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Author: admin, 12.01.2015
The Temporomandibular joints are the most important joints in the body.  Its’ important functions include chewing, biting, talking, singing and kissing. This typically occurs when the ligaments that normally hold the disk onto the lower jawbone become stretched or torn due to a traumatic injury. Jason Pehling at the TMJ and Orofacial Disorders Center located in Seattle, Washington is the Northwest’s recognized expert in the treatment of Temporomandibular Joint disorders (TMD), headaches, facial pain, Bruxism or teeth grinding, and dental management of snoring and sleep apnea. Additionally, when the mouth is closed there is the connection between up to 16 pairs of teeth. Therefore, the position and function of one TMJ affects the position, function of the other TMJ; and the dental bite affects the position, and function of both TMJ and vice versa.


TMJ arthritis and damage to the cells that make the joint fluid will also increase the likelihood of a disk displacement.The disk works as the shock absorber for the joint, and when it is out of position, this can lead to arthritis in the jaw joint and adhesions to the disk. As the TMJ articulates with the skull, changes in head posture can also affect TMJ function.
Injuries to the neck such as during a whiplash injury will alter TMJ mechanics and can result in jaw pain and dysfunction.
The tongue position in speech and swallowing and the pharyngeal airway can also alter TMJ position and function. There is a higher incidence of TMJ disorders in young women and estrogen has been shown to modulate pain and inflammation within the TMJ.
Additionally, at times it will shift the bite so that a person is not able to close their teeth into their normal positions.


Women also have a higher incidence of generalized ligament hypermobility which can influence the TMJ. Stretching of the ligaments, breakdown in the bones (arthritis) or cartilage, scar tissue formation, or changes in the lubrication system (synovial fluid) can cause the disk to become stuck out of position leading to pain, jaw locking, jaw clicking and popping, and bite shifting.



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