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Author: admin, 26.01.2014
Temporomandibular Joint Disorder (TMJD) is a condition describing the pain experienced in the jaw or in the form of headaches, caused by improper alignment between the jaw, connecting muscles and skull. 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. The temporomandibular joint, commonly referred to as the TMJ, can become dysfunctional in turn creating jaw pain, neck pain, and headaches. At ICT Muscle & Joint Clinic, we focus on treating the symptoms and root cause of your pain. If you are new to chiropractic treatment, it can be a bit intimidating as a new experience.
Unusual sounds - Clicking, grinding or popping sounds when you open your mouth are common in people with TMD.
Pain in the temporomandibular joint (TMJ)- the jaw - which may manifest itself as a popping and clicking sound.
Pain and swelling in the jaw joint is the most common symptom, but sometimes the muscles’ uneven pull on the skull can cause headaches. A special mouthpiece or retainer may be recommended to gradually correct the way the jaw aligns, or in more extreme cases, types of orthodontic headgear will be used to achieve healing. Sometimes people incorrectly use the term TMJ to refer to these problems, when in fact TMJ is the abbreviation for the temporomandibular joint — or jaw joint — itself. 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.
Jacobson and Drake and the highly trained team at Park West Dental Care can provide you with the cutting-edge technology needed to maintain and improve your dental health.


The body is a dynamic, mobile structure and must be assessed and treated as such to create successful long-term outcomes. These disorders include problems of the chewing muscles, the jaw joint (called the temporomandibular joint or TMJ), or both.
Pain from TMD is usually felt in front of or below the ear.Headaches - People with TMD often report headaches. Teeth are worn down so much that the enamel is rubbed off, exposing the inside of the tooth (dentin).
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.
Fifty percent of individuals experiencing neck pain have an underlying jaw dysfunction as the primary source.
Symptoms will often manifest themselves as headaches, grinding of teeth, and brief episodic electrical type pains. We employ the best scientific, evidence-based, treatment procedures using a combination of chiropractic manipulation, soft tissue therapy, and rehabilitative exercises.
Locking or limited movement - The jaw joint is similar to a ball-and-socket joint except that the socket itself is movable. Arthritis already affecting other joints may affect the jaw joint and lead to TMD.Others - Though the research is controversial, a feeling of fullness of the ears or ringing in the ears may sometimes be related to TMD. Jacobson and Drake have both undergone special training to prepare them for treating patients with TMJD pain. Any of these parts — the disk, the muscles or the joint itself — can become the source of a TMD problem. Clicking by itself is actually not a significant symptom because one third of all people have jaw joints that click, studies show.
Certain muscles of the jaw are neurologically integrated in vision, balance, proprioception and postural control of the entire body! Surrounding all joints, there must be a balance between tension and compression of the ligaments, muscles, tendons, and fascia; when pain is present, it is due to an imbalance of these structures.
A doctor can prescribe an occlusal orthotic bite splint or "bite guard" to treat your symptoms. In some situations, you may need to consult a physician to help diagnose and treat certain headaches not related to TMD.Morning stiffness or soreness - If your jaw muscles are stiff and sore when you wake up, it may by a sign that you are clenching or grinding your teeth in your sleep.


In these cases, consultation with an "ear, nose and throat" physician can help establish the final diagnosis.If these symptoms sound familiar, talk to your dentist. If you are in pain, or are having difficulty opening or closing your jaw, we will do a thorough examination to try to pinpoint the problem area and suggest appropriate remedies.
However, if the clicking is accompanied by pain or limited jaw function — the jaw getting “stuck” in an open or closed position, for example — this would indicate TMD.
When these specific muscles become dominant, they neurologically turn off other important muscle groups. This requires mobilization and release of tight structures in addition to strengthening weak or inhibited structures of the painful joint(s) as well as the joint(s) above and the joint(s) below. You may have difficulty opening your mouth either because the joint is locked or because of pain.
Your dentist will test your ability to open and close your jaw, examine other jaw movements, and feel the jaw joint and muscles for pain or tenderness.
This may lead to forward head posture dysfunction, causing pain in other areas of the head, neck and body. Difficulty chewing - You may have difficulty chewing as a result of a change in your bite, the way your upper and lower teeth fit together.
The dentist will listen with a stethoscope in front of the ear for any clicking, popping or grinding sounds and will feel the jaw joint while you open and close it. While it is advisable to discuss any TMD symptoms with your dentist, occasional discomfort in the jaw joint and chewing muscles is quite common and usually not a cause for concern.
Teeth grinders, or bruxers, often also bite their fingernails, pencils and chew the inside of their cheeks. However, if you are diagnosed with TMD, the good news is that simple self-care practices are highly effective in relieving the discomfort.
These include eating soft foods, applying heat or ice packs and avoiding extreme jaw movements. Effective, conservative treatments include non-steroidal anti-inflammatory drugs, muscle relaxants, physical therapy and oral appliances.
Bruxers experience jaw pain, tense muscles and headaches, along with excessive wear on their teeth.



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