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Temporomandibular joint disorder
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[[File:Skull_diagram.png|350px|thumb|right|The TMJ joint attaches the lower jaw to the rest of the skull. The temporomandibular joint is the joint between the mandible (light blue) and the temporal bone (orange) of the skull.<ref name="anatomy">{{Cite web|url=https://www.webmd.com/oral-health/ss/slideshow-tmj-tmd-overview | title = Visual guide to TMD/TMJ | last = | first = | author-link =| last2 = | first2 = | authorlink2 = | date = | website = WebMD|language=en|archive-url=|archive-date=|url-status=|access-date=2022-04-19}}</ref>]] '''Temporomandibular joint disorder''' (TMJ/TMD) can cause jaw [[pain]] and pain in the [[Muscle|muscles]] that control your jaw. A combination of factors can cause this disorder such as genetics, arthritis or jaw injury.<ref name="mayo">{{Cite news | url=http://www.mayoclinic.org/diseases-conditions/tmj/home/ovc-20209398 | title = TMJ disorders - Symptoms and causes|work=Mayo Clinic|access-date=2018-08-22|language=en}}</ref> Dentists and doctors can diagnose TMJ/TMD, including Ear, Nose and Throat Specialists (ENT), and oral surgeons.<ref name="anatomy" /> TMJ/TMD is more common in [[fibromyalgia]] patients than in ME/CFS patients.<ref name="ScienceOfFibro">{{Cite journal | last =Clauw | first = Daniel J. | author-link = Daniel Clauw | last2 = Arnold | first2 = Lesley M. | authorlink2 = | last3 = McCarberg | first3 = Bill H. | date = Sep 2011 | title = The Science of Fibromyalgia|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258006/|journal=Mayo Clinic Proceedings|volume=86|issue=9 | pages = 907β911|doi=10.4065/mcp.2011.0206|issn=0025-6196|pmc=3258006|pmid=21878603|access-date=|quote=|via=}}</ref><ref name="ICC2011primer" /> == Symptoms == TMD may cause severe [[pain]] and discomfort, and can affect either one or both sides of your face. It can be temporary or last many years. It is more common in women and among people between the ages of 20 and 40.<ref name="webmd" /> ===Common symptoms=== *[[Headache]]s *Jaw pain *Clicking in the jaw, which may be painful *Difficulty opening or closing the mouth or chewing *Jaws that get "stuck" or "lock" in the open- or closed-mouth position *Ringing in the ears ([[tinnitus]]) *Pain or tenderness in your face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide *Problems when you try to open your mouth wide *Clicking, popping, or grating sounds in the jaw joint when you open or close your mouth or chew. *Trouble chewing or a sudden uncomfortable bite -- as if the upper and lower teeth are not fitting together properly *Swelling on the side of the face *Other symptoms may include toothaches, [[dizziness]], [[earache]]s, hearing problems, or upper shoulder pain.<ref name="jhm">{{Cite web|website =John Hopkins Medicine|access-date=2021-11-28 | title = Temporomandibular disorder |url =https://www.hopkinsmedicine.org/health/conditions-and-diseases/temporomandibular-disorder-tmd}}</ref><ref name="webmd">{{Cite news | url=https://www.webmd.com/oral-health/guide/temporomandibular-disorders-tmd#2 | title = Temporomandibular Disorders (TMJ & TMD) | last = | first = | date = |work=WebMD|access-date=2018-08-22|archive-url=|archive-date=|url-status=|language=en-US}}</ref> == Examination and tests == Tooth decay, sinus problems, arthritis, or gum disease need to be ruled out. Jaw joints are checked for pain or tenderness, clicks, pops, or grating sounds when you move them. Locking when you open or close your mouth and your bite will be examined as well as a check of facial musles. X-rays, [[MRI]] or CT scan may be ordered.<ref>{{Cite news | url=http://www.webmd.com/oral-health/guide/temporomandibular-disorders-tmd#2-4 | title = Temporomandibular Disorders (TMJ & TMD)|work=WebMD|access-date=2018-08-22|language=en-US}}</ref> == ME/CFS == [[ME/CFS]] patients may have comorbid TMD, although it is not as common as many other [[comorbidities|comorbid conditions]].<ref name="ICC2011primer">{{citation | last1 = Carruthers | first1 = BM | authorlink1 = Bruce Carruthers | last2 = van de Sande | first2 = MI | authorlink2 = Marjorie van de Sande | last3 = De Meirleir | first3 = KL | authorlink3 = Kenny de Meirleir | last4 = Klimas | first4 = NG | authorlink4 = Nancy Klimas | last5 = Broderick | first5 = G | authorlink5 = Gordon Broderick | last6 = Mitchell | first6 = T | authorlink6 = Terry Mitchell | last7 = Staines | first7 = D | authorlink7 = Donald Staines | last8 = Powles | first8 = ACP | authorlink8 = A C Peter Powles | last9 = Speight | first9 = N | authorlink9 = Nigel Speight | last10 = Vallings | first10 = R | authorlink10 = Rosamund Vallings | last11 = Bateman | first11 = L | authorlink11 = Lucinda Bateman | last12 = Bell | first12 = DS | authorlink12 = David Bell | last13 = Carlo-Stella | first13 = N | authorlink13 = Nicoletta Carlo-Stella | last14 = Chia | first14 = J | authorlink14 = John Chia | last15 = Darragh | first15 = A | authorlink15 = Austin Darragh | last16 = Gerken | first16 = A | authorlink16 = Anne Gerken | last17 = Jo | first17 = D | authorlink17 = Daehyun Jo | last18 = Lewis | first18 = DP | authorlink18 = Donald Lewis | last19 = Light | first19 = AR | authorlink19 = Alan Light | last20 = Light | first20 = KC | authorlink20 = Kathleen Light | last21 = Marshall-Gradisnik | first21 = S | authorlink21 = Sonya Marshall-Gradisnik | last22 = McLaren-Howard | first22 = J | authorlink22 = John McLaren-Howard | last23 = Mena | first23 = I | authorlink23 = Ismael Mena | last24 = Miwa | first24 = K | authorlink24 = Kunihisa Miwa | last25 = Murovska | first25 = M | authorlink25= Modra Murovska | last26 = Stevens | first26 = SR | authorlink26 = Staci Stevens | title = Myalgic encephalomyelitis: Adult & Paediatric: International Consensus Primer for Medical Practitioners | date = 2012| isbn = 978-0-9739335-3-6 | url = http://www.investinme.org/Documents/Guidelines/Myalgic%20Encephalomyelitis%20International%20Consensus%20Primer%20-2012-11-26.pdf}}</ref> A study by Newton et al. (2015) found that ME/CFS patients who also had TMD had greater [[autonomic nervous system]] dysfunction.<ref name="Robinson2015" /> The study found that 31% had both TMD and ME/CFS, and the remaining 69% had TMD without ME/CFS.<ref name="Robinson2015">{{Cite journal | title = Autonomic function in chronic fatigue syndrome with and without painful temporomandibular disorder | date = 2015-10-02|url=https://www.researchgate.net/publication/283039144_Autonomic_function_in_chronic_fatigue_syndrome_with_and_without_painful_temporomandibular_disorder|journal = Fatigue: Biomedicine, Health & Behavior |volume=3|issue=4|pages=205β219 | last =Robinson | first = Lucy J. | author-link = | last2 = Durham | first2 = Justin | authorlink2 = | last3 = MacLachlan | first3 = Laura L. | author-link3 = | last4 = Newton | first4 = Julia L. | authorlink4 = Julia Newton|doi=10.1080/21641846.2015.1091152|pmc=|pmid=|access-date=|issn=2164-1846|quote=|via=}}</ref> {{See also|Myalgic encephalomyelitis}} == Fibromyalgia == Many people with [[fibromyalgia]] develop temporomandibular disorder, previously known as TMJ.<ref name="ScienceOfFibro" /> A review by Soares et al (2015) found fibromyalgia has "characteristics that constitute predisposing and triggering factors for TMD".<ref name="Soares2015">{{Cite journal | last =Soares Gui | first = Maisa | last2 = Pimentel | first2 = Marcele Jardim | last3 = Rizzatti-Barbosa | first3=C'elia Marisa | date = 2015-03-01 | title = Temporomandibular disorders in fibromyalgia syndrome: a short-communication|url=https://www.sciencedirect.com/science/article/pii/S2255502114001758|journal=Revista Brasileira de Reumatologia (English Edition)|language=en|volume=55|issue=2|pages=189β194|doi=10.1016/j.rbre.2014.07.004|issn=2255-5021|via=ScienceDirect}}</ref> {{See also|Fibromyalgia}} ==See also== *[[Chronic pain]] == Learn more == *[http://www.mayoclinic.org/diseases-conditions/tmj/home/ovc-20209398 TMJ Disorders - Mayo Clinic] *[https://www.hopkinsmedicine.org/health/conditions-and-diseases/temporomandibular-disorder-tmd Temporamandibular disorder] - Johns Hopkins Medicine *[https://en.wikipedia.org/wiki/Temporomandibular_joint_dysfunction Temporomandibular joint dysfunction - Wikipedia] == References == {{reflist}} [[Category:Diagnoses]] [[Category:Potential comorbidities]] [[Category:Signs and symptoms]] [[Category:Musculoskeletal diseases and disorders]]
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