Temporomandibular disorders in scuba divers-an increased risk during diving certification training.

Keywords: Temporomandibular joint dysfunction, TMD, temporomandibular joint, TMJ, Orofacial pain, mouth, joint pain, TMD joint pain, Migraine, chronic migraine, episodic migraine, severe migraine, neurology, and headache.

A study conducted between 2006 and 2011 aimed to determine what causes temporomandibular disorder (TMD) during scuba diving training. Researchers were also interested in whether it is more prevalent in inexperienced divers. In this study, 97 divers, who all complained of pain around the temporomandibular area, where classified by their diving experience. Of the 97 divers, 14 were diagnosed with TMD. TMD was also seen more in inexperienced diver than experienced divers. They found that inexperienced divers were gripping the mouthpiece tighter and for longer periods of time. Dr. Stan Farrell is passionate about alleviating the pain caused by TMD. Dr. Farrell focuses on non-surgical treatment methods that include splint therapy, trigger point injections and physical therapy modalities. If you experience face pain or pain associated with TMD symptoms, schedule an appointment for a consultation with Dr. Farrell at 480-945-3629.   www.headpaininstitute.com

Oztürk O, Tek M, Seven H.


The design of a diving regulator’s mouthpiece increases the risk of a temporomandibular disorder (TMD) in scuba divers. The total weight of a diving regulator is reflected directly on the temporomandibular joint, causing articular and periarticular disorders. In the current study, the prevalence of TMD in scuba divers triggered during diving certification training is investigated. We also aimed to determine the factors that lead to TMD during diving training and clarify the observation that there is an increased incidence of TMD in inexperienced divers. The study was held between 2006 and 2011. Ninety-seven divers were referred with the complaint of pain around temporomandibular area. The divers were classified according to their diving experience. Symptoms and signs of TMD were graded. Fourteen divers were diagnosed with TMD. Temporomandibular disorder was seen more frequently in inexperienced divers than in experienced divers (P = 0.0434). The most prevalent symptom was an increased effort for mouthpiece gripping. Temporomandibular joint tenderness and trigger point activation were the mostly seen physical signs. Thirteen divers had an improvement with therapy. The increased effort for stabilizing the mouthpiece is a recognized factor in TMD development. Attention must be paid to an association of scuba diving with TMDs, especially in inexperienced divers having a scuba certification training.