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B. X-ray, MRI or bone scintigraphy demonstrate TMJ disorder; C. Evidence that pain can be attributed to the TMJ disorder, based on at least one of the following: pain is precipitated by jaw movements or chewing of hard or tough food; reduced range of or irregular jaw opening; noise from one or both TMJs during jaw movements
Temporomandibular joint pain is generally due to one of four reasons. Myofascial pain dysfunction syndrome, primarily involving the muscles of mastication. This is the most common cause. Internal derangements, an abnormal relationship of the disc to any of the other components of the joint. Disc displacement is an example of internal derangement.
Prosthetic TMJ placement surgery is used as a last resort to manage severe pain and restricted function due to TMJ disorders. At the onset of symptoms, primary prevention such as a soft diet, cessation of gum chewing, physiotherapy and the use of non-steroidal anti-inflammatory drugs are put into place.
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Adverse effects of this approach also include pain, nerve damage, and loss of sensation due to the location of the inferior alveolar nerve. Anti-inflammatory medication can be used to slow the resorption process. Arthrocentesis, and arthroscopic surgery are also sometimes used to treat disc displacement and other symptoms. [2]