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TMD and Orthodontics pp 81–95Cite as

Orthodontics and TMD

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Abstract

In 1987, a landmark court case entitled Brimm versus Malloy [1] in the USA prompted an in-depth examination on the issue of whether or not orthodontic treatment causes temporomandibular disorders (TMDs). The Brimm case resulted in a million-dollar judgment against a Michigan orthodontist for allegedly causing TMD in a 16-year-old girl. The orthodontic treatment involved the extraction of two maxillary first premolar teeth and the use of a headgear to address the patient’s Class II Division I malocclusion. The TMD symptoms experienced by the plaintiff were temporomandibular joint pain and headaches following the removal of the appliances. The argument regarding the cause of these TMD symptoms was that the orthodontic treatment carried out resulted in the overretraction of the upper incisors, leading to the distal displacement of the mandible, and thereby causing temporomandibular joint (TMJ) internal derangements. Regardless of the lack of scientific evidence behind such an argument, the jury awarded the plaintiff US$850,000 at the initial court trial.

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Authors and Affiliations

  1. Department of Orthodontics, School of Dentistry, University of Western Australia, Nedlands, WA, Australia

    Sanjivan Kandasamy BDSc,DClinDent,MOrthRCS,FRACDS

  2. Centre for Advanced Dental Education, Saint Louis University, Saint Louis, MO, USA

    Sanjivan Kandasamy BDSc,DClinDent,MOrthRCS,FRACDS

  3. Private Practice, Midland, WA, Australia

    Sanjivan Kandasamy BDSc,DClinDent,MOrthRCS,FRACDS

  4. Private Practice, Greensburg, PA, USA

    Donald J. Rinchuse DMD, MS, MDS, PhD

Authors
  1. Sanjivan Kandasamy BDSc,DClinDent,MOrthRCS,FRACDS
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  2. Donald J. Rinchuse DMD, MS, MDS, PhD
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Correspondence to Sanjivan Kandasamy BDSc,DClinDent,MOrthRCS,FRACDS .

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Editors and Affiliations

  1. Department of Orthodontics, School of Dentistry, University of Western Australia, Nedlands, West Australia, Australia

    Sanjivan Kandasamy

  2. University of Illinois College of Dentistry, Chicago, Illinois, USA

    Charles S. Greene

  3. Greensburg, Pennsylvania, USA

    Donald J. Rinchuse

  4. Seton Hill University, Greensburg, Pennsylvania, USA

    John W. Stockstill

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Kandasamy, S., Rinchuse, D.J. (2015). Orthodontics and TMD. In: Kandasamy, S., Greene, C., Rinchuse, D., Stockstill, J. (eds) TMD and Orthodontics. Springer, Cham. https://doi.org/10.1007/978-3-319-19782-1_6

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