Treatment of Temporomandibular Pain With the Selective Serotonin Reuptake Inhibitor Paroxetine

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Sir: In clinical dentistry, patients frequently have orofacialpain caused by temporomandibular disorder (TMD). TMD ischaracterized by a combination of symptoms affecting the temporomandibularjoint and/or chewing muscles. Patients withTMD usually develop chronic or recurrent pain, contracture/tenderness of chewing muscles, clicking condylar noise, limitationof jaw function, and limited mouth opening.I