Craniofacial Pain, TMJ and Sleep of Oklahoma

448 36th Ave. N.W., Suite 103
Norman, Oklahoma 73072

Phone: 405.321.8030
Fax: 405.321.2108


Mon. - Thurs.
8:30 a.m. - 5 p.m.
8 a.m. - noon
(Business Office open only)

TMJ-related pain and dysfunction often go undiagnosed. If you suffer from head, neck or facial pain, your dentist or physician can use these questions to quickly assess your potential for a TMJ disorder.


  • Does either jaw joint make noise (grating, grinding, clicking or popping)?
  • Does the jaw ever catch or lock?
  • Is there frequent pain in any of the following areas?
    • Ear
    • Face
    • Head
    • Neck
    • Shoulder
    • Jaw


  • Palpate the TMJs while the patient opens and closes.
    • Place your little fingers in the ear canals and apply pressure to the anterior walls of the canals. You will be able to palpate the lateral 1/3 of the condyles.
    • Normal: smooth movement, no noise, no jumping, no pain.
  • Measure mandibular range of motion.
    • Normal opening: 48-52mm intrinsically with no pain. (Equivalent of first three fingers on edge between front teeth)
    • Lateral movements: 10mm or greater. No dyskinesia
  • Palpate muscles for tenderness:
    • Temporalis?
    • Masseter?
    • Sternocleidomastoid?
    • Posterior cervicals?

Though not all patients presenting signs or symptoms of a TMJ disorder should necessarily proceed with further diagnosis and treatment, most will benefit from careful work up and, if indicated, proper management. This is especially true if no other specific medical diagnosis can be made. We welcome your professional inquiries and hope this screening is helpful to you in the management of your patients with temporomandibular joint dysfunction and/or craniofacial pain.