TMD is a group of disorders that affect the temporomandibular joint (TMJ), causing pain, discomfort, or loss of function in the area .
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Temporomandibular Joint Disorders, also known as TMJ or TMD. Individuals who experience this pain should visit their Dentist to discuss TMJ symptoms and
The TMJ is the joint that connects your mandible (lower jaw) to your skull. Learn about TMJ disorders.
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TMJ treatment from Dr. Sanda Moldovan and her team in Beverly Hills, CA reduces jaw discomfort by bringing the bite into balance. Call (310) 692-7855
TMJ disorders refers to pain in your jaw joint or the surrounding muscles. Causes include genetics, teeth grinding, muscle strain, and others.
Temporomandibular Joint Disorder or TMJ is a very painful ailment that affects the jawbone. It is usually caused when someone gnaws their teeth during the night
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Temporomandibular Joint Disorder TMD/TMJ - Temporomadnibular joint and muscle disorders, commonly called, "TMJ," are a group of conditions that cause pain and dysfunction in the jaw point and the muscles that control jaw movement. Some estimates suggest that over 10 million Americans are affected by TMJ and is more common in women than in men. For most people, pain in the area of the jaw joint or muscles doesn't signal a serious problem. Generally, discomfort from these conditions is occasional and temporary, often occurring in cycles. The pain eventually goes away with little or no treatment. Some people, however, develop significant long-term symptoms. What is the Temporomandibular Joint - besides a mouthful? Image below with key The Temporomandibular joint connects the lower jaw, called the mandible, to the bone at the side of the head - the temporal bone. If you place your fingers just in the front of your ears and open your mouth, you can feel the joints. Because these joints are flexible, the jaw can move smoothly up and down and side to side, enabling us to talk, chew, and yawn. Muscles attached to and surrounding the jaw joint control its position and movement. When we open our mouths, the rounded ends of the lower jaw, called condyles, glide along the joint socket of the temporal bone. The condyles slide back to their original position when we close our mouths. To keep this motion smooth, a soft disc lies between the condyle and the temporal bone. This disc absorbs shocks to the jaw joint from chewing and other movements. The temporomandibular joint is different from the body's other joints. The combination of hinge and sliding motions makes this joint among the most complicated in the body. (Think of your knees or elbows... both are a pair of separate joints that are controlled individually; whereas the jaw is a pair of joints connected by the mandible, or jaw.) Also, the tissues that make up the temporomandibular joint differ from other load-bearing joints, like the knee or hip. Because of its complex movement and unique makeup, the jaw joint and its controlling muscles can pose a tremendous challenge to both patients and health care providers when problems arise. What are TMJ Disorders? Disorders of the jaw joint and chewing muscles - and how people respond to them - vary widely. Researchers generally agree that the conditions fall into three main categories: Myofascial pain - the most common temporomandibular disorder, involves discomfort or pain in the muscles that control the jaw function. Internal derangement of the joint - involves a displaced disc, dislocated jaw, or injury to the condyle. Arthritis - refers to a group of degenerative / inflammatory joint disorders that can affect the temporomandibular joint. A person may have one or more of these conditions at the same time. 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 tissue throughout the body. It is not known whether these disorders share a common cause. * - To determine which of these three categories your TMJ pain falls into, pinpoint where your pain is located on the diagrams above. Is it the jaw itself? The muscles by your forehead or area close to your ears? Or is it right where you placed your fingers earlier to feel the joint? If it's the jaw bone or muscles along it (including by your forehead/temples), that falls under Myofascial pain. Internal derangement can be associated with pain in the jaw joint and the area close to your ears (where the joint is located). Arthritis pain could be the joint and muscles. Anything sound like it fits? * People who have a rheumatic (autoimmune) disease, such as rheumatoid arthritis, may develop TMJ disease as a secondary condition. Rheumatic diseases refer to a large group of disorders that cause pain, inflammation, and stiffness in the joints, muscles, and bone. Both rheumatoid arthritis and some TMJ disorders involve inflammation of the tissues that line the joints. The exact relationship between these conditions is not known. * It's been said that not all those who have TMJ have EDS, but all those who have EDS have TMJ. * In other words, EDS patients make up a small portion of all those with TMJ. How jaw joint and muscle disorders progress is not clear. Symptoms worsen and ease over time, but what causes these changes is not known. Most people have relatively mild forms of the disorder. Their symptoms improve significantly, or disappear spontaneously, within weeks or months. For others, the condition causes long-term, persistent and debilitating pain. SIGNS & SYMPTOMS: A variety of symptoms may be linked to TMJ disorders. Pain, particularly in the chewing muscles and/or jaw joint, is the most common symptom. Other likely symptoms include: radiating pain in the face, jaw, or neck, jaw muscle stiffness, limited movement or locking of the jaw, painful clicking, popping, cracking, or grating in the jaw joint when opening or closing the mouth, a change in the way the upper and lower teeth fit together TREATMENT: Physical Therapy options are now available in some areas and there are a variety of specialists who may be able to help. Some self-care practices can also help prevent the spread of pain and lessen the intensity of day to day discomfort: eating soft foods applying ice packs avoiding extreme jaw movements (such as wide yawning, loud singing, and gum chewing) learning techniques for relaxing and reducing stress practicing gentle jaw stretching and relaxing exercises that may help increase jaw movement. Your health care provider or a physical therapist can recommend exercises if appropriate for your particular condition. As straightforward as these practices seem, they're helpful to recognize. While eating soft foods and avoiding really chewy bagels, breadsticks, meats, etc. is a given that if suffering from TMJ, you've already changed, chewing gum is a less obvious cause of pain. Anything that you can do to avoid the discomfort of unnecessary movement is recommended. Pain Medications - For many with TMJ disorders, short-term use of over-the-counter pain medicines or nonsterodial anti-inflammatory drugs (NSAIDS), such as ibuprofen, may provide temporary relief from jaw discomfort. When necessary, your dentist or doctor can prescribe stronger pain or anti-inflammatory medications, muscle relaxants, or anti-depressants to help ease symptoms. Stabilization Splints - Your doctor or dentist 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. Stabilization splints are the most widely used treatments for TMJ disorders. Studies of their effectiveness in providing pain relief, however, have, been inconclusive. If a stabilization splint is recommended, it should be used only for a short time and should not cause permanent changes in the bite. If a splint causes or increases pain, stop using it and see your health care provider. The conservative, reversible treatments described are useful for temporary relief of pain - they are not cures for TMJ disorders. If symptoms continue over time, come back often, or worsen, tell your doctor. Irreversible TREATMENTS: Irreversible treatments that have not been proven to be effective - and may make the problem worse - include orthodontics to change the bite; crown and bridge work to balance the bite; grinding down teeth to bring the bite into balance, called "occlusal adjustment"; and repositioning splints, also called orthotics, which permanently alter the bite. Surgery - Other types of treatments, such as surgical procedures, invade the tissues. Surgical treatments are controversial, often irreversible, and should be avoided where possible. There have been no long-term clinical trials to study the safety and effectiveness of surgical treatments for TMJ disorders. Nor are there standards to identify people who would most likely benefit from surgery. Failure to respond to conservative treatments, for example, does not automatically mean that surgery is necessary. If surgery is recommended, be sure to have your doctor explain to you, in words you can understand and relate to, the reason for treatment, the risks involved, and other types of treatment that may be available. IF YOU THINK YOU HAVE A TMJ DISORDER ... Remember that for most people, discomfort from TMJ disorders will eventually go away on its own. Simple self-care practices are often effective in easing symptoms. If treatment is needed, it should be based on a reasonable diagnosis, be conservative and reversible and be customized to your special needs. Avoid treatment that can cause permanent changes in the bite or jaw. If irreversible treatments are reccomended, be sure to get a reliable, independent second opinion. Because there is no certified specialty for TMJ disorders in either dentistry or medicine, finding the right care can be difficult. Look for a health care provider who understands musculoskeletal disorders (affecting muscle, bone and joints) and who is trained in treating pain conditions. Pain clinics in hospitals and universities are often a good source of advice, particularly when pain continues over time and interferes with daily life. Complex cases, often marked by prolonged, persistent and severe pain; jaw dysfunction; co-existing conditions; and diminished quality of life, likely require a team of experts from various fields, such as neurology, rheumatology, pain management and others, to diagnose and treat this condition. TIPS: Simply leaving your teeth separated when your mouth is closed, or parting your lips slightly, can relieve some of the pain caused by clenching or grinding teeth together. Your tongue should be resting in a 'floating' position at the roof of your mouth or between the front teeth. Some exercises you can do are opening and closing your mouth in front of a mirror; stopping when or right before your jaw pops/cracks/makes noise (and thus shifting in appearance). By practicing this movement the correct way, you'll strengthen the muscles around the joint and enable the movement to become more regular. Another way to strengthen these muscles is to place the tip of your tongue to the roof of your mouth and slowly open and close to the extent of your tongue but no farther. As always with health, exercises, and changes to normal routines, discontinue if problems appear or persist. Consult a healthcare professional with any and all concerns. http://www.nidcr.nih.gov (National Institute of Dental and Craniofacial Research - U.S. Department of Health and Human Services, National Institutes of Health)
TMJ exercises for pain relief and managementTemporomandibular Joint Disorder (TMD) is characterized by pain, tenderness, and compromised movement of the temporomandibular joints (TMJ) and muscles of mastication that open and close the...
Having temporomandibular joint pain (TMJ)? Our Calgary dentist understands TMJ/TMD to be able to offer the best treatment! New patients are welcome at our Calgary dental office.
Cómo curar un trastorno de la ATM con ejercicios para la mandíbula. El trastorno de la articulación temporomandibular (ATM) se caracteriza por el dolor, sensibilidad y movimiento comprometido de las articulaciones temporomandibulares y los...
Temporomandibular Joint, or TMJ, is the joint that connects our jawbone to the skull. If we face malfunction, opting for jaw pain treatment becomes necessary.
TMJ, TMJ symptoms, TMJ treatment, TMJ exercises, TMJ disorder, temporomandibular joint, ear nose and throat specialists Sydney, throat specialists
HOMEOPATHY FOR TEMPOROMANDIBULAR JOINT DISORDER WHERE IS YOUR TEMPOROMANDIBULAR JOINT Your TMJ is located in the area right in front of your ears on either side. This is where the upper jaw and lower jaw meet. It is a hinge joint with a small disc of cartilage separating the two bony surfaces which prevents one bone from rubbing against the other. We use this joint numerous times a day for chewing food, yawning, talking, biting. There are a number of muscles, tendons involved in these movements and together with the joint it enables us to perform all these tasks. Normally all these components are functioning well and there is no pain but if you are experiencing discomfort, pain, headaches, clicking sounds, or locked jaw then you have TMJ disorder. WHAT ARE THE CAUSES OF TMJ DISORDERS There are many different causes for developing a TMJ disorder. Here are a few of the common ones. 1. BRUXISM - teeth clenching or grinding subconsciously causes a wear and tear on the disc of cartilage between the two bony surfaces. Usually the person is completely unaware of this and is noticed by someone else. Sometimes the only way it is found out is when your dentist notices the wear and tear effect on the teeth. Grinding of teeth or jaw clenching is a sign of tension and anxiety leading to overuse of the muscles. Myofascial Pain Syndrome is caused by nocturnal bruxism. In Homoeopathy we have a special remedy known as Chamomilla which helps in such cases of Bruxism especially when the child is highly irritable and clenches his teeth subconciously giving rise to pain which he cannot bear. 2. TRAUMA OR INJURY TO THE TMJ - if there is any history of fracture or trauma to the TMJ then this can cause immobility or limitation in movements. For such traumatic injuries Arnica would help the patient a great deal. 3. DENTAL PROBLEMS - people who have a misalignment of teeth suffer from TMJ problems. If the person experiences difficulty in finding a comfortable bite or the way the teeth fit together then they should get a dental check up. Sometimes chewing excessively only on one side of the jaw can cause TMJ disorder. 4. ARTHRITIS - various different types of arthritis can affect the TM joint. Infectious arthritis is not very common but can occur when a blood borne infection localizes in the joint or it can happen as a direct extension of an adjacent infection. The area gets inflamed, there is tenderness, and restriction of movement. Traumatic arthritis can set in after an injury or fracture of the TMJ. Osteoarthritis can affect the TMJ too. It is usually seen in older people. They complaint of stiffness, mild pain while eating, cracking sounds. This is all due to wear and tear of the joint and its cartilage. Rheumatoid arthritis of the TMJ is encountered in adults and children who are suffering from RA in more than 50% of the cases. Pain, swelling, inflammation are the common findings. 5. HABITUAL GUM CHEWING OR NAIL BITING 6. OCCUPATIONAL HAZARDS - telephone operators use to suffer from this earlier as they had the habit of holding the phone between the head and shoulder. SIGNS AND SYMPTOMS The signs and symptoms depend on the cause of the problem but there are a few which are common to almost all the causes. 1. Tenderness of your jaw muscles. There may be soreness when you wake up in the morning or after movement of the jaw. 2. Headache is one of the most common complaints experienced. Facial pain is another. Moving the joint while opening and closing the jaw causes pain. Facial pain can also be aggravated by cold weather or the draft of the air condition as this causes the muscle to contract. 3. A clicking, crunching, popping or grinding sound is a symptom of TMJ disorder which a lot of people experience. 4. If Ear pain is present inspite of there being no infection in the ears or sinuses then TMJ should be strongly suspected especially if the pain is situated in front the ear. 5. Limitation of movement and locking of the jaw occur in some TMJ disorders. This makes it difficult to open and close the mouth while eating, talking, yawning. 6. Some patients do complaint of dizziness though this is not very common with TMJ disorders. The dizziness is vague and there is a slight sense of imbalance. It is very different from the dizziness felt in vertigo. WHAT IS THE TREATMENT FOR TMJ DISORDERS? Treatment is usually determined by the cause of the problem. Along with medication there are a number of ways in which the person can take care of her or his TMJ. Here are a few self-care tips given below. a. Stress is one of the main risk factors for developing TMJ. It causes excessive grinding of the teeth and the person is not even aware as it is usually present during sleep. Women seem to suffer from this more than men and especially during their early 20's or during perimenopause. Dealing with this stress, tension or anxiety is essential. You can effectively cope with stress by doing simple things like deep breathing, meditation, Yoga, relaxation of the muscles by certain exercises, dancing, playing sports, art etc… b. Taking care of what you eat is essential. Stay away from hard, chewy, crunchy food. No chewing gum or eating hard sweets and chocolates. Raw vegetables like carrots, radish, cucumber, fruits like apple, pear all should be either chopped or grated and eaten. c. Ask your dentist to check your bite and give you something called a Biteplate (also called a splint). This is needed if your jaws are wrongly aligned. d. If you are in the habit of grinding your teeth at night you should get a little device known as a night guard. You have to insert it over your teeth so that they are protected from wear and tear. e. When the pain is acute then ICE therapy will give tremendous relief. The ice helps to reduce the inflammation and pain. Sometimes doctors advise alternate Ice and Heat therapy as it helps to reduce the muscle tension and spasm. HOMOEOPATHIC TREATMENT As a homoeopathic physician we always first try to ascertain what is the cause of the symptoms that the patient is suffering from. Is it just mechanical like an injury or chewing gum continuously or is there a deep seated underlying cause. The patient's personality and nature are extremely important, is she the anxious, nervous kind who gets tense easily which causes the grinding at night. Here are a few remedies which have given great results in TMJ disorders. BELLADONNA A 40 year old woman came to me complaining of severe throbbing headaches. She felt as if someone was hammering her head and could not bear to be touched. Even the slightest noise brings on the terrible pain. Her husband added that her nature had changed drastically. She was normally a very jovial, happy person but now extremely irritable and even violent sometimes. Another point he made was that she had started grinding her teeth at night which she was not aware of. On further case taking she told me that she was going through lot of stress and emotional problems. This was the cause of the grinding of teeth leading to terrible headaches. She was only better by pressure and sitting semi-erect. Eating or chewing is painful and worsens the pain. This woman's symptoms matched those of Belladonna and she was given Belladonna 200, 5 pills four times a day which gave her tremendous physical and mental relief. HECLA LAVA This remedy works wonders on the affections of the Jaws especially if the problem is caused by an injury to the bone. Hecla lava also is a remedy for necrosis and caries of the jaw bone. The TMJ area is very sensitive and painful. The Hecla lava patient will not allow the area to be touched. There is normally a swelling along with the pain. Hecla lava is also extremely useful in abscesses of the gums, gum boils, toothache. RHUSTOX Rhustox has a great affinity for affections of all joints in the body including the temporomandibular joint. All the pains are worse at night-time. The patient complaints of severe tearing, shooting pains which are worse from touch. The first movement of the joint is especially painful but the pain gradually reduces on subsequent movement. There is also a cracking sound on chewing or moving the jaws. These patients are affected by cold, wet weather and drafts of air. They get relief by heat and rubbing the area. Rhustox is one of the remedies for different types of arthritis and other affections of the bones, tendons, ligaments and joints. CINA A mother brought her 5 year old boy to me saying that her son was complaining of headaches especially after getting up in the morning. At first she thought it was an excuse to miss school but even on holidays he would say the same thing. She also added that he constantly itches his anus and picks at his nose. The boy was cranky and constantly tugging at his mother to carry him. When asked about his appetite the mother said he ate very well and was constantly hungry though he had not put on too much weight. This child was suffering from worms which causes grinding of the teeth in some people. I prescribed Cina 200, 5 pills four times a day and also advised the mother about hygiene, boiling water and not to give raw uncooked food . I really thanks Dr Shirin Wadia for sharing her work and taken her work to this blog
