COMMON FINDINGS IN PATIENTS WITH TEMPOROMANDIBULAR DYSFUNCTION
HEADACHE: Frequent, frontal, temporal, retro-ocular and dull/tight headaches of muscular origin.
FACIAL PAIN: Masticatory muscle pain; Masseters, Temporalis and Digastrics are a most common areas of complaint but all masticatory (chewing) muscles may be painful. Preauricular pain (anterior to the ears). Chewing may be painful.
NECK AND UPPER BACK PAIN: Trapezius, Stemocleidomastoid, Rhomboid among others.
TEMPOROMANDIBULAR JOINTS: Clicking, locking and crepitus (grating sounds). May be painful on mandibular movements and chewing. Bony degeneration or disc displacements may be seen on radiographs or MRI images.
EARS: Stuffiness, fullness. Sharp pain stimulated by chewing or unstimulated.
CERVICOGENIC HEADACHES: Often starting in the occipital (upper neck) area and projecting to frontal, parietal and orbital areas. May be aggravated by posterior cervical muscle hyperactivity associated with Temporomandibular Dysfunction.
MASSETER HYPERTROPHY: From bruxing and/or clenching.
TINNITIS: Low level in one or both ears.
FORWARD HEAD POSTURE: Related to the posterior cervical muscle hyperactivity of TMD.
NUMBNESS OR TINGLING: In fingers, hands or arms.
TOOTH WEAR: From bruxing. Cuspal pits (from enamel rod fracture) and periodontal recession on the buccal from clenching are also seen.
TOOTH PAIN: Sensitivity to cold or pain on chewing.
SLEEP: Is disturbed by pain which increases bruxing/clenching and results in more pain and fatigue. Patients frequently report better sleep patterns after treatment for TMD.