Sequential Approach to Differential Diagnosis of TMJ Disorder from Other Oro Facial Muscles Pain – A Systematic Review

Abstract

This systematic review (SR) synthesises recent evidence and assesses the methodological quality of published SRs in the Differential diagnosis of temporomandibular disorders (TMD). A systematic literature search was conducted in the PubMed, Cochrane Library, and Bandolier databases for 1987 to September 2019. Three investigators evaluated the methodological quality of each identified SR using two measurement tools: The assessment of multiple systematic reviews (AMSTAR) and level of research design scoring. Thirty-one SRs met inclusion criteria and 28 were analysed: 20 qualitative SRs and eight meta-analysis. The main aim of this article is to Differential diagnose the pain which is not related to any dental disease. Most of dental clinician have problem to diagnose TMD (Temporomandibular Disorders) and Orofacial Muscle pain. The approach of this article is to simplify the differential diagnosis for better and fast treatment of the respective disease by classifying various TMJ related and muscle related problems.

A Plastic Surgeons Guide to the Temporomandibular Joint: Part III, Treatment

“…MRI can elucidate subtle signs of TMJ dysfunction, including thickening of anterior or posterior bands, articular disk changes in shape or position, joint effusion, and retro-discal tissue rupture. 18 If there is evidence of joint dysfunction or signs of recent trauma, dental infection, abscess, malocclusion, pathologic lesions, or dislocation, this may prompt more aggressive forms of treatment.…”