The presentation of patients with symptoms associated with temporomandibular disorders (TMDs) is a common finding in general dental practice. The management of patients with TMDs is often complicated by its multifactorial aetiology. This paper aims to provide a guide for dental practitioners to the clinical examination, diagnosis, and recognition of red flags in relation to TMDs and inform the busy practitioner when to refer patients presenting with TMDs for specialist/secondary care management.
CostenJB.A syndrome of ear and sinus symptoms dependent upon disturbed function of the temporomandibular joint. Ann Otol Rhinol Laryngol. 1934;43:1-15.
DworkinSFLeRescheL.Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6(4):301-355.
5.
GerstnerGEClarkGTGouletJP.Validity of a brief questionnaire in screening asymptomatic subjects from subjects with tension-type headaches or temporomandibular disorders. Community Dent Oral Epidemiol. 1994;22(4):235-242.
6.
SladeGDOhrbachRGreenspanJD, et alPainful Temporomandibular Disorder: Decade of Discovery from OPPERA Studies. J Dent Res. 2016;95(10):1084-1092.
7.
BonatoLLQuinelatoVDe Felipe CordeiroPC, et alAssociation between temporomandibular disorders and pain in other regions of the body. J Oral Rehabil. 2017;44(1):9-15.
8.
SchiffmanEOhrbachRTrueloveE, et alDiagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: Recommendations of the international RDC/TMD consortium network and orofacial pain special interest group. J Oral Facial Pain Headache. 2014;28(1):6-27.
9.
International Headache Society (IHS). International Classification of Orofacial Pain (1st ed). Cephalgia. 2020;40(2):129-221.
10.
SladeGDBairEGreenspanJD, et alSigns and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study. J Pain. 2013;14(12 Suppl):T20-32.e1-3.
11.
GrayRJMDaviesSJQuayleAA. A Clinical Guide to Temporomandibular Disorders. London: British Dental Association; 1997.
12.
TallentsRHHatalaMKatzbergRWWestessonPL.Temporomandibular joint sounds in asymptomatic volunteers. J Prosthetic Dent. 1993;69(3):298-304.
ScullyC.Aide memoires in oral diagnosis: mnemonics and acronyms (the Scully system). J Investig Clin Dent. 2012;3(4):262-263.
15.
DurhamJAggarwalVDaviesSHarrisonSD.Temporomandibular disorders (TMDs): an update and management guidance for primary care from the UK Specialist Interest Group in Orofacial Pain and TMDs (USOT). [Internet]. London: Royal College of Surgeons of England; 2013. Available at https://www.rcseng.ac.uk/dental-faculties/fds/publications-guidelines/clinical-guidelines/ [Accessed May 2022].
16.
DoTPRemmersASchytzHW, et alRed and orange flags for secondary headaches in clinical practice: SNNOOP10 list. Neurology. 2019;92(3):134-144.
KennyTWilsonRGPurvesIN, et alA PIL for every ill? Patient information leaflets (PILs): a review of past, present and future use. Fam Pract. 1998;15(5):471-479.
21.
CurtinKBNorrisD.The relationship between chronic musculoskeletal pain, anxiety and mindfulness: Adjustments to the Fear-Avoidance Model of Chronic Pain. Scand J Pain. 2017;17:156-166.
22.
ErnstEWhiteAR.Acupuncture as a Treatment for Temporomandibular Joint Dysfunction: A Systematic Review of Randomized Trials. Arch Otolaryngol Head Neck Surg. 1999;125(3):269-272.
23.
PenlingtonCOtemadeAABowesC, et alPsychological therapies for temporomandibular disorders (TMD). Cochrane Database Syst Rev. 2019. Issue 12. Art. No.: CD013515.
24.
Al-MoraissiEAFareaRQasemKA, et alEffectiveness of occlusal splint therapy in the management of temporomandibular disorders: network meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg. 2020;49(8):1042-1056.
25.
TrueloveEHugginsKHManclLDworkinSF.The efficacy of traditional, low-cost and nonsplint therapies for temporomandibular disorder: a randomized controlled trial. J Am Dent Assoc. 2006;137(8):1099-1107.
26.
KlasserGDGreeneCS.Oral appliances in the management of temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(2):212-223.
27.
SójkaAStelcerBRoyM, et alIs there a relationship between psychological factors and TMD?Brain Behav. 2019;9(9):e01360.
28.
AggarwalAKeluskarV.Physiotherapy as an adjuvant therapy for treatment of TMJ disorders. Gen Dent. 2012;60(2):e119-122.
29.
ListTAxelssonS.Management of TMD: evidence from systematic reviews and meta-analyses. J Oral Rehabil. 2010;37(6):430-451.
30.
DimitroulisG.Temporomandibular joint surgery: what does it mean to the dental practitioner?Aust Dent J. 2011;56(3):257-264.