Temporomandibular Joint Disorders
TMJ (temporomandibular joint) disorders are a group of problems related to your complex jaw joint. If you have had symptoms like pain or a “clicking” sound, you’ll be glad to know that these problems are more easily diagnosed and treated than they were in the past. These symptoms occur when the joints of the jaw and the chewing muscles (muscles of mastication) do not work together correctly. TMJ stands for temporomandibular joint, which is the name for each joint (right and left) that connects your jaw to your skull. Since some types of TMJ problems can lead to more serious conditions, early detection and treatment are important.
No one treatment can resolve TMJ disorders completely and treatment takes time to become effective. We can help you have a healthier and more comfortable jaw.
Trouble With Your Jaw?
TMJ disorders develop for many reasons. You might clench or grind your teeth, tightening your jaw muscles and overloading your TM joint. You may have a damaged jaw joint due to injury or disease. Injuries and arthritis can damage the joint directly or stretch or tear the muscle ligaments. As a result, the disk, which is made of cartilage and functions as the “cushion” of the jaw joint, can slip out of position. Whatever the cause, the results may include a misaligned bite, pain, clicking, or grating noise when you open your mouth or trouble opening your mouth wide.
Do You Have a TMJ Disorder?
- Are you aware of grinding or clenching your teeth?
- Do you wake up with sore, stiff muscles around your jaws?
- Do you have frequent headaches or neck aches?
- Does the pain get worse when you clench your teeth?
- Does stress make your clenching and pain worse?
- Does your jaw click, pop, grate, catch, or lock when you open your mouth?
- Is it difficult or painful to open your mouth, eat, or yawn?
- Have you ever injured your neck, head, or jaws?
- Have you had problems (such as arthritis) with other joints?
- Do you have teeth that no longer touch when you bite?
- Do your teeth meet differently from time to time?
- Is it hard to use your front teeth to bite or tear food?
- Are your teeth sensitive, loose, broken or worn?
The more times you answered “yes”, the more likely it is that you have a TMJ disorder. Understanding TMJ disorders will also help you understand how they are treated.
There are various treatment options that we can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, we will determine the proper course of treatment. It is important to note that treatment always works best with a team approach of self-care joined with professional care.
The initial goals are to relieve the muscle spasm and joint pain. This is accomplished with changing the conditions which have lead to the overloaded joint system. Behaviour modification parts a big part in out treatment strategy. Rarely, steroids can be injected directly into the joints to reduce pain and inflammation. Appropriate physiotherapy is almost always very beneficial. Self-care treatments can often be effective as well and include:
- Resting your jaw
- Keeping your teeth apart when you are not swallowing or eating
- Eating soft foods
- Applying ice and/ or heat
- Practicing good posture
Some cases benefit from a clear plastic appliance known as a bite plane, splint or nightguard. It fits over your bottom teeth and helps put your jaw rest by relaxing the muscles and reducing pain. There are different designs for these appliances, but we favour one particular style. A nightguard can help to reduce the harmfulness of a clenching or grinding habit. Appliances also help to protect from tooth wear.
What About Bite Correction or Surgery?
If your TMJ disorder is related to how your teeth fit together, you may need treatment such as bite adjustment (equilibration), orthodontics with or without surgical jaw repositioning, or restorative dental work. Surgical options such as arthroscopy and open joint repair are sometimes needed. We do not consider TMJ surgery unless specific conditions are met.