Understanding and Treating Temporomandibular Disorders (TMD)

• Temporomandibular disorders (TMD) are disorders of the jaw muscles, temporomandibular joints, and the nerves associated with chronic facial pain.
• The temporomandibular joints (TMJ) are the 2 joints that connect your lower jaw to your skull. More specifically, they are the joints that slide and rotate in front of each ear. They include the lower jaw (mandible) and the temporal bone (the side and base of the skull).
• TMD arises when there’s a disruption in the harmonious functioning of this complex system of muscles, bones, and joints.
• It may be caused by too much strain on the jaw joints and the muscle group that controls chewing, swallowing, and speech. This may be due to teeth grinding, injury to the jaw, head, or neck, or arthritis.
• Symptoms may include jaw pain, headaches, earaches, limited mouth motions, and jaw clicking, popping, or locking. Pain may also extend to the face, shoulders, neck, or back.
• As with any other joint, the TMJ can be subject to orthopedic problems including inflammation, sore muscles, strained tendons and ligaments, and disk problems.
• We also know that TMD is influenced by genes, gender (women appear to be more prone to it), and age. Physical and psychological stress can exacerbate TMD.
• Treatment may include resting the temporomandibular joint, physical therapy, medicine, behavior changes to reduce clenching/ stress management , or an orthopedic appliance or mouthguard.
• TMD symptoms can come back during times of stress. It helps to be aware of what triggers your symptoms so you can prevent a recurrence.

Our Approach to Treatment

Our primary goal is to alleviate pain and restore function. Once we examine you, we will come up with a strategy for treating your condition and managing your pain.

TMJ treatment varies from person to person

Treatment strategies might include :

• Resting the temporomandibular joint.
• Physical therapy.
• Medications.
• Behavioral modifications.
• Use of orthopedic appliances or mouthguards.

Severe TMD cases may require more complex forms of treatment, which might include Occlusal equilibration, orthodontics, TENS, dental restorations like bridgework, or minor procedures inside the joint injections.

The first step is an examination here at our dental office. We don’t want you to be in pain, so please come in and see us.