TMJ / TMJ Disorder / TMD – A Patient’s Guide

What is TMJ Disorder / TMD?

Temporomandibular Joint Disorder (TMJD / TMD) is a set of symptoms that affects the TMJ area and surrounding structures (muscles, head, neck, ear, eyes, sinuses, teeth, etc).

 

Temporomandibular Joint Disorder (TMD) is also referred to as:

TMJ  (as it is more commonly recognized)

– TMJ Syndrome

– TMD

– Orofacial Pain

– Temporomandibular Dysfunction

– Craniofacial Pain

– Cranio-Cervical Mandibular Disorder (CCMD)

 

Many health care professionals (such as doctors, neurologist, ENT, chiropractor, physiotherapist, acupuncturist, RMT), dentist, dental specialist and patients alike refer to this umbrella classification of ailments simply by the initials TMJ or TMD, which describe the afflicted sliding-hinge joint that connects the jawbone and the skull.

 

 

 

Diagnosing TMJ Disorders (TMD) requires:

(a) TMJ Assessment by a dentist or dental specialist who has a focus on TMD / TMJ Disorder treatment to determine the TMJ function, mandibular movements, and pain patterns.

 

(b) TMJ MRI Imaging and TMJ CBCT Imaging allows the evaluation of the TMJ bone (condyle) and TMJ cartilage (articular disc).

MRI Imaging

MRI Imaging allows for the evaluation of damage to the TMJ cartilage (articular disc) and to determine its position i.e. if it has slipped forward (anterior disc displacement), slipped sideways (medial or lateral disc displacement) or slipped backwards (posterior disc displacement).

 

 

TMJ

TMJ CBCT Imaging allows the evaluation of the TMJ bone (condyle) and surrounding bone.  CBCT imaging allows for the evaluation of the for bone changes (ex. degenerative joint disease) or lesions (ex. tumours).

 

 

 

 

(c)  a multidisciplinary approach with other health care practitioner (ex. doctors, neurologist, ENT, chiropractor, physiotherapist, motor movement specialist, acupuncturist, RMT) to rule out other conditions that can mimic Temporomandibular Disorders and to manage those conditions.

 

TMJ Specialist and TMJ Speciality

 

The American Dental Association, Canadian Dental Association, American Medical Association or Canadian Medical Association does not have a designated “TMJ Specialist”,  “TMJ Specialty“,  or “Orofacial Pain Specialty”.   (There are only 10 recognized dental specialties: Oral Maxillofacial Surgeon, Oral Pathologist, Oral Medicine, Oral Maxillofacial Radiologist, Orthodontist, Endodontist, Paediatric, Prosthodontist, Periodontist and Dental Anaesthesiologist.)

 

 However, general dentist (like Dr. Rick Soordhar and Dr. Vick Soordhar) and dental specialist can take post dental school education courses, from organizations like the American Academy of Craniofacial Pain – AACP  or university certificate program  to have a focused interest in the management of Temporomandibular Joint Disorders. 

 

Dr. Anil Rick Soordhar has obtained his:

– Diplomat status with the American Board of Craniofacial Pain (only 9 dentist in Canada), *

–  Distinguished Fellow status with the American Academy of Craniofacial Pain (only 18 dentist in Canada), *

– Fellowship with the American Academy of Craniofacial Pain (only 25 dentist in Canada), *

 Dr . Sunil Vick  Soordhar has obtained his:

– Fellowship with the American Academy of Craniofacial Pain  (only 25 dentist in Canada), *

 

 SYMPTOMS of TMJ Disorder (TMD)

SYMPTOMS

Jaw Problems
  • – Jaw Pain
  • – clicking
  • – popping
  • – grating sound

Mouth Problems

  • – Mouth Pain
  • – lock jaw locks
  • – trouble opening mouth
  • – limited mouth opening

Teeth Problems

  • tooth pain / sensitivity
  • clenching / grinding
  • teeth fracturing

Head Pain / Headaches

  • – temple / forehead headaches
  • – “Tension” / “Migraine” headaches
  • – sinus type headaches
  • – shooting pain up the back of head

Eye Problems

    – eye pain

  • – eye pressure
  • – blurry vision
  • – light sensitivity
  • – dry / watery eyes

Ear Problems

  • – ear pain / pressure
  • – clogged / itchy ears
  • – ringing / buzzing / tinnitus
  • – sound sensitive
  • – dizzy spells
  • – vertigo

Neck Problems

  • – neck pain
  • – stiff / sore neck
  • – shoulder & back aches
  • – arm & finger numbness / pain

Throat Problems

  • – throat pain / fullness
  • – swallowing difficulties
  • – voice irregularities or changes
  • – frequent coughing / clearing throat
  • – feeling of foreign object in throat

 

What Causes TMJ Disorder (TMD)

 

The cause of TMJ Disorder is multifactorial and is not limited to the list below:

– Misalignment (malocclusion) of the teeth or jaw

– Teeth grinding

– Poor posture

– Stress

– Arthritis or other inflammatory musculoskeletal disorders

– Systemic Disorders

– Trauma (ex. sports injury or MVA – motor vehicle accident)

 

How to treat TMJ Disorder (TMD)

 

Treatment options and recommendations vary from case to case, doctor to doctor and diagnosis to diagnosis. The treatment for each patient has to be customized for them and can include but not limited to:

– Applying cold or ice packs at the joint

– Over-the-counter (OTC) nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin), or naproxen (Aleve)

– A soft-food diet

– Abstaining from chewing gum

– Gentle massage or self-stretching of the jaw and neck muscles

– Reducing stress through regularly practiced relaxation techniques

– Retraining oral and body posture

– Acupuncture (needle and needless)

– Electrical muscle stimulation (HV, pre-modulated and interferential current)

– Ultrasound and Phonophoresis

– Iontophoresis

– Myofascial Trigger Point Injections

– Spray and Stretch

– Home care stretching and lifestyle modifications

– Stress management

– Dental orthotic (aka TMJ splint, bite plate, anterior positioning appliance)

– Orthopedic and Orthodontic (Braces)

 

Stop Suffering from TMJ Pain

TMJ syndrome can wear away at quality of life. Don’t suffer in silence, contact us. We don’t want anyone to feel condemned to a painful life of TMJ pain.

 

* DRS. SOORDHAR AND SOORDHAR ARE GENERAL DENTIST WITH A FOCUS ON TMJ DISORDER (TMD) TREATMENT AND ARE NOT SPECIALIST.

 

* NOTHING ON THIS WEBSITE OR ANY OF THE CONTENT CONTAINED THEREIN IS MEANT TO IMPLY OR STATE DR. RICK SOORDHAR OR DR. VICK SOORDHAR IS A “TMJ SPECIALIST”, ORTHODONTIST SPECIALIST, “DENTAL SLEEP APNEA SPECIALIST”,  ORAL MEDICINE SPECIALIST, ORAL PATHOLOGIST SPECIALIST OR ORAL SURGEON SPECIALIST. 

BOOK YOUR CONSULTATION

Hours of Operation

  • Monday
    09:00 AM until 6:00 PM
  • Tuesday
    10:00 AM until 7:00 PM
  • Wednesday
    09:00 AM until 6:00 PM
  • Thursday
    10:00 AM until 7:00 PM
  • Friday
    09:00 AM until 2:00 PM
  • Saturday
    09:00 AM until 2:00 PM
Clock Image

Location

9030 Derry Road West Milton Ontario L9T 7H9
  • Email:info@oasisdentalmilton.com
  • Phone:905-876-2747
  • Fax:905-876-2749
Phone Dairy Image