Temporomandibular joint disease

A Temporomandibular joint disease (TMJ) and resultant dysfunction results in significant pain and impairement for many. There have been multi-factorial approaches gleaned out of thousands of clinical studies. These have been based mostly on empirical evidence. Attempts in the last decade to suggest surgical treatment modalities based on MRI and CAT scan parameters now receive less attention. These techniques are reserved for the most recalcitrant cases where other therapeutic modalities have changed. Exercise protocols and habit control have in my experience of 35 years in oral surgery appear to be the first line of approach. Certainly a focus on other possible causes of facial pain and jaw immobility and dysfunction should be the initial consideration of the examining oral surgeon or well-trained health professional. I suggest, before the attending doctor commences any plan of approach utilizing medications or surgery a thorough search for inciting para-functional jaw habits must be performed. Correction of any discrepancies from normal can be then be the primary goal.

/Talk