What is TMJ Disorder?

Have you ever felt discomfort or pain in the joint that connects your jaw to your skull? This condition is known as Temporomandibular Joint Disorder, or TMD for short. It can manifest in different ways and be quite bothersome. For instance, you might notice clicking or popping sounds when you open and close your mouth, or you could be experiencing elusive headaches and facial pain. These are potential signs of TMD disorder.

Now, don't worry; you're not alone in this. TMD can happen for a few reasons, like jaw injuries, teeth grinding (ever catch yourself doing that in your sleep?), stress, or even misaligned teeth.

However the good news is that there are ways to treat and manage your TMD! It’s essential to get a proper diagnosis. So, it’s a good idea to see a dentist or an oral and maxillofacial surgeon who can thoroughly examine your condition and determine the best course of action.

Treatment varies depending on your specific circumstances. You may benefit from a combination of approaches. Basic self-care practices such as consuming soft foods, using warm compresses, and refraining from excessive jaw movements can be quite effective. Additionally, physical therapy and pain-relieving medications could provide relief. Rest assured, surgery is typically considered a final option and is primarily reserved for severe TMD cases.

The crucial step is to connect with a healthcare expert capable of creating a customized treatment plan designed specifically for your needs. They will offer insight into the root causes of your problem and assist you in navigating the path toward relief.

Keep in mind that TMD is manageable, and there is hope for improvement. Don’t hesitate to seek assistance if you suspect you may be grappling with this distressing jaw condition!

What Leads to TMJ Disorder?

While trauma to the jaw joint or its surrounding tissues can lead to a TMJ disorder, it’s essential to note that not all TMJ disorders are solely attributed to such trauma. Here are some prevalent causes of TMD:

  1. Teeth grinding or clenching (bruxism)
  2. Dislocation of the articular disc
  3. Arthritis
  4. Stress
  5. Significant injury
  6. Misalignment of the bite

What Are Common Symptoms of TMD?

TMJ disorders tend to be more prevalent in women aged 20 to 40, and here are some of the most commonly observed TMJ symptoms:

  • Jaw pain 
  • Headaches 
  • Earaches 
  • Neck or shoulder discomfort 
  • Opening your mouth wide is difficult 
  • Jaw “locks” when the mouth is open or closed 
  • When you open or close your mouth, you may hear a clicking, cracking, or grinding sound in the jaw joint 
  • Chewing difficulties 
  • Tinnitus, or ringing in the ears 
  • Alterations to the way your teeth fit together 
  • Swelling on the side of your face 
  • Toothache 
  • Discomfort in the jaw joint or chewing muscles (most common symptom)
  • Face or neck pain that spreads 
  • Jaw clenching 
  • Opening your mouth is limited 
  • Nausea or vertigo, or ringing in the ears 
  • Painful clicking, popping, or grating in the jaw joint when opening or closing the mouth 
  • A change in the way the upper and lower teeth fit together 

Diagnosis

Temporomandibular disorders (TMDs) are inherently unique and typically defy self-diagnosis. Identifying these conditions can pose a challenge, given the absence of conspicuous causes and symptoms.

Dr. Todd Schroeder will meticulously document both your symptoms and your comprehensive medical history. Queries will encompass the precise location and frequency of your pain, its triggers, factors that alleviate or exacerbate it, and whether it remains confined to a specific area or radiates to other regions. If you encounter other forms of discomfort, such as headaches or backaches, we strongly recommend scheduling an appointment for immediate evaluation.

Moreover, a thorough examination of your head, neck, face, and jaw will be conducted to detect any indications of pain, jaw clicking, popping, or restricted mobility. Dr. Todd Schroeder and the 4 Seasons Sleep Center may also recommend diagnostic imaging tests like X-rays, MRI scans, or computed tomography (CT) scans.

It’s crucial to recognize that TMDs may or may not be the source of oral, jaw, or facial pain. Prior to confirming a TMD diagnosis, it is imperative to rule out alternative dental issues or underlying medical conditions.

Home Remedies for Temporomandibular Dysfunction (TMD)

You can attempt some simple measures to alleviate your jaw discomfort.

  • Eat soft foods like pasta, omelets, and soup 
  • Use ibuprofen or acetaminophen 
  • Massage the sore jaw muscles 
  • Alternate hot/cold on the jaw 
  • Avoid chewing gum
  • Avoid using your front teeth to bite into food 
  • Eat soft foods like pasta, omelets, and soup 
  • Use ibuprofen or acetaminophen 
  • Massage the sore jaw muscles 
  • Alternate hot/cold on the jaw 
  • Avoid chewing gum
  • Avoid using your front teeth to bite into food 
  • Avoid yawning too much 
  • Avoid biting your nails 
  • Avoid clenching your teeth; they should always be separated except when eating
  • Keep your chin off of your hands to avoid pressure on the jaw 

Treatment Options by Healthcare Professionals

Physical therapy

The primary focus of physical therapy is to address movement and physical function, aiming to preserve, enhance, or rehabilitate joints. Physical therapy encompasses various modalities, one of which involves manual therapy, where a therapist uses hands-on techniques to stretch the muscles and soft tissues around the affected joint. Manual therapy has been associated with pain relief and improved joint function.

Medications

In order to address your symptoms, Dr. Todd Schroeder may recommend the use of one or multiple medications. It's important to note that medications for TMJ issues are typically intended for short-term pain relief and are not considered a long-term solution. The most frequently recommended medications in such cases are nonsteroidal anti-inflammatory drugs (NSAIDs), which are readily available over-the-counter pain relievers.

Oral Appliances

Oral appliances are specialized devices that encompass the teeth and reposition the jaw to alleviate pressure on the TMJ, facilitating the healing process. This is akin to how crutches support an injured knee or ankle. Importantly, these devices do not bring about permanent changes in one's bite or teeth. It's worth noting that they are frequently mistaken for nightguards, occlusal splints, interocclusal splints, or bruxism splints. However, the critical distinction lies in the fact that the oral appliances we utilize are intentionally designed to improve the alignment of the jaw for the benefit of the TMJ, rather than solely safeguarding the teeth.

Surgical and Medical Options

These procedures encompass various interventions, including the placement of objects into your temporomandibular joints or chewing muscles, adjustments to your teeth and bite, or a combination of these methods. Nevertheless, it's crucial to understand that certain techniques, such as occlusal therapies, have shown to be ineffective and might even exacerbate the condition. Surgical options are seldom recommended and are considered a last resort, with a preference for more conservative therapies. If you are enduring severe jaw pain that significantly affects your quality of life, it's advisable to seek advice from Dr. Todd Schroeder from 4 Seasons Sleep in Milton-Freewater, particularly if you are contending with issues related to TMJ, jaw pain, teeth grinding, or any of the symptoms mentioned in this article. Addressing the issue promptly can expedite your path to a pain-free life.