temporomandibular joint syndrome
Temporomandibular joint syndrome is a symptom complex that manifests itself as pain on palpation of the chewing muscles, crackling during movements in the temporomandibular joint (TMJ) and / or pain above it with limited mobility of the lower jaw. The predominant age is 30-50 years. The predominant gender is female (3:1).
- Synovitis TMJ
- TMJ disc pathology
- Bruxism – teeth grinding during sleep
- Spasm of chewing muscles
- TMJ injury
- Inadequate fitting of dentures. Risk factors
- The habit of clenching the jaw, grinding the teeth, yawning frequently
- Osteoarthritis, rheumatoid arthritis
- Psychosocial stress. Pathomorphology
- Displacement of the mandibular condyle head or anterior TMJ disc
- TMJ capsulitis
- Disc metaplasia leading to disc perforation and degeneration.
- Pain in the cheekbones and/or TMJ
- Limitation of joint mobility
- Clicking, grinding, crackling during movements in the TMJ
- Pain in the ear canal
- Irradiation of pain in the neck.
- Contrast video arthrography allows you to determine the degree of mobility of the TMJ and disc during chewing. MRI to assess disc position
- Arthroscopy for the purpose of visual examination of intra-articular structures. Differential Diagnosis
- Fracture or dislocation of the lower jaw
- trigeminal neuralgia
- Neoplasms with lesions of the TMJ.
- Rejection of bad habits that cause muscle tension and excessive mobility of the TMJ
- Fixation of the lower jaw
- Bite correction with orthodontic devices
- Local physiotherapy procedures with thermal effect
- Central muscle relaxants: mydocalm 0.05-0.1 g 2-3 r / day
- NSAIDs: indomethacin 25 mg 3 r / day, voltaren 25 mg 3 r / day, etc. Periodic general blood tests, urine tests, FEGDS are recommended during treatment
- To reduce pain.-.amit-riptyline 25 mg at night.
- Chronic dislocation of the TMJ
- Joint contractures
See also Arthritis, rheumatoid
Reduction. TMJ – temporomandibular joint. K07.6 Diseases of the temporomandibular joint