Temporomandibular disorder

Revision as of 02:09, 10 December 2016 by Cchoff (talk | contribs) (TMJ)
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  • TMJ refers to temporomandibular joint dysfunction, a symptom complex caused by pain/dysfunction of the muscles of mastication
  • Associated with bruxism, degenerative joint disease, trauma, and anatomical issues of the TMJ joint

Clinical Features

  • Jaw pain
  • Popping/clicking of jaw
  • Ear pain/popping
  • Headache
  • intermittent locking of the jaw

Differential Diagnosis

Jaw Spasms


  • A clinical diagnosis
  • Research Diagnostic Criteria (RDC/TMD) is gold standard for diagnosis/research purposes
    • Pain in muscles of mastication, the TMJ, or the periauricular area, usually worsened by manipulation or function
    • Asymmetric mandibular movement with or without clicking
    • Limitation of mandibular movements
    • Pain present for minimum of 3 months
  • Consider imaging if h/o trauma/facial trauma


  • Pain medication
    • NSAIDs are first line, consider opiates if not well controlled
  • Occlusal splints/bite blocks at night for bruxism


  • Discharge
  • Follow up with dentist/PMD

See Also

External Links