Craniomandibular dysfunction and orofacial pain


If you have noticed that your ears, head, neck or a kind of small internal bumps in the ears hurt, you may have a Craniomandibular Dysfunction or DCM.

  • Do you have pain when you speak or eat?
  • Do you have headaches frequently?
  • Do you have pain in the cervical area, shoulders or back?
  • Do you have an earache?
  • Do you hear noises in the jaw joints?
  • Having trouble opening and closing your mouth?
  • Do you clench or grind your teeth?
  • Have you noticed any recent changes in your bite?
  • Have you recently suffered any head or neck trauma?
  • Do you suffer from arthritis or any other joint problem? 


What is the temporomandibular joint and what problems can give it to us?

The temporomandibular joint or ATM is the joint that connects the jaw with the temporal bone, located in the skull, and that allows the opening and closing movements of the mouth, as well as the movements of the jaw to the sides. 

ATM is involved in the chewing of food and phonation, which is why it is considered the most used joint in our body.

Temporomandibular disorders (TMD) or Craniomandibular Dysfunction (DCM) have a very varied symptomatology and the pain of the muscles of mastication and / or joint is the most frequent symptom.

The pain can manifest as an earache, such as tinnitus (those bumps or sounds that we notice in the ear and that do not come from any external source), headache , cervicalgia (pain in the neck) or as other facial pains. 

Does it affect many people?

Up to 10% of people manifest any symptoms related to a malfunction of the mandibular joint and most are women. The causes that cause it are varied, They can be from emotional stress to the habit of clenching or grinding your teeth, biting your nails, eating chewing gum frequently, forced and repetitive mandibular opening or direct trauma. There are also other less frequent causes, such as rheumatoid diseases, malformations and tumors.  

How I would be treated?

Most cases are solved with conservative treatment, that is, without surgery. As, for example, with medications to relieve pain and relax the chewing muscles, with dental devices (discharge splints) and physiotherapy. For more severe cases that do not respond to this treatment, an arthroscopy can be performed, which is a minimally invasive surgical intervention with rapid recovery and no scars.

Our team of specialists in oral and maxillofacial surgery at the GBCOM 1 clinic will advise you on the best therapeutic option in your case.

We know that an exact diagnosis, together with good coordination between maxillofacial surgeons and physiotherapist, are the key to a good result.