The Craniofacial Pain Center

Tufts University School of Dental Medicine


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Patients • Symptoms

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Symptoms
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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