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TMJ and facial pain were also reported but were temporary. The use of commercial mouthpieces during diving may be related to more symptoms when compared with customized types. Clenching and dry mouth were common findings but are temporary in nature and do not warrant any dental intervention. TMJ and facial pain were also reported but were temporary. The use of commercial mouthpieces during diving may be related to more symptoms when compared with customized types. In Professional Association of Diving Instructors (PADI) Open Water Diver certification course