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  • Title: The diagnosis and treatment of temporomandibular dysfunctions in older, partially or totally edentulous patients.
    Author: Jeanmonod A.
    Journal: Int Dent J; 1982 Dec; 32(4):339-44. PubMed ID: 6761272.
    Abstract:
    While the anatomical structures of the temporomandibular functional complex are gradually modified and adapted throughout life, dysfunctions may arise in older patients as a result of a sudden, substantial change in jaw relationships. Such a change may be caused by the extraction of a large or small number of teeth giving rise to unbalanced, eccentric occlusion and sometimes to a pathological change in vertical dimension, or by the fitting of a prosthesis which renders these conditions permanent. The principal clinical manifestations are preauricular pain, which may spread more widely, and mandibular dyskinesias. Treatment involves the restoration of a functional jaw relationship and a functional vertical dimension. A retroincisal bite-plane is used to re-establish these conditions. Prosthetic restoration renders them permanent and consolidates the relief of symptoms.
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