Materiały źródłowe

• #1 TMJ Disorders: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/15066-temporomandibular-disorders-tmd-overview

  TMJ dysfunction (TMD) causes pain and tenderness in your jaw joints and surrounding muscles and ligaments. TMJ treatment varies from person to person and may include medication, physical therapy, custom mouth guards and jaw surgery. […] TMJ (temporomandibular joint) disorders are a group of over 30 conditions that affect your jaw joint and surrounding muscles. […] TMJ dysfunctions are conditions affecting your jaw joints and surrounding muscles and ligaments. These conditions can cause several issues, including jaw pain, headaches and difficulty opening and closing your mouth. […] Between 5% and 12% of the general adult population have some form of TMJ disorder. The condition is twice as common in women. People between the ages of 20 and 40 are most likely to develop TMD. […] Healthcare providers classify TMDs into three categories: Disorders of your jaw joints, Disorders of your chewing muscles, Headaches that result from TMD.

• #2 Temporomandibular disorders in adults – UpToDate

  https://www.uptodate.com/contents/temporomandibular-disorders-in-adults

  Temporomandibular disorders (TMD) are commonly encountered by primary care providers. […] The goals of TMD management are to alleviate pain and to improve jaw function and quality of life. […] TMD is associated with substantial morbidity, affecting quality of life and work productivity. […] TMD patients have also been shown to use health care services at a higher rate, with a mean health care expenditure that is 1.6 times higher when compared with non-TMD individuals. […] Initial management for all patients includes patient education and self-care. […] Evaluate and treat contributory factors such as physical therapy for musculoskeletal causes, orthotics for musculoskeletal symptoms or bruxism, and biobehavioral management for psychological contributors. […] Adjunctive pharmacologic therapy may include NSAIDs for acute management and tricyclic antidepressants for persistent pain. […] Interventional management may be necessary for some patients with arthritis of the TMJ or refractory temporomandibular disorders.

• #3 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  Historically, the care of some individuals with temporomandibular disorders (TMDs), especially those with chronic and painful TMDs, has been fraught with challenges and complications. The committee identified several stumbling blocks in the evolution of effective care for individuals with a TMD, including the rise of multiple competing theories among different groups regarding what causes TMDs and how best to treat individuals with TMDs; minimal high-quality evidence about which treatments are appropriate for which patients; patient abandonment by clinicians who have exhausted their treatment capabilities; and a clouding of the role of surgery in care of patients with TMDs by harmful devices such as Proplast/Teflon- or silastic-based TMJ implants in the 1970s and 1980s. […] This chapter discusses these challenges and describes the current state of prevention, detection, assessment, diagnosis, and treatment of TMDs. The final section of the chapter explores approaches for improving the evidence base for TMD treatments and patient care: conducting clinical trials, building a TMD patient registry, and developing clinical practice guidelines. Chapter 6 addresses other challenges to the caring for individuals with a TMD, including provider education, the medical-dental divide, the lack of access to specialty care, and payment and coverage issues.

• #4 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  The multiple types of TMDs and the extensive comorbidities often seen in patients with TMDs have posed a challenge to clinicians for decades. Correct diagnosis is the first barrier, and it is complicated further by confusing terminology and a lack of clarity about the causes and development of the disorders. […] Management strategies are equally unclear, with limited or poor-quality data to support treatment decisions and siloed practices that limit the interactions of dental and medical health care professionals. […] Despite the best intentions of many of these professionals to improve the lives of individuals with a TMD and the positive treatment outcomes that many individuals with TMDs have achieved, significant challenges have led to inappropriate treatment and life-altering harm for some individuals.

• #5 Temporomandibular Joint Disorders | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/temporomandibular-joint-disorders

  Temporomandibular joint (TMJ) disorders are very common, affecting over 10 million people in the United States. […] UCSF’s oral and maxillofacial surgeons offer a full range of diagnostic services, as well as surgical and non-surgical treatments for TMJ disorders. Patients also have access to our Orofacial Pain Center, which specializes in conditions that cause orofacial pain, such as TMJ. In addition to pain management, services offered include relaxation techniques, biofeedback and acupuncture. […] Diagnosing TMJ disorders is often complex and therefore should be conducted by oral and maxillofacial surgeons experts in the field of the mouth, teeth and jaw. An accurate diagnosis of TMJ is very important before starting a treatment plan. […] There are a variety of treatments available for TMJ disorders, ranging from pain medications and relaxation techniques to splints and surgery. Depending on the severity and type of your problem, your doctor will select which treatment is most effective for you.

• #6 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  A limitation common to all classification systems is that biology and pathology are continuously variable, while classification systems, in order to enhance their reliability and validity, construct disorders with fixed boundaries. […] A clinical assessment for TMDs should include talking with the patient to hear the history of the symptoms and problems, an examination, special tests such as imaging when indicated, and psychosocial assessment. […] An adequate pain history provides the necessary level of detail within each of the following attributes: timing (onset, duration, periodicity); location and radiation; quality and severity; relieving and aggravating factors; associated factors; other pain conditions; and other aspects of pain. […] While medical history taking is part of most practitioners’ training, taking a pain history may not be, and a psychosocial history is quite often outside a practitioner’s skills, or it may be set aside due to time constraints.

• #7 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  The current standard for an examination pertinent to TMDs includes specific tests of the masticatory system and, when indicated, TMJ imaging. […] The examination should assess facial symmetry and extraoral soft tissues, jaw mobility and functional impact, possible disc disorders, and the overall pattern of replication of pain from jaw mobility testing and extraoral muscle palpation. […] To address the time limitations faced by the practicing dentist, a brief form of the DC/TMD examination procedures is currently being developed by an international group. […] The treatments in this section are organized by type of intervention as follows: psychological/behavioral/self-management, physical, complementary, pharmacological, and interventional. […] It is important to note that most current TMD treatments lack strong evidence to support or reject their use.

• #8 TMJ (Temporomandibular Joint) Disorders | Conditions & Treatments | UR Medicine

  https://www.urmc.rochester.edu/conditions-and-treatments/tmj-disorders

  TMJ disorders refer to problems in the jaw muscles, temporomandibular joints (located in front of the ear), and/or the nerves. […] You should seek care if pain is intense or if you have the following symptoms for three to six months: […] At your first appointment, you’ll receive a clinical exam and X-rays to evaluate your jaw bones and teeth. […] The newest technique for diagnosing TMJ is through an MRI (magnetic resonance imaging). […] Both a physical exam and imaging can help determine the cause of pain. […] Physical therapy, rehabilitation, and muscle treatment are often the most important conservative measures.

• #9 Temporomandibular Joint Disorder (TMJ) – MedStar Health

  https://www.medstarhealth.org/services/temporomandibular-joint-disorder-tmj

  At MedStar Health, the therapeutic team takes a top to bottom approach to TMJ treatment. […] Therapists look beyond the muscles in the face and jaw to determine the causes of TMJ and its troubling symptoms. […] Then they develop a plan of therapy to eliminate the condition and to provide patients with tools to prevent its recurrence. […] Because TMJ disorder can result from multiple conditions arthritis, faulty dental work, stress, poor head posture, or trauma therapists conduct a complete patient assessment before developing a treatment plan. […] The MedStar Health team obtains patients medical history, evaluates range of motion in the jaw and neck, and assesses their posture. […] Then therapists will design a treatment plan to relieve pain, decrease inflammation that can occur with TMJ, and restore normal joint movement.

• #10 Temporomandibular Joint Disorder (TMJ) – MedStar Health

  https://www.medstarhealth.org/services/temporomandibular-joint-disorder-tmj

  The therapeutic plan will include a variety of methods to relax tightened facial muscles, realign the jaw, as well as the neck, back, legs, and feet in order to eliminate the muscle pain that can result from chronic TMJ. […] Among the innovative therapies used in TMJ disorder treatment are: Manual therapy, incorporating a variety of techniques […] Jaw relaxation, stretching and control exercises, such as Rocabados 6 x 6 program […] Referrals for dental splints and mouth guards to realign the jaw and prevent teeth grinding/clinching […] Electromyographic biofeedback for muscle relaxation and neuromuscular retraining […] Exercises to increase muscle strength and range of motion in the neck, shoulders, and back […] Emphasis is placed on postural re-education, ergonomics, stretching and strengthening programs and, when indicated, an evaluation and fitting for foot orthotics […] PENS (patterned electrical neuromuscular stimulation) for muscle re-education […] Heat packs, ultrasound, and electrical stimulation to increase blood flow and relax muscles […] Dry needling.

• #11 Self Care – The TMJ Association

  https://tmj.org/living-with-tmj/self-care/

  If you have pain when you chew or yawn, you know the discomfort of TMJ disorders. […] Most people with TMJ have relatively mild or periodic symptoms which may improve on their own within weeks or months with simple home therapy. […] A survey of TMJ patients, conducted by the TMJA, showed the most frequently used intervention (65% of respondents) was thermal therapy (hot or cold compresses) to the jaw. 74% of the respondents said that use of compresses resulted in a reduction of their symptoms. […] Routine maintenance of the teeth and gums is important in the overall management of TMJ disorders, as it helps to reduce the risk of dental disease and the need for invasive dental treatments. […] After you have applied home therapies, if your symptoms dont improve within several weeks or months, you should discuss your concerns with your primary care physician or internist. […] When necessary, your doctor can prescribe stronger pain or anti-inflammatory medications, muscle relaxants, or antidepressants to help ease symptoms.

• #12 Temporomandibular Joint (TMJ) Syndrome Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/809598-treatment

  In most patients, the signs and symptoms of temporomandibular joint (TMJ) disorders improve over time with or without treatment. As many as 50% of patients have symptomatic improvement in 1 year and 85% in 3 years. […] Initial management of TMJ disorders is with a conservative multimodal approach. […] Conservative treatment of TMJ syndrome may include the following: Education and self-care; for example, patients should eat a soft diet, and avoid counterproductive habits such as excessive gum chewing or nail biting. Warm and cold compresses should be used at night along with gentle massage of the TMJ area. Patients should avoid jaw clenching and teeth grinding if possible. […] Pharmacologic therapy for acute and chronic TMJ-related pain includes acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs).

• #13 TMJ disorders | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tmj-disorders

  If your healthcare professional recommends surgery or other procedures, be sure to talk about the possible benefits and risks. […] These tips may help you reduce symptoms of TMJ disorders: […] Complementary and alternative medicine techniques may help manage ongoing pain often related to TMJ disorders. […] If suggested treatments don’t give you enough relief, you may be referred to a healthcare professional who specializes in TMJ disorders.

• #14 TMJ disorders: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001227.htm

  Temporomandibular joint and muscle disorders (TMJ disorders) are problems that affect the chewing muscles and joints that connect your lower jaw to your skull. […] You may need to see more than one medical specialist for your TMJ pain and symptoms. This may include a health care provider, a dentist, or an ear, nose, and throat (ENT) doctor, depending on your symptoms. […] Simple, gentle therapies are recommended first. […] Read as much as you can on how to treat TMJ disorders, as opinion varies widely. […] Ask your provider or dentist about medicines you can use. […] Mouth or bite guards, also called splints or appliances, have long been used to treat teeth grinding, clenching, and TMJ disorders. […] If conservative treatments do not work, it does not automatically mean you need more aggressive treatment. […] See your provider right away if you are having trouble eating or opening your mouth. […] Many of the home-care steps to treat TMJ problems can also help prevent the condition.

• #15 Temporomandibular Joint (TMJ) Disorders | Duke Health

  https://www.dukehealth.org/treatments/tmj-disorders

  Pain in your jaw, in the muscles that you use to chew, and around your ear, as well as difficulty opening and closing your mouth (jaw locking), jaw clicking, jaw popping, and some types of headaches could indicate a temporomandibular joint disorder, also called TMJ or TMJD. […] Symptoms can range from mild to debilitating and significantly interfere with eating, speaking, and other aspects of daily living. […] Dukes orofacial pain specialists (dentists who diagnose and treat TMJ disorders and other types of pain in the mouth and face), physical therapists, and psychologists offer evidence-based treatments for TMJ disorders. […] Our TMJ specialists offer a wide range of evidence-based treatment options to manage TMJ disorders. […] Several types of medications can help reduce inflammation and manage pain.

• #16

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3722

  Temporomandibular disorders (TMDs) are problems with the muscles and joints that connect your jaw to your skull. The disorders cause pain when you talk, chew, swallow, or yawn. You may feel this pain on one or both sides. […] If you lower your stress, you may be able to stop clenching or grinding your teeth. This will help relax your jaw and reduce your pain. Your doctor may suggest a dental splint. Splints can help reduce teeth grinding and clenching. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] You may also be able to do some things at home to feel better. But if none of this works, your doctor may prescribe medicine to help relax your muscles and control the pain.

• #17

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3722

  Put either an ice pack or a warm, moist cloth on your jaw for 15 minutes several times a day. […] Make eating easy on your jaw. Choose softer foods that are easy to chew like eggs, yogurt, or soup. […] To relax your jaw, repeat this exercise for a few minutes every morning and evening. […] Manage stress. You may be clenching or tightening your muscles when you are under stress. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: Your jaw pain gets worse. […] Call your doctor or nurse advice line now or seek immediate medical care if: Your jaw is locked open or shut or it is hard to move your jaw.

• #18 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  Thanks to a combination of factors—patient advocacy groups such as The TMJ Association bringing concerns regarding harmful treatment to the forefront, the appearance of rigorous outcomes evaluation, honest results reporting by leaders in the TMD research community, and improvements in the basic science understanding of TMD—the field of TMD care has slowly become more evidence based; however, variations in care practices still exist. […] The recognition that some TMDs are systemic pain conditions with local manifestations around the TMJ, rather than a primarily orthopedic condition, has resulted in a shift away from surgery as a first-line treatment for most patients. […] Improvements in the understanding of joint physiology and in the diagnosis of TMD have supported these changes, bringing emphasis to holistic, patient-centered treatment and the avoidance of multiple and non-indicated invasive procedures.

• #19 Temporomandibular Disorders – Medical Clinical Policy Bulletins | Aetna

  https://www.aetna.com/cpb/medical/data/1_99/0028.html

  The appropriate diagnosis and treatment of TMD is complicated by a high incidence of TMD/TMJ signs and symptoms that are associated with systemic disorders. […] The National Institutes of Health emphasizes the importance of 2 key words in therapy: conservative and reversible. […] The American Academy of Oral and Maxillofacial Surgeons Parameters of Care (2012) states: „Surgical intervention for internal derangement is indicated only when nonsurgical therapy has been ineffective and pain and/or dysfunction are moderate to severe.” […] Appliance (splint) therapy has been shown to be beneficial for TMD. […] Physical therapy is an established conservative method of TMD/TMJ treatment. […] Initial medical management of TMD/TMJ conditions may include pharmaceutical therapy, similar to other acute and chronic orthopedic and musculoskeletal conditions.

• #20 Diagnosis and Treatment of Temporomandibular Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0315/p378.html

  A Cochrane review supports the use of cognitive behavior therapy and biofeedback in both short- and long-term pain management for patients with symptomatic TMD when compared with usual management. […] Pharmacologic treatments for TMD are largely based on expert opinion. […] Only 5% to 10% of patients require treatment for TMD, and 40% of patients have spontaneous resolution of symptoms. […] Surgical interventions were reserved for patients whose symptoms did not improve after a trial of conservative therapy. […] Referral to an oral and maxillofacial surgeon is recommended if the patient has a history of trauma or fracture to the TMJ complex, severe pain and dysfunction from internal derangement that does not respond to conservative measures, or pain with no identifiable source that persists for more than three to six months.

• #21

  https://www.tmjtreatmentcentersofwi.com/management-treatment-of-tmd

  Physical therapy modalities are often required to return the muscles to normal comfort and function. These might include moist heat, ultra-sound, massage, stretches, transcutaneous electro-neural stimulation (TENS) or electro-galvanic stimulation (EGS). […] Such conservative management techniques have proven to be safe and effective in the vast majority of TMD cases. While rarely needed, surgery is sometimes performed when conservative treatment has failed to improve comfort and function. However, even when TMD symptoms are long standing and severe, most patients rarely require invasive treatments designed to permanently change the bite or repositioning of the jaw. […] There is no reason to live with the pain. The risks of leaving TMD untreated simply aren’t worth it. […] For very mild cases, or prior to being able to see a TMD specialist, there are self-management actions you can do for yourself, such as: Limit your jaw opening movement to about two finger widths, Avoid chewing hard or very chewy food, or gum, Cut food into smaller pieces, Massage painful facial muscles, Use cold packs or moist heat packs, Avoid grinding clenching your teeth, Practice keeping teeth apart and lips together, Avoid chewing non-food items, ie: pencils, fingernails, etc., Avoid playing musical instruments that put pressure on your jaw, Learn stress management and relaxation techniques, Keep a diary of your pain, and anything, or any time of the day or night, that makes it better or worse.

• #22 TMJ Disorders: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/15066-temporomandibular-disorders-tmd-overview

  You can’t always prevent TMD because some risk factors are unavoidable. But there are things you can do to reduce your risk: Wear a mouth guard at night if you clench or grind your teeth, Wear a mouth guard while playing contact sports, Practice good posture, Practice meditation, mindfulness or other stress reduction techniques. […] TMJ dysfunction affects everyone differently. For some, it’s a temporary issue that goes away in a week or two. For others, it’s a chronic condition that negatively impacts quality of life. […] If you have frequent jaw pain, facial pain, headaches or other TMJ symptoms, tell a healthcare provider. They can help you find an effective treatment. […] If you have persistent TMJ pain, popping jaws or other symptoms, schedule a visit with a healthcare provider. They can help you find out why your jaws are aching and determine what kind of treatment you need.

• #23 Temporomandibular Joint TMJ Disorders, Symptoms, & Treatments | UPMC

  https://www.upmc.com/services/rehab/crs/conditions/temporomandibular-joint-disorders

  If self-care treatments don’t help your TMJD, physical therapy may be the answer. […] The goals of physical therapy for TMJD are to: Strengthen the jaw. Promote flexibility in the jaw. Restore your jaw’s range of motion. Improve blood flow in the jaw. Ease pain and muscle tension in the jaw. Correct posture and how your jaw aligns. […] Home treatments and physical therapy are often enough to ease the pain of TMJD. […] If those treatments don’t help, your doctor may suggest other options like: Pain medicine or muscle relaxers. A dental splint, or nightguard. This device fits over the teeth, and you wear it at night. It can help ease muscle tension and make your jaw stable without changing your bite. […] Surgery is a last resort for TMJD. Most doctors want to avoid treatments that permanently change your jaw. Your doctor will only suggest surgery if you have severe pain or trouble opening your mouth.

• #24

  https://www.fairviewdentalcolumbia.com/oral-health/tmj-tmd-treatment/

  Transcutaneous electrical nerve stimulation (TENS). This therapy uses low-level electrical currents to provide pain relief by relaxing your jaw joint and facial muscles. It can be done at the dentists office or at home. […] Ultrasound. Deep heat applied to the joint can relieve soreness or improve mobility. […] Trigger-point injections. Pain medication or anesthesia is injected into tender facial muscles called trigger points to give relief. […] Radio wave therapy. Radio waves stimulate the joint, which increases blood flow and eases pain. […] Low-level laser therapy. This lowers pain and inflammation and helps you move your neck more freely and open your mouth wider. […] If you grind your teeth at night, you may require a mouth guard for protection and prevention. Other causes may affect your bite as well, which may require corrective dental treatment. We can improve bite by balancing the surfaces of your teeth, and by replacing missing teeth or damaged implants, crowns, or fillings. Maintaining a stable bite is essential to ones oral health, and ensures that ones teeth will come in contact in the most pain-free manner possible. Talk to your dentist about these treatments for TMD and which are right for you.

• #25 Get Temporomandibular Joint (TMJ) Disorder Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/temporomandibular-joint-disorder-treatment

  Temporomandibular joint (TMJ) disorders can affect how you easily you eat, sleep, talk or smile. […] TMJ disorders are manageable. And the experts at Cleveland Clinic are here to figure out whats causing your pain, stiffness or other symptoms. […] We offer a broad range of TMJ disorder treatments, including medication, dental appliances, injections, electrical stimulation, physical therapy and surgery. […] TMJ disorders have many causes, like teeth grinding, stress and acute injuries. […] We help you recognize and stop daytime habits that make your jaw pain worse. […] Physical therapists can press on tight tissue to release tension and provide other therapies to lessen pain. […] Nonsteroidal anti-inflammatory medications (NSAIDs), like aspirin, ibuprofen (Motrin, Advil) or naproxen (Aleve), can relieve TMD pain and swelling.

• #26 Temporomandibular disorders in adults – UpToDate

  https://www.uptodate.com/contents/temporomandibular-disorders-in-adults

  Temporomandibular disorders (TMD) are commonly encountered by primary care providers. […] The goals of TMD management are to alleviate pain and to improve jaw function and quality of life. […] TMD is associated with substantial morbidity, affecting quality of life and work productivity. […] TMD patients have also been shown to use health care services at a higher rate, with a mean health care expenditure that is 1.6 times higher when compared with non-TMD individuals. […] Initial management for all patients includes patient education and self-care. […] Evaluate and treat contributory factors such as physical therapy for musculoskeletal causes, orthotics for musculoskeletal symptoms or bruxism, and biobehavioral management for psychological contributors. […] Adjunctive pharmacologic therapy may include NSAIDs for acute management and tricyclic antidepressants for persistent pain. […] Interventional management may be necessary for some patients with arthritis of the TMJ or refractory temporomandibular disorders.

• #27 Temporomandibular Joint (TMJ) Syndrome Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/809598-treatment

  If conservative therapies fail, or for severe acute exacerbations, intra-articular injection of local anesthetics or steroids may be used for TMJ syndrome. […] If conservative treatments fail, operative repair may be considered. […] However, in a long-term study by Fricton et al, synthetic implants did not lead to an improved outcome compared with nonimplant surgical repair or nonsurgical rehabilitation. […] Offer routine follow-up care with an ear, nose, and throat (ENT) specialist, dentist, or an oral maxillofacial surgeon (OMFS). If intractable pain and/or dislocation are present, more urgent consultation may be necessary.

• #28 Temporomandibular Disorders – Medical Clinical Policy Bulletins | Aetna

  https://www.aetna.com/cpb/medical/data/1_99/0028.html

  This Clinical Policy Bulletin addresses temporomandibular disorders. […] For plans that cover treatment of temporomandibular disorder (TMD) and temporomandibular joint (TMJ) dysfunction, requests for TMJ surgery require review by Aetna’s Oral and Maxillofacial Surgery patient management unit. […] Aetna considers physical therapy to be a medically necessary conservative method of TMD/TMJ treatment. […] Aetna considers relaxation therapy, electromyographic biofeedback, and cognitive behavioral therapy medically necessary for treatment of TMJ/TMD. […] Aetna considers intra-articular corticosteroid injection medically necessary for the treatment of TMJ disorder. […] Medically necessary surgical procedures for TMJ/TMD include therapeutic arthroscopy, arthrocentesis, condylotomy/eminectomy, modified condylotomy, arthroplasty, and joint reconstruction using autogenous or alloplastic materials.

• #29 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  Fourth, with the growing recognition that TMDs are a set of complex and multidimensional conditions has come heightened interest in the variance in how people respond to training in self-management. […] Finally, although there is evidence that formal training in self-management can be effective, much less is known about how it works. […] Research is needed to identify other critical potential mediators of self-management training in TMD care. […] A variety of pharmacological treatments have been suggested for the management of the pain and symptoms associated with TMDs. […] Most studies on pharmacological treatments have focused on evaluating the efficacy of various drugs in relieving pain, which is the primary reason for which individuals with a TMD seek medical care. […] However, there are no drugs specifically approved by FDA for this disorder, and the evidence for the efficacy of many of the recommended treatments is weak.

• #30 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  A brief summary of select pharmacological approaches to TMD pain relief and relevant studies is presented below. […] The inconsistent efficacy of NSAIDs in relieving chronic pain associated with severe TMDs has led to exploration of alternatives, including the use of opioid analgesics. […] The use of botulinum toxin Type A in the muscles of mastication has been proposed to decrease muscle spasm and pain. […] However, the data are limited and often of poor quality. […] Patients with bony ankylosis, condylar injuries, developmental abnormalities, functional deformity, severe inflammatory conditions, and/or painful or dysfunctional internal derangements after failed conservative and surgical treatment, all of whom have not responded to less invasive treatments, may be candidates for a TMJ replacement with alloplastic implants.

• #31 Get Temporomandibular Joint (TMJ) Disorder Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/temporomandibular-joint-disorder-treatment

  We offer customized mouth guards, splints and other devices to help with bruxism (teeth grinding) or mild bite problems. […] If youve tried other treatment options and you still have severe pain, it may be time to consider surgery. […] Our expert providers treat lots of people with TMJ dysfunction. Theyll find the right treatment for you and your jaw pain.

• #32 TMJ Disorders – Palos Heights, IL – Midwest OMS

  https://www.midwestomspalos.com/services/tmj-disorders/

  Splints/Nightguards: Worn over the teeth to prevent clenching and grinding, reduce muscle tension, and protect the joint surfaces. […] Anterior Positioning Appliance: Moves the jaw forward to relieve pressure and aid in disk repositioning, often worn throughout the day for healing support. […] Orthotic Stabilization Appliance: Helps reposition the jaw and can be worn all day or just at night, aiding in proper jaw alignment. […] Lifestyle Modifications: Adapting daily habits to minimize stress on the jaw, which may include practicing relaxation techniques and dietary changes. […] TMJ (temporomandibular joint) disorders affect the jaw joints, which connect the jaw to the skull. […] Symptoms include jaw pain, clicking or popping sounds when opening your mouth, difficulty chewing or opening your mouth, headaches, and even earaches. Some may also experience jaw locking or stiffness.

• #33 Diagnosis and Treatment of Temporomandibular Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0315/p378.html

  Temporomandibular disorders (TMD) are a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, and surrounding musculature and osseous components. […] Most patients improve with a combination of noninvasive therapies, including patient education, self-care, cognitive behavior therapy, pharmacotherapy, physical therapy, and occlusal devices. […] Referral to an oral and maxillofacial surgeon is indicated for refractory cases. […] Supportive patient education is the recommended initial treatment for TMD. […] A multidisciplinary approach is successful for the management of TMD. […] Initial treatment goals should focus on resolving pain and dysfunction. […] Physical therapy for improving symptoms associated with TMD. […] Acupuncture is used increasingly in the treatment of myofascial TMD.

• #34 Temporomandibular Joint (TMJ) Disorders | Duke Health

  https://www.dukehealth.org/treatments/tmj-disorders

  A custom-made, removable mouth guard, called an orthotic appliance, can help relieve pain by stabilizing your jaw and protecting your teeth from clenching or grinding. […] Physical therapists assess how your jaw functions and teach you exercises to stretch and strengthen jaw muscles, adjust jaw posture, and improve jaw function. […] Injections can help treat TMJ disorders. […] Your doctor may recommend complementary therapies like massage or acupuncture to help relieve pain and other TMJ symptoms. […] Our psychologists offer techniques to reduce distress, tension, and negative thoughts that exacerbate TMJ symptoms.

• #35 TMD (Temporomandibular Disorders) Causes, Symptoms, Diagnosis, Treatment | National Institute of Dental and Craniofacial Research

  https://www.nidcr.nih.gov/health-info/tmd

  The goal of physical therapy is to maintain, improve, or bring back movement and physical function. […] Certain behavioral health approaches, usually offered by a psychologist, have been shown to help manage TMDs. […] Your doctor or dentist may recommend medication(s) to treat your symptoms. […] Intraoral appliances are devices that fit over the teeth. […] A complementary treatment is a non-mainstream practice used together with conventional medicine. […] The treatments discussed in this section are more complex, involve going into the chewing muscles or the temporomandibular joints (with a needle or other instrument), or changing your bite and teeth. […] Surgery should only be considered if there is destruction of the joint that cannot be fixed with other procedures. […] Remember: Before any surgery, including implant surgery, it is extremely important to get opinions from more than one doctor and to completely understand the risks.

• #36 TMD (Temporomandibular Disorders) Causes, Symptoms, Diagnosis, Treatment | National Institute of Dental and Craniofacial Research

  https://www.nidcr.nih.gov/health-info/tmd

  Temporomandibular disorders (TMDs) are a group of more than 30 conditions that cause pain and dysfunction in the jaw joint and muscles that control jaw movement. […] Many TMDs last only a short time and go away on their own. However, in some cases they can become chronic, or long lasting. […] Temporomandibular disorders are twice as common in women than in men, especially in women between 35 and 44 years old. […] Because evidence is lacking for the majority of TMD treatments, experts strongly recommend staying away from treatments that cause permanent changes to the jaw joints, teeth, or bite; or that involve surgery. […] If these steps do not help, or if in the process of trying them your doctor/dentist diagnoses a specific type of TMD, one or more of the following treatments may be recommended.

• #37 CG-SURG-09 Temporomandibular Disorders

  https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_a051149.html

  Surgery should only be considered if: […] Anti-inflammatory medications are indicated for TMJ inflammation and arthritis, while physical therapy techniques may provide more benefits to individuals with a TMD that is muscular in nature. […] Referral should be made to other dental or medical health care providers, including those with expertise in TMD, oral surgery, behavioral health, or pain management if the diagnostic and/or treatment needs are beyond the treating dentist’s scope of practice. […] Consider reversible therapies for all patients, including children and adolescents, with signs and symptoms of TMD. In general, irreversible therapies are to be avoided or considered only as a last option.

• #38 Temporomandibular Joint Dysfunction (TMJ) | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/temporomandibular-joint-dysfunction-tmd

  The surgeons at the Robotic Surgery Research and Training Program at Boston Children’s Hospital are dedicated to helping your child get better faster. […] Arthrocentesis is a minimally invasive procedure to treat TMD. […] If your child is suffering from TMJ pain, there are several things you can do to help prevent it worsening: […] If home care isn’t enough, a physical therapist can help your child with stretching and strengthening, which can reduce pain. […] Most children with TMD will not require surgery. However, if your child needs surgery, physicians in our Oral and Maxillofacial Surgery Program can help your child get better, faster. […] There is a range of options for how your child’s doctor may choose to treat his TMD based on how severe his symptoms are. For many children, self-care will be enough to manage TMD; for others, however, physical therapy, dental treatments and joint surgery may be needed.

• #39

  https://www.ndcs.com.sg/patient-care/conditions-treatments/temporomandibular-joint-disorder

  Temporomandibular Joint Disorder (TMJD) is a group of conditions that cause pain and loss of normal function to the temporomandibular joint (TMJ) or jaw joint. […] TMJD can originate from the chewing muscles, cartilage disk or the joint bone. […] Our Oral surgeons perform TMJ (temporomandibular joint) surgery of varying complexity. These include: simple washing of the joint (arthrocentesis), inserting a scope (arthroscopy) through an incision to examine and treat the joint, open joint surgery. […] You may be a candidate for joint surgery if: there is disease in your joint, there are degenerative changes in your joint, you do not respond to non-surgical management. […] Temporomandibular joint disorder may be treated surgically or non-surgically, depending on the diagnosis and the cause. […] Some TMJD symptoms can be relieved with the use of a bite guard. A bite guard is especially useful for patients who grind their teeth during sleep. […] Surgery may be the best option for patients who do not respond well to non-surgical treatment.

• #40 TMJ disorders – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tmj/diagnosis-treatment/drc-20350945

  Your healthcare professional will likely discuss your symptoms and study your jaw by: […] TMJ arthroscopy also is sometimes used to treat TMJ disorder. The procedure can help with therapy, such as releasing scar tissue and removing inflammatory soft tissue and byproducts to improve TMJ symptoms and help the jaw move without pain. […] Our caring team of Mayo Clinic experts can help you with your TMJ disorders-related health concerns Start Here […] If your symptoms don’t go away, your healthcare professional may recommend treatment options, often more than one to be done at the same time. […] Along with other treatments that don’t involve surgery, these medicine options may ease the pain related to TMJ disorders: […] Therapies for TMJ disorders that don’t involve drugs include: […] When other methods don’t help, your healthcare professional might suggest procedures such as:

• #41 TMJ Disorders: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/15066-temporomandibular-disorders-tmd-overview

  TMJ dysfunction can contribute to a range of complications, including chronic pain, limited chewing function and bruxism-related wear and tear. […] The TMJ treatment that’s right for you depends on several factors, including the underlying cause and the severity of your pain. Providers usually try noninvasive options first, like medications or nonsurgical treatments. If your symptoms don’t improve, you might need jaw surgery. […] Nonsurgical treatment options include: Mouth guards, Physical therapy, Trigger point injections, Ultrasound therapy, Transcutaneous electrical nerve stimulation (TENS), Behavioral changes. […] If medications and nonsurgical therapies don’t work, you might need surgery. Types of TMJ surgery include: Arthrocentesis, TMJ arthroscopy, Open-joint surgery. […] TMJ specialists include: Oral surgeons, Orthodontists, Otolaryngologists, Prosthodontists.

• #42 TMJ and Facial Pain | Patient Care

  https://weillcornell.org/tmj-and-facial-pain

  The oral and maxillofacial surgeons at Weill Cornell Medicine will perform a complete work up to arrive at the correct diagnosis and develop an appropriate treatment plan for you. […] Treatment options therefore vary related to the diagnosis. […] Warm Compresses […] Nightguard Therapy […] Physical Therapy/Jaw Exercises […] Muscle Relaxants/Anti-Inflammatory Medications […] BOTOX Injections into Surrounding Musculature […] Arthrocentesis […] Open Arthroplasty – Open Arthroplasty accesses the temporomandibular joint surgically for the purpose of addressing more advanced degenerative changes. […] Total Temporomandibular Joint Replacement is necessary when a joint is not otherwise salvageable due to severe degenerative changes. […] The physicians at the Weill Cornell Medicine Dentistry, Oral and Maxillofacial Surgery Division offer patients the highest level of safety and care.

• #43 Temporomandibular Disorders – Medical Clinical Policy Bulletins | Aetna

  https://www.aetna.com/cpb/medical/data/1_99/0028.html

  There is strong evidence of effectiveness for the relaxation class of techniques in reducing chronic pain associated with a variety of medical conditions. […] Acupuncture and trigger-point injections may be used for TMD pain. […] In cases involving chronic intractable pain and/or prior (including multiple) TMJ surgical procedures, caution is recommended due to the significant morbidity that may be experienced with TMJ surgical interventions. […] In a review on TMD, Laudenbach and Stoopler (2003) noted that when patients do not respond to non-invasive TMD therapy, surgical procedures are considered.

• #44 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  The TMJ implants that are currently on the market have been subjected to testing by manufacturers in compliance with FDA requirements for Class III devices. […] However, earlier implants, which have since been removed from the market, were associated with severe complications, which often went unrecognized until years after surgery. […] As introduced above, the use of Proplast/Teflon-based TMJ implants in the 1970s and 1980s resulted in severe adverse events and the need for corrective surgery in some patients. […] In 1991 an FDA bulletin recommended the removal of all previous Proplast/Teflon TMJ implants based on evidence of mechanical failures resulting in significant adverse health outcomes. […] Evidence-based findings need to be widely disseminated to dentists and other clinicians to ensure that the treatment approaches individuals with a TMD receive are consistently based on the best available evidence and focused on starting with conservative approaches.

• #45 Temporomandibular Disorders: MedlinePlus

  https://medlineplus.gov/temporomandibulardisorders.html

  It’s important to be careful, because sometimes surgery or another procedure may not work or may even make your symptoms worse. Before any surgery or other procedure, it is very important to get opinions from more than one provider and to completely understand the risks. If possible, get an opinion from a surgeon who specializes in treating TMDs.

• #46 TMJ Disorders & TMD Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/care/ent/services/oral-maxillofacial-surgery/conditions/tmj-disorders

  Many dentists are trained in conservative therapies for TMJ, such as a night guards and bite plates. However, patients and/or their dentists should be referred to an oral and maxillofacial surgeon if their condition requires further attention. Specifically, if patients are experiencing a lack of improvement with physical therapy, bite plates, and/or medication. At Mount Sinai, our oral and maxillofacial surgeons have vast experience with treating all stages and facets of TMJ. We collaborate closely with your dentist and physical therapist, as well as each patient, allowing all to become integral partners in their treatment planning. […] The treatment plan is directly related to the signs, symptoms and the diagnosis. The oral and maxillofacial surgeons at Mount Sinai will perform a complete work up to arrive at the correct diagnosis and develop an appropriate treatment plan for you.

• #47 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  In the assessment of literature pertaining to treatments for individuals with TMDs, rarely can a small research study prove direct harm; rather, the outcome measure typically relates to treatment effectiveness. […] Most notably, the pursuit of ineffective treatment delays the receipt of optimal management. […] Furthermore, providing ineffective treatments can instill false hope in suffering individuals and their families as well as increase the costs of health care. […] Chapter 6 discusses improvements needed in the health care management of individuals with TMDs including the proposal of centers of excellence for TMD care. […] The establishment of professional societies, such as the American Academy of Orofacial Pain, has helped to advance greater understanding and adoption of the role of scientific evidence in making clinical decisions by dentists and physical therapists who treat TMDs.

• #48 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  Data are inadequate and are of poor quality for most treatments for temporomandibular disorders (TMDs). Research is needed to determine safe and effective treatments for TMDs. […] Evidence-based clinical practice guidelines from a trusted source are needed to effectively manage care for individuals with a temporomandibular disorder.

• #49 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  Historically, patients suffering from a TMD have turned to dental and medical professionals for help, often to find little expertise available. Some are given non-evidence-based interventions, which can lead to a worsening of the disorder and unintended harm. […] One important historical example of a treatment approach that resulted in significant harm to patients involved the use of Proplast/Teflon-based implants in the temporomandibular joint (TMJ) in the 1970s and 1980s. […] In addition to learning about this history of implants, the committee heard from many individuals with a TMD who have experienced a seemingly endless stream of interventions, continual frustration, and provider abandonment. […] Patients with chronic orofacial pain have said that it is important for health care professionals to be empathetic even when no effective treatments can be offered.

• #50 Empowering You With The Truth – The TMJ Association

  https://tmj.org/

  I was better prepared for my appointment with a TMJ specialist as a result and was able to ask the right questions, which made me realize I needed to continue seeking opinions before deciding which route to take. […] It is wonderful to know that there is a place that understands and shows empathy for people like me who suffer with this illness. […] I appreciate all the information, especially the links to studies that the website provides.

• #51 TMJ disorders – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tmj/diagnosis-treatment/drc-20350945

  If your healthcare professional recommends surgery or other procedures, be sure to talk about the possible benefits and risks. Also, ask about all your options. […] You’ll probably first talk about your TMJ symptoms with your family healthcare professional or dentist. If suggested treatments don’t give you enough relief, you may be referred to a healthcare professional who specializes in TMJ disorders.

• #52 TMJ disorders – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tmj/symptoms-causes/syc-20350941

  TMJ disorders affect the temporomandibular joint, located on each side of your head in front of your ears. […] Most of the time, the pain and discomfort related to TMJ disorders lasts for only a limited time. Self-managed home care, physical therapy for the jaw and the use of a mouth guard can be effective in treating symptoms of TMJ disorder. […] Seek medical attention if you have constant pain or tenderness in your jaw that occurs suddenly or during jaw movements or if you can’t open or close your jaw completely. Your dentist, TMJ specialist or other healthcare professional can discuss possible causes and treatments. […] TMJ disorders care at Mayo Clinic.

• #53 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  Yet, many challenges remain in the optimization of TMD care. […] This leaves well-meaning providers without reliable treatment strategies. […] Cautious and collaborative management is the rule. […] The cornerstone of the progressive management of disease is prevention. […] Primary prevention strategies are handicapped by the lack of research aimed at more fully understanding the role of various physical traumas or prolonged dental experiences in leading to chronic, painful TMDs in some individuals. […] With so little known about the causes and development of TMDs, primary prevention strategies have focused mainly on behaviors such as eating soft food and avoiding items like apples or large sandwiches that require excessive jaw opening. […] Another prevention strategy is early recognition and management of the biological and psychosocial contributors to TMDs, including comorbid medical conditions such as juvenile idiopathic arthritis and other rheumatologic diseases.

• #54 Temporomandibular Joint Dysfunction | TMJ | Self-care

  https://omahadentists.net/blog/5-care-steps-dealing-with-tmj/

  TMJ pain affects your ability to eat, sleep, and speak, but that does not mean you are helpless! Self-care methods can greatly reduce your TMJ pain, and allow you to resume normal activities. […] By preventing teeth clenching and realigning the jaw, customized mouth guards prove indispensable. […] Many people unknowingly clench their jaws during stressful situations. Learning stress-relief techniques such as meditation, mindfulness, and breathing can reduce the wear and tear stressful situations create for your jaw. […] This technique is frequently used to relieve TMJ pain with excellent results. […] A quick, low-maintenance way to ease TMJ pain is to use your index and middle fingers to slowly, yet firmly stroke the areas that feel painful. […] TMJ may not necessarily indicate a weakened jaw muscle, but could be a manifestation of another affected area, such as your back, neck, or stomach. By utilizing strength training, you will create a network of strong muscles that support your overall posture.

• #55 TMJ disorders | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/tmj-disorders

  The exact cause of TMJ disorder is often hard to determine. […] Self-managed home care, physical therapy for the jaw and the use of a mouth guard can be effective in treating symptoms of TMJ disorder. […] Seek medical attention if you have constant pain or tenderness in your jaw that occurs suddenly or during jaw movements or if you can’t open or close your jaw completely. […] If your symptoms don’t go away, your healthcare professional may recommend treatment options, often more than one to be done at the same time. […] Along with other treatments that don’t involve surgery, these medicine options may ease the pain related to TMJ disorders: […] Therapies for TMJ disorders that don’t involve drugs include: […] When other methods don’t help, your healthcare professional might suggest procedures such as:

• #56 Temporomandibular Joint TMJ Disorders, Symptoms, & Treatments | UPMC

  https://www.upmc.com/services/rehab/crs/conditions/temporomandibular-joint-disorders

  TMJD is a problem in the joint where the jawbone meets the skull. Clicking, popping, pain, and a clenched jaw are all signs of TMJD. […] Doctors don’t always know how to cure TMJD, but they do have many ways to treat the symptoms. […] If you think you have TMJD, it’s vital to see a doctor. Early treatment can help ease pain and stiffness in the jaw. […] Your doctor may suggest starting with self-care treatments at home. For many people, this is enough to ease their symptoms. […] When TMJD symptoms flare up, your doctor may suggest: Eating soft foods. Taking nonsteroidal anti-inflammatory drugs such as Ibuprofen. Switching between ice packs and heat to the jaw. Using relaxation techniques. Learning to manage stress. Avoiding movements where your mouth is wide open, like wide yawning or singing.

• #57 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  A similar push toward the early diagnosis and management of other factors that cause or contribute to TMDs may decrease future morbidity. […] Prevention must not stop at the onset of a TMD. […] This secondary prevention approach requires close collaboration between the individual and his or her health care professional to avoid over-treatment, iatrogenic harm, or an aggravation of a TMD and to identify self-care or other interventions that may decrease the negative impact of the disorder on that individual. […] Finally, in those patients who have developed TMDs along with widespread or multiple-site pain, a tertiary prevention strategy aims to minimize escalation to high-impact pain, which causes disability that limits work productivity and the ability to enjoy life. […] Following the publication of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), a central concern was whether the DC/TMD in its present form is appropriate for clinical use.

• #58 Temporomandibular Disorders (TMD) From Research Discoveries to Clinical Treatment | National Academies

  https://www.nationalacademies.org/our-work/temporomandibular-disorders-tmd-from-research-discoveries-to-clinical-treatment

  Temporomandibular disorders (TMDs) are disorders associated with the temporomandibular joint and the muscles and tissues of the jaw. […] The committee will identify multidisciplinary approaches necessary to the development and implementation of safe and effective clinical treatments for TMD, as well as strategies to advance TMD research and education. […] This report addresses the current state of knowledge regarding TMD research, education and training, safety and efficacy of clinical treatments of TMDs, and burden and costs associated with TMDs. […] The recommendations of Temporomandibular Disorders focus on the actions that many organizations and agencies should take to improve TMD research and care and improve the overall health and well-being of individuals with a TMD. […] The ad hoc committee will identify approaches to advance basic, translational, and clinical research in the field.

• #59 Caring for Individuals with a TMD – Temporomandibular Disorders – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557986/

  Considered overall, it seems fair to conclude that there is growing recognition that self-management is important in care of TMDs. […] Much more needs to be done to advance the practice and science of self-management of TMDs. […] First, there is a need to involve patients, their families, health care professionals, and other key stakeholders in the review and evaluation of current TMD self-management materials and resources and peer-led and therapist-led self-management training protocols. […] Second, there is a need for programmatic research to develop and test novel self-management programs for individuals with a TMD. […] Third, although novel theoretical frameworks are available to guide the development of self-management interventions that can be readily disseminated, these have not received much attention in the TMD area.

• #60 Temporomandibular Disorders: Priorities for Research and Care | The National Academies Press

  https://nap.nationalacademies.org/catalog/25652/temporomandibular-disorders-priorities-for-research-and-care

  Temporomandibular disorders (TMDs), are a set of more than 30 health disorders associated with both the temporomandibular joints and the muscles and tissues of the jaw. […] This report addresses the current state of knowledge regarding TMD research, education and training, safety and efficacy of clinical treatments of TMDs, and burden and costs associated with TMDs. […] The recommendations of Temporomandibular Disorders focus on the actions that many organizations and agencies should take to improve TMD research and care and improve the overall health and well-being of individuals with a TMD. […] Caring for Individuals with a TMD. […] Improving TMD Health Care: Practice, Education, Access, and Coverage. […] Improving Patient, Family, and Public Education and Awareness About TMDs.

• #61 Empowering You With The Truth – The TMJ Association

  https://tmj.org/

  Common Temporomandibular Disorders (TMJ) symptoms include pain in the area of the jaw joint and/or limited jaw movement, clicking and locking. […] For over 30 years, The TMJ Association has been the trusted source of information on TMJ providing you with the latest and most comprehensive science-based information needed to make informed healthcare decisions. […] The complexity of TMJ requires diagnosis and treatment by medical and other health care providers working in collaboration. […] There is little to no scientific evidence that TMJ treatments are safe and effective. […] We cannot do this important work without you! Help us to continue our progress towards advancing research, public awareness and safe and effective treatments for this debilitating condition. […] The guidance we received from The TMJ Association helped us make the right treatment decision, and were so grateful for the time and effort spent educating us about TMJ treatment options.

• #62 Effective TMJ Disorder Treatment Options: Expert Care at CSAT Taylorsville – The Center for Sleep Apnea and TMJ

  https://www.sleepandtmjutah.com/tmj-disorder-treatment-options-expert-care

  Temporomandibular joint (TMJ) disorders can significantly impact an individual’s quality of life, causing pain and discomfort in the jaw and surrounding areas, as well as interfering with normal daily activities. Seeking expert care is essential for proper diagnosis, management, and relief of TMJ disorder symptoms. At CSAT Taylorsville – The Center for Sleep Apnea and TMJ, our team of doctors, led by world-renowned expert Dr. Jamison Spencer, DMD, MS, provides personalized, effective care to patients with TMJ disorders. […] There is no one-size-fits-all solution when it comes to TMJ disorder treatment. Each patient’s needs are unique, and an individualized approach is necessary to achieve the best results. At CSAT Taylorsville – The Center for Sleep Apnea and TMJ, we are committed to thoroughly evaluating each patient’s situation and working collaboratively to develop a tailored treatment plan suited to their specific needs.

• #63 TMJ Disorders: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/15066-temporomandibular-disorders-tmd-overview

  TMJ dysfunction affects everyone differently. It can result in temporary discomfort or chronic jaw pain that lasts for months or even years. While the condition can be difficult to diagnose, there are treatments that can help. If you have jaw pain, headaches or other symptoms that keep you from enjoying life, talk to your healthcare provider. They can find the cause and recommend appropriate treatment.

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