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December 1959

Syndromes of the Head and Neck of Dental OriginI. Pain Caused by Mandibular Dysfunction

AMA Arch Otolaryngol. 1959;70(6):681-691. doi:10.1001/archotol.1959.00730040695003

History  The diseases and disturbances which are attributed to disorders of the temporomandibular articulation present one of the most controversial problems in medical and dental science. Freese1 states that as early as 3000 B.C. the anatomy of this joint and "dislocation of the mandible" were known. He very aptly brings the history of the subject up to date, and so no further remarks will be necessary at this time.

The Problem  The subject of temporomandibular joint disturbance and resultant pain or other sequelae was brought to the attention of the medical and dental professions by Costen, in 1934.2 Dentists had noted these phenomena even before Costen described the syndrome to which his name has been given.Costen3-5 described his symptom-complex as occurring uniformly in disturbed temporomandibular joint function. The symptoms were described as follows: (1) ear symptoms, such as loss of hearing, stuffy sensation in the ears,

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