Defining and Treating TMJ
Thursday, July 15th, 2010Roughly sixty million Americans have been diagnosed with TMJ syndrome. For that reason it is a commonly heard term, but not many people know what it is and how it can be treated. The TMJ (temporomandibular joint) is a joint that attaches the lower jaw to your skull. Symptoms such as frequent headaches or a popping sound coming from the jaw may be a result of the TMJ not functioning properly. This could be due to one or more of the following having been adversely affected: your chewing muscles, joints, ligaments or surrounding bones. It is difficult to pinpoint the exact cause of one’s TMJ syndrome. It may be the result of a traumatic accident or a disease such as arthritis.
The most common causes, however, are clenching and grinding of one’s teeth, which can tire and strain the chewing muscles, causing them to go into spasm and cause pain. An improper bite can also result in TMJ dysfunction. Among the symptoms are: headaches (usually upon awakening), tenderness or fatigue of the jaw muscles, earaches, and pain or difficulty when chewing, yawning or opening wide. Clicking or popping sounds are very common signs, and in some extreme cases the jaw can actually get stuck in the open or closed position.
Most cases of TMJ disorders can be treated conservatively and successfully. Only a small number of cases require surgical correction, usually with those individuals who have suffered a traumatic injury. The first step is to eliminate the pain and muscle spasms. In mild cases, this can be done with moist heat packs, a non-chewy diet, and muscle relaxants (if necessary).
The next step would be to try and become aware of the potential sources of stress and tension that could lead to clenching and grinding. A conservative therapeutic device that may work well is a corrective bite plate (made by your dentist), that will help to relax the muscles, thus preventing headaches, pain and spasm. Selective filing of an uneven bite to correct the “high” spots is a final attempt to treat TMJ conservatively, because the removal of tooth structure is an irreversible process.