Synovial chondromatosis is a rare benign metaplastic disorder of the synovial membrane, characterized by the formation of multiple cartilaginous nodules within the joint cavity. Involvement of the temporomandibular joint (TMJ) is particularly uncommon and often presents with clinical features that closely resemble internal derangement or osteoarthritis, frequently resulting in diagnostic delay and inappropriate management. Recognizing the distinctive clinical, radiologic, and histopathological characteristics of synovial chondromatosis is essential for accurate and timely diagnosis. In this report, we review the features of synovial chondormatosis of the TMJ and describe a case involving a 73-year-old female who presented with pain during mastication without limitation of mouth opening. Radiologic examination demonstrated multiple calcified nodules within the left TMJ space. Given the wide range of TMJ-related pathologies, such as myofascial pain and degenerative changes, which often present with similar symptoms, the identification of characteristic imaging and histopathologic findings is crucial for distinguishing synovial chondromatosis from other TMJ disorders and ensuring appropriate treatment. Through presentation of our clinical observations and a review of relevant literature, we aim to assist clinicians in recognizing synovial chondroamtosis of the TMJ and avoiding misdiagnosis, thereby facilitating prompt and effective patient care.