This document outlines diagnostic criteria and investigations for temporomandibular joint (TMJ) disorders. The diagnostic criteria include severe restricted opening of the mouth, joint tenderness, clicking upon opening, a closing click, limited mouth opening, and mandibular midline defects. Investigations that can be done include blood tests to check for rheumatoid factor, erythrocyte sedimentation rate, C-reactive protein, and antinuclear antibody. Imaging tests include conventional radiography, modified conventional radiography with dye injection or orthography, CT scan, MRI, and ultrasonography.
This document outlines diagnostic criteria and investigations for temporomandibular joint (TMJ) disorders. The diagnostic criteria include severe restricted opening of the mouth, joint tenderness, clicking upon opening, a closing click, limited mouth opening, and mandibular midline defects. Investigations that can be done include blood tests to check for rheumatoid factor, erythrocyte sedimentation rate, C-reactive protein, and antinuclear antibody. Imaging tests include conventional radiography, modified conventional radiography with dye injection or orthography, CT scan, MRI, and ultrasonography.
Original Description:
Diagnostic Criteria and Investigations of TMJ Disorders
This document outlines diagnostic criteria and investigations for temporomandibular joint (TMJ) disorders. The diagnostic criteria include severe restricted opening of the mouth, joint tenderness, clicking upon opening, a closing click, limited mouth opening, and mandibular midline defects. Investigations that can be done include blood tests to check for rheumatoid factor, erythrocyte sedimentation rate, C-reactive protein, and antinuclear antibody. Imaging tests include conventional radiography, modified conventional radiography with dye injection or orthography, CT scan, MRI, and ultrasonography.
This document outlines diagnostic criteria and investigations for temporomandibular joint (TMJ) disorders. The diagnostic criteria include severe restricted opening of the mouth, joint tenderness, clicking upon opening, a closing click, limited mouth opening, and mandibular midline defects. Investigations that can be done include blood tests to check for rheumatoid factor, erythrocyte sedimentation rate, C-reactive protein, and antinuclear antibody. Imaging tests include conventional radiography, modified conventional radiography with dye injection or orthography, CT scan, MRI, and ultrasonography.
(25-30mm) - Joint tenderness Articular Disc Articular Disc - Restriction of lateral movement - Clicking upon opening Displacement Displacement to contralateral side - A closing click (reciprocal click) without with Reuction - Limitation of protrusive excursion - Limited mouth opening Reuction (deflection to ipsilateral side) - Mandibular midline defelection
- Pain on TMJ palpation
either laterally or - Reported pain in masticatory intra-auricular muscles Rheumatoid Myofacial - Crepitus on any movement or - Pain on palpation in at least 3 sites, Arthritis pain radiographic evidence one of them at least in the of joint changes same side of the reported pain
INVESTIGATIONS
BLOOD TESTS CONVENTIONAL
RADKIOGRAPHY Rheumatoid factor Trans orbital Trans pharyngeal Erythrocye Trans cranial Sedimentation Rate (ESR)
Antinuclear antibody MODDIFIED CONVENTIONAL
(ANA) Dye injection C-reactive protein Orthography (CRP)