TMJ Disorders

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About TMJ 

  • TMJ disorders involve the muscles that control your jaw and the jaw joint which sits just in front of your ear canal

  • Women are affected much more often than men

  • Each TMJ has a disc between the ball and socket, which functions as a cushion and allows the jaw to open widely, rotate or glide. Any problem that prevents this complex system of muscles, ligaments, discs and bones from working properly may result in a painful TMJ disorder.

  • Stress, arthritis, trauma or teeth misalignment may also lead to TMJ dysfunction.

Solutions 

  • Dietary and Lifestyle Modifications

    • Stop gum chewing

    • Avoid foods that require intense chewing - for example steak or thick bread

    • Limit extreme jaw movements such as yawning or opening your mouth wide for whole fruit or a large sandwich

    • Eat soft foods which put less stress on your jaw joint and remember to avoid crunchy, hard or chewy foods

    • Practicing relaxation techniques to control jaw tension, such as meditation

  • Conservative Medical Management

    • Warm compresses or ice packs

    • Mouth guards/dental devices to wear while sleeping

    • TMJ Exercises (see “Links” section)

    • Short-term use of over-the-counter pain medicines or nonsteroidal anti-inflammatory drugs (NSAIDS), such as ibuprofen, may provide temporary relief from jaw discomfort

  • Additional Options

    • Injecting botox into your masseter muscles, which are the main muscles you use to clench your teeth, is a quick office procedure that may be performed to decrease the pain and discomfort that comes from clenching too hard. Please refer to “Links” for additional information.

    • For TMJ issues that are not solved with conservative treatment a referral to an oral surgeon may be necessary to discuss oral devices or more aggressive treatment

Questions

  • Do you grind or clench your teeth?

  • Has your dentist ever mentioned excessive wear on your teeth or recommended a night guard?

  • Do your ears hurt?

  • Do you hear popping, clicking or cracking noises when you open and close your jaw?

  • Are the sides of your face and head tender to the touch?

  • Do you have headaches?

Links