Temporomandibular Joint Syndrome Treatment & Management

Updated: Jan 02, 2018
  • Author: Vivian Tsai, MD, MPH, FACEP; Chief Editor: Herbert S Diamond, MD  more...
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Treatment

Emergency Department Care

Signs and symptoms of temporomandibular joint (TMJ) disorders improve over time with or without treatment for most patients. As many as 50% of the patients have symptomatic improvement in 1 year and 85% in 3 years. The following conservative measures should be attempted before invasive therapies, such as orthodontics or surgery, are recommended [10] :

  • Analgesics - Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Muscle relaxants - Benzodiazepines
  • Moist heat and massage of masticatory muscles
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Consultations

Provide outpatient follow-up care with ear, nose, and throat (ENT) specialist or oral surgeon. However, if intractable pain is present, more urgent consultation is necessary.

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