This new patient presented with chronic left side neck, TM and temporal headache pain. The right ear hurts and most of the problems started with a failed implant. Digital Dentistry Diagnosis will pick apart these types of cases. The facial photo shows the maxillary left posterior bone has dropped. The tooth #19 was missing at a young age (maybe 12) and tooth #18 tilted, collapsing the upper maxilla. Please note the pano and the shape of the left condyle and notch in the left angle of the mandible. This patient has spent a lifetime with heavy deep masseter, anterior temporalis, trapezius and infrahyoid contractions.