TMJ Disorders
Temporomandibular Disorders
aka TMD
Heterogeneous group of musculoskeletal & neuromuscular disorders involving TMJ, masticatory muscles and associated structures.
§ overviewOverview
Heterogeneous group of musculoskeletal & neuromuscular disorders involving TMJ, masticatory muscles and associated structures.
§ clinicalClinical Features
- 01Preauricular pain
- 02Clicking / crepitus
- 03Restricted mouth opening
- 04Deviation on opening
§ investigationsInvestigations
- 01Clinical DC/TMD criteria
- 02MRI — disc position and effusion
- 03CBCT — bony changes
§ classificationClassification
- 01Myofascial pain
- 02Disc displacement (with/without reduction)
- 03Osteoarthritis
- 04Ankylosis
§ treatmentTreatment
- 01Conservative: patient education, soft diet, NSAIDs, occlusal splints, physiotherapy
- 02Minimally invasive: arthrocentesis, intra-articular steroids/hyaluronate
- 03Surgical: arthroscopy, discoplasty, condylectomy, total joint replacement for end-stage disease
§ prognosisPrognosis
70–80% respond to conservative therapy.
Draft — pending faculty review. Educational use only; verify against current guidelines and primary sources before clinical application.