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Chiropractic Treatment of Temporomandibular Disorders: A Case Report

Sivarama Prasad Vinjamury, MD (Ayurveda), MAOM; Betsy B. Singh, PhD; Raheleh Khorsan, MA; Rocky Comberiati, DC; Melany Meier, DC; Susan Holm, MS, DC

Temporomandibular disorders (TMD), or craniomandibular disorders (CMD), is a collective term used to describe a group of cranio-oro-facial conditions that are differentiated as pain or noise in the mastication muscles or temporomandibular joints (TMJ) and limited mandibular function.1 TMD pain can simulate atypical facial pain (AFP) with characteristics of pain ranging from unilateral, bilateral, or migratory.2-6 More than 10 million people in the United States suffer from TMD.2,3 The average age of onset is between 18 and 26 years, and women are 5 times more susceptible than men.4 Studies indicate that very old people who exhibit objective symptoms of TMD do not complain of pain, whereas younger subjects who do not have any objective signs of TMD complain of severe pain.5 Only 5% to 15% of these sufferers seek any kind of treatment. It is estimated that approximately $30 billion worth of productivity and more than 550 million work days are lost each year due to this health problem.6,7

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