Introduction

Temporamandibular joint disorders are the most misdiagnosed and mistracted maladies in medicine. Among many causative sources of chronic sleep disturbances two prominent dental factors include sleep disorder and neuromusculo-skeletal system pain (TMJ) disorder origin. Consequently, one of the effective treatment modalities as sleep disturbances is a 'Airway dilator' to keep airway open and 'intra oral orthatic' to relieve pain and muscle tension/spasm, which cause sleep disturbances.

Observations and Result

From the statistical data

Figure 1

We found that restriction in mouth opening is rarely a chief complain.

Sleep disorder due to TMJ problem is more common in females which is 65% as compared to males with 37% only. Two percent of people during dental treatment got pain and a prominent clicking sound.

Figure 2

In males, 81% were perfectionist, compulsive and domineering. 87% of females were more introverted, neurotic with more trait anxiety.

Figure 3

Etiology factor in Haryana patients

Figure 4

Discussion

In temporal mandibular dysfunction syndrome following four signs of Laskin's

Unilateral pain
Muscular tenderness
Clicking or popping noise
Limitation of jaw function or deviation of the mandible on opening

Laskin emphasized that patient must also have these negative characteristics.
Absence of clinical radiographic or biochemical evidences in TMJ.
Lack of tenderness in TMJ area on palpation via external auditory meatus.

What defined TMD ?

Management

Conclusion

Temporomandibular region should be examined properly because patients (in Haryana) don't have direct complaints of TMJ problems. In Haryana, females had more TMJ problems leading to sleep disturbances as compared to males. Treatment may be suggested by a physician, oral surgeon, orthodontist, psychotherapist, physical therapist or prosthodontist.