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This narrative review outlines the clinical presentation of FMD, emphasizing its relevance in orthodontics and offering a clinical management guide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>A systematic approach is proposed, detailing strategies from the initial screening visit through active treatment, retention, and post-retention stages. Key strategies include using fixed appliances for better control, scheduling shorter visits to reduce symptom aggravation, and incorporating distraction techniques. Collaborative care with neurologists, psychiatrists, psychologists, physical therapists, and dental professionals is vital, addressing both motor and psychological factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion and relevance<\/jats:title><jats:p>Specialized training, improved diagnostic methods, and customized treatment plans are crucial for managing FMD in orthodontics. 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