FAQ FOR TMJ DISORDERS

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https://oasisdentalmilton.com/tmj-sleep-apnea-headaches/tmj-symptoms-dysfunction-problems-jaw-clicking-popping-dislocated-jaw-pain-ear-noises/

Jaw Clicking and Jaw Popping: Why Does it Happen?

Jaw clicking or popping can occur due to, but not limited to:
1. Articular Disc Adhesions to the Glenoid Fossa
2. Disc Displacement with Reduction (anterior, medial, lateral or a combination)

Why Did My Jaw Stop Clicking When It Was Clicking Before?

Jaw clicking is usually related to the disc being displaced from its normal position and it goes into place when the mouth is opened, aka Disc Displacement with Reduction. However, when the teeth come together, the disc is dislocated again. This can be tested by placing your fingers over the TMJ area (located front of the ears) and listening of noises when opening and closing the mouth.

If the disc stops reducing (going back into place), the clicking noise can stop, aka Disc Displacement without Reduction. Also you may notice that you were able to open your mouth really wide (ie. eating a thick sandwich, hamburger, sub etc) or now you are not able to open as wide to eat (ie. you compress your food to get it into your mouth).

Why Does My Jaw Make A Grating Noise?

TMJ Grating noises (sounds like sandpaper rubbing together) can occur due to, but not limited to:

1. TMJ Degenerative Joint Disease

2. TMJ Disc Perforation

WHAT ABOUT BITE CORRECTION OR TMJ SURGERY?

If your TMJ disorder has caused problems with how your teeth fit together, you may need treatment such as bite adjustment (equilibration), orthodontics with or without jaw reconstruction, or restorative dental work.

Clenching and Grinding

Clenching and Grinding in Kids and Adults:  Why should I seek treatment for Bruxism?

Bruxism is an oral parafunctional (abnormal) activity which commonly occurs with most people at some point in their lives. The two main characteristics of this condition are grinding the teeth and clenching of the jaw. These actions usually occur during a person’s sleeping hours, especially for adults and children with sleep apnea or an airway restriction. It can occur during the day also.

Bruxism is one of the most common known sleep disorders. Chewing is a neuromuscular activity controlled by a subconscious process, but more highly controlled by the brain. During sleep, the subconscious process may become active while the higher control is inactive (asleep), resulting in bruxism. The most common symptoms are the same as patients with Temporomandibular Disorder (TMD).

 
Why should I seek treatment for Bruxism?
  • Gum Recession – Bruxism is a leading cause of gum recession and tooth loss. Grinding teeth can damage the soft tissue directly and lead to loose teeth and deep pockets where bacteria are able to colonize and decay the supporting bone.

  • Facial Pain – Grinding can eventually shorten and blunt the teeth. This can lead to muscle pain in the myofascial region and, in severe cases, incapacitating headaches.

  • Occlusal Trauma – The abnormal wear patterns on the occlusal (chewing) surfaces of the teeth can lead to fractures, which if left untreated, may require restorative treatment at a later time.

  • Arthritis – In the most severe cases, bruxism can eventually lead to painful arthritis in the temporomandibular (TMJ) joints that allow the jaw to open and close smoothly.

Treatment Options

Though there is no one cure for bruxism, there are a variety of devices and services available from our office to help treat bruxism.

 

  • Mouthguard – An acrylic mouthguard can be designed from teeth impressions to minimize the abrasive grinding action during normal sleep. Mouthguards are expected to be worn on a long-term basis to help prevent tooth damage.

  • NTI-tss Device – This device only covers the front teeth and must be fitted at our office. The idea behind the NTI-tss is to prevent grinding the rear molars by limiting the contraction of the temporalis muscle in the jaw.

  • BOTOX® Cosmetic – BOTOX® Cosmetic can be injected into the muscles responsible for bruxing by disabling them enough to prevent grinding, but not enough to disrupt normal functions like speaking and chewing.

Once bruxing is under control, we can perform a variety of dental procedures to restore the pleasant aesthetic appearance to your smile such as crowns, gum grafts and crown lengthening.

TMJ DISORDER SIGNS AND SYMPTOMS

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  • TMJ Disorder is known as the "Great Imposter" as it can mimick any type of Head, Neck and Facial Pain

  • TMJ (Jaw Joint) noises(clicking or popping), trouble opening or closing the mouth are common signs but TMJ pain is not necessary present

  • Patients with Migraines, Headaches, Tension Headaches, Concussions and MVA can also have TMJ Disorders

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EYE PROBLEMS
Eye Pain
Eye Pressure
Blurry Vision
Light Sensitivity
Dry/Watery eyes

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HEAD PAIN / HEADACHES
Forehead/Temple Headaches
"Tension" Headaches
"Migraine" Headaches
Sinus Type Headaches
Shooting Pain up back of head
Hair/ Scalp painful to touch
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JAW PROBLEMS
Jaw Pain
Jaw Joint Sounds
Clicking
Popping
Grating Sounds

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MOUTH PROBLEMS
Mouth Pain 
Mouth Locks Open
Mouth Locks Shut
Jaw deviates on opening
Limited Mouth Opening
Trouble opening mouth
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EAR PROBLEMS
Ear pain / Pressure
Clogged / Itchy Ears
Ringing / Buzzing
Sound Sensitivity
Dizzy Spells
Vertigo
Extra Wax Buildup
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TEETH PROBLEMS
Teeth Pain
Teeth Sensitivity
Clenching / Grinding
Chipped Teeth
Teeth Fracturing
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THROAT PROBLEMS
Throat Pain/Fullness
Swallowing Difficulties
Voice Irregularities or changes
Frequent coughing /clearing of throat
Feeling of foreign object in throat
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NECK PROBLEMS
Neck Pain
Stiff / Sore Muscles
Shoulder & Back Aches
Arm & Finger Numbness/Pain

TMD symptoms can arise from a failure of the TMJ, spine and muscles of the head and neck working correctly together, some TMD can eventually cause more serious conditions and should be addressed and treated as early as possible.

 

No single treatment has been conclusively found to “cure” TMJ disorders completely. Effective treatment takes time, but Oasis Dental can show you the way from the pain of TMD to a healthier and more comfortable jaw, head and neck.

HOW DO I KNOW I HAVE TMJ DISORDER?

DO I HAVE TMJ PROBLEM?

​​​TMD can stem from a singular variable or an unfortunate combination. Tightened jaw muscles under the strain of clenching or grinding teeth can severely stress the TMJ. Injuries, disease and arthritis can directly damage the joint and stretch or tear the attached muscle ligaments, slip the TMJ disc or cartilage out of position.

Whatever the cause, TMD sufferers experience a variety of painful conditions, including a misaligned bite, chronic pain, clicking or grating noises when opening or closing the mouth, and difficulty opening the mouth wide.

OBVIOUS TMJ DYSFUNCTION SYMPTOMS

  • Joint sounds (popping, click or grating)

  • Trouble or pain on opening, closing or chewing

  • Jaw feeling stuck or locked

  • Clenching or grinding teeth

  • Teeth sensitive, loose, broken or worn

  • Teeth do not fit together properly or bite feels off

  • Pressure or headache behind the eyes, over the forehead, or on the side of the head

  • Numbness or tingling in the arms or hands

  • Dizzy spells, blurred vision, ear fullness, ear ringing or sinus fullness

  • Pain or pressure around face, neck or shoulders

  • Neck aches

  • Headaches