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Temporomandibular joint dysfunction
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===Diagnostic criteria=== Various diagnostic systems have been described. Some consider the Research Diagnostic Criteria method the gold standard.<ref name="Wassell 2008" /> Abbreviated to "RDC/TMD", this was first introduced in 1992 by Dworkin and LeResche in an attempt to classify temporomandibular disorders by etiology and apply universal standards for research into TMD.<ref name="Anderson 2010">{{cite journal | vauthors = Anderson GC, Gonzalez YM, Ohrbach R, Truelove EL, Sommers E, Look JO, Schiffman EL | title = The Research Diagnostic Criteria for Temporomandibular Disorders. VI: future directions | journal = Journal of Orofacial Pain | volume = 24 | issue = 1 | pages = 79β88 | date = Winter 2010 | pmid = 20213033 | pmc = 3157036 }}</ref> This method involves 2 diagnostic axes, namely axis I, the physical diagnosis, and axis II, the psychologic diagnosis.<ref name="Wassell 2008" /> Axis I contains 3 different groups which can occur in combinations of 2 or all 3 groups,<ref name="Wassell 2008" /> (see table). McNeill 1997 described TMD diagnostic criteria as follows:<ref name="Mujakperuo 2010" /> * Pain in muscles of mastication, the TMJ, or the periauricular area (around the ear), which is usually made worse by manipulation or function. * Asymmetric mandibular movement with or without clicking. * Limitation of mandibular movements. * Pain present for a minimum of 3 months. The International Headache Society's diagnostic criteria for "headache or facial pain attributed to temporomandibular joint disorder" is similar to the above:<ref name=ICHD-2 /> * A. Recurrent pain in one or more regions of the head or face fulfilling criteria C and D * B. X-ray, MRI or bone scintigraphy demonstrate TMJ disorder * C. Evidence that pain can be attributed to the TMJ disorder, based on at least one of the following: ** pain is precipitated by jaw movements or chewing of hard or tough food ** reduced range of or irregular jaw opening ** noise from one or both TMJs during jaw movements ** tenderness of the joint capsule(s) of one or both TMJs * D. Headache resolves within 3 months, and does not recur, after successful treatment of the TMJ disorder
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