Temporomandibular joint disorder (TMJD) is characterized by facial pain that worsens with jaw motion, ear pain, tinnitus, headaches, and jaw dysfunction. Risk factors include joint trauma or injury and psychiatric illnesses like anxiety. Diagnosis is usually clinical based on tenderness of chewing muscles, tooth wear from bruxism, and crepitus or clicking in the TMJ. Initial management focuses on education to avoid triggers, a soft diet, dental splints if bruxism is suspected, and NSAIDs.
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Temporomandibular joint disorder HY
1. Temporomandibular joint disorder
Risk factors
Joint trauma (eg, injury, bruxism)
Psychiatric illness (eg, anxiety, history of abuse)
Clinical
manifestations
Facial pain (worsens with jaw motion)
Ear pain, tinnitus
Headache (unilateral, worse on awakening)
Jaw dysfunction
Diagnosis
Clinical, imaging not typically needed
Tenderness of mastication muscles
Tooth wear (evidence of bruxism)
Crepitus or clicking with TMJ motion
Management
Education (eg, avoidance of triggers, soft diet)
Dental splints (if bruxism suspected)
NSAIDs (eg, naproxen)