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MSK TMD assessment

Update your RDS mobile app to v4.7.2 to download toolkits even when website is down.

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.

Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

TMD symptoms are common

Around 1 in 3 (33%) of people will have TMD.

Symptoms can severely affect quality of life.

Typical Symptoms

Pain and tenderness over muscles of mastication
Aggravated by chewing and other jaw activity
Limited mouth opening
Joint sounds

Causes

Multi-factorial

Commonly associated with:

Facial trauma
Daytime/night-time oral habits
Poor posture
Emotional stress

Differential diagnosis

Referred pain

Local inflammation/infection

Neurovascular

Psychiatric

Medically unexplained

Questionnaires

Questionnaires can be useful to help identify contributing factors to the pain and assess progress:

Oral health behaviours checklist

TMD pain screener

Diagnostic criteria of TMD symptom questionnaires

Jaw function limitation scale (8 item and 20 item)

Patient health questionnaire (4 item; 9 item; 15 item)

General anxiety disorder questionnaire (GAD-7)

Using the assessment form from ACPTMD.co.uk will identify relevant subjective and objective findings.

Complete Clinical Reasoning form

Evidence

Acland's video atlas of human anatomy. The temporomandibular joint.

Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group. Journal of oral facial pain headache. 2014:28(1):6-27

Expanding the Taxonomy of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Journal of oral rehabilitation. 2014;41(1):2-23

International RDC-TMD Consortium. A Consortium fostering the evidence-based diagnosis & management of orofacial pain and jaw disorders.

Okeson J.P. (2012). Management of Temporomandibular Disorders and Occlusion. Elsevier.

Last reviewed: 30/04/2024

Next review date: 30/04/2025

Reviewer name(s): Louise Ross, Alison Baird , Karen Glass .