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TMJ Disorder
What Are the Signs of TMJ Disorder?
When the joints are not working properly, you may experience any of these symptoms:
pronounced noises associated with movement in the TM joints (clicking, popping or crunching)
pain when the jaw is opened fully
limited range of opening
clenching or grinding teeth
facial pain and a sense of facial muscle fatigue
ear pain not related to ear infections
occasional "locking" when the jaw seems to "stick open" temporarily
ringing in the ears (tinnitus)
frequent headaches
A TMJ Disorder may develop for any number of reasons:
lost or crooked teeth
overbite
teeth that fit together poorly (malocclusion)
degenerative arthritis
various head or neck injuries including whiplash
stress causing clenched teeth (bruxism) and muscle spasms
How Can My Dentist Help?
Your dentist can serve as the key member of a health care team which could, depending on the cause of your TMJ Disorder, include an orthodontist, oral surgeon, your primary care physician, a physical therapist, and even a psychologist. Because other types of pain have been shown to mimic TMJ Disorder, a careful and thorough dental and medical evaluation is essential to arrive at an accurate diagnosis. If your condition indicates causes other than dentition, your dentist may refer you to another member of the health care team or a specialist for further diagnosis or treatment. If your symptoms point to a dental problem, your dentist will most likely take x-rays of your teeth and jaw. Dental casts may be required to check the fit (occlusion) of your upper and lower teeth and determine whether they come together correctly.
Treatment
If a malocclusion is detected, your teeth may require some restoration to improve the alignment of your "bite" and TM joints. This may include the addition of crowns or a "re-contouring" of tooth surfaces to improve the "bite" or occlusion.
When bruxism, or "grinding" of the teeth is a persistent, unconscious reflex, an orthotic, sometimes called a "splint," may be custom-fitted to separate the upper and lower teeth slightly and align the bite. If an orthotic is prescribed, you may be instructed to wear it during the course of your day or only when sleeping.
A Final Word
If you suffer pain or discomfort you believe may be related to your TM joints, please ask us for help. The successful treatment of many TMJ Disorder sufferers begins with gentle, experienced care -- right here in the dental office.
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