This article is an educational analysis and discussion of some recentl
y proposed diagnostic criteria, diagnostic methods, and diagnostic dec
ision processes, pertaining specifically to temporomandibular disorder
s (TMD), On the basis of a discussion of classic probability theory, c
lassic measurement theory, and examples using nonparametric inferentia
l statistical tests, it is suggested that certain TMD diagnostic crite
ria and methods, and their associated decision matrix, favor subjectiv
e clinical opinions (largely pseudoscientific observations) and arbitr
ary clinical indices rather than objective scientific facts.