Oral hygiene is very important, patients are advised to brush the teeth before going to bed at night and morning after breakfast.
They are asked to chew (bite) the food equally on both sides jaw at the same time.
If the patient has any teeth problem, they should be treated by the dentist.
Ask the patient not to open his mouth too wide, not to eat hard food for few months and then to put cotton in
the ears when sitting under the fan or going out in cold breeze and traveling..
Local application of anti-inflammatory gel over the joint area and systemtic anti inflammatory drugs would
help to relive pain and swelling of the joint.
In long standing case, suffering from head ache more than one year, in addition to we have to give intrarticular
injection of Hydrocartisone ½ ml mixed with xylocaine once in 3 weeks, 3 to 5 injections depending on severity
of the condition.
The most important thing to prevent recurrence of headache and other symptoms is continuation of equal jaw
movements that is bitting equally on both sides while eating at all the times.
• Surgery is indicated in cases when the conservative and injection therapy which fail to relieve pain and other symptoms .
• When there is X-ray evidence of damage to the disc & condyle is present.
1. Removal of damaged articular disc and interposition of autogenous free graft (conchal cartilage) or alloplastic implant (silastic sheet or Goretex).
2. Mandibular high condylectomy (rarely).
T.M.J syndrome is number one cause for headache in humanity.
Headache and unilateral throat pain with normal ENT examination findings we should always suspect TMJ syndrome.
Headache in children when they come from school, in the absence of any ENT or any other problems is always due to TMJ syndrome. Headache, heaviness in the head, ear ache and giddiness after exposure to cold breeze while driving bike or car, walking in a cold breeze and after head bath is always due to TMJ syndrome.