What are the common causes of jaw pain. How can TMJ disorders affect your daily life. What are the most effective treatments for jaw joint discomfort. When should you seek medical attention for jaw pain.

Understanding Temporomandibular Joint Disorders (TMD)

Temporomandibular joint disorders (TMD), often referred to as TMJ, are the most prevalent cause of jaw pain, affecting approximately 10 million Americans. These disorders involve the temporomandibular joints, which are the hinge joints located on each side of your jaw. TMD can result from various factors, often occurring simultaneously.

Common causes of TMD include:

• Pain in the muscles controlling jaw movement
• Injury to the jaw joint
• Overstimulation of the jaw joint
• Displacement of the cushioning disc within the joint
• Arthritis affecting the protective disc

Damage to the jaw joint or its controlling muscles can be attributed to several factors:

• Nocturnal teeth grinding (bruxism)
• Involuntary jaw clenching due to stress and anxiety
• Trauma to the jaw joint, such as facial injuries during sports

Other Potential Causes of Jaw Pain

While TMD is the primary culprit behind jaw discomfort, several other conditions can lead to similar symptoms:

Cluster Headaches

These severe headaches typically cause pain behind or around one eye, but the discomfort can radiate to the jaw. Cluster headaches are known for their intensity and are often described as one of the most painful types of headaches.

Sinus Issues

The sinuses, air-filled cavities located near the jaw joint, can become infected by viruses or bacteria. This infection can result in excess mucus production, putting pressure on the jaw joint and causing pain.

Dental Problems

Severe tooth infections, such as dental abscesses, can cause referred pain that radiates to the jaw area. This type of pain can be particularly challenging to diagnose without a thorough dental examination.

Trigeminal Neuralgia

This condition is typically caused by compression of the trigeminal nerve, which provides sensation to a large portion of the face, including the upper and lower jaws. Trigeminal neuralgia can result in intense, shooting pain in the jaw and facial area.

Heart Attack

In some cases, jaw pain can be a symptom of a heart attack, particularly in women. Left-sided jaw pain, along with other symptoms like chest discomfort, shortness of breath, and nausea, may indicate a cardiac event. If you experience these symptoms, seek immediate medical attention.

Immediate Relief Strategies for Jaw Pain

If you’re experiencing jaw pain, several at-home remedies can provide quick relief:

1. Apply moist heat or ice packs: Alternate between cold and heat therapy for 10-minute intervals to reduce pain and relax overactive jaw muscles.
2. Use over-the-counter pain relievers: Medications like ibuprofen and acetaminophen can help alleviate discomfort.
3. Massage the affected joint: Gently massage the sore areas of your jaw using circular motions with your fingers.
4. Practice jaw exercises: Perform gentle stretching exercises to improve jaw mobility and reduce tension.

Long-Term Treatment Options for TMJ Disorders

For persistent jaw pain or diagnosed TMJ disorders, several long-term treatment options are available:

Oral Appliances

Dentists may recommend custom-fitted oral appliances, such as night guards or splints, to prevent teeth grinding and reduce pressure on the jaw joint during sleep.

Physical Therapy

Specialized exercises and techniques taught by a physical therapist can help strengthen jaw muscles, improve range of motion, and reduce pain associated with TMJ disorders.

Medications

In some cases, prescription medications may be necessary to manage pain and inflammation. These may include muscle relaxants, anti-inflammatory drugs, or tricyclic antidepressants.

Botox Injections

For severe cases of TMJ disorders, Botox injections into the jaw muscles can help reduce muscle tension and alleviate pain.

Surgery

In rare instances where conservative treatments are ineffective, surgical intervention may be considered to repair or replace the temporomandibular joint.

Lifestyle Modifications to Manage Jaw Pain

Incorporating certain lifestyle changes can significantly impact jaw pain management:

• Practice stress-reduction techniques, such as meditation or yoga
• Avoid chewing gum or eating hard, chewy foods
• Maintain good posture to reduce strain on the jaw and neck
• Use proper ergonomics when working at a desk or computer
• Get adequate sleep and maintain a consistent sleep schedule

When to Seek Medical Attention for Jaw Pain

While many cases of jaw pain can be managed at home, certain situations warrant professional medical attention:

• Persistent pain lasting more than a few days
• Difficulty opening or closing your mouth
• Clicking or popping sounds when moving your jaw
• Swelling or visible deformity of the jaw
• Fever accompanying jaw pain
• Pain that spreads to other areas of the face or neck

If you experience any of these symptoms, consult a dentist or healthcare provider for a proper diagnosis and treatment plan.

Preventive Measures for Jaw Health

Taking proactive steps to maintain jaw health can help prevent the onset or recurrence of jaw pain:

Practice Good Oral Hygiene

Regular brushing, flossing, and dental check-ups can prevent dental issues that may contribute to jaw pain.

Manage Stress

Develop effective stress management techniques to reduce involuntary jaw clenching and teeth grinding.

Maintain a Balanced Diet

Consume a diet rich in calcium and vitamin D to support bone and joint health, including the temporomandibular joint.

Avoid Extreme Jaw Movements

Be mindful of activities that may strain your jaw, such as excessive yawning or chewing on non-food items.

Use Proper Body Mechanics

When lifting heavy objects or exercising, ensure proper form to avoid placing undue stress on your jaw and neck.

The Role of Dental Professionals in Jaw Pain Management

Dentists and oral surgeons play a crucial role in diagnosing and treating jaw pain, particularly when it’s related to TMJ disorders. These professionals can:

• Perform comprehensive examinations of the jaw and surrounding structures
• Use imaging techniques like X-rays or MRIs to assess joint health
• Recommend appropriate treatment plans based on individual needs
• Provide custom-fitted oral appliances for TMJ management
• Offer guidance on proper jaw exercises and stretches

Regular dental check-ups can help identify potential jaw issues early, allowing for prompt intervention and prevention of more severe problems.

Advanced Diagnostic Techniques for Jaw Pain

In cases where the cause of jaw pain is not immediately apparent, healthcare providers may employ advanced diagnostic techniques:

Arthroscopy

This minimally invasive procedure allows doctors to examine the inside of the temporomandibular joint using a small camera inserted through a tiny incision.

CT Scans

Computed tomography scans provide detailed images of the bones and joints in the jaw area, helping to identify structural abnormalities.

MRI

Magnetic resonance imaging can reveal problems with the jaw’s soft tissues, including the disc within the temporomandibular joint.

Electromyography

This test measures the electrical activity of the muscles controlling jaw movement, helping to identify muscle dysfunction.

These advanced diagnostic tools enable healthcare providers to develop more targeted and effective treatment plans for individuals suffering from chronic or complex jaw pain.

The Impact of Jaw Pain on Quality of Life

Chronic jaw pain can significantly affect an individual’s daily life and overall well-being. Some of the ways jaw pain can impact quality of life include:

• Difficulty eating and drinking
• Impaired speech and communication
• Disrupted sleep patterns
• Reduced social interactions due to pain or embarrassment
• Decreased productivity at work or school
• Increased stress and anxiety
• Development of depression or other mood disorders

Recognizing the far-reaching effects of jaw pain underscores the importance of seeking timely and appropriate treatment. By addressing jaw pain promptly and effectively, individuals can mitigate its impact on their daily lives and maintain a higher quality of life.

Emerging Treatments and Research in Jaw Pain Management

The field of jaw pain management is continuously evolving, with researchers and medical professionals exploring new treatment options and techniques. Some emerging areas of research and treatment include:

Regenerative Medicine

Stem cell therapy and platelet-rich plasma (PRP) injections are being studied for their potential to promote healing and regeneration of damaged jaw tissues.

Gene Therapy

Researchers are investigating the genetic factors that may contribute to TMJ disorders, potentially leading to more targeted treatments in the future.

Nanotechnology

The development of nanomaterials could lead to more effective drug delivery systems and improved joint lubrication for TMJ disorders.

Virtual Reality Therapy

VR-based treatments are being explored as a means of pain management and relaxation techniques for individuals with chronic jaw pain.

Artificial Intelligence in Diagnosis

AI-powered diagnostic tools may help improve the accuracy and speed of jaw pain diagnosis, leading to more effective treatment planning.

As research in these areas progresses, individuals suffering from jaw pain may have access to increasingly sophisticated and personalized treatment options in the future.

Holistic Approaches to Jaw Pain Management

In addition to conventional medical treatments, many individuals find relief from jaw pain through holistic and complementary approaches. These methods often focus on addressing the whole person, rather than just the symptoms of jaw pain. Some holistic approaches include:

Acupuncture

This traditional Chinese medicine technique involves inserting thin needles into specific points on the body to alleviate pain and promote healing. Some studies suggest that acupuncture may be effective in reducing TMJ-related pain and improving jaw function.

Mindfulness and Meditation

Practicing mindfulness and meditation techniques can help reduce stress and tension in the jaw muscles, potentially alleviating pain and preventing involuntary clenching or grinding.

Herbal Remedies

Certain herbs and natural supplements, such as turmeric, bromelain, and omega-3 fatty acids, may help reduce inflammation and pain associated with jaw disorders. However, it’s important to consult with a healthcare provider before using any herbal remedies, as they may interact with other medications or have side effects.

Chiropractic Care

Some individuals find relief from jaw pain through chiropractic adjustments, which aim to improve the alignment of the spine and jaw. While research in this area is limited, some people report reduced pain and improved jaw function after chiropractic treatment.

Biofeedback

This technique involves using electronic monitoring to help individuals become more aware of their physiological processes, such as muscle tension. By learning to control these processes, people may be able to reduce jaw pain and related symptoms.

While these holistic approaches can be beneficial for some individuals, it’s crucial to discuss any alternative treatments with a healthcare provider to ensure they are safe and appropriate for your specific condition.

The Importance of Patient Education in Jaw Pain Management

Effective management of jaw pain often relies heavily on patient education and self-care strategies. Healthcare providers play a crucial role in empowering patients with the knowledge and tools they need to manage their condition effectively. Key aspects of patient education include:

Understanding the Condition

Patients should be provided with clear, accurate information about the causes and mechanisms of their jaw pain. This understanding can help reduce anxiety and promote active participation in treatment.

Self-Care Techniques

Teaching patients specific exercises, relaxation techniques, and pain management strategies they can use at home is essential for long-term pain control and prevention of recurrence.

Lifestyle Modifications

Educating patients about the impact of diet, posture, and daily habits on jaw health can lead to significant improvements in symptoms and overall well-being.

Recognition of Warning Signs

Patients should be taught to recognize signs of worsening symptoms or potential complications, enabling them to seek timely medical attention when necessary.

Treatment Expectations

Providing realistic expectations about treatment outcomes and timelines can help patients maintain motivation and adherence to their treatment plans.

By prioritizing patient education, healthcare providers can empower individuals to take an active role in managing their jaw pain, leading to better outcomes and improved quality of life.

The Future of Jaw Pain Treatment: Personalized Medicine

As medical research advances, the future of jaw pain treatment is likely to become increasingly personalized. This approach, known as precision medicine, tailors treatment plans to individual patients based on their unique genetic, environmental, and lifestyle factors. Some potential developments in personalized jaw pain treatment include:

Genetic Testing

Identifying specific genetic markers associated with TMJ disorders could lead to more targeted treatments and preventive strategies.

Biomarker Analysis

Developing tests to measure specific biological indicators of jaw pain and inflammation could help healthcare providers choose the most effective treatments for each patient.

3D Printing Technology

Custom-designed, 3D-printed oral appliances and joint replacements could provide more personalized and effective solutions for individuals with jaw disorders.

Pharmacogenomics

Understanding how an individual’s genetic makeup affects their response to medications could lead to more effective and safer drug therapies for jaw pain.

Artificial Intelligence in Treatment Planning

AI algorithms could analyze vast amounts of patient data to predict treatment outcomes and recommend the most effective interventions for each individual.

As these personalized approaches continue to develop, individuals suffering from jaw pain may benefit from increasingly tailored and effective treatment strategies, potentially leading to better outcomes and improved quality of life.

Jaw pain: Symptoms, Causes, and Treatments

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Jaw pain can be a debilitating condition that affects your ability to eat and speak. The treatment can depend on the cause and the severity, but it can range from using an ice pack to lifestyle changes, medications, and in some cases, surgery.

Many things can cause jaw pain, from your sinuses and ears to your teeth or jaw itself. This means it can be difficult to tell if your jaw pain is because of a jaw issue or something else.

That said, once you get an accurate diagnosis, you can start the right treatment. Read on to learn about the causes of jaw pain and the possible treatments.

Most jaw pain is due to an abnormality or injury to the joint of your jaw, but there are other possible causes as well. Here are some of the causes of jaw pain:

1. Temporomandibular joint and muscle disorder (TMD)

TMDs are the most common cause of jaw pain, affecting nearly 10 million Americans. TMD is also sometimes known as TMJ. The temporomandibular joints are the hinge joints on each side of your jaw.

Several things can cause TMD jaw pain. It’s also possible to experience TMD due to several causes at the same time. Causes of TMD include:

• pain from the muscles that control jaw movement
• injury to the jaw joint
• excess stimulation of the jaw joint
• a displaced disc that usually helps cushion the movements of the jaw
• arthritis of the protective disc that cushions the jaw joint

Damage to the jaw joint or the muscles that control your jaw movement can be caused by several factors, including:

• grinding your teeth at night
• involuntarily clenching your jaw due to stress and anxiety
• trauma to the jaw joint, such as getting hit in the face while playing sports

There are also less common causes of jaw pain. These include:

2. Cluster headaches

Cluster headaches typically cause pain behind or around one of the eyes, but the pain can radiate to the jaw. Cluster headaches are one of the most painful types of headache.

3. Sinus problems

The sinuses are air-filled cavities located close to the jaw joint. If the sinuses become infected with a germ, such as a virus or bacterium, the result can be an excess of mucus that puts pressure on the jaw joint, causing pain.

4. Tooth pain

Sometimes severe tooth infections known as dental abscesses can cause referred pain that radiates to the jaw.

5. Trigeminal neuralgia

Trigeminal neuralgia is a condition that’s most commonly caused by nerve compression on the trigeminal nerve that provides sensation to a large portion of the face, including the upper and lower jaws.

6. Heart attack

A heart attack can cause pain in other areas of the body besides the chest, like the arms, back, neck, and jaw. Women in particular may experience jaw pain on the left side of their faces during ­a heart attack. Call 911 immediately and ask to be taken to the hospital if you experience the following symptoms:

• chest discomfort
• shortness of breath
• sweating
• nausea
• feeling faint

For immediate relief

Apply moist heat or ice packs: Place ice in a plastic bag, wrap it in a thin cloth, and apply it to your face for 10 minutes. Then take it off for 10 minutes before reapplying it. Another option is to run warm water over a washcloth, then apply it to your jaw area. The moist heat can relax overactive jaw muscles and relieve pain. You may have to re-wet the washcloth several times to maintain the heat.

You can also purchase heat or ice packs at a pharmacy or online. However, they should be covered in cloth at all times, or they could burn your skin. If it feels too hot or too cold, remove it.

Keep reading: How to make a cold compress »

Over-the-counter pain relievers: Medicines like ibuprofen and acetaminophen may help to reduce discomfort.

Massage the affected joint: Using your index and middle finger, press the sore areas of your jaw, such as the area right before your ear where your jaw joints meet. Rub in a circular motion for 5 to 10 rotations, then open your mouth and repeat the exercise. Massaging the muscles on the side of your neck may also help relieve tension.

Here’s another massage technique you can try to relieve your jaw pain (tap the arrows to see all four videos):

Video via Adam Leavens, RMT, BCSI

Lifestyle strategies to reduce jaw pain long-term

Stress reduction: Try stress-relieving techniques to reduce jaw clenching. These could include:

• yoga
• journaling
• meditation

These activities may help you reduce your jaw pain if it’s caused by stress.

Avoid chewy foods: Foods that are chewy, tough, or crunchy can place too great a strain on your jaw joint and lead to pain and discomfort later. Foods to avoid include:

• apples
• beef jerky
• chewing gum
• ice

Avoid caffeine: Your morning cup of joe could be contributing to your muscle tension, which can be increased by caffeine. Avoiding large amounts of caffeinated coffee and tea may help reduce your jaw pain over time, but you may initially feel muscle tension from caffeine withdrawal when cutting it out of your diet.

Medical treatment

Most doctors will first recommend non-invasive treatment methods for your jaw pain. If you still have jaw pain after trying these methods, you should talk to your dentist. You may need further interventions to find relief for your pain.

Mouthguard: A mouthguard is a plastic dental protector worn on your upper or lower teeth that’s custom-fitted for your mouth. Although you can purchase one at a pharmacy, a dentist will make you one that may fit better and last longer. Wearing one at bedtime can help stop you from unconsciously grinding your teeth.

Muscle relaxers: If your pain doesn’t respond to the mouthguard, your dentist may prescribe muscle relaxers to relieve jaw tension. However, these don’t always help people with TMD.

Botox injections: More invasive treatment methods include Botox cosmetic injections. When injected into the jaw muscles, the botulinum toxin found in Botox may keep your jaw muscles from clenching, possibly helping to relieve jaw pain due to TMD. These injections will last for months at a time and may require re-injection later.

Jaw surgery: In very rare instances, a doctor will recommend jaw surgery to correct TMD problems. This treatment is usually reserved for people with severe pain and pain that’s due to structural problems in the jaw joint.

Read more: Does Botox help treat chronic migraine? »

Why Does My Jaw Hurt? 6 Possible Causes of Jaw Pain

Written by Matt Smith

Medically Reviewed by Robert Brennan on March 23, 2023

• What Is Jaw Pain?
• What Causes Jaw Pain?
• Jaw Pain Treatment and Home Care

Jaw pain can be a sign of something as common as a toothache — or even something as serious as a heart attack. Your jawbone, also called a mandible, connects to your skull at a pair of joints known as the temporomandibular joints, or TMJs. These joints are just in front of your ears, and they let you open and close your mouth.

Your jaw also holds your teeth and gums, which can be sensitive to heat, cold, or pressure. They also can get infected if you don’t keep them clean.

TMJ disorders

This is one of the most common reasons for jaw pain. About 1 in 8 people may have a TMJ disorder. It’s more common among women.

Causes of TMJ disorders include:

• An injury to your jaw
• Certain illnesses or conditions, like arthritis
• Grinding or clenching your teeth
• Your jaw not lining up the way it should
• Inflammation in the muscles around your jaw

Stress can worsen it, too.

Symptoms of TMJ disorders include:

• Clicking sound when you open your mouth
• Pain or ache around your ears, face, or jaw
• Constant headaches
• Ringing in your ears
• Dizziness
• Vision problems
• Pain when you chew or a hard time chewing
• Locking of your jaw

If you think you might have a problem with your TMJ, get it checked out. Usually, your doctor or dentist may have you take over-the-counter drugs like acetaminophen or ibuprofen for pain. They also might recommend that you exercise your jaw muscles to strengthen them, and to quit chewing gum or biting your nails. You might also get a plastic bite guard to keep you from grinding your teeth. Sometimes, you might need prescription drugs or surgery to fix the problem.

Trauma

Like any bone, you can knock your jaw out of place or break it. A blow to the jaw can cause:

• Bruises
• Swelling
• Pain
• Loose or knocked-out teeth

Usually, over-the-counter pain medication or steps like eating soft foods will help ease your discomfort as you heal. But if the pain won’t go away, or you can’t open and close your mouth right, you’ll need medical care. Issues with teeth alignment can also sometimes cause jaw pain. Learn more about the different treatment options related to an overbite and jaw pain.

Dental problems

A bunch of issues with your teeth can lead to jaw pain. They include:

• A toothache, usually because of a cavity or an abscess
• Teeth that are cracked, crowded, or sensitive to temperature or pressure
• Gum disease, which can damage your jawbone
• Wisdom teeth coming in
• Misaligned teeth
• Grinding your teeth or clenching your jaw.

See your dentist right away for these problems. Until then, you can rinse your mouth with warm water and use dental floss to get rid of any bits of food around the tooth that hurts.

Joint problems

If you have a type of arthritis known as rheumatoid arthritis, it could attack your temporomandibular joints. It’s an autoimmune disease, which means your body mistakenly attacks healthy tissue and makes it swell up. That may damage the soft, spongy cartilage that keeps your jaw moving smoothly, which can make it feel stiff and sore.

Diseases

Vaccines have largely gotten rid of diseases. But some people still get them, and the symptoms can include jaw pain.

• Mumps. You catch it from a virus. It swells the glands on the side of your mouth that make saliva. The pain can make it hard to move your jaw.
• Tetanus. You get this bacterial infection through a cut or a scratch on your skin. An early sign is that your jaw muscles might feel tight or stiff. The spasms are often called lockjaw. This serious illness can put you in the hospital for weeks.

Heart attack

It may sound odd, but jaw pain sometimes can signal a heart attack. Pain that starts near a cluster of nerves, like your heart, can be felt someplace else on the body. This is called referred pain. For some people, jaw pain may be the only symptom of a heart attack.

Referred pain in the jaw also may be a sign of joint problems, such as in the shoulders or the lower back.

Sinus problems

If the spaces inside your nose and under your eyes (your sinuses) stay swollen and inflamed for longer than 3 months, even with treatment, you may have a condition called chronic sinusitis. It mainly makes it hard to breathe through your nose and makes the area around your eyes feel tender, but chronic sinusitis also can cause aching in your upper jaw.

Trigeminal neuralgia

This painful condition can happen when a blood vessel presses against the trigeminal nerve, which carries messages to your brain from your face.  It can also be caused by multiple sclerosis. Trigeminal neuralgia usually affects one side of your jaw or cheek and can feel like a stabbing pain or a jolt of electricity. The pain can be so severe that it keeps you from being able to eat or drink.

Cluster headaches

These are very painful headaches that happen in certain patterns or happen often in a short amount of time. They cause serious pain on one side of your head and often wake you up during the night. Cluster headaches usually affect the area around your eyes and temple, but the pain can spread to your jaw as well.

Osteomyelitis

This is an infection that happens in a bone. It can affect your lower jaw (or mandible), a condition called anaerobic osteomyelitis. If it’s not treated, the infection can cut off the blood supply to your jaw and permanently damage the bone tissue there.

Tumors or cysts

These are growths in your jawbone or the soft tissues in your mouth and face. Sometimes called odontogenic tumors and cysts, they’re not often cancerous, but they can grow quickly and affect your teeth. In most cases, surgery is recommended to take them out.

Treatment for your jaw pain will depend on what’s causing it, but a few things may help with general discomfort:

• Resting your jaw
• Over-the-counter pain medicines, like anti-inflammatories and analgesics
• Prescription medicines, including antidepressants for pain, or muscle relaxants
• Cold compresses for 10 to 20 minutes at a time, 3 or 4 times a day
• Gentle exercises to strengthen and stretch the muscles in your jaw or face
• Ultrasound (high-powered sound waves) to help with pain and swelling

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Jaw crunches when chewing and opening the mouth

Clearly audible sounds during jaw movements are clear signs of impaired functioning of the temporomandibular joint. It is necessary to engage in its reconstruction as soon as possible, while the disease is still amenable to correction. The competence of the doctors of our Center, combined with modern technical capabilities, allows us to determine the cause and start correcting the pathology in a timely manner. Targeted treatment restores the joint, preserves its function and prevents serious complications .

Why does the jaw crack when moving?

Cracking in the jaw when yawning, while eating is never normal, it is always a sign of pathological changes in the temporomandibular joint (TMJ).

The lower jaw is connected to the temporal bone by a joint in which everything is provided by nature, like in an engineering structure – there are two hard surfaces, and for smooth movements – a gasket (articular cartilage) and a lubricant (articular fluid).

If the cartilage is destroyed, and there is not enough liquid, solid parts rub against each other – clicks, friction, crunch are heard. Such symptoms reliably signal a malfunction in the joint. They are called TMJ dysfunction .

Sound accompaniment during jaw movement is one of the signs of joint arthrosis. This is a chronic progressive disease with a gradual destruction of cartilage tissue:

• constant friction leads to deformities – the elastic and smooth surface in the normal state becomes rough;
• the joint first clicks, then crackles violently;
• symptoms increase gradually – from mild discomfort when chewing to significant problems with opening the mouth and general well-being;
• in the advanced stage, muscle spasms and convulsions appear.

Causes of pathology

It is usually not possible to single out only one. Experts consider arthrosis of the TMJ to be a multifactorial disease.

Main causes:

Accompanying symptoms of TMJ dysfunction

In addition to unusual sounds when moving the jaw, arthrosis of the joint should alert: doctor :

What to do, which doctor to contact

Gnathologist can help . Sometimes it is an independent specialist, but more often its functions are performed by dentists with training in gnathology. Orthopedists and orthodontists usually receive special training.

Gnathology (from the Greek gnatos – upper jaw) is one of the areas in dentistry that studies the norm and pathology of the TMJ, its effect on bite and chewing.

Gnathologist – is a doctor who diagnoses and treats TMJ dysfunctions:

• He has deep knowledge of the structure of the temporomandibular joint, its functions and possible causes of its deterioration.
• Usually has extensive experience in orthopedic dentistry, has a good understanding of how unsuccessful fillings, crowns and dentures cause improper functioning of the jaw and joint.

A specialist performs diagnostics and establishes a diagnosis, draws up a treatment plan for the identified pathology.

It is quite possible that if your joint hurts and crackles, the doctor will refer you for additional consultations:

Diagnosis of pathology

The doctor conducts a complete examination of various parameters mouth opening.

How to treat a crunch in the jaw

Treatment of TMJ dysfunction is a complex problem, in dentistry it is solved in several stages in a certain sequence:

1. Pain management
2. Normalizing the position of the joint
3. Bite correction
4. Restoration of missing teeth

If general skeletal deformities affecting the functioning of the TMJ are detected, in parallel with dental treatment, the doctor gives recommendations on strengthening the muscular corset of the back and neck. Patients work with an osteopath, kinesitherapist or train on their own.

At the same time, chondroprotectors are prescribed to build destroyed articular cartilage.

The treatment of jaw crunching requires patience and perseverance

Cracking and clicking in the jaw are symptoms of TMJ arthrosis. This is a progressive disease, the optimal treatment of which is possible at stages 1-2. The specialists of our Center successfully carry out all types of correction at an early stage of the disease and completely restore the impaired function of the joint.

Levin Dmitry Valerievich

Chief Physician and Founder of Doctor Levin

Methods of treatment

There is no single correct way of treatment. From several possible options, the doctor chooses the most effective in a particular situation or uses a combination of them.

Splint therapy

Treatment with an occlusal splint system (splint in English – splint) restores normal joint function. The tire is a mouthguard made of silicone, made according to individual parameters. Fits in the mouth for permanent wear. With splint therapy:

• ligaments lengthen;
• reduced muscle effort during chewing;
• jaw joints return to the correct position;
• overloads of articular surfaces are eliminated.

TENS-therapy

TENS-therapy is a transcutaneous electrical muscle stimulation used to relieve their hypertonicity and prevent jaw immobilization. In addition to the facial group, they work out the muscles of the neck and shoulder girdle, which are involved in the formation of the pathological position of the joints. TENS therapy:

• relieves muscle spasm;
• restores healthy jaw alignment;
• fixes the TMJ in the right place.

Restoring the correct position of the jaws allows you to stop the progression of arthrosis and reduce the severity of all its symptoms, as well as subsequently install implants, plan prosthetics in accordance with a new bite that does not disrupt the TMJ.

Botulinum Therapy

Neuroprotein treatment method borrowed from cosmetology. The drugs stop the transmission of bioelectrical signals from the nerve endings to the muscles and relax them. Injections are pointwise injected into the muscles of the temporal region in order to quickly relieve muscle tension and unlock the jaw joint, return it to its normal position and eliminate pathological friction of the articular surfaces.

The effect remains for a long time, lasting several months.

Bite correction

To ensure the normal functioning of the TMJ, it is necessary to fix the physiologically correct position of the jaws and restore contact between the teeth. For this, orthodontic treatment is carried out on fixed braces or removable aligners.

The teeth gradually take up a physiological position under the influence of the force with which structures press on them.

Restoration of teeth

If the teeth are partially destroyed or worn out, they are restored in several ways:

Such a solution will provide a uniform and full chewing, and will prevent overloading of the joint in the future.

The effectiveness of therapeutic measures

After complex treatment, the friction of the articular surfaces decreases, the crunch is not heard.

There is an improvement in all indicators:

• tense muscles relax;
• go away pain when opening the mouth;
• expands the range of motion of the jaw;
• makes eating easier;
• convulsions stop,
• is not bothered by headaches and discomfort in the neck.

But you need to understand that the crunch in the jaw, as a symptom of arthrosis of the TMJ, can be cured at 1-2 stages. Otherwise, they resort to surgical intervention as a last resort in case of pronounced morphological changes in the joint.

Doctor’s advice

During and after treatment, you will have to change your habits and daily lifestyle. The set of restrictions is small, but they must be observed constantly.

During treatment it is impossible :

• Eat solid food – the more pronounced the symptoms of the disease, the softer the prepared food should be, up to cereals, puree soups, kissels and juices
• Use chewing gum – prolonged mechanical stress provokes an exacerbation of arthrosis
• Practice vocals – prolonged singing leads to fatigue of facial muscles, excessive movements in the joint

Required after treatment

Frequently asked questions from patients

What medicines are prescribed for the treatment of jaw crunch?

As a rule, these are:

• Analgesics. Effective drugs from the group of non-steroidal anti-inflammatory drugs. Quickly reduce pain and swelling.
• Preparations based on medical bile, bee or snake venom. Before using them, be sure to make sure that there is no allergy.
• Antispasmodics. Tableted forms of muscle relaxants relax the facial muscles well and eliminate pain.
• Adrenal hormones. Prescribed for severe pain. Drugs inhibit inflammation, relieve swelling.
• Chondroprotectors. Restore cartilage.

All drugs should be taken only on prescription, according to a certain regimen and in prescribed dosages. Uncontrolled intake can only aggravate the situation!

Levin Dmitry Valerievich
Oral and Maxillofacial Surgeon, Head Physician of Center

What to do if treatment with a gnatologist does not help?

Cracking in the jaw, as a symptom of TMJ arthrosis, can be cured in stages 1-2. Otherwise, they resort to surgical intervention as a last resort in case of pronounced morphological changes in the joint. There are several options for surgical intervention:

• mandibular cartilage plasty;
• reduction of the articular disc;
• suturing of the joint capsule and sprained ligaments;
• intra-articular injection of hyaluronic acid simulating joint fluid.

If the joint is so damaged that movement in it is impossible, the meniscus and head of the mandible are removed and arthroplasty is performed.

These methods are quite aggressive and not always successful – the functions of the joint are not fully restored, so it is better to start treatment in the early stages when the first symptoms appear.

Levin Dmitry Valerievich
Oral and maxillofacial surgeon, chief physician of the Center

Is it possible to get rid of the crunch in the joint by home methods?

Unlike other diseases (infectious, colds), joint diseases do not disappear on their own, they only get worse with time. To leave jaw arthrosis without due attention means to bring the onset of complete immobility in the joint closer.

Excessive enthusiasm for folk remedies leads to similar results. Rubbing extracts of propolis and eucalyptus, olive oil and cedar resin, beeswax compresses do not affect the function of the affected joint in any way – medicinal substances only nourish the skin, but do not penetrate into the joint cavity.

Levin Dmitry Valerievich
Oral and Maxillofacial Surgeon, Head Physician of Center

Levin Dmitry Valerievich

Author of the article. Oral and maxillofacial surgeon, chief physician of the Center

Published: 07/08/2022

Updated: 06/06/2023

Methods for fixing removable dentures

The ease of use of removable dentures is determined by the quality of their manufacture. One of the main points is fixation. The completeness of the restoration of lost functions largely depends on how the structures hold up after installation. Our specialists have extensive experience in removable prosthetics, we create designs in our own dental laboratory of the Center, therefore we bear full responsibility for the result. The use of advanced technologies and the latest materials enables us to create stable, comfortable prostheses of a decent quality level .

The options for fixing dentures in the oral cavity differ depending on the number of missing teeth. For partial teeth, preserved teeth are used, for complete teeth, anatomical formations of the upper and lower jaws are used.

Removable partial dentures fixation methods

A partial denture is used to restore one to several teeth. The design consists of artificial crowns soldered into a basis imitating the gum. The prosthesis is installed on the abutment teeth with the help of fasteners of a certain type.

Clasp system – for lamellar constructions

Partial dentures with a plastic base are fixed on sufficiently strong abutment teeth. As fasteners can be used:

Locking and telescopic types of fastening – for clasp

Removable dentures on a metal frame (clasp) can also be fixed on the abutment teeth using hook-clasps. In this case, the fasteners are made only of metal, they are an element of the arch of the prosthesis. This makes them noticeable, especially when located on the incisors or canines.

But when restoring teeth with clasp structures, aesthetics is no less important than functionality, since these prostheses are the most reliable and are designed for long-term use. Therefore, instead of hooks, as a rule, the following are used:

Removable prosthesis can be comfortable !

Comfort of use depends not only on how the prosthesis is attached, but also on the quality of its manufacture. An expensive, properly designed removable denture will restore the beauty of a smile, the ability to chew normally and will last more than 10 years. At the same time, no rubbing, falling out, displacements – complete comfort!

Levin Dmitry Valeryevich

Chief physician and founder of the Doctor Levin Center

Attachment of complete removable dentures – due to which they are held in the absence of all teeth

A complete denture imitates the natural jaw. The design consists of an artificial gum (base), for the manufacture of which hard or flexible plastic is used, and a set of crowns.

When fixing prostheses on the edentulous jaw, physical, mechanical and biological factors are taken into account. The main method used in modern orthopedics takes into account all three, forming biomechanical and biophysical types of prosthesis fixation.

In order for the structure to be held in the oral cavity, the combined action of factors is used:

1. Adhesion forces (physical factor)
   Acts when two wet surfaces are joined together. In this case, the prosthesis is wetted by saliva and adheres to the mucous membrane. The quality of adhesion depends on the viscosity of the salivary fluid, but in any case, this factor alone is not enough for reliable fixation.
2. Valve mechanism (mechanical factor)
   When installing the prosthesis, the edges of its base are tightly connected to the gum, slightly compressing the mucosa. The soft fabric then regains its shape, expelling all the air. As a result, a pressure difference is created, and the basis sticks tightly to the gum.
3. Anatomical characteristics (biological factor)
   Alveolar processes that protrude in place of former teeth also contribute to the retention of the prosthesis. On the upper jaw, part of the palate is additionally used. But with adentia, bone tissue atrophy progresses rapidly, which reduces the effectiveness of anatomical fixation.

Types of conditionally removable dentures on implants – for a better fit

There is only one way to maximize the comfort of using a removable denture in the absence of all teeth: fix it on implants . At the same time, the design differs in a less voluminous basis, does not overlap the palate on the upper jaw. It does not need to be additionally fixed with gels or creams, since it does not move or fall out.

For reliable fixation in the lower jaw, it is enough to place 2-4 implants. For a looser bone of the upper jaw, 4 supports will be needed. This is the minimum number, for even loading with severe bone atrophy, up to 6 implants may be needed.

Removable Implant Retention Systems Options:

Benefits of Full Denture on Implants :

Mini Implant Dentures

also use reduced models of implants. Such designs are only 1.8-2.4 mm in diameter and 6-10 mm in height. They are installed by puncturing the mucous membranes, without preliminary incisions. But in this case, only push-button fixation of the prosthesis is possible.

Removable prosthesis on mini-implants is installed on the day of surgery. By the evening the patient can chew. The procedure costs less than a standard implant, healing is faster .

But there are also disadvantages. Only a lightweight design can be installed on mini-implants, which cannot be fully loaded and used for a long time. Therefore, fixing on such supports is most often used as as a temporary version of .

Improved physiology can be achieved using the Fixed Prosthetics technology on All-on-4 implants. The All-on-6 and All-on-8 protocols can rightfully be considered the most ideal.

Standards and technologies of our Center

Removable prosthetics can be a worthy alternative to implantation. To achieve this goal, we use special technologies and strictly follow our own quality standards.

Computed tomography – for valid data

Research is carried out on a modern and convenient 3D dental apparatus Galileos (Germany)

• Obtaining data on the size and density of the jawbone
• TMJ examination (temporomandibular joints)
• Assessment of the condition of the teeth on which the prosthesis will be fixed

Functional diagnosis – for correct bite

We work with high-quality articulation systems SAM3, Protar or Amann Girrbach

• Determination of the correct jaw ratio even in the absence of teeth
• Customized prosthesis
• Customized prosthesis

Digital technology – for precision solutions

We use a photo protocol, intraoral 3D scanning and computer design of orthopedic systems

• High precision digital impressions
• Modeling and visualization of the design of the prosthesis

In-house laboratory – for error-free manufacturing

In-house laboratory: for error-free manufacturing

• Fast communication between orthopedist and dental technician
• Elimination of errors and distortion of data in the transmission of information

How to make the perfect removable denture that will stay in place?

The owner of a modern high-quality removable prosthesis eats with pleasure, communicates, smiles.