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• W2071678312 abstract "Although epidemiologic work has shown great success in diseases that are caused by a single pathogen, the socioeconomic impact created by chronic, debilitating conditions calls for the use of the epidemiologic method in these diseases to arrive at a better understanding of the web of events in their causation. Considering the topic of interest, current knowledge does not support the notion that the masticatory muscle disorders are any different from the painful muscle afflictions in other regions of the human body. However, the tactile sensibility of the tooth support makes the masticatory apparatus unique in that significantly smaller differences can be perceived in this region than in any other musculoskeletal system of the body. Therefore it is not surprising that bi te shifts or teeth no longer fitting r ight have been reported by patients with temporomandibular disorders (TMDs). As a result, the dental profession has had a long-standing interest in these disorders and a plethora of occlusal treatments have been developed to address the bite complaints. It is the belief of many providers that most cases with masticatory myalgia are treated effectively by managing the dental occlusion. Therefore, failure to resolve a jaw pain problem is perceived by some as a clinician' s inadequacy to provide the patient with an acceptable occlusal scheme. In recent years, however, a reassessment of this point of view was triggered by epidemiologic work and the impression gained in tertiary-care clinics that there exists a group of patients withj aw muscle pain for whom this treatment paradigm does not bring any lasting relief. I f the problem did not resolve with a proper occlusion, psychological reasons are typically used to explain the failure. The question arises as to whether we should pursue more aggressively the popular occlusaltreatment paradigm or whether we should abandon this paradigm, which appears to be incorrect. This issue has become a counterproductive controversy." @default.
• W2071678312 created "2016-06-24" @default.
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• W2071678312 date "1997-01-01" @default.
• W2071678312 modified "2023-09-27" @default.
• W2071678312 title "Phenomenology, epidemiology, and natural progression of the muscular temporomandibular disorders" @default.
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• W2071678312 doi "https://doi.org/10.1016/s1079-2104(97)90095-0" @default.
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