temporomandibular joint syndrome

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
    • malocclusion
    • Fibromyalgia
    • Psychosocial stress. Pathomorphology
    • Displacement of the mandibular condyle head or anterior TMJ disc
    • TMJ capsulitis
    • Disc metaplasia leading to disc perforation and degeneration.

Clinical picture

    • Pain in the cheekbones and/or TMJ
    • Limitation of joint mobility
    • Clicking, grinding, crackling during movements in the TMJ
    • Headache
    • Pain in the ear canal
    • Irradiation of pain in the neck.

X-ray examination

    • 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
    • Periodontitis
    • Neoplasms with lesions of the TMJ.


Conservative therapy

    • 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.

Surgical treatment should be used to correct a misaligned disc or replace a diseased disc if conservative therapy fails.


    • Chronic dislocation of the TMJ
    • Joint contractures
    • Depression.

See also Arthritis, rheumatoid

Reduction. TMJ – temporomandibular joint. K07.6 Diseases of the temporomandibular joint

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