Self Diagnostic Exam
If you have headaches, a negative C.A.T. Scan and a normal neurological evaluation, you may have a Temporomandibular Disorder. |
I. History of Trauma |
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A. |
Automobile accident with direct trauma to head face, or neck. |
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B. |
Automobile accident with air bag deployment. |
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C. |
Rear end automobile accident with whiplash injury to neck, back, or jaw. |
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D. |
Work related injury with direct trauma to head, face, or neck. |
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E. |
Repetitive work related injury. |
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F. |
Airplane baggage compartment related injury to head face or neck. |
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G. |
Assault. |
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II. Self Assessment Questionnaire
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A. |
Do you experience Headaches ? (Especially in the morning when you wake up or in the evening when you go to bed) |
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B. |
Do you have pain around the eyes. in the forehead, or at your temples? |
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C. |
Do you have pain in the face, neck, or shoulders? |
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D. |
Do you have pain, ringing, or buzzing in your ears? |
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E. |
Do you experience clogging, fullness, or pressure in your ears that comes and goes? |
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F. |
Do you experience a clicking popping or snapping in your jaw joints when you open wide close your mouth, or bite down? |
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G. |
Do you have pain when you open wide, close your mouth, or bite down? |
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H. |
Do you have difficulty with chewing talking, or yawning? |
III. Self Screening Examination
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A. |
Face a mirror. |
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B. |
Observe opening movement of the mouth: |
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1. Lower jaw pulls to left or right on opening mouth. |
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2. Lower jaw pulls to one side, then to the other side on opening the mouth. |
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3. Pain or limited opening of mouth (less than 50 millimeters) Normal TMJ Opening Lower jaw opens straight to 50 millimeters. |
C. |
Point to where it hurts when you have your headaches: |
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D. |
Press firmly the following, assessing for pain on the left, right, or both sides: |
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1. Press at your left and right temples. |
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2. Press above your left and right ears.
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A HISTORY OF TRAUMA, “YES” TO SEVERAL OF THE TMJ QUESTIONS AND PAIN ON SELF EXAMINATION MAY INDICATE THE NEED FOR FURTHER EVALUATION BY A TEMPOROMANDIBULAR DISORDER (TMD) SPECIALIST. |
ANXIETY AND FATlGUE CAN INFLUENCE THE PROGRESS OF THIS CONDITION. |