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Etiologic Factors for TMD and Orofacial Pain
Predisposing
(factors increasing risk):
Structural and
genetic predisposing factors such as missing teeth, hyperfunction or altered
function can affect adaptability and increase the
individual's chances for breakdown. Certain stress disorders affecting
ability to cope.
Initiating
(factors causing onset): Trauma to the masticatory
or head and neck structures or moderate to severe parafunctional activity.
Sudden changes in maxillo-mandibular
relationships. Sudden intense physical or psychological stress. Medical
conditions leading to structural breakdown.
Perpetuating (factors interfering with healing ability):
Nutritional,
environmental, postural, occlusal and psychosocial factors. Legal implications
and secondary gain related to home or work all affect the
patient's ability to recover. Loss of muscle tone due to lack of exercise
or loss of function leading to permanent disability are the major reasons
that
patients do not recover without treatment.
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