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To the Editor.—
Although I am in agreement with Charles S. Greene's attempt (224:622, 1973) to bring the matter back to the interest of the physician, I would like to compare one small facet of the broad spectrum of temporomandibular joint causes to that of a patient with a backache instead of the vague headache symptom at issue. If one neglected the duty of apprising him of the possibility that the asymmetric function, induced by a fortuitously recognized long-term failure to replace the heel of one shoe, but instead simply directed him to a psychiatrist for such an "aberration," it would compare to the emphasis at issue that is placed upon the muscle spasm instead of the often only temporary functional disharmony of chronic muscle dyskinesia from failure of the usually well-aligned dental geometric factors. Thus, the problem of the temporal mandibular joint still has a major dental mechanistic aspect,
Stemmer AL. The Temporomandibular Syndrome, continued. JAMA. 1973;225(10):1249. doi:10.1001/jama.1973.03220380061025