TMD 2 - Definition and diagnosis of TMD

Question 1

What are the signs and symptoms of TMD?

Answer 1

• Pain
• Tenderness to palpation
• Jaw movement – limited opening or deviations
• Joint sounds – clicking, crepitus (grating)
• Evidence of parafunction
• Headaches

Question 2

What are the 2 diagnosis’ of TMD?

Answer 2

Axis I = physical diagnosis

Axis II = psychosocial diagnosis

Question 3

Where can TMD pain arise from?

Answer 3

Muscle
Joint/disc
Both

Question 4

What is TMD myalgia?

Answer 4

Pain in the masseter or temporalis

Question 5

What is TMD arthralgia?

Answer 5

Pain in TMJ region

Question 6

What are the 4 types of disc displacements of TMJ?

Answer 6

Disc displacement with reduction - click/pop/snap in jaw movements
Disc displacement with reduction with intermittent locking
Disc displacement without reduction with limited opening
Disc displacement without reduction without limited opening

Question 7

What is subluxation of the TMJ?

Answer 7

TMJ locks open and self manipulated to close

Question 8

What 3 tests can be done in axis II TMJ diagnosis?

Answer 8

Psychosocial axis
Pain drawing - where
PHQ4 - questionnaire to show if any anxiety/depression
GCPS - graded chronic pain scale, what pain/ how long/ how affects life