The temporomandibular joint in your jaw is hinge that joins your jaw with the temporal skull bones that are located just in front of each ear. It allows you to move your jaw upwards and down as well as from side to side, which means it is possible to talk, chew and even smile.
Jaw problems and the muscles of your face that regulate the jaw are known as temporomandibular problems (TMD). You may also be misinformed about the term TMJ in reference to the joint.
What is the cause of TMD?
We aren’t sure what causes TMD. Dentists believe that symptoms stem from issues with the muscles in your jaw, or the joints themselves.
Damage to your jaw, joint or the muscles in your neck and headsuch as from a violent whiplash or a blow can cause TMD. Other causes are:
The act of grinding or clenching your teeth, which places lots of pressure on your joint.
Movement of the disc or cushion between the socket and ball of the joint
Arthritis of the joint
Stress, which may make you tighten your your facial jaw muscles, or even jaw muscles. This can cause you to clench your teeth
What are the symptoms?
TMD typically causes extreme discomfort and pain. It could be short-term or continue for years. It can cause a problem on either or both sides the face. There are more women than men who suffer from this condition, which is more frequent among people between 20 and 40.
Common symptoms are:
The tenderness or pain you feel in your the jaw joint neck and shoulders and even around your area of your ear, when chewing or speaking. talk or widen your mouth.
Issues when you try to expand your mouth
Jaws that “stuck” (or “lock” when they are in the closed or open mouth or closed-mouth
The sound of popping, clicking or grating sounds from the jaw joint whenever you close or open the mouth, or when you chew. This could or might not be painful.
A tired look on your face
A sluggish or discomfort in the bite, as when the lower and upper teeth aren’t aligned correctly. Find out more about the advantages and disadvantages of tooth aligning surgical treatment.
A swelling that is visible on the sides of your face
It is also possible to experience toothaches or neck aches, headaches dizziness, earaches hearing issues, upper shoulder pain and ringing in your ears (tinnitus).
How Is TMD Diagnosed?
A variety of other ailments can have similar symptoms such as dental decay, sinus problems or arthritis. These can also cause gum disease. To determine what’s causing your own, your dentist will inquire about your medical history as well as conduct an examination of your body.
They’ll inspect your jaw joints for discomfort or tenderness, and look for pops, clicks or grating sounds as you move the joints. They’ll also check to see if your jaw functions as it should, and does not lock when you close or open your mouth. They’ll also examine your bite and look for any issues with your facial muscles.
Your dentist could take complete facial X-rays in order to look at your jaws, your temporomandibular joints and your the teeth, to identify possible issues. They might need to conduct additional tests, including magnet resonance imaging (MRI) or computer tomography (CT). The MRI will determine if you’re TMJ disk is in correct position when you move your jaw. A CT scan can show the bony details and joint.
You could be recommended to the oral surgeon (also known as or maxillofacial and oral doctor) to get further care and treatment. The doctor is specialized in surgical procedures all over the mouth, face and jaw region. You can also consult an orthodontist in order to make sure that your teeth, muscles and joints function as they ought to.
Visit West End Wellness for information on how to relieve TMD joint pain.
The Home Remedies for TMD
There are some things you can do at home to alleviate TMD symptoms. Your physician may recommend that you try these treatments in conjunction.
Use over-the-counter medicines. Nonsteroidal anti-inflammatory medications (NSAIDs) such as naproxen or ibuprofen can reduce swelling and muscle pain.
Make use of warm, moist and cold compresses. Apply ice packs to the sides of your face and around your temples for about 10 minutes. Do a few easy jaw muscles (if your doctor or physical therapist approves of the exercises). After you’ve completed the exercise, put an ice-cold washcloth or towel on your face for five minutes. Do this several times per day.
Take soft foods. Include the yogurt and mashed potato soup, cottage cheese scrambled eggs and fish, cooked fruits as well as vegetables and beans and grains to your diet. Cut your food into small pieces to are less likely to chew. Avoid hard, crunchy food (like raw carrots and pretzels) and chewy food (like caramels and Taffy) and big or thick bites which require you to bite wide.
Avoid jaw movements that are too forceful. Avoid chewing and yawning. (especially the gums or even the ice) at a minimum. Also, do not yell, sing or do anything else that causes you to open your jaw the mouth wide.
Don’t put your chin in your palm. Don’t place your smartphone between your shoulders and your ear. Maintain a good posture to lessen facial and neck pain.
Maintain your teeth in a slightly sloping position every time you can. This can ease tension upon your jaw. Place the tongue in between teeth in order to prevent grinding or clenching during the day.
Learn techniques for relaxation to relax your jaw. Contact your dentist to determine if you require physical therapy or massage. Think about the treatment of stress reduction and biofeedback.
Discuss with your dentist the most effective treatments for TMD:
Medications. Your dentist may prescribe stronger doses of NSAIDs in case you are suffering from swelling and pain. They may suggest an esoteric muscle relaxer to ease your jaw when you grind or grind your teeth. Also, an anti-anxiety medicine to ease anxiety, which can bring an increase in TMD. In lower doses, they can aid in reducing or controlling the pain. Anti-anxiety medications, muscle relaxants and antidepressants are all available on prescription only.
A nightguard or splint. These mouthpieces are made of plastic and are designed to fit over your lower and upper teeth, so that they don’t meet. They can lessen the effect of grinding or clenching and also correct your bite by placing your teeth into appropriate place. What’s the difference between these? You wear night guards when you are sleeping. A splint is used throughout the day. Your dentist will let you know what type you require.
Dental work. Dental professionals can fix missing teeth, and also use bridges, crowns or braces to align the bite surfaces of your teeth, or to solve a bite issue. Find out what causes an overbite, as the time when an overbite can be accepted as normal.
If the above-mentioned treatments aren’t working Your dentist may suggest one or one or
Transcutaneous electrical nerve stimulation (TENS). This treatment uses low-frequency electrical currents that provide relief from pain and tension by relaxing the jaw muscles and joint. This can be done in the dentist’s office , or at home.
Ultrasound. A deep heat application to joints can alleviate discomfort or increase mobility.
Trigger-point injections. Anesthesia or pain medication is injectable into facial muscles that are tender that are known as “trigger areas” to ease pain.
Radiowave therapy. Radio waves stimulate joint that increases blood flow and relieves pain.
Laser therapy at low levels. This reduces inflammation and pain and allows you to move your neck more easily and widen your mouth.
Surgery to treat TMD
If other treatment options aren’t able to help you, then surgery is an alternative. After the procedure is completed and is permanent So, get another or even a third opinions from dentists who aren’t.
There are three kinds of surgical procedures to treat TMD. The type of surgery you will need is contingent on the condition.
Arthrocentesis is recommended if you don’t have a background of TMJ however you have jaws that are stuck. This is a relatively simple procedure your dentist can perform at their office. They’ll administer general anesthesia and then insert needles in the joint and cleanse it. They might use a specially-designed device to remove damaged tissue, or remove discs trapped in joint or to remove the joint.
Arthroscopy is a procedure that uses an arthroscope. This particular tool comes with the lens as well as a light on it. It allows your doctor to see the joint. The patient will be given general anesthesia followed by a doctor who will make a tiny cut on the ears and insert the device. It’ll be connected to a video monitor and they’ll be able to look at the joint and the space within it. They can remove inflamed tissue as well as realigning the disc joint. This kind of procedure is referred to as minimally invasive, creates less of a scar, is associated with lesser complications, and needs less recovery time as compared to major surgeries.
Open-joint surgery. Depending on the root of the TMD, arthroscopy might not be a possibility. It is possible to require this kind of procedure if:
The bony structures inside the jaw joint wear down.
There are tumors around the joint.
The joint you are in is damaged or filled with bone chips
The patient will be given general anesthesia and then your doctor will open up the whole region around the joint to ensure they have a wider view and more access. The healing process will take longer following open joint surgery as well as more possibility of scarring and nerve damage.