TMD/TMJ/Bruxism (Temporomandibular Disorders)...

 

More than 15% of American adults suffer from chronic facial pain. Some common symptoms include pain in or around the ear, tenderness of the jaw, clicking or popping noises when opening the mouth, or even headaches and neck aches.

The TM joint is one of the most complex joints in the body. Located on each side of the head, these joints work together and can make many different movements, including a combination of rotating and translocational (gliding) action, used when chewing and speaking. Several muscles help open and close the mouth. They control the lower jaw (mandible) as it moves forward, backward, and side-to-side. Both TM joints are involved in these movements.

Each TM joint has a disc between the ball and socket. The disc cushions the load while enabling the jaw to open widely and perform rotating and translocational movements. Any problem that prevents this complex system of muscles, ligaments, discs and bones from working together properly may result in a painful TMJ disorder.

DIAGNOSIS & TREATMENT

Our dentist can help identify the source of the pain with a thorough exam and appropriate x-rays. Part of your clinical examination includes checking the joints and muscles for tenderness, clicking, popping or difficulty moving. Often, it's a sinus, toothache or an early stage of periodontal disease, but for some pain, the pain could be related to the facial muscles, the jaw or temporomandibular joint, located in the front of the ear.

Some TM problems result from arthritis, dislocation, and injury. All of these conditions can cause pain and dysfunction. Muscles that move the joints are also subject to injury and disease. Injuries to the jaw, head or neck, and diseases such as arthritis, might result in some TM problems. Other factors that relate to the way the teeth fit together—the bite—may cause some types of TMD. Stress is thought to be a factor. TMD affects women of childbearing age more than men, or older men and women.

Treatments for this pain may include stress reducing exercises, muscle relaxants, or wearing a mouth protector to prevent teeth grinding. They've been successful for many and the dentist can recommend which is best for you.

BRUXISM

Symptoms include a dull headache or a sore jaw. You could have teeth that are painful or loose from severe grinding. This can lead to fractures in your teeth. Your dentist can fit you with a mouth guard to protect your teeth during sleep.