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TMD (temporomandibular joint disorders) and Orofacial Pain (disorders of the oral and facial regions) can result from diseases in the head and neck region, disorders of the nervous system or other, more widespread diseases that can affect other muscles and joints in the body. Disorders of the mouth and face include difficulty with normal jaw function such as eating, opening the mouth or speech.When pain or functional problems affect the joints of the jaw (TMJ), and/or the related muscles, the problems are called temporomandibular disorders. There may be physical factors (trauma, motor vehicle accidents), oral and behavioural habits (chewing, nail biting, grinding/clenching of teeth) and stress-related factors (emotional problems, anxiety), that can cause TMD. Orofacial Pain refers to any pain in the cervico-facial region (neck and face). The cause of Orofacial Pain can be some form of injury or improper function of the jaw joints, muscles, and/or teeth. Treatment modalities are directed towards the management of the pain condition. Though both conditions may not have an obvious cause, they require a thorough medical history and clinical examination, to determine the possible source of the pain. Radiographs or more sophisticated imaging (MRI or CT scan) may be necessary to reach a proper diagnosis. The sooner these symptoms are addressed, the better. Patient management of Temporomandibular Joint Disorder and Orofacial Pain starts with an assessment. A written questionnaire will be mailed to the patient for completion at home. It is important that patients bring this questionnaire and all relevant medical and dental information (xrays, medication, appliances,etc) to the initial appointment. An interview, to obtain relevant medical and dental history of the complaint is completed first. This is followed by a complete examination of the oral, neck and facial regions. Diagnosis and treatment options are then discussed with the patient. Treatment is designed to reduce pain and improve jaw function using self-care, physical therapy, relaxation and pain management methods, and dental appliances. A referral to other medical specialties may be suggested. A team approach to your symptoms is something we support. This includes you, your family, and your personal care givers (dentist, medical doctor, physical therapist, pharmacist, chiropractor, massage therapist, clinical psychologist).