Auvenshine Ronald C
Orofacial Pain Clinic, Michael E. DeBakey VA Hospital, 7505 South Main Street, #210, Houston, TX 77030, USA.
Dent Clin North Am. 2007 Jan;51(1):105-27, vi. doi: 10.1016/j.cden.2006.10.005.
Temporomandibular disorder (TMD) encompasses a number of clinical problems involving the masticatory muscles or the temporomandibular joints. These disorders are a major cause of nondental pain in the orofacial region, and are considered to be a subclassification of musculoskeletal disorders. Orofacial pain and TMD can be associated with pathologic conditions or disorders related to somatic and neurologic structures. When patients present to the dental office with a chief complaint of pain or headaches, it is vital for the practitioner to understand the cause of the complaint and to perform a thorough examination that will lead to the correct diagnosis and appropriate treatment. A complete understanding of the associated medical conditions with symptomology common to TMD and orofacial pain is necessary for a proper diagnosis.
颞下颌关节紊乱病（TMD）包括许多涉及咀嚼肌或颞下颌关节的临床问题。这些疾病是口面部区域非牙源性疼痛的主要原因，被认为是肌肉骨骼疾病的一个亚分类。口面部疼痛和TMD可能与躯体和神经结构相关的病理状况或疾病有关。当患者因疼痛或头痛为主诉前来牙科诊所就诊时，从业者了解主诉原因并进行全面检查以得出正确诊断和适当治疗至关重要。对于正确诊断而言，全面了解与TMD和口面部疼痛常见症状相关的医疗状况是必要的。
