TMD/TMJ Disorders and Treatments

tmj

Your temporomandibular joint (TMJ) is just below your ears on either side of your face and attaches your mandible, or lower jaw, to your skull. The TMJ is a sliding hinge joint that moves up and down, side to side, and back to front. As with any joint, you have several adjacent muscles that help support and move the joint, along with cartilage that acts as a shock absorber between the bones.

With temporomandibular joint disorder, or TMD, the joint and/or the surrounding muscles do not function properly. This lack of proper functioning can be due to dislocation of the cartilage, an injury or dislocated jaw, misaligned teeth or bite, teeth grinding, or arthritis in the jaw joint.

Diagram of the temporomandibular, or jaw, joint showing joint and surrounding muscles

Did You Know?

Stress is one of the main causes of TMD. Stress causes your facial muscles to clench up, causing them to be overused. Stress can also lead to teeth grinding in your sleep which further strains the jaw joint and overuses the muscles. One of the best ways to combat TMD is to pay attention to your stressors and reduce them as much as possible.

 

Frequently Asked Questions:

Do I have TMD?

If you are experiencing pain in the jaw joint, earaches, pain when you chew or yawn, pain in your face or neck, stiff muscles in your jaw, or notice a change in your teeth’s alignment, then you may have TMD. While clicking and popping can also be possible symptoms if accompanied by other symptoms, they themselves are not considered symptoms of TMD.  Other possible indicators include: headaches, neck aches, pain in the upper shoulders, dizziness, and ear problems such as earaches, ringing, or hearing problems.

 

When should I see a dentist regarding my TMD?

If you are experience constant jaw pain, have a swollen jaw or face, cannot open or close your jaw completely, notice your teeth not fitting together normally, or have a headache or neck ache, then you should visit our office immediately. Other possible signs that you may need to visit Dr. Sammons and Dr. Laurent include: jaw pain that has not subsided in two weeks, chronic jaw pain, notice clicking or cracking sounds with your pain, or if you have been experiencing high levels or stress or anxiety caused by your jaw pain. If you believe you may have TMD, schedule a consultation with Dental Artistry today!

 

How will Dr. Sammons and Dr. Laurent diagnose TMD?

To accurately diagnose TMD, our dentists will perform a physical examination focused on feeling your jaw while opening and closing, evaluating your range of motion, and locating any areas of pain around the jaw joint. Imaging techniques such as x-rays, a CT scan, or an MRI may also be used to look further into the joint.

 

Are TMD and bruxism related?

Mouth guard for teeth grinding resting on a blue case. Both the case and the mouth guard are on a black background

 

Bruxism, or teeth grinding, can exacerbate TMD symptoms and place extra strain on the jaw joint. Many people grind their teeth at night and are unaware they do this. To combat this issue, our dentists can fit you for a mouth guard to wear at night that will prevent teeth grinding.

Bruxism is not the only habit that can worsen TMD symptoms though. Ha

bits such as nail biting, chewing on pens, cuticle biting, or teeth clenching due to stress can also place strain on your jaw joint and increase your TMD symptoms.

 

 

Can TMD cause tooth pain, sinus problems, vertigo, dizziness, or tinnitus?

Yes. Although TMD is localized in the jaw, it can also affect the surrounding structures and cause symptoms to affect more than just the jaw.

 

Tooth pain: Your teeth can become sensitive if they are misaligned and are withstanding uneven pressure or if they are withstanding constant pressure as a result of clenching or grinding.

 

Sinus problems: Your sinuses and your TMJ are closely related and can cause each other problems when either one has issues. In the case of TMD, the pain felt in your jaw can radiate into your sinuses, causing you to feel sinus pressure and pain.

 

Vertigo/dizziness: Inner ear structures responsible for balance reside within the temporal bone where your TMJ attaches to your skull. TMD can cause inflammation that can disrupt these structures, causing feelings of dizziness and affecting your balance.

 

Tinnitus: TMD can also affect the structures of the inner ear by causing ear ringing, or the perception of sound when no external sound waves are actually present.

 

 

Will TMD go away?

Generally, TMD will flare up for a period of time and then go away for a period of time. For most people, TMD will not progress and will simply need to be managed during periods when it is active. For others, however, symptoms may continue to worsen and constant intervention is needed. Some common things that can trigger TMD symptoms include: stress, tough foods, weather changes, teeth grinding, or other habits.

 

How is TMD treated?

There are a few different options that can be used to treat and manage TMD. These options include:

  • Ice packs or warm compresses
  • Over the counter pain medications
  • Mouth guard to prevent teeth grinding
  • Topical creams with menthol or arnica
  • Eating softer foods and avoid tough, chewy, or hard foods
  • Physical therapy to stretch and strengthen the muscles

 

Two faces staring at each other. One is the human skull and the other is the muscles of the face.

Is my pain coming from the muscles or from the joint?

TMD pain can either stem from the joint itself or from the muscles surrounding the joint. Our dentists can help you locate the source of the pain and direct treatments to that area. If most of your pain is muscular, then muscle relaxants or Botox injections can be used to reduce muscle tension and relieve pain. If your pain is stemming from the joint itself, then inject-able anesthetics or steroids may be used.

 

 

If you are experiencing TMD symptoms, schedule a consultation with Dr. Sammons and Dr. Laurent of Dental Artistry today and we can help you address the cause of your pain.

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