Temporomandibular Joint Disorders


Overview

Review Sections

(31)
Temporomandibular Joint Disorders Icon    Temporomandibular Joint Disorders

The temporomandibular joint is a common source of orofascial pain and has been implicated as an often overlooked source of headache, neck pain, ear pain as well as jaw pain. As many as 25% of the population may be effected (1). The most common sources of pain are internal derangement of the joint, with and without disc displacement, and myalgia resulting from trigger points.

(1) McNeely ML, Armijo OS, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther 2006; 86(5):710-725.

Clinical Reviews

Temporomandibular Joint Disorders: Prevention



Temporomandibular joint disorder (TMD) is a condition that has multiple etiologies. Pain in the temporomandibular region can arise as the result of myofascial dysfunction, arthralgia, internal derangement of the joint or as part of a larger psychosocial complex of symptoms. It should be noted that the natural course of TMD results in 31% of patients remaining symptomatic after 5 years while 33% enter remission and 36% have recurrent symptoms (1).

Temporomandibular Joint Disorders: Diagnosis



The diagnosis of temporomandibular disorders (TMD) is based on history, signs and symptoms. Pain can arise from the area of the mandible due to several distinct causes. In order to provide a more accurate diagnosis, the Journal of the American Dental Association has adopted criteria to aid in the diagnosis of TMD. The following table is a good synopsis of the ADA criteria.

Temporomandibular Joint Disorders: Therapy



Temporomandibular disorder (TMD) is a diagnosis that serves as an umbrella for a variety of underlying conditions. These conditions manifest themselves as pain or dysfunction in the region of the temporomandibular joint. In order to properly treat this condition the root cause of the problem must first be identified. Unfortunately not all studies testing efficacy of treatment identify the category of TMD being treated. When possible, treatments will be linked to categories that have been established by the American Dental Association.

Medical Subject Heading (MeSH) Information

MeSH Term: Temporomandibular Joint Disorders

Scope Note: A variety of conditions affecting the anatomic and functional characteristics of the temporomandibular joint. Factors contributing to the complexity of temporomandibular diseases are its relation to dentition and mastication and the symptomatic effects in other areas which account for referred pain to the joint and the difficulties in applying traditional diagnostic procedures to temporomandibular joint pathology where tissue is rarely obtained and x-rays are often inadequate or nonspecific. Common diseases are developmental abnormalities, trauma, subluxation, luxation, arthritis, and neoplasia. (From Thoma's Oral Pathology, 6th ed, pp577-600)

MeSH Synonyms:
  • Temporomandibular Joint Disorders
  • Disorder, Temporomandibular Joint
  • Disorders, Temporomandibular Joint
  • Joint Disorder, Temporomandibular
  • Joint Disorders, Temporomandibular
  • Temporomandibular Joint Disorder
  • TMJ Disorders
  • Disorder, TMJ
  • Disorders, TMJ
  • TMJ Disorder
  • Temporomandibular Disorders
  • Disorder, Temporomandibular
  • Disorders, Temporomandibular
  • Temporomandibular Disorder
  • Temporomandibular Joint Diseases
  • Disease, Temporomandibular Joint
  • Diseases, Temporomandibular Joint
  • Joint Disease, Temporomandibular
  • Joint Diseases, Temporomandibular
  • Temporomandibular Joint Disease
  • TMJ Diseases
  • Disease, TMJ
  • Diseases, TMJ
  • TMJ Disease
Applicable MeSH Subheadings:
  • analysis
  • anatomy and histology
  • blood
  • chemically induced
  • classification
  • complications
  • congenital
  • diagnosis
  • diagnostic imaging
  • diet therapy
  • drug therapy
  • economics
  • embryology
  • enzymology
  • epidemiology
  • ethnology
  • etiology
  • genetics
  • history
  • immunology
  • metabolism
  • microbiology
  • mortality
  • nursing
  • organization and administration
  • parasitology
  • pathology
  • physiology
  • physiopathology
  • prevention and control
  • psychology
  • radiotherapy
  • rehabilitation
  • statistics and numerical data
  • surgery
  • therapy
  • urine
  • veterinary
  • virology

Informative Links

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MayoClinic.com Myofascial Pain Syndrome Information



Mayo Clinic Health Solutions' award-winning consumer Web site offers health information and self-improvement tools. MayoClinic.com's medical experts and editorial professionals bring you access to the knowledge and experience of Mayo Clinic for all your consumer health information needs, from cancer, diabetes and heart disease to nutrition, exercise and pregnancy.
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MayoClinic.com TMJ Disorders Information



Mayo Clinic Health Solutions' award-winning consumer Web site offers health information and self-improvement tools. MayoClinic.com's medical experts and editorial professionals bring you access to the knowledge and experience of Mayo Clinic for all your consumer health information needs, from cancer, diabetes and heart disease to nutrition, exercise and pregnancy.
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MedlinePlus: Temporomandibular Joint Dysfunction



MedlinePlus will direct you to information to help answer health questions. MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations.

Current Clinical Trials Relating to  Temporomandibular Joint Disorders

ClinicalTrials.gov: Provides patients, family members, and members of the public easy and free access to information on clinical studies for a wide range of diseases and conditions.

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Photobiomodulation in Temporomandibular Disorder


(Status: Not yet recruiting)

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Biobehavioral Pain Management in TMD


(Status: Recruiting)

100 Clinical Trials Returned