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The Nonsurgical Temporomandibular Joint Syndrome
SYLVAN SCHIRESON, D.D.S.;
MARSH ROBINSON, D.D.S., M.D., F.A.C.S.
Arch Otolaryngol. 1961;73(6):681-685.
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Introduction
The object of this paper is to present the etiology, diagnosis, and treatment of the common temporomandibular joint syndrome. Costen1 was one of the first to bring to the attention of the profession the relationship between symptoms about the temporomandibular joint and the occlusion of the teeth. Unfortunately Costen had the misconception that the mandible is a Class III lever and that the symptoms were due to pressure of the condylar head on various structures. Since 1934 it has been found that neither "opening the bite" nor surgery is the entire solution to this symptom complex.
Definition
The nonsurgical temporomandibular joint syndrome is one manifested by pain in and about the ear with radiation into the temple and/or jaw. It is manifested by noise within the joint and typically by episodes of limited jaw function or opening. Many bizarre symptoms in and about both the anterior and posterior
. . . [Full Text PDF of this Article]
Author Affiliations
LOS ANGELES
Dr. Schireson is Associate Professor of Periodontics and Oral Pathology, University of Southern California School of Dentistry. Dr. Robinson is Professor of Oral Surgery, University of Southern California School of Dentistry, and Clinical Professor of Oral Surgery, University of Southern California School of Medicine.
Footnotes
Submitted for publication May 24, 1960.
Presented at the Forty-Fourth Annual Meeting of the Pacific Coast Oto-Ophthalmological Society, May 25, 1960, San Francisco.
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