What is stated is true. However, I would like to suggest the following when determining how to diagnose TMD problems.
1. A complete examination is required to determine the cause of a patient’s symptoms. Upto 80% of muscle pain is associated with occlusion. If a patients occlusion can be equilibrated, then we will find that muscle pain can be significantly reduced.
2. A thorough history is needed, especially if para-function is involved.
3. Loading the joint using bi-manual manipulation into Centric Relation can determine if you have muscle or internal joint problems.
4. Determining joint sounds related to anatomic problems is critical prior to restorative treatment. If a patient has a medial pole disc problem, caution must be taken, and the joint needs to be addressed first prior to any restorative action.
5. Mounted models in C.R. will provide ideal clues on how to restore patients who are in need of comprehensive treatment.