TMD: Temporomandibular disorder (TMD) is a condition that causes pain and dysfunction in the jaw joint, osseous components and muscles that control the jaw movements.

TMD is multifactorial. One of the very common structural associations with TMD is the back positioning of the jaw joint.

TMDs are diagnosed primarily by CBCT. NOT panoramic Xray. 

The posterior positioning or asymmetrical positioning of the TMJ or lower jaw can cause cervical spine misalignments through muscle activities, which in turn can cause disc dislocation and nerve impingement in the spine. This will cause multiple symptoms associated with TMDs, including Migraine headaches and neck and shoulder pain. 

The treatment of TMD’s depending on the severity of the problem and anatomical and structural changes occurred are different. Each patient needs to be evaluated and treated accordingly.