Temporomandibular joint disorder

Very low urgency
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These are alterations of the joints and muscles that connect the jaw to the skull.

They are caused by mechanical alterations of the structures that compose it, as well as psychic disorders.

It manifests with clicking and pain when opening and closing the mouth.

The diagnosis is made through clinical history.

Treatment is based on physical measures and conventional analgesics. In many cases, it resolves spontaneously and rarely requires surgery.

Bibliographic references
  1. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33:629.
  2. Maixner W, Diatchenko L, Dubner R, et al. Orofacial pain prospective evaluation and risk assessment study--the OPPERA study. J Pain 2011; 12:T4.
  3. Reneker J, Paz J, Petrosino C, Cook C. Diagnostic accuracy of clinical tests and signs of temporomandibular joint disorders: a systematic review of the literature. J Orthop Sports Phys Ther 2011; 41:408.
  4. Petscavage-Thomas JM, Walker EA. Unlocking the jaw: advanced imaging of the temporomandibular joint. AJR Am J Roentgenol 2014; 203:1047.
  5. Durham J, Newton-John TR, Zakrzewska JM. Temporomandibular disorders. BMJ 2015; 350:h1154.
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Symptoms

    Pain in the jaw joint


    Difficulty in opening and/or closing your mouth due to an alteration of the joint


    Pain increase when chewing


    Pain in mouth


    Teeth-grinding

Symptoms to watch out for

Inability to fully open or close the jaw
Pain that does not subside with analgesics.

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Use mouthguards.
Avoid excessive use of the jaw.
Stretch and massage the jaw muscles.
Apply warm compresses 3 to 4 times a day for 10 to 15 minutes.