Temporomandibular joint dysfunction

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Disorder of the jaw joints


Temporomandibular joint dysfunction
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Synonyms TMJ disorder, TMD
Pronounce N/A
Field Dentistry, Oral and maxillofacial surgery, Otolaryngology
Symptoms Jaw pain, difficulty chewing, clicking and locking of the jaw
Complications Chronic pain, difficulty eating
Onset
Duration
Types N/A
Causes Bruxism, Arthritis, jaw injury, genetics
Risks
Diagnosis Clinical examination, imaging studies
Differential diagnosis Trigeminal neuralgia, Giant cell arteritis, Dental abscess
Prevention N/A
Treatment Medications, physical therapy, occlusal splints, surgery
Medication NSAIDs, muscle relaxants, corticosteroids
Prognosis
Frequency
Deaths


Temporomandibular joint dysfunction (TMD), also known as TMJ disorder, is a condition affecting the temporomandibular joints, which connect the jawbone to the skull. These joints are essential for chewing, speaking, and other jaw movements. TMD can cause significant discomfort and impair daily activities.

Symptoms[edit | edit source]

Common symptoms of TMD include:

  • Jaw pain or tenderness
  • Difficulty or discomfort while chewing
  • Clicking, popping, or grating sounds in the jaw joint
  • Locking of the jaw, making it difficult to open or close the mouth
  • Headaches
  • Ear pain or ringing in the ears (tinnitus)

Causes[edit | edit source]

The exact cause of TMD is often difficult to determine. However, several factors may contribute to the development of this condition, including:

  • Bruxism (teeth grinding or clenching)
  • Arthritis in the temporomandibular joint
  • Jaw injury or trauma
  • Genetic predisposition
  • Stress, which can lead to muscle tension and jaw clenching

Diagnosis[edit | edit source]

Diagnosis of TMD typically involves a combination of:

  • Clinical examination by a healthcare professional
  • Patient history and symptom assessment
  • Imaging studies such as X-rays, MRI, or CT scans to evaluate the joint and surrounding structures

Treatment[edit | edit source]

Treatment for TMD varies depending on the severity and underlying cause of the condition. Common treatment options include:

  • Medications such as NSAIDs, muscle relaxants, and corticosteroids to reduce pain and inflammation
  • Physical therapy to improve jaw function and reduce muscle tension
  • Occlusal splints or mouthguards to prevent teeth grinding and clenching
  • Surgical interventions in severe cases, such as arthrocentesis, arthroscopy, or open-joint surgery

Complications[edit | edit source]

If left untreated, TMD can lead to chronic pain and difficulty eating, which can significantly impact a person's quality of life.

See also[edit | edit source]

References[edit | edit source]

External links[edit | edit source]


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Contributors: Prab R. Tumpati, MD