds). Temporomandibular Disorders: An Evidence- 23. Von Korff M , Dunn KM . Chronic pain reconsidered.
based Approach to Diagnosis and Treatment. Chi Pain 2008;13:267- 276.
cago, IL: Quintessence Publishing, 2006:203- 217. 24. Greene CS. Focus paper: the etiology of temporo
9. Dworkin SF, LeResche L. Research diagnostic criteria mandibular disorders: implications for treatment.
for temporomandibular disorders: criteria, examina J Orofac Pain 2001;15:93- 105.
tions and specifications, critique. J Craniomand Dis 25. Greene CS. Concepts of TM D etiology: effects on
Fac Oral Pain 1992;77:301- 355. Available updates diagnosis and treatment. In: Laskin DM , Greene CS,
at: www.rdc-tmdinternational.org. Hylander WL (eds). Temporomandibular Disorders:
10. Diatchenko L, Nackley AG, Slade GD, Fillingim RB, An Evidence-based Approach to Diagnosis and
M aixner W. Idiopathic pain disorders: pathways to Treatment. Chicago, IL: Quintessence Publishing,
vulnerability. Pain 2006;123:226- 230. 2006.
11. Dworkin SF, Von Korff M , LeResche L. Epidemio 26. Massoth DL, Dworkin SF, Whuitney CW, Harrison
logic studies of chronic pain: a dynamic-ecologic RG, Wilson L, Turner J. Patient explanatory models
perspective. Ann Behav Med 1992;14:3- 11. for temporomandibular disorders. In: Gebhard GF
12. Turner JA, Dworkin SF. Screening for psychosocial et al. (eds). Proceeding of the 7th World Congress
factors in patients with chronic orofacial pain. J Am of Pain. Seattle: IASP Press, 1994:187- 200.
Dent Assoc 2004;135:1119- 1125.
13. Suvinen T, Kemppainen P. Assessment of asymp
tomatic and muscle related TM D parameters: criti
cal review of clinical electromyographic studies.
J Oral Rehabil 2007;34:631- 644.

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joint dysfunction and asymptomatic volunteers.

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71. Posselt U. Fisiologia de la oclusion rehabilitation, 76. Bermejo-Fenoll A, Gonzalez-Sequeros O, Gonzalez-

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Reiter, 200645 115 (65

15. Nassif NJ, Al-Salleeh F, Al-Admawi M . The preva