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Examining the TMJ Palpate the TMJs bilaterally and then the muscles of mastication to identify any tenderness. Ask the patient to open and close their mouth whilst palpating the joint to detect clicking as a result of joint crepitus. Deviation or locking of the jaw may also be observed at this point.
Background. The Fonseca Anamnestic Index is a questionnaire used to classify individuals with temporomandibular disorders.
Fonseca's Anamnestic Index (IAF) is a scale proposed to measure the "severity of temporomandibular disorders" construct. Therefore, it was built using a three-point ordinal scale, which calls for a polychoric correlation matrix to estimate the model's fit to the sample.
The Fonseca Anamnestic Index (FAI) questionnaire was used to define the presence and symptoms of TMD, and the Oral Behavior Checklist (OBC) questionnaire was used to determine the oral parafunctions of individuals.
The temporomandibular joint is evaluated through palpation by placing the fingers over the joint while the patient opens and closes their mouth (see Figures 1, 2). The posterior portion of the condyle may be better assessed by placement of the little fingers into the patient's ears during open and close (see Figure 3).

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The joint is palpated during active opening and closing and during active deviation to the left and right. On opening, the TMJ is palpated with the finger below the zygomatic bone just anterior to the condyle or, as for closing, with the tip of the finger placed either just anterior to the tragus (Fig.
The temporomandibular joints (TMJ) are the 2 joints that connect your lower jaw to your skull. More specifically, they are the joints that slide and rotate in front of each ear, and consist of the mandible (the lower jaw) and the temporal bone (the side and base of the skull).
The TMJ examination conists of several routine exams. These exams help us to evaluate the condition of the temporomandibular joint and the surrounding structures and to help determine the best solutions moving forward.
Position your middle and index fingers over the lateral pole and slightly in front of the condyle. Instruct the patient to open and close their mouth during the examination, and using very light pressure, listen carefully for audible TMJ noises.
Palpate directly over the joint while the patient opens and closes the mandible, and the extent of mandibular condylar movement can be assessed. Normally, condylar movement is easily felt. Have the patient close slowly, and you will feel the condyle move posteriorly against your finger.

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