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Temporomandibular Joint Disorder (TMD)

Rita M. Lahlou, MD, MPH and Benjamin N. Schneider, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Syndrome characterized by

    • Pain and tenderness involving the muscles of mastication and surrounding tissues

    • Sound, pain, stiffness, or grating in the temporomandibular joint (TMJ) with ...

DIAGNOSIS

  • TMD is a clinical diagnosis, and localized pain is the unifying feature.

  • Several research classification systems exist. Most share several of the history and physical findings listed below.

HISTORY

TREATMENT

Signs and symptoms will abate without any interventions in most patients. 50% report improvement at 1 year and 85% by 3 years. With conservative therapy, symptoms resolve in 75% of cases wit...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Relax jaw by disengaging teeth.

  • Avoid wide, uncontrolled opening, such as yawning.

  • Stress management and behavior modification counseling may be helpful.

  • Be aware of...

REFERENCES

1
Slade GD, Fillingim RB, Sanders AE, et al. Summary of findings from the OPPERA prospective cohort study of incidence of first-onset temporomandibular disorder: implications and future dire...

ADDITIONAL READING

CODES

ICD10

  • M26.60 Temporomandibular joint disorder, unspecified

  • M26.62 Arthralgia of temporomandibular joint

  • M26.63 Articular disc disorder of temporomandibular joint

  • M26.69 Other specified disorders of ...

CLINICAL PEARLS

  • The condition called TMD actually designates a number of potential underlying joint and muscle conditions involving the jaw.

  • Characteristics of all conditions are pain and functional li...

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