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Internal derangements can be either or both soft-tissue or bony. There are two basic types of soft-tissue internal derangements. The more common is referred to as an internal derangement with reduction; the disc slides into and out of its normal functional position as the jaw opens or closes, causing the popping sound characteristic of TMD. In cases of internal derangement without reduction, the disc is permanently displaced or dislocated to an incorrect position, and the jaw's range of motion is limited.

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