Temporomandibular Joint Disorders (TMD) Treatment
The temporomandibular joint connects the lower jaw, called the mandible, to the bone at the side of the head—the temporal bone. If you place your fingers just in front of your ears and open your mouth, you can feel the joints. Because these joints are flexible, the jaw can move smoothly up and down and side to side, enabling us to talk, chew and yawn. Muscles attached to and surrounding the jaw joint control its position and movement.
Problems with your jaw and the muscles in your face that control it are known as temporomandibular disorders (TMD). Injury to your jaw, the joint, or the muscles of your head and neck — like from a heavy blow or whiplash , Grinding or clenching your teeth, Arthritis in the joint or Stress, which can cause you to tighten facial and jaw muscles or clench the teeth.
Disorders of the jaw joint and chewing muscles—and how people respond to them—vary widely. Researchers generally agree that the conditions fall into three main categories:
- Myofascial pain involves discomfort or pain in the muscles that control jaw function.
- Internal derangement of the joint involves a displaced disc, dislocated jaw, or injury to the condyle.
- Arthritis refers to a group of degenerative/inflammatory joint disorders that can affect the temporomandibular joint.
A person may have one or more of these conditions at the same time. Some people have other health problems that co-exist with TMJ disorders, such as chronic fatigue syndrome, sleep disturbances or fibromyalgia, a painful condition that affects muscles and other soft tissues throughout the body. These disorders share some common symptoms, which suggests that they may share similar underlying mechanisms of disease. However, it is not known whether they have a common cause.
Rheumatic disease, such as arthritis, may also affect the temporomandibular joint as a secondary condition. Rheumatic diseases refer to a large group of disorders that cause pain, inflammation, and stiffness in the joints, muscles, and bone. Arthritis and some TMJ disorders involve inflammation of the tissues that line the joints. The exact relationship between these conditions is not known.
How jaw joint and muscle disorders progress is not clear. Symptoms worsen and ease over time, but what causes these changes is not known. Most people have relatively mild forms of the disorder. Their symptoms improve significantly, or disappear spontaneously, within weeks or months. For others, the condition causes long-term, persistent and debilitating pain.
TMD often causes severe pain and discomfort. It can be temporary or last many years. It might affect one or both sides of your face. More women than men have it, and it’s most common among people between the ages of 20 and 40.
Common symptoms include:
- Pain or tenderness in your face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide
- Problems when you try to open your mouth wide
- Jaws that get “stuck” or “lock” in the open- or closed-mouth position
- Clicking, popping, or grating sounds in the jaw joint when you open or close your mouth or chew. This may or may not be painful.
- A tired feeling in your face
- Trouble chewing or a sudden uncomfortable bite — as if the upper and lower teeth are not fitting together properly
- Swelling on the side of your face
You may have toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitus).