Case Report IP Journal of Surgery and Allied Sciences, January-March 2019;1(1):28-31 28 Temporomandibular joint disorders: A case series Shaik Ali Hassan 1 , Sumit Bhateja 2,* , Neha Aggarwal 3 , Geetika Arora 4 1 Dental Surgeon, 2 Reader and HOD, 3 Senior Lecturer, 4 Reader, 2,3 Dept. of Oral Medicine and Radiology, 4 Dept. of Public Health Dentistry, 1-3 Manav Rachna Dental College Faridabad, Haryana, 4 Inderprastha Dental College Sahibabad Uttar Pradesh, India *Corresponding Author: Sumit Bhateja Email: sumit.mrdc@mrei.ac.in Abstract Temporomandibular disorders (TMD) is a musculoskeletal disorder that influences masticatory muscles, temporomandibular joint (TMJ), teeth, and periodontal associated structures. The article emphasises on TMJ Disorders Case series Keywords: TMJ Disorders. Introduction Temporomandibular disorders (TMD) is a musculoskeletal disorder that influences masticatory muscles, temporomandibular joint (TMJ), teeth, and periodontal associated structures. 1 Patients usually report masticatory myalgia and arthralgia, and the primary goal of the treatment is to relieve pain. 2 In severe cases, TMD is associated with tinnitus, ear fullness, and sometimes hearing loss. 3 Etiology of TMD is related to trauma and stress and is commonly reported with occlusal factors. 4 Distortion in maximum intercuspal position (ICP) results in transient local tooth pain, tooth migration and hence, alterations in chewing patterns, causing slight changes in postural muscle tension. ICP interference might lead to transient disruption of smooth jaw functioning, leading to jaw muscle pain and clicking occasionally. 5 Case Report 1 A fourty eight year old male patient reported to the Department of oral medicine and radiology with a chief complaint of pain with respect to both sides of face and neck for past one month. He is a daily wage labour and first experienced pain with relation to sides of face a 15days ago. The pain radiated to the sides of the temples, jaws. The pain aggravated on chewing food and was associated with frequent headache. He has no relevant medical history. Patient brushes with help of datun. On intraoral examination it was observed he had a normal class I occlusion with a full complement of teeth. He had no restorations and no decay in any of his teeth. The patient complains of clicking on opening the temporomandibular joint (TMJ) and on palpation revealed tenderness in cheek areas. He had a normal mouth opening. He also had tenderness on palpation of the body of the mandible. He was advised for the orthopantogram revealed no anomaly of TMJ. There was no erosion of the head of the condyle characteristic of rheumatoid arthritis. Fig. 1: Extraoral picture of patient Fig. 2: Orthopantogram of patient Case Report 2 A twenty eight year old male patient reported to the Department of oral medicine and radiology with a chief complaint of decayed tooth for past one month. He is a student. The pain radiated to the sides of the temples, jaws. The pain aggravated on chewing food and was associated with frequent headache. He has no relevant medical history. Patient brushes once daily with the help of ttohpaste and toothbrush. On intraoral examination it was observed he had a normal class I occlusion with a full complement of teeth. He had no restorations and decay in the 35 and 36 there was positive on tendeneous on percussion in 35 and 36, root