ChiroACCESS Clinical Review

Temporomandibular Joint Disorders: Diagnosis

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.


How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Published on

September 14, 2010

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The diagnosis of temporomandibular disorders (TMD) is based on history, signs and symptoms.  Pain can arise from the area of the mandible due to several distinct causes.  In order to provide a more accurate diagnosis, the Journal of the American Dental Association has adopted criteria to aid in the diagnosis of TMD (1;2).  The following table is a good synopsis of the ADA criteria (3).

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Clark GT, Delcanho RE, Goulet JP. The utility and validity of current diagnostic procedures for defining temporomandibular disorder patients. Adv Dent Res 1993; 7(2):97-112.

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Brandlmaier I, Rudisch A, Bodner G, Bertram S, Emshoff R. Temporomandibular joint internal derangement: detection with 12.5 MHz ultrasonography. J Oral Rehabil 2003; 30(8):796-801.

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Landes CA, Goral W, Mack MG, Sader R. 3-D sonography for diagnosis of osteoarthrosis and disk degeneration of the temporomandibular joint, compared with MRI. Ultrasound Med Biol 2006; 32(5):627-632.

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