”You can never diagnose something you have never heard about” J. P. Okeson TMD 1934 - Costen (korvalääkäri) - ”dental condition is responsible for variable ear symptoms” 2010 - jatko-opinnot standartisoituneet USA:ssa (Comission on Dental Accreditidation)
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”You can never diagnose something you have never heard about” J. P. Okeson
TMD
1934 - Costen (korvalääkäri) - ”dental condition is responsible for variable ear symptoms”2010 - jatko-opinnot standartisoituneet USA:ssa (Comission on Dental Accreditidation)
Masticatory System TMD• Occlusal Factors (hampaat)
• Trauma
• Emotional stress
• Deep pain input (kiputila)
• Parafunction (narskuttelu, pureskelu)
Adaptibility
TMD• ”Any disorder that affects or
it is affected by deformity, disease, misalignment or dysfunction of the temporomandibular articulation.” Dawson
• Masticatory (lihasperaiset)
• Intracapsular (nivel)
• Tilat jotkut imitoivat TMD (vaskulaariset, sinusitis, otitis…)