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  • Wilke’s Stages of TMJ

    Mar 16

    Wilkes developed a classification system to categorize the symptoms of TMJ as the condition progresses over if not treated effectively.  This system is used by doctors to evaluate the use of surgical measures in the treatment of temporomandibular joint disorder. As the condition progresses, the use of surgical remedies become more prevalent.

    Wilkes stage I – Here the condition is characterized by painless clicking. There is no restricted motion and through imaging a slight forward displacement of the disc can be seen.

    Stage II – The condition has progressed to occational painful clicking. There is intermitent locking of the jaw and  headaches.  The jaw is displaced and slightly forwar. This is the beginning deformity and there is a slight thickening of the posterior edge.

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    Stage III – Frequent pain is experienced along with joint tenderness, headaches, jaw locking, and restricted motion.  It is also painful when chewing.  Anterior disc displacement of the jaw with significant deformity or prolapse of disc also appears.

    Stage IV – Here the condition has progressed to chronic pain with frequent headaches and restricted motion. This is an increase in severity from previous Stage III with clearly moderate degenerative changes. This is characterized by flattening of the eminence, deformed condylar head, and sclerosis.

    Statge V – The most sever stage of TMJ where variable pain, joint crepitus, and painful function previal. Disc performation, filling defects, gross anatomic deformity of disc and hard tissues accompanied by degenerative arthritic changes are experienced.

    Advice on TMJ

    Hi everyone, As I mentioned in previous posts, I have two displaced discs. The Radiologist’s report which I received identified Wilkes stages 2 and 3 for my left and right discs respectively.

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