Headaches, tension in your neck and shoulders, clicking noises when you open your mouth or tenderness in your jaw; these common symptoms may be a result of TMJ and can often be resolved with dental treatment.
Opening and closing the mouth uses two joints and several muscles. They operate as a team, giving them the ability to chew, speak and swallow. In addition, your lower jaw (mandible) has two joints called the TMJ’s—temporomandibular joints.
The muscles that help the TM joints open and close the mouth and control the mandible in moving forward, backward and side-to-side. Each joint has a disc between the sockets (ball and socket type function), and as with any standard ball and socket joint, the disc cushions impact, enabling the jaw to open and perform various movements.
When this smooth running of muscle, discs and bone ceases in the jaw, a painful TMJ disorder can occur. If you have been diagnosed with a TMJ disorder, The Dentist Cairns Dental Group can work with you to develop a treatment plan designed to relieve your pain and restore function.
There are several reasons why people suffer from TMJ disorders; arthritis, dislocation and often an injury are to name a few. Stress is also a known cause, along with more dental-related issues such as bite imperfections.
Acute trauma to the jaw, such as a car accident or a fall or punch, can cause damage to the muscles and/or joints. Pain and loss of function are usually responsive to conservative treatment, but sometimes trauma to the joint can cause chronic damage, which may result in a TMJ problem at a later date.
Clenching or grinding occurring while awake but more often during sleep is another major contributor to TMJ. Grinding, in particular, can wear the enamel from healthy teeth, and clenching can lead to muscle issues and damage to the joints over time.
Malocclusion, meaning ‘bad bite,’ can place pressure on the joints when teeth do not meet correctly. Missing teeth may also contribute to this as well. Although the bite is an important part of the whole system, it can be altered through conservative measures and only if it is felt improvement will bear results. Treatment of the bite for TMJ disorder is usually not needed, but its contribution to the whole must be examined.
Emotional stress often plays an integral role in the development of TMJ. Stress increases both the severity and duration of clenching or grinding. Additionally, during times of stress, your adaptability and pain threshold will decrease. As a result, you are more likely to experience symptoms of TMJ if other factors, such as depression and anxiety disorders, exist.
Basic posture and repetitive job requirements can also contribute to TMJ and related issues. For example, if working at a computer all day, holding your head in such a way can place strain on your TMJ system.
To resolve any TMJ disorder, the severity and circumstances surrounding the case must first be assessed.
This is achieved by physical examinations and specific x-rays. During this check, the dentist may take impressions of your teeth to check bite patterns, thus eliminating one problem that could be causing discomfort.
Your complete medical history will also be reviewed to take background information into account and any current illnesses that could be linked to TMJ disorders.
TMJ disorder is diagnosed by a physical examination and a review of your medical history. Your dentist may ask questions about your symptoms and move your jaw to feel for clicking, popping, or grating sounds. They may also look at how far you can open your mouth and check the range of motion of your jaw.
TMJ disorder treatment aims to reduce pain and restore normal function of the jaw. Treatment options may include a splint or mouth guard, which can help to position the jaw and reduce stress on the TMJ; physical therapy, which can help to stretch and strengthen the muscles around the TMJ; and medication, which can help to reduce pain and inflammation.
In some cases, surgery may be necessary to correct the underlying problem causing TMJ disorder. However, surgery is usually only considered when other treatment options have failed to relieve symptoms.
There are a few things you can do to help prevent TMJ disorder, including avoiding hard and chewy foods, practising good posture, and avoiding the clenching or grinding of your teeth. If you experience TMJ disorder symptoms, it is essential to see your dentist so that the problem can be treated as soon as possible.
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