TMJ Pain Self Assessment

1. Do your jaw joints make sounds like popping or clicking when you open or close your mouth?

Not at all or not sure Very infrequently Sometimes, depending on what I’m doing Anytime I eat or open my mouth wide

2. Has your jaw ever been stuck either open or closed?

Never It has happened, but just once It happens every once every couple of months or so It has happened and now it seems to be getting more frequent

3. Do your jaw muscles ache or feel tired?

Not at all Every now and then, but not that often A couple of times a week at least At least three days a week

4. Do you get headaches or pain in your temples?

Never Maybe once a week or less Weekly, maybe once or twice a week More than three times in a week

5. Do you have pain or stuffiness in your ears?

Never Sometimes but not that often About once a week or so At least a couple of times in a week

6. Do you experience a ringing sensation in your ears?

Never Rarely Sometimes Often

7. Is it hard for you to keep your mouth open comfortably during a routine dental cleaning?

Not at all It is a little tiring to keep my mouth open My jaw starts shaking after holding my mouth open for a while My hygenist has to use a bite block to make it easier

8. How would you describe your pain?

Sharp and throbbing at times Localized and somewhat superficial Feels achy and sore Feels like a deep, dull ache