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Transcript
TMJ disorders management and referral pathway for Leeds Dental Institute (May 2012)
General Dental Practitioner assessment
Painless click
Muscle tenderness
Closed lock <2cm
Painless joint
crepitations
Tenderness over joint
Joint crepitations with
pain
Explanation,
reassurance and
discharge
Increased resistance to
movement
Conservative management
- Explanation and reassurance
Interim
conservative
advice
- Soft diet
- NSAIDs
- Soft bite raising appliance if
indicated (e.g. parafunction)
Review in 6 weeks or sooner if
symptoms increase
Improvement?
Yes
Review at regular intervals
as required
No
Referral to Oral Maxillofacial
Department via referral form