ChiroACCESS Clinical Review



Temporomandibular Joint Disorders: Diagnosis

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

September 14, 2010

Text Size:     
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 (1;2).  The following table is a good synopsis of the ADA criteria (3).


AttentionIn order to view the full content of this review, which includes information broken down by topic, you must be a registered user of ChiroACCESS. The primary mission of ChiroACCESS is to disseminate accurate user-friendly information to practicing chiropractors, faculty and students of chiropractic in order to ensure the best possible patient care.

Please click on the following link in order to register at ChiroACCESS and view the full detail of this clinical review.

If you already have an account, you may log in at this time.



References

1. 

Truelove E, Sommers EE, LeResche L, Dworkin SF, Von Korff M. Clinical diagnostic criteria for TMD: new classification permits multiple diagnosis. JADA 1992; 123(4):47-54.

 [ Medline ID 1290490 ]

2. 

Dworkin SF, Turner JA, Mancl L, Wilson L, Massoth D, Huggins KH et al. A randomized clinical trial of a tailored comprehensive care treatment program for temporomandibular disorders. J Orofac Pain 2002; 16(4):259-276.

 [ Medline ID 12455427 ]

3. 

Emshoff R, Brandlmaier I, Bertram S, Rudisch A. Comparing methods for diagnosing temporomandibular joint disk displacement without reduction. J Am Dent Assoc 2002; 133(4):442-451.

 [ Medline ID 11991461 ]

4. 

Visscher CM, Naeije M, De Laat A, Michelotti A, Nilner M, Craane B, et al. Diagnostic accuracy of temporomandibular disorder pain tests: a multicenter study. J Orofac Pain 2009;23(2):108-14.

 [ Medline ID 17312640 ]

5. 

Silva RS, Conti PC, Lauris JR, da Silva RO, Pegoraro LF. Pressure pain threshold in the detection of masticatory myofascial pain: an algometer-based study. J Orofac Pain 2005; 19(4):318-324.

 [ Medline ID 16279483 ]

6. 

Farella M, Michelotti A, Steenks MH, Romeo R, Cimino R, Bosman F. The diagnostic value of pressure algometry in myofascial pain of the jaw muscles. J Oral Rehabil 2000; 27(1):9-14.

 [ Medline ID 10632838 ]

7. 

Visscher CM, Lobbezoo F, Naeije M. Comparison of algometry and palpation in the recognition of temporomandibular disorder pain complaints. J Orofac Pain 2004; 18(3):214-219.

 [ Medline ID 15509000 ]

8. 

Clark GT, Delcanho RE, Goulet JP. The utility and validity of current diagnostic procedures for defining temporomandibular disorder patients. Adv Dent Res 1993; 7(2):97-112.

 [ Medline ID 8260017 ]

9. 

Dworkin SF, LeResche L, DeRouen T, Von Korff M. Assessing clinical signs of temporomandibular disorders: Reliability of clinical examiners. J Prosthet Dent 1991; 63:574-579.

 [ Medline ID 2338670 ]

10. 

Goulet JP, Clark GT, Flack VF, Liu C. Reproducibility of maximum mandibular movement measurements and muscle and joint palpations in the temporomandibular system. Community Dent Oral Epidemio 1993; 21:72-77.

 [ Medline ID 9656895 ]

11. 

Lest T, Helkimo M, Falk G. Reliability and validity of a pressure threshold meter in recording tenderness in the masseter muscle and the anterior temporalis muscle. Cranio 1989; 7(3):223-229.

 [ Medline ID 2638211 ]

12. 

Dworkin SF, LeResche L, De Rouen T. Reliability of clinical measurements in temporomandibular disorders. Clin J Pain 1988; 4:89-99.



13. 

Clark GT, Delcanho RE, Goulet JP. The utility and validity of current diagnostic procedures for defining temporomandibular disorder patients. Adv Dent Res 1993 Aug;7(2):97-112.

 [ Medline ID 8260017 ]

14. 

Limchaichana N, Petersson A, Rohlin M. The efficacy of magnetic resonance imaging in the diagnosis of degenerative and inflammatory temporomandibular joint disorders: a systematic literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102(4):521-536.

 [ Medline ID 16997121 ]

15. 

Emshoff R, Brandlmaier I, Gerhard S, Strobl H, Bertram S, Rudisch A. Magnetic resonance imaging predictors of temporomandibular joint pain. J Am Dent Assoc 2003; 134(6):705-714.

 [ Medline ID 12839406 ]

16. 

Tallents RH, Katzberg RW, Murphy W, Proskin H. Magnetic resonance imaging findings in asymptomatic volunteers and symptomatic patients with temporomandibular disorders. J Prosthet Dent 1996; 75(5):529-533.

 [ Medline ID 8709019 ]

17. 

Brandlmaier I, Rudisch A, Bodner G, Bertram S, Emshoff R. Temporomandibular joint internal derangement: detection with 12.5 MHz ultrasonography. J Oral Rehabil 2003; 30(8):796-801.

 [ Medline ID 12880402 ]

18. 

Emshoff R, Bertram S, Rudisch A, Gassner R. The diagnostic value of ultrasonography to determine the temporomandibular joint disk position. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84(6):688-696.

 [ Medline ID 9431541 ]

19. 

Jank S, Rudisch A, Bodner G, Brandlmaier I, Gerhard S, Emshoff R. High-resolution ultrasonography of the TMJ: helpful diagnostic approach for patients with TMJ disorders? J Craniomaxillofac Surg 2001; 29(6):366-371.

 [ Medline ID 11777356 ]

20. 

Landes CA, Goral W, Mack MG, Sader R. 3-D sonography for diagnosis of osteoarthrosis and disk degeneration of the temporomandibular joint, compared with MRI. Ultrasound Med Biol 2006; 32(5):627-632.

 [ Medline ID 16677921 ]