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TMJ Disc Displacement — NDEB AFK MCQ

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ModerateDental Anatomy & OcclusionTMJ Disc DisplacementNDEB AFK

A patient presents with bilateral clicking of the TMJ on opening without pain or limitation of movement. MRI shows anterior disc displacement with reduction. What is the most appropriate initial management?

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Correct answer: E — Patient education, reassurance, and observation

Anterior disc displacement with reduction (ADD-R) presenting as painless clicking without functional limitation is a common finding (present in up to 30% of the population). The evidence does not support invasive treatment for asymptomatic clicking. Initial management is patient education, reassurance that the condition is benign, self-care instructions, and monitoring. Intervention (splint therapy, physiotherapy) is reserved for painful or functionally limiting cases.

Reference: Okeson – Management of Temporomandibular Disorders, 8th ed., 2019