SCREENING FOR TMD
Screening for TMD should be an essential part of routine dental and medical examinations. A brief TMD screening evaluation may include:
BRIEF HISTORY of jaw pain, headache, neckache, noises in the TMJs, catching or locking of the jaws, injuries to the jaw, head, neck and prior TMD or orofacial pain treatment.
A SCREENING EXAM may include measurements of jaw opening and side-to-side movements, jaw deviation on opening, palpation (pressure applied with the fingers) of the TMJs, jaw, head and neck muscles to localize painful areas and identify joint noises. Evaluation of the gums, oral soft tissue and teeth, and making a record of disease, excessive tooth wear and general symmetry of the jaw, face and head may also be done. If significant findings for TMD are identified, a more comprehensive history and clinical examination should be conducted.