Characteristics of temporomandibular joint problems

A review of the characteristics of 145 patients with temporomandibular joint and myofascial pain-dysfunction syndrome is presented. The material includes both temporomandibular and myofascial involvements. The evidence supports the psychophysiologic etiology theory for most patients. This does not exclude anatomic abnormalities which may be present in such patients nor anatomic abnormalities which may be present without psychogenic causes. The lack of awareness of the range of condylar movement is contributory to iatrogenic trauma. A classification of etiologic factors is proposed. The superimposition of one upon another can create a severe problem. The superimposition of two upon a third can create an unusually severe problem.