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a number of visits tillman was diagnosed with temperamental or joint dysfunction or t.m.j. deal. there are various definitions for t.m.j. d. which is also known as c m d but generally speaking it's a dysfunction of the muscles or joint function in the jaw. the dealings. in other words the upper and lower jaw and not properly aligned the problem with tillman concept was that he had been grinding his teeth at night for many years as a result his teeth had become shorter so that they no longer fitted together properly the commissioners of the grinding of the teeth is what dentists see first further examination then reveals to what extent the george joint is also involved often the symptoms radiate and make themselves felt elsewhere. and typical t m j t symptoms include hearing problems and to notice shoulder and neck pain headache