GGC - MSK Index
Referred pain
Local inflammation/infection
Neurovascular
Psychiatric
Medically unexplained
MSK TMD assessment
Warning
TMD symptoms are common
Around 1 in 3 (33%) of people will have TMD.
Symptoms can severely affect quality of life.
Typical Symptoms
- Pain and tenderness over muscles of mastication
- Aggravated by chewing and other jaw activity
- Limited mouth opening
- Joint sounds
Causes
Multi-factorial
Commonly associated with:
- Facial trauma
- Daytime/night-time oral habits
- Poor posture
- Emotional stress
Questionnaires can be useful to help identify contributing factors to the pain and assess progress:
Oral health behaviours checklist
Diagnostic criteria of TMD symptom questionnaires
Jaw function limitation scale (8 item and 20 item)
Patient health questionnaire (4 item; 9 item; 15 item)
General anxiety disorder questionnaire (GAD-7)
Using the assessment form from ACPTMD.co.uk will identify relevant subjective and objective findings.
Complete Clinical Reasoning form
Acland's video atlas of human anatomy. The temporomandibular joint.
Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group. Journal of oral facial pain headache. 2014:28(1):6-27
Expanding the Taxonomy of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Journal of oral rehabilitation. 2014;41(1):2-23
Okeson J.P. (2012). Management of Temporomandibular Disorders and Occlusion. Elsevier.