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08.11.2013
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. If you have a TMJ disorder, every time you open and close your mouth you put wear on the tissues of the jaw joint. If you experience ongoing pain in the area near your ear, your jaw or the muscles on the side of your face, possibly accompanied by a clicking or popping sound or restricted jaw movement, you may be suffering from TMD — an abbreviation for Temporomandibular disorders. The two TMJs that connect your lower jaw, the mandible, to the temporal bone of the skull on either side, are actually very complex joints that allow movement in three dimensions. As with any other joint, the TMJ can be subject to orthopedic problems including inflammation, sore muscles, strained tendons and ligaments, and disk problems.
Clicking Sounds — Some people with TMD hear a clicking, popping or grating sound coming from the TMJ when opening or closing the mouth.
Muscle Pain — This can be felt in the cheeks (masseter muscles) and temples (temporalis muscles), where the two big pairs of jaw-closing muscles are located.
Once we examine you, we will come up with a strategy for treating your condition and managing your pain. Severe TMD cases may require more complex forms of treatment, which might include orthodontics, dental restorations like bridgework, or minor procedures inside the joint such as cortisone injections or lavage (flushing) of the joint. TMD, or Temporomandibular Disorders, is an umbrella term for various painful conditions that affect the jaw joints. Now available in Charlotte, NC is a breakthrough treatment for chronic migraine pain at Charlotte Headache Center. This amazing diagnostic and headache treatment system is called TruDenta, and the therapy is completely painless, non-invasive and drug-free.


Temporomandibular joint disorder (TMD) symptoms can include a stiff jaw, a "clicking" sound or sensation when chewing and pain that can lead to migraines, chronic headaches and other issues. Pain and stiffness in the neck are commonly experienced by patients who suffer from temporomandibular joint disorder (TMD).
Sleep apnea, which is impaired nighttime breathing, is often associated with troublesome adenoids, but it can also be associated with jaw disorders.
Using cutting-edge TruDenta technology, a wide range of head, neck and jaw related conditions are successfully treated by Dr. 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. It is accompanied by noises such as clicking, grinding, or crunching when you open and close your mouth.
At Better Health Chiropractic, the condition is treated through the use of specific muscle releases, mobilisations and stretching techniques. It's not always so easy to figure out exactly what's causing these symptoms, but the good news is that most TMD cases resolve themselves with the help of conservative remedies we will recommend for you to do at home. The lower jaw and temporal bone fit together as a ball and socket, with a cushioning disk in between.
We also know that TMD is influenced by genes, gender (women appear to be more prone to it), and age. When we look at radiographs (x-ray pictures) we find that some people have arthritic-looking TMJs but no symptoms of pain or dysfunction; others have significant symptoms of pain and dysfunction but their joints look normal on radiographs. There are different treatment approaches to TMD problems, but not all are based on science. If so, you know that these conditions can be debilitating, causing loss of work, loss from family times and general lowering of quality of life. Developed through the joint disciplines of neuromuscular dentistry and sports medicine, this proven, FDA-approved therapy is now available to the general public with our patients experiencing fantastic results. This cutting-edge technology is able to provide a stunningly accurate analysis of the entire head, neck and oral system to accurately identify many of the issues that cause migraine headaches and treat them like never before. Robert Harrell treats patients with remarkable results every day at Charlotte Headache Center.


Most people don't realize that headaches can often be traced to problems of the mouth and jaw. During sleep the loosening of the temporomandibular joint can cause the jaw to sag or hang slack. 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.
If not properly evaluated and treated, TMJ problems can continue to worsen and lead to headaches, facial pain, ear pain and difficulty eating. This can cause severe problems if not treated properly, so it is recommended that you seek treatment.
In fact, it's important to exhaust all such reversible remedies before moving on to anything irreversible, such as bridgework or surgery. If you have this type of nocturnal habit, we can have a nightguard custom-made for you that should be very helpful in decreasing the force applied to your teeth, which will in turn allow your muscles to relax and relieve pressure on your jaw joints. There is no cure for arthritis anywhere in the body, but medication can sometimes help relieve arthritic symptoms.
Again, it's important to try the wide range of conservative, reversible treatments available, and give them enough time to work as they almost always prove effective. For the millions of Americans like you who are afflicted with chronic headaches and migraines, relief has often seemed impossible to come by. With the new technologies at our disposal, we have achieved successes that were not possible in the past. Even when TMJ disorders have become persistent, most patients still do not need aggressive types of treatment.
Clicking by itself is actually not a significant symptom because one third of all people have jaw joints that click, studies show. For more than 15 years he has provided expert dental care at Adult Dentistry of Ballantyne.
Now, he is using his extensive knowledge and skills to bring real relief to patients who, in many cases, had given up on finding a lasting solution for their chronic headaches and migraines.



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