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November 1954

TEMPOROMANDIBULAR JOINT DISEASEAbnormal Mandibular Function as Basis

Author Affiliations

U. S. N.; U. S. N. R.
From the Departments of Dentistry and Physical Medicine, U. S. Naval Hospital, St. Albans, N. Y.

AMA Arch Surg. 1954;69(5):635-645. doi:10.1001/archsurg.1954.01270050039009

ABNORMALITIES of the temporomandibular articulation, sometimes painful in nature, are seen clinically more frequently than is generally acknowledged. In 1947, Boman1 observed temporomandibular arthropathy in one-third of a group of 1,350 adults. In 1949, Markowitz and Gerry2 noted that in a group of 700 unselected young adults, 28% had abnormality and that 6.4% had sufficient temporomandibular pain to have sought treatment. Much of the symptomatology of temporomandibular disease is based on systemic processes involving this joint. Comroe3 reported a 20% incidence of temporomandibular involvement in acute rheumatoid arthritis. Involvement of the temporomandibular joint is also observed in osteoarthritis and specific infectious arthritis as gonococcal arthritis, syphilitic arthropathy, and direct involvement of the joint by extension secondary to infections of the temporal bone or from the temporal and infratemporal fossae. Cases of tuberculous involvement may be found by direct extension from the regional lymph nodes. Brucellosis, scarlatina, and

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