Document Detail

Temporomandibular joint dysfunction and facial pain in children: an approach to diagnosis and treatment.
MedLine Citation:
PMID:  3658576     Owner:  NLM     Status:  MEDLINE    
A model for the diagnosis and treatment of temporomandibular joint dysfunction and facial pain in children is presented. Emphasis is placed on systematic assessment of physical, psychologic, and behavioral factors when conservative medical therapy is inadequate for symptom relief. The model represents a multidisciplinary approach to patient care which is described through case presentations. The results of research on the incidence of primary psychopathology in 53 children and 322 adults evaluated during a 3-year period for temporomandibular joint dysfunction and facial pain are also presented. It was found that children were more likely to be psychiatrically impaired (25%) than adults (7%). Children had a variety of psychiatric diagnoses including depression, conversion and adjustment disorders, overanxious behavior, and anorexia nervosa. The benefits of a multidisciplinary approach are discussed in terms of the efficacy of this coordinated treatment effort in ameliorating symptoms.
F G Pillemer; B J Masek; L B Kaban
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  80     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1987 Oct 
Date Detail:
Created Date:  1987-11-02     Completed Date:  1987-11-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  565-70     Citation Subset:  AIM; IM    
Department of Psychiatry, Children's Hospital, Boston, MA 02115.
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MeSH Terms
Behavior Therapy
Mental Disorders / complications
Psychophysiologic Disorders
Temporomandibular Joint / physiopathology
Temporomandibular Joint Dysfunction Syndrome / classification*,  psychology,  therapy

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