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1 – Myofascial pain involves discomfort or pain in the muscles that control jaw function. 2 – Internal derangement of the joint involves a displaced disc, dislocated jaw, or injury to the condyle. Rheumatic disease, such as arthritis, may also affect the temporomandibular joint as a secondary condition. Because more studies are needed on the safety and effectiveness of most treatments for jaw joint and muscle disorders, experts strongly recommend first using the most conservative, reversible treatments possible. Because the most common jaw joint and muscle problems are temporary and do not get worse, simple treatment may be all that is necessary to relieve discomfort. For many people with TMJ disorders, 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.


Your orthodontist may recommend an oral appliance, also called a stabilization splint or bite guard, which is a plastic guard that fits over the upper or lower teeth. The conservative, reversible treatments described are useful for temporary relief of pain – they are not cures for TMJ disorders. Botox® (botulinum toxin type A) is a neurotoxin protein that is used to relax facial muscles. By using this protein to target the muscles that cause TMJ, we are able to relax the musculature and provide relief in certain circumstances. Some people have other health problems that co-exist with TMJ disorders, such as chronic fatigue syndrome, sleep disturbances or fibromyalgia, a painful condition that affects muscles and other soft tissues throughout the body. Rheumatic diseases refer to a large group of disorders that cause pain, inflammation, and stiffness in the joints, muscles, and bone. Conservative treatments do not invade the tissues of the face, jaw, or joint, or involve surgery. Your health care provider or a physical therapist can recommend exercises if appropriate for your particular condition. When necessary, your orthodontist can prescribe stronger pain or anti-inflammatory medications, muscle relaxants, or anti-depressants to help ease symptoms.


Used in small doses, Botox injections can actually help alleviate some health problems and have been approved by the Food and Drug Administration (FDA) for certain disorders. These disorders share some common symptoms, which suggests that they may share similar underlying mechanisms of disease. Reversible treatments do not cause permanent changes in the structure or position of the jaw or teeth. If a splint causes or increases pain, or affects your bite, stop using it and see your health care provider. Even when TMJ disorders have become persistent, most patients still do not need aggressive types of treatment.



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