This Article  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

JOSEPH J. MARBACH, DDS; JAMES A. LIPTON, DDS, PHD
New York

Arch Otolaryngol. 1983;109(3):199.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—We agree with Dr Albert's position that TMJ syndrome and many other facial pain syndromes present numerous diagnostic and treatment problems for both the patient and clinician. Unfortunately, the treatment of TMJ syndromes takes almost as many forms as there are concerned medical specialties. Three problems contribute to this diversity: lack of a recognized cause of many of the disorders, lack of controlled and/or replicable studies of treatment outcomes, and lack of longterm follow-up examination. Moreover, the most widely used procedures do irreversible damage to teeth, nerve tissue, and the structure of the jaws. Indeed, we see many patients who are worse off than they were originally, prior to treatment. Given such considerations, Dr Albert's emphasis on invasive, irreversible modalities of treatment must be viewed with caution. He supports his views entirely with anecdotal and case history reports. We obviously need to reiterate the position taken in our original article. . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?