This multidisciplinary textbook presents a unique approach to diagnosis and management of the various temporomandibular disorders. Written by a large group of eminent researchers and clinicians, it links current scientific concepts of basic anatomy, physiology, biomechanics, and pathology of the temporomandibular joint with specific diagnostic and treatment protocols that are based on sound clinical data. Thus, in keeping with the current thrust in medicine and dentistry, the book provides access to the best available evidence so that clinicians can make informed rather than empirical decisions about what is appropriate therapy. Where lack of data or rapid changes in a particular discipline do not allow for evidence-based conclusions or recommendations, the book highlights the areas of agreement and disagreement in order to expose the deficiencies in our present knowledge base. In a field of treatment long associated with controversy, this book educates readers about which current practices of diagnosis and treatment are strongly supported by scientific research and which are supported only by practical experience and/or anecdotal evidence. Contents Part I: Biologic Basis Section A: Anatomy and Function 1 Functional Anatomy and Biomechanics of the Masticatory Apparatus-William L. Hylander 2 Anatomy and Function of the TMJ-Ales Obrez & Luigi M. Gallo 3 TMJ Growth, Adaptive Modeling and Remodeling, and Compensatory Mechanisms-Boudewijn Stegenga & Lambert G.M. de Bont 4 Sensory and Motor Neurophysiology of the TMJ-Barry J. Sessle Section B: Pathophysiology of the TMDs 5 Persistent Orofacial Pain-Ronald Dubner & Ke Ren 6 Muscular Pain and Dysfunction-James P. Lund 7 TMJ Osteoarthritis-Stephen B. Milam 8 TMJ Disc Derangements-Boudewijn Stegenga & Lambert G.M. de Bont 9 Systemic Conditions Affecting the TMJ-Mauno Kononen & Bengt Wenneberg Part II: Clinical Management Section A: Diagnostic Modalities 10 TMJ Imaging - Tore A. Larheim & Per-Lennart Westesson 11 Analysis of TMJ Synovial Fluid-Regina Landesberg & Linda L. Huang 12 The Role of Technology in TMD Diagnosis-Charles S. Greene 13 Psychological and Psychosocial Assessment-Samuel F. Dworkin Section B: Diagnosis 14 Concepts of TMD Etiology: Effects on Diagnosis and Treatment-Charles S. Greene 15 TMJ Arthritis-A. Omar Abubaker 16 Internal Derangements-Daniel M. Laskin 17 Masticatory Muscle Pain and Dysfunction-Yoly M. Gonzalez & Norman D. Mohl 18 Traumatic Injuries-Dean A. Kolbinson & Frank I. Hohn 19 Maxillofacial Movement Disorders-Leon A. Assael 20 Differential Diagnosis of Orofacial Pain-Robert L. Merrill 21 Benign and Malignant Tumors-Diane Stern 22 Fibromyalgia-Octavia Plesh & Stuart A. Gansky Section C: Therapeutic Modalities 23 Pharmacologic Approaches-Raymond A. Dionne 24 Physical Medicine-Jocelyne S. Feine and J. Mark Thomason 25 Oral Appliances-Glenn T. Clark & Hajime Minakuchi 26 Biobehavioral Therapy-Richard Ohrbach 27 Management of Dental Occlusion-Christian S. Stohler 28 Indications and Limitations of TMJ Surgery-Daniel M. Laskin Section D: Evidence-Based Treatment 29 Congenital and Developmental Anomalies-Maria J. Troulis & Leonard B. Kaban 30 Medical Management of TMJ Arthritis - Sigvard Kopp 31 Surgical Management of TMJ Arthritis-Louis G. Mercuri 32 Surgical Management of Internal Derangements-Daniel M. Laskin 33 Treatment of Myogenous Pain and Dysfunction-Glenn T. Clark 34 Treatment of Maxillofacial Movement Disorders-Leon A. Assael 35 Surgical Management of Benign and Malignant Neoplasms-Lewis Clayman 36 Management of Idiopathic Condylar Resorption-Pogrel & Chigurupati