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TMJ Clinics Screening Questions

TMJ Screening history

1. In the last 30 days, which of the following best describes any pain in your jaw or temple area on either side?
2. In the last 30 days, have you had pain or stiffness in your jaw on awakening?
In the last 30 days, did the following activities make the pain worse?
Space Cell NoYes
Chewing hard or tough food
Opening your mouth, or moving your jaw forward or to the side
Jaw habits such as holding teeth together, clenching/grinding teeth, or chewing gum
Other jaw activities such as talking, kissing, or yawning