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Objective To examine the psychological symptoms of TMD and their effects on sleep quality in patients with temporomandibular disorders. Methods The study was carried out with 425 consecutive TMD patients who sought care at the oral and maxillofacial surgery clinic of a faculty of dentistry. Perceived Stress Scale-14, Beck Anxiety Scale, and Beck Depression Scale were used to evaluate the psychological state. Sleep quality was evaluated with the Pittsburgh Sleep Quality Index. Results The mean sleep score of all participants was 6.52. As