Temporomandibular joint, or TMJ, disorders cover a whole family of problems that are related to the complex joint of your jaw. Symptoms like pain in the region or a clicking noise when your jaw moves can all be caused by TMJ disorders. Fortunately, these problems are now much easier to diagnose and treat than they have been in the past. While no single treatment can cure a TMJ disorder completely, finding the root cause of your problems can allow the doctor, an oral and maxillofacial surgeon in Miami, to help you reduce or eliminate the symptoms and develop a healthier, pain-free jaw.
A wide variety of people suffer from seemingly unconnected problems as varied as headaches, neck pain, difficulty chewing, and even hearing problems. Although these problems and others, such as tooth grinding and sinus problems, may seem unrelated, there is actually an underlying problem that can cause many of these issues.
What is TMJ Disorder?
The temporomandibular joints are the two joints that connect your jaw to your skull, allowing speech, chewing, and other motions. A TMJ disorder occurs when the chewing muscles and the joints of the jaw are not working together correctly, which places stress on the joints, muscles, and bones that are connected to these joints. While some of the symptoms, like that clicking noise, seem to be mere nuisances, many types of TMJ issues can develop into more serious conditions, making early diagnosis and treatment important.
Headaches? Jaw Pain? Earache?
How Can I Stop These Symptoms?
TMJ Disorder Symptoms
The symptoms of a TMJ disorder can vary widely depending on the exact nature the disorder. Slight variations in the way that the joints and muscles fit together can produce stresses in different areas of the jaw, face, neck, and ears. These can be caused by incorrect healing after a neck, head, or jaw injury, or the problem can simply develop over time. In addition to injuries in the area, problems like arthritis that affect other joints can also be an indication that you might have a TMJ disorder.
Some of the most common symptoms include sore and stiff muscles around the jaw, unconscious grinding or clenching of the teeth, frequent headaches or neck aches that become worse when the teeth are clenched, and stress-related clenching and head or neck pain. In other cases, the joints themselves are the obvious problem and are painful when yawning or opening the mouth, or they might produce noises and sensations like clicking, popping, grating, or locking when opening and closing the mouth. TMJ disorders can also manifest as chewing issues like teeth that don’t touch when you bite down, teeth that meet differently at different times, front teeth that can’t grip or tear food, and teeth that are sensitive, loose or worn down.
Since the symptoms are so varied, it can be difficult to tell if they are truly caused by a TMJ disorder. During your consultation in our Miami office, the doctor can diagnose the issue to tell you if a TMJ disorder is behind your discomfort.
Treatment for TMJ disorders are normally nonsurgical
Treatment for TMJ disorders are normally nonsurgical, but they can vary depending on the nature of the disorder. Once the doctor has had an opportunity to examine your jaw and evaluate the situation, he’ll be able to determine a proper course of treatment that will help to improve the function and comfort of your jaw. These treatments will nearly always involve a team approach that depends on adequate self-care as well as professional care to achieve the best results.
For most patients, the first goal is to relieve joint paint and muscle spasming. This is generally accomplished with muscle relaxants, pain relievers, or anti-inflammatory drugs like injectable steroids that reduce inflammation and pain in the area. In addition to immediately easing your discomfort, these treatments can also reduce stress and tightness in the area, making it easier to achieve a longer-term solution.
In addition to medical treatments for your discomfort, the doctor will typically recommend a self-care regimen that includes specific jaw and posture exercises, application of heat or ice, incorporation of softer foods into the diet to ease stress in the area, and resting methods like keeping the teeth apart when not swallowing or eating. Stress management techniques physical therapy or biofeedback are often recommended as well to reduce strain.
In some cases, the doctor may prescribe various appliances to help your TMJ disorder. A clear plastic device called a splint or nightguard can fit over your bottom or top teeth to keep them apart and prevent grinding, which will relax the muscles and reduce pain in addition to preventing damage from grinding. There are also anterior positioning appliances to move the jaw forward and relieve pressure and orthotic stabilization appliances that help to move your jaw into the correct position. These may be worn 24 hours a day or just at night, depending on the situation.
What Is the Cause of Jaw Locking?
There are a number of reasons that a TMJ disorder might develop. Some patients have a history of clenching or grinding the teeth, which can lead to a tightening of jaw muscles that stresses the joint. Other patients have experienced a change in the joint’s function due to injury or degenerative disease that have either damaged the joint directly or stretched and torn the ligaments in the area. This can cause the cartilage disc that cushions the joint to slip out of position, leading to misalignment, jaw or neck pain, clicking and grating noises, and that locking sensation as the edges of the joint catch.
The Various Causes Of TMJ Disorder
If you’re experiencing pain in the jaw area, then it’s important to understand the causes of TMJ disorder, which can include the following:
- Teeth clenching
- Teeth grinding
- Gum chewing
- Misalignment of the teeth or jaw
- Trauma to the teeth or jaw
Being able to identify the underlying cause of your TMJ disorder will allow you to find the correct treatment for your situation. If you’re having symptoms of TMJ, talk to your dentist about diagnosing the condition. You must be able to understand the cause of your TMJ disorder so that you can treat it successfully.
TMJ Disorder FAQs
TMJ disorders can normally be improved dramatically with simple treatments, but in most cases it is inappropriate to think of it as a cure since the patient must continue to rest the jaw when needed and avoid excessive stress in the area.
In most cases, the doctor prefers to avoid TMJ surgery except for extreme situations where the jaw does not open, has severe degeneration, or has become dislocated. Occasionally, however, surgical treatment may be advisable if appliance treatment is completely unsuccessful. Since these cases are unusual, it’s important to see the doctor to get a professional evaluation and see if there are less extreme measures that could be tried.
In some cases, the symptoms of a TMJ disorder will fade over time without any intervention. However, since it is possible for the disorder to instead worsen and cause further problems, it is generally wisest to seek treatment to quickly remove discomfort and prevent any deterioration.
Since the temporomandibular joint is so close to the middle ear and ear canal, it’s not uncommon for issues with the TMJ to put stress on the delicate nerves, bones, and cartilage around the ear. In most cases this does not affect hearing, but some pain or stuffiness can be a symptom of a TMJ disorder, particularly if the discomfort becomes worse when chewing or yawning.
Most patients see immediate improvement in their comfort level with the prescribed medications, and greater improvement in function within two weeks of recommended exercises, rest, and appliances.
Why choose Dr. Gallardo
- Dr. Gallardo has over 25 years of experience offering general dentistry and specialized periodontics to patients throughout South Florida.
- Graduated from the University of Miami
- Doctor of Dental Surgery degree from New York University College of Dentistry
- Accepted into the V.A. Medical Center General Practice Residency Program of the U.S Department of Veterans Affairs where he was honored with the “Outstanding Resident of the Year” Award.
- C.A.G.S. (Certificate of Advanced Graduate Study) from Boston University
- Has lectured nationally and internationally to dentists and hygienists and has been sponsored by companies such as Procter and Gamble to speak on clinical topics related to gum disease and implant dentistry.
- Dr. Gallardo remains on the leading edge of periodontics and implant dentistry through his active and past involvement with University of Florida, Florida Association of Periodontists and North American Society of Periodontists.