Diagnosis of Temporomandibular Disorders (TMD)
TMD can usually be diagnosed based on your symptoms and a thorough physical exam.
A physical exam may be completely normal despite symptoms, or may reveal:
- Jaw or muscle tenderness
- Muscle spasm in the area of the temporomandibular joint (TMJ)
- Clicking, popping, or grating sounds and sensations when you open or close your jaw
- Misalignment of the jaw or teeth or easy displacement of the jaw
- Difficulty fully opening the mouth
The number and severity of symptoms and findings can allow TMD to be staged.
There are no specific tests available that can definitively diagnose TMD. If your symptoms are extreme, your healthcare provider may try the following:
x-rays are not usually helpful in diagnosing TMD, but they may:
- Exclude other conditions that mimic TMD
Reveal other problems, such as
dislocations, or systemic disease
- Ultrasound—Pain in TMD most commonly originates outside the joint, primarily in muscles. Ultrasound can provide a view of the muscles adjacent to the joint.
- Arthrography—Rare, and may be used to evaluate the affected area if treatment methods are not working.
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