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5. If the patient has pain and is taking (or has taken for a period of time) a bisphosphonate (i.e., Boniva, Fosamax, Actonel, Zometa, etc.), take a panoramic radiograph to rule out osseous pathology as the cause for the pain.23

The syntax of an OR conditional element uses a type of syntax known as pre x form. This means that an operator, the logical operator OR in this case, precedes its arguments, which are the patterns or facts. In general, an OR conditional element with n arguments, or facts, is coded as:

attempts are made to reuse the TagLib. With each new reuse attempt, something must be parameterized in order to generalize the TagLib to work in the situation. Sometimes that is a legitimate way to make the TagLib more reusable. More often than not, though, the TagLib will have big chunks of code that is only executed if one of the attributes is set. If your TagLibs have conditional code as described here, you are probably stuck in this AntiPattern.

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normal translation and opening are eventually regained. Many individuals can move through this transition without treatment (some with minimal discomfort), but others cannot.11 This transition is often reported to take a few weeks to months and may have occurred many years ago. This may not have been a signi cant event for the patient or may have occurred with trauma, so a patient with this disorder may not remember such a history. Coarse crepitus is the most common noise associated with this disorder, but some patients have no noise, or a single click or a reciprocal click.8 Personally the clinical criteria of the patient reporting this history or having coarse crepitus is used to clinically diagnose this disorder. Traditional TMD therapies have been shown to bene t patients with this disorder. Dislocation (Also Known as Subluxation) A dislocation is diagnosed when a patient presents with or relates a history of momentary or prolonged inability to close the mandible from a maximal open position. In this disorder, the condyle is caught in front of the articular eminence. It may be due to the articular eminence obstructing the posterior movement of the disc-condyle unit, the disc obstructing the posterior movement of the condyle, or a combination of the two.12 Conservative treatments for TMJ dislocation are discussed in chapter 11, TMJ Dislocation. In ammatory Disorders The synovial uid within the TMJ contains the lubricant for the joint and the nutrients for the articular surfaces. TMJ in ammation can deteriorate these substances, thereby leading to the breakdown of the articular surfaces and contributing to other articular problems.1,13 TMJ in ammation is diagnosed when the TMJ is tender to palpation at one or more of

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