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Sometimes TMD pain can radiate or be referred from its cause (i.e. the TMJ or the muscles of mastication) and be felt as headaches, earache or toothache. [12] Due to the proximity of the ear to the temporomandibular joint, TMJ pain can often be confused with ear pain. [23]
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.
TMJ disorders affect as many as 1 in 10 Americans and yet remain poorly understood and ineffectively treated.
Trismus is defined as painful restriction in opening the mouth due to a muscle spasm, [5] however it can also refer to limited mouth opening of any cause. [6] Another definition of trismus is simply a limitation of movement. [4]
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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]
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