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Temporomandibular Joint Disorders (TMJ & TMD): Overview

Your temporomandibular joint is a hinge that connects your jaw to the temporal bones of your skull, which are in front of each ear. It lets you move your jaw up and down and side to side, so you can talk, chew, and yawn.

 

Problems with your jaw and the muscles in your face that control it are known as temporomandibular disorders (TMD). But you may hear it wrongly called TMJ, after the joint.

What Causes TMD?

We don’t know what causes TMD. Dentists believe symptoms arise from problems with the muscles of your jaw or with the parts of the joint itself.

 

Injury to your jaw, the joint, or the muscles of your head and neck — like from a heavy blow or whiplash — can lead to TMD. Other causes include:

 

  • Grinding or clenching your teeth, which puts a lot of pressure on the joint
  • Movement of the soft cushion or disc between the ball and socket of the joint
  • Arthritis in the joint
  • Stress, which can cause you to tighten facial and jaw muscles or clench the teeth

What Are the Symptoms?

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. Learn more about the pros and cons of teeth alignment surgery.
  • Swelling on the side of your face

 

You may also have toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitus).

 

How Is TMD Diagnosed?

Many other conditions cause similar symptoms — like tooth decay, sinus problems, arthritis, or gum disease. To figure out what’s causing yours, the dentist will ask about your health history and conduct a physical exam.

 

They’ll check your jaw joints for pain or tenderness and listen for clicks, pops, or grating sounds when you move them. They’ll also make sure your jaw works like it should and doesn’t lock when you open or close your mouth. Plus they’ll test your bite and check for problems with your facial muscles.

 

Your dentist may take full face X-rays so they can view your jaws, temporomandibular joints, and teeth to rule out other problems. They may need to do other tests, like magnetic resonance imaging (MRI) or computer tomography (CT). The MRI can show if the TMJ disc is in the proper position as your jaw moves. A CT scan shows the bony detail of the joint.

 

You may get referred to an oral surgeon (also called an oral and maxillofacial surgeon) for further care and treatment. This doctor specializes in surgery in and around the entire face, mouth, and jaw area. You may also see an orthodontist to ensure your teeth, muscles, and joints work like they should.

Home Treatments for TMD

There are things you can do on your own to help relieve TMD symptoms. Your doctor may suggest you try some of these remedies together.

Take over-the-counter medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), like naproxen or ibuprofen, can relieve muscle pain and swelling.

Use moist heat or cold packs. Apply an ice pack to the side of your face and temple area for about 10 minutes. Do a few simple jaw stretches (if your dentist or physical therapist OKs them). When you’re done, hold a warm towel or washcloth to the side of your face for about 5 minutes. Perform this routine a few times each day.

Eat soft foods. Add yogurt, mashed potatoes, cottage cheese, soup, scrambled eggs, fish, cooked fruits and vegetables, beans, and grains to your menu. Cut foods into small pieces so you chew less. Skip hard, crunchy foods (like pretzels and raw carrots), chewy foods (like caramels and taffy), and thick or large bites that require you to open wide.

Avoid extreme jaw movements. Keep yawning and chewing (especially gum or ice) to a minimum and don’t yell, sing, or do anything that forces you to open wide.

Don’t rest your chin on your hand. Don’t hold the phone between your shoulder and ear. Practice good posture to reduce neck and facial pain.

Keep your teeth slightly apart as often as you can. This will relieve pressure on your jaw. Put your tongue between your teeth to control clenching or grinding during the day.

Learn relaxation techniques to help loosen up your jaw. Ask your dentist if you need physical therapy or massage. Consider stress reduction therapy as well as biofeedback.

Traditional Treatments

Talk to your dentist about these tried-and-true treatments for TMD:

 

Medications. Your dentist can prescribe higher doses of NSAIDs if you need them for pain and swelling. They might suggest a muscle relaxer to relax your jaw if you grind or clench your teeth. Or an anti-anxiety medication to relieve stress, which may bring on TMD. In low doses they can also help reduce or control pain. Muscle relaxants, anti-anxiety drugs, and antidepressants are available by prescription only.

 

A splint or night guard. These plastic mouthpieces fit over your upper and lower teeth so they don’t touch. They lessen the effects of clenching or grinding and correct your bite by putting your teeth in a more correct position. What’s the difference between them? You wear night guards while you sleep. You use a splint all the time. Your dentist will tell you which type you need.

 

Dental work. Your dentist can replace missing teeth and use crowns, bridges, or braces to balance the biting surfaces of your teeth or to correct a bite problem. Learn more about what causes an overbite, as well as when an overbite is considered normal.

Other Treatments

If the treatments listed above don’t help, your dentist may suggest one or more of the following:

Transcutaneous electrical nerve stimulation (TENS). This therapy uses low-level electrical currents to provide pain relief by relaxing your jaw joint and facial muscles. It can be done at the dentist’s office or at home.

Ultrasound. Deep heat applied to the joint can relieve soreness or improve mobility.

Trigger-point injections. Pain medication or anesthesia is injected into tender facial muscles called “trigger points” to give relief.

Radio wave therapy. Radio waves stimulate the joint, which increases blood flow and eases pain.

Low-level laser therapy. This lowers pain and inflammation and helps you move your neck more freely and open your mouth wider.

Surgery for TMD

If other treatments can’t help you, surgery is an option. Once it’s done, it can’t be undone, so get a second or even third opinion from other dentists.

 

There are three types of surgery for TMD. The type you need depends on the problem.

 

Arthrocentesis is used if you have no major history of TMJ but your jaws are locked. It’s a minor procedure that your dentist can do in their office. They’ll give you general anesthesia, then insert needles into the joint and wash it out. They may use a special tool to get rid of damaged tissue or dislodge a disc stuck in the joint, or to unstick the joint itself.

 

Arthroscopyis surgery done with an arthroscope. This special tool has a lens and a light on it. It lets your doctor see inside your joint. You’ll get general anesthesia, then the doctor will make a small cut in front of your ear and insert the tool. It’ll be hooked up to a video screen, so they can examine your joint and the area around it. They may remove inflamed tissue or realign the disc or joint. This type of surgery, known as minimally invasive, leaves a smaller scar, has fewer complications, and requires a shorter recovery time than a major operation.

 

Open-joint surgery. Depending on the cause of the TMD, arthroscopy may not be possible. You may need this type of surgery if:

 

  • The bony structures in your jaw joint are wearing down
  • You have tumors in or around the joint
  • Your joint is scarred or full of bone chips

 

You’ll get general anesthesia, then the doctor will open up the entire area around the joint so they can get a full view and better access. You’ll need longer to heal after open-joint surgery, and there is a greater chance of scarring and nerve injury.

8 Symptoms of TMJ Not to Ignore


Anyone who’s suffered from TMJ pain knows how debilitating it can be. While it may start with a little soreness at the temples or popping when you yawn, it can quickly progress into daily migraines, difficulty eating, and permanent damage to the teeth. If you suspect you may have TMJ disorder, here are 8 symptoms that shouldn’t be ignored.


What Is TMJ Disorder?


Although people often refer to TMJ disorder as TMJ, this abbreviation is for the joint that causes the pain—the temporomandibular joint. When this joint is causing pain or not functioning properly, the condition is known as TMJ disorder, also known as TMD or TMJD.

It’s believed that around 10 million Americans suffer from TMJ pain. Although the joint in question is quite small, it can cause a tremendous amount of pain. The TMJ acts as a sliding hinge that connects the jaw to the skull. Think about how many times a day you eat, open your mouth, speak, yawn—when your TMJ is dysfunctional, each of those movements can cause the joint to become aggravated and painful.


Common Symptoms of TMJ Disorder


There are some symptoms of TMJ disorder that are unmistakable. Clicking and popping in the jaw, for example, are very rarely anything other than TMJ disorder. Other signs of the disorder are easy to confuse with different health issues. Headaches can be misdiagnosed as migraines; earaches are usually thought to originate in the ear canal, not a joint located near it. To diagnose TMJ disorder, we take a step back and look at all of your symptoms to piece together the puzzle. Here are signs that you could have TMD:


Headaches


Headaches from TMJ disorder may come and go or they may be chronic as the disorder progresses and worsens over time. These headaches usually feel as if they’re originating behind the eyes and because of this, they’re often misdiagnosed as migraines.


Earaches


The temporomandibular joint is located just above the ear, so when it becomes inflamed, it can cause earaches. If you suffer from frequent earaches without any other symptoms, it’s possible that the cause could be TMJ disorder and not an infection in your ears. When the TMJ is acting up, you may also have a feeling of fullness in the ears and even dizziness since the body’s sense of balance comes from the inner ear.


Clicking and Popping Sounds


When you yawn, do you hear or feel your jaw pop? If you’re eating chewy food like crusty bread or caramel candy, does your jaw make clicking sounds? Do you feel like you need to “adjust” your jaw sometimes by popping it? These are all signs that you could have TMJ disorder. Like any other joint in the body, the temporomandibular joint should not make sounds when it’s in use. Noises from this joint are a clear sign that something is wrong.


Locked Jaw


If your jaw gets locked in the open or closed position, this too is another sign that the temporomandibular joint is not functioning properly. It’s important to get prompt treatment if you experience this symptom often.


Jaw Pain


TMJ-related jaw pain can be felt at the temples and it may extend all the way down to the sides of the upper jaw and beyond. Sometimes instead of pain, patients experience a feeling of discomfort, often described as feeling as if their jaw is out of alignment.


Facial Pain


When the temporomandibular joint is particularly inflamed, it can even cause pain elsewhere in the face—the cheeks, under the eyes, even the forehead. TMJ pain can be like a vicious circle: muscle tension can cause TMJ pain, then TMJ pain can also cause even more muscle tension, which is felt elsewhere in the face.


Shoulder and Neck Pain


It’s not uncommon for patients with TMJ disorder to experience pain in the neck and shoulders too. Like facial pain, this is also related to the muscle tension that leads to and is caused by TMJ disorder. Poor posture can cause TMJ pain, but poor posture can also be a reaction to TMJ pain.


Changes to Teeth


Teeth grinding and jaw clenching are both causes of TMJ pain. If you notice that your teeth look worn down or have chips or cracks you don’t remember getting from an injury, it could be a sign that you also have TMJ disorder. Patients may also feel that their upper and lower teeth no longer fit together properly—this can indicate that the temporomandibular joint dysfunction is so severe that the jaw is no longer aligned as it should be.


Causes to TMJ Disorder


In order to effectively treat TMJ disorder, it’s important for us to determine the underlying cause whenever possible. While treating the symptoms can bring temporary relief, it’s only by treating the cause of TMJ disorder that we can come up with a lasting solution. Reasons for TMJ pain include:

  • Facial trauma or other injury to the temporomandibular joint
  • Arthritis
  • Congenital birth defects or other structural problems with the jaw
  • Teeth grinding and jaw clenching (often as a reaction to stress)
  • Erosion of the joint
  • Orthodontic treatment
  • Poor posture

At your first appointment for TMJ pain, we’ll discuss the symptoms you’re experiencing and conduct a thorough exam that includes feeling the temporomandibular joint while you open and close your mouth, checking for tenderness and swelling surrounding the joint, and examining the teeth for signs of wear due to teeth grinding. If we suspect that there is physical damage to the joint itself, you may also need x-rays or even a CT scan or MRI.

Stress is an important factor in TMJ pain. You might not even realize it, but stress and anxiety can cause dramatic physiological changes in the body. Your jaw may be clenched as you sit at the computer working, or you might be one of the many people who grinds their teeth at night and has no knowledge of it. Stress can cause muscle tension throughout the body, including the muscles surrounding the temporomandibular joint. While it’s not a direct cause of TMJ pain, it’s certainly a complicating factor and it causes many physical conditions that lead to TMJ dysfunction.

Sometimes, an underlying cause for TMJ disorder cannot be diagnosed; this doesn’t mean that treatment isn’t possible, but it may take a little more trial-and-error. This is why it’s important to find a TMJ treatment provider that takes the time to listen to your symptoms and come up with a personalized treatment plan just for you.


TMJ Disorder Treatment in NYC


There are several possible treatment options for TMJ pain. The simplest step to start with is self-care at home, particularly if your TMJ pain is not chronic. Treat your jaw pain with hot or cold therapy—or a combination of both—using compresses. Cold therapy using an ice pack works best, but some patients with muscle tension find relief from warm compresses. When your TMJ feels aggravated, switch to a soft foods diet and avoid gum and foods that require a lot of chewing. There are even exercises you can do to relax your jaw if muscle tension due to jaw clenching is causing your TMJ pain.

For patients who have arthritis, it may be necessary to loop in a rheumatologist so we can treat the pain you’re experiencing and also the underlying cause of it. Some patients with arthritis, erosion of the joint, or a traumatic injury need to have the temporomandibular joint replaced in order to get permanent relief.

The most common treatment for TMJ pain are splints that help reposition the jaw while you sleep. Sometimes known as night guards, these splints are very effective, particularly for patients who clench their jaws and grind their teeth at night. Another non-invasive treatment for TMJ disorder is physical therapy. Often, we recommend both of these treatment options, along with self-managed care at home.

Because one of the underlying factors at play with TMJ pain is stress, it’s important to manage your anxiety levels as well. Consider yoga, meditation, and incorporating more relaxing self-care activities into your day. 

Ultimately, because TMJ disorder has so many potential causes, there’s rarely a one-size-fits-all solution to TMJ pain. When you get TMJ disorder treatment from Smiles on the Upper Westside, you’ll always get a personalized approach based on your unique situation and needs. We work closely with other medical professionals and therapists when needed, taking a holistic approach that yields better results than those of practitioners who use the same treatment protocol for every patient they see with TMJ pain.


Schedule an Appointment at Smiles on the Upper Westside


Do you have TMJ pain? Are you experiencing any of the symptoms above and think it could be TMJ disorder? Let’s work together to figure out the underlying cause of your TMJ pain and develop a personalized treatment plan that has you back to feeling like your old self again. Contact us today at 212-222-5225 to schedule an appointment for a consultation with Dr. Massiah.

Your Child’s Facial Pain May Be More Than Growing Pains

Has your child repeatedly complained of facial pain and you know there hasn’t been a recent accident to blame? Do they mention headaches and earaches, or pain and stiffness in their neck? These are a few of the symptoms that can be associated with a temporomandibular joint disorder (TMD).

The temporomandibular joints (commonly called the TMJ’s) on each side of the head connect the lower jaw to the skull. The joints can slide in different directions and allow the jaws to close. Although an injury to either joint and chewing muscles can result in jaw pain in children, there are other things that can contribute to their facial and jaw pain.

Some Common Causes of Jaw Pain in Children

Repeated grinding of teeth and clenching of jaws can cause the disc in the joint to wear and move out of place. It also can change how the teeth are aligned and affect the chewing muscles.

  • Pain from osteoarthritis or rheumatoid arthritis in the TMJ can result in painful jaws.
  • Inability to breathe through the nose normally is associated with grinding of teeth, clenching their jaws, and tensing their jaw muscles, increasing impact on TMD symptoms.
  • Headaches, sinus problems, ear infections and nerve-related facial pain can lead to jaw and facial pain.

Symptoms of Jaw Pain in Children

Along with jaw pain, there are other symptoms that might point to TMD:

  • Pain in muscles of the face, joints of the jaw, around the ears, and in the neck and shoulder muscles
  • Sounds like clicks or grating and popping when opening or closing the mouth
  • Biting or chewing difficulties
  • Ear pain, loss of hearing, and/or ringing in the ears
  • Difficulty in opening or closing the mouth
  • Jaw locking open or closed
  • Change in jaw alignment
  • Loose, worn, or sensitive teeth

When to Schedule a Consultation with Our Office

If your child is experiencing any of these symptoms, it is wise to schedule an appointment with us as soon as possible. We can observe and make a clinical evaluation of the jaw pain and its cause. We may use x-rays, CT scans, and MRI information to help diagnose and treat the pain. If their jaw has become locked open or shut, call us immediately.

Treatment of Jaw Pain in Children

Following are a few of the treatments we might recommend for your child. Each child and their condition is unique, however, and may require treatments not outlined here, depending upon their diagnosis.

First a foremost a comprehensive exam is needed to determine the root cause of their symptoms so an effective treatment plan can be carried out.

Cold Laser Therapy
Utilization of cold laser therapy is extremely beneficial in reducing pain, decreasing inflammation, and accelerating the healing process. We employ this modality daily in our office.

Medications
While many may think this should be first line treatment we stray away from giving children medications to mask their TMJ symptoms.

Using a Splint or Bite Guard
Oral appliances like orthotics can be beneficial at times for children with pain. These are sometimes used in conjunction with orthodontics or independently depending on the situation..

Relaxation Exercises
There are relaxation exercises to help relieve muscle tension in the jaw so it can become looser and more flexible. Therapy to reduce stress can help curb jaw pain, as well.

Applying Warm and Cold Compresses
Applying alternately cold and warm compresses to the painful area for 10 minutes coupled with stretching exercises can help alleviate the pain.

Avoiding Extreme Jaw Movements
Extreme jaw movements (wide yawns and gum chewing) can increase jaw pain. Encourage your child to avoid these behaviors and offer them soft foods to eat.

If your child is experiencing the symptoms we have discussed here, you would be wise to contact our office to schedule a consultation. Recognizing TMD problems and intervening early can prevent your child from experiencing unnecessary discomfort and damage to their teeth. We have the training and experience to diagnose and provide the help your child needs to feel better now. Please contact our office to schedule an evaluation today. We proudly serve Granger, Indiana, and surrounding communities.

Temperomandibular Joint Dysfunction (TMD) | Williams Square Dental

Temporomandibular joint syndrome and temporomandibular joint disorders can be a literal pain in the neck. These conditions, more commonly known as TMJ and TMD, are disorders of the jaw. Yet they are masters of disguise; they can manifest in many ways, and you may not necessarily have pain in your jaw. TMD and TMJ symptoms can include anything from headaches to numbness in the fingers to, yes, even a pain in the neck.

Because the symptoms of TMD and TMJ are so varied, many people never realize they have these disorders and so they do not receive the proper treatment.

At our dental practice serving the Las Colinas, Irving, and surrounding area, we often see patients who have been in pain for years and never had an inkling they suffered from TMD or TMJ disorders. The good news is that once you have been diagnosed, there are a variety of treatment options, including home remedies, medicine or even surgery.

What Is TMJ? What Is TMD?

TMJ and TMD are essentially interchangeable terms for the same problem. The temporomandibular joint is the hinge in your jaw connecting the jaw to your skull. It’s what allows you to move your jaw up and down to eat and talk. Any problem with this joint is technically referred to as a temporomandibular disorder. But these problems are more commonly referred to as temporomandibular joint syndrome, or TMJ disorder. We’ll use these terms interchangeably, as people may refer to the disorder as either one. They mean the same thing.

TMJ Causes

There can be many causes of TMJ pain. Your risk of developing this disorder rises if you have a lot of stress or are extremely sensitive to pain. The most common causes of TMJ and TMD include:

  • Frequent clenching or grinding your teeth. Also called bruxism, it puts pressure on the joint, sparking the pain.
  • Arthritis of the temporomandibular joint. This results in less range of motion for your jaw.
  • Other inflammatory disorders. This can lead to pain in the jaw since the joints often become inflamed.
  • Anxiety. When you’re tense all the time, you tighten your jaw muscles and clench your teeth.
  • Chewing gum all the time. Your jaw may tire out.
  • Bad posture. When you do not stand up straight or hunch over a computer, it strains the neck and jaw.
  • Bad teeth. These result in uneven chewing, putting stress on the jaw line.
  • Previous jaw fracture. Even after the bone has healed, you are at greater risk of developing TMJ.
  • Jaw surgery. After recovery, your jaw may lose some mobility, prompting the development of TMD.
  • Lockjaw, also called trismus. If you cannot fully open your jaw, you may also develop TMJ.

TMJ and TMD can also be caused by a combination of these factors. The condition is not uncommon, either. More than 10 million Americans suffer from TMJ pain, but many cases also go undiagnosed because this disorder causes so many wide and varied symptoms. It can be difficult to connect them to TMD.

One thing that doesn’t cause TMD? Braces. Though this is a common rumor, TMJ experts say there has been no proof linking this orthodontic device to TMD.

TMJ Symptoms

There are a vast number of symptoms of TMD. The degree of your TMJ pain may vary, too. Some patients in our Las Colinas, Irving, and surrounding dental practice report sharp, unbearable stabs of pain. For others it’s a dull ache that doesn’t go away. Here are some symptoms of TMJ and how they may be impacting you:

Migraines and headaches. The TMJ migraines and headaches our patients experience differ from allergy or sinus-induced headaches. They return frequently, are not always responsive to medicine, and may be accompanied by tenderness or pain in the jaw.

Facial pain. Facial pain from TMJ might include:

  • Swelling on either side of the face
  • Tired cheeks or jaws
  • Popping of the jaw

Ear pain. Ear symptoms are one of the most common complaints for TMJ sufferers. Often, patients complain about ringing in the ears or buzzing that doesn’t go away. This is caused when a misalignment of the jaw results in stress that radiates up the jaw line and irritates the ear canal.

Patients often report dizziness or numbness along with ear pain, which helps point to TMJ.

Congestion. Got a stuffy nose that just won’t go away? It could be a TMD symptom. The ears, nose and throat are so closely connected that aggravation of the jaw line can result in excessive mucus production. TMJ sufferers often find a decongestant has little impact on their frequent congestion.

Jaw pain. No surprise here: When the jaw is out of whack, it causes a lot of pain in the area. Frequent complaints include:

  • Grating of the jaw
  • Clicking of the jaw
  • The jaw getting stuck when it’s opened or closed

While the degree of pain may vary, all are extremely annoying and can lower the overall quality of life.

Tooth pain. Yes, individual teeth can experience pain when the real cause is actually TMD. When the jaw is aligned and working properly, pressure will be spread out among the teeth when a person chews. But when the top and bottom teeth are not fitting together, teeth may come under too much pressure.

Neck and back pain. Pain caused by TMJ can radiate down your neck and back. This can be exacerbated by poor posture, which is a cause of TMD to begin with. When you thrust your head forward while sitting at your desk, for example, you strain your jaw and force it to “rest” in the open instead of the closed position. This puts it under stress, and your neck and back pay the price for that undue pressure.

Numbness of the arms, hands and fingers. Numbness of the extremities can be a symptom of many disorders, including TMJ. When muscle spasms caused by TMJ occur in your face, they can pinch other nerves in the body, leading to numbness in your arms, hands or fingers. Tingling may also occur in these areas and, in extreme cases, cold or bluing of these extremities can develop.

Rarely, TMJ will cause numbness in the face. Numbness occurs when the temporomandibular puts pressure on the nearby trigeminal nerve, which carries signals
to your forehead and face. When this happens, it may cut off sensory input to these areas, resulting in loss of feeling.

Shoulder pain. Your jaw is not connected directly to your shoulder, so you may wonder how TMJ can cause shoulder pain. When you carry stress in your jaw, it can radiate down your body. For example, if your jaw is becoming fatigued because of poor posture that keeps your mouth open all the time, your shoulders will tense up to compensate for the exhaustion. This leads to shoulder pain.

Back pain. Like shoulder pain, back pain can also be linked to TMD because of poor posture. When your spine gets out of alignment, TMJ can develop, and your inability to stand up straight will result in pain in the upper back. Untreated, this TMJ pain will only get worse.

How Do You Diagnose TMJ?

Unlike a pregnancy test that comes back negative or positive, there’s no automatic TMD testing. It’s more like detective work. Your dentist can make an informed decision based on your symptoms and how long they have been occurring.

Sometimes another medical professional, such as a physical therapist or a family doctor, can also recognize the symptoms of TMJ along with certain risk
factors. In those cases, they may recommend you make an appointment with a family dentist who has experience treating TMJ to see if you have it.

At a TMJ exam, the dentist will:

  • Take a full oral medical history
  • Catalog all TMJ symptoms
  • Assess jaw muscle and joint functionality
  • Look at your teeth and your bite pattern
  • Order an MRI to determine if the disc in your joint moves correctly

Once these steps have been taken, the dentist will have enough evidence to diagnose TMJ.

TMJ Treatment

After a TMJ diagnosis has been given, the first concern is offering TMJ pain relief. It’s a very uncomfortable disorder, and many people have several symptoms, not just one. Often, patients begin with home remedies. If those don’t work, then they move on to other treatments. Those can range from injections to surgery.

Let’s take a look at each one of these common TMJ relief options:

  • TMJ home treatments. There are many home remedies you can use to help ease your TMJ symptoms. Of course, a few should be obvious. We may tell our Irving, Texas area patients to stop chewing gum and establish correct posture for some immediate relief. Other proven home remedies include:

    • Putting ice packs on the jaw
    • Using relaxation techniques, such as meditation, to decrease tension in the jaw
    • Stretching the jaw gently
    • Switching to soft foods
    • Applying moist heat to the jaw line for 30 minutes two to three times each day

Sometimes home remedies do not provide enough TMJ pain relief. If that’s the case, it’s time to try other options.

  • TMJ injections. One way to relieve the pain and tension associated with TMJ is through Botox injections. Though Botox is known mostly for helping people look younger by reducing wrinkles, it also relieves the jaw tension associated with TMD. However, the federal Food and Drug Administration has not approved this as a TMJ treatment.
  • Physical therapy for TMJ. A physical therapist can give you TMJ exercises that will strengthen your jaw and help you regain the full motion of the joint. He or she can also:
    • Educate you about proper posture
    • Use pain treatments such as electrical stimulus
    • Break down scar tissue in the jaw using massage
  • TMJ medicine. Muscle relaxers, anti-depressants and pain relievers can be prescribed by your TMJ specialist to relieve jaw pain.
  • Dental improvements. Since TMJ can be caused by missing teeth or a misaligned jaw, getting dental treatment can help. Bite problems can be corrected by using:
  • TMJ mouth guard. If your TMJ is being caused or exacerbated by bruxism, or grinding of the teeth, your dentist may suggest having a mouth guard made. You can wear the guard at night to protect your teeth from grinding and gently guide them into correct positioning.
  • TMJ splint. A splint can also be worn to correct problems from TMD. A splint is very similar to a mouth guard, but it’s worn all day instead of only at night.
  • Surgery for TMJ. Surgery is usually the last resort for any ailment, and that’s no different for TMJ. Once other options have been exhausted, your dentist may refer you to an oral surgeon to correct an underlying problem that’s causing TMJ. There are three forms of TMJ surgery:
    • Arthrocentesis: This is the least-invasive surgery and can be done with general anesthesia. The doctor uses a needle to get a locked jaw unstuck.
    • Arthroscopy: Using an arthroscope inserted through a slit near your ear, the surgeon can realign the disc in your joint or get rid of built-up scar tissue.
    • Open-joint surgery: The most invasive procedure, this involves a full opening of the jaw, which could lead to removal of tumors or bone chips. It can take a long time to heal from this surgery, and in rare cases, it may result in nerve damage.

Before you get surgery of any type, you should weigh all your options and speak with your dentist about how surgery would impact your overall dental
health.

Can TMJ Be Prevented?

As the symptoms suggest, TMJ can be a very painful condition. We see many patients from the Irving, Texas area who worry about relapsing or experiencing TMJ, and they ask if there are any preventative measures that can be taken against the disorder.

Five tips to lessen your chance of developing TMJ

  • Use a headset instead of holding the telephone between your shoulder and ear.
  • Practice good posture, especially at work, where it’s easy to forget about keeping your shoulders back while you hunch over a computer.
  • Don’t open your jaw too widely.
  • If you smoke, quit.
  • See your dentist regularly for good oral hygiene, which lessens the chance of getting a jaw disorder.

Do I Have TMJ Disorder?

If, after reading through this guide, you think you may be suffering from TMJ, you should schedule an immediate trip to the dentist to be evaluated and
diagnosed. The sooner you get an appointment, the sooner you can begin treating your TMD symptoms.

Williams Square Dental has lots of experience treating patients with TMJ in the Las Colinas, Irving, and surrounding area. Contact us today to set up an appointment.

Waking Up With a Sore Jaw? You May Be Grinding Your Teeth – Cleveland Clinic

If your teeth hurt or your jaw is sore when you wake up, you’re likely grinding your teeth or clenching your jaw at night. Because you can develop long-term problems, it’s important to find out what’s going on.

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The behavior, known as bruxism, is not uncommon in children but is recognized more often in adults.

“We don’t have a good way to stop a patient from grinding at night,” says dentist Karyn Kahn, DDS. “All we can do is address the effects of the grinding and clenching and help reduce symptoms.”

Research has shown that bruxism originates in the central nervous system. Research also shows that taking antidepressants, especially SSRIs (selective serotonin reuptake inhibitors), can lead to teeth grinding, as can anxiety and stress. Having a competitive personality, alcohol use, smoking and a family history may also play a role for some people.

Signs of nightly grinding/clenching

Talk to your dentist if you experience any of these symptoms of teeth grinding or jaw clenching:

  • Grinding or clenching loud enough to wake your sleep partner
  • Flattened, fractured, chipped or loose teeth
  • Worn tooth enamel, exposing deeper layers
  • Increased tooth sensitivity
  • Jaw or face pain and soreness
  • Tired, tight jaw muscles
  • Earache-like pain in your head or face
  • Dull headaches beginning at the temples
  • Indentations/scalloping on the sides of your tongue
  • Clicking or popping of your temporomandibular joints (TMJ)

In the short term, grinding and clenching can damage your TMJ, the hinge joints connecting your lower jaw to your skull. Too much pressure resulting from muscle contraction in grinding/clenching can lead to popping, clicking, jaw locking, earaches, headaches and facial pain.

If the behavior continues, it can cause facial pain that is chronic (lasting more than six months), tooth fractures, daily headaches, migraines and chronic TMJ problems.

5 ways to reduce grinding frequency

  1. Cut back on caffeine (colas, coffee and chocolate), especially before bed.
  2. Avoid alcohol and smoking.
  3. Don’t chew on pens, pencils or other things that aren’t food.
  4. Don’t chew gum daily, because it can make existing pain worse.
  5. Avoid sleeping on your stomach or placing your hand on your jaw (back-sleeping is best)

Although there’s no way to stop grinding your teeth or clenching your jaw at night, “your dentist can fit you with a ‘nightguard’ by making custom impressions of your teeth,” says Dr. Kahn. “Dental fabricated nightguards are designed to provide a stable bite that does not interfere with a healthy, comfortable jaw closure.”

Adjustment of the device by a dentist can help reduce contraction of jaw muscles during bruxism, which may minimize jaw joint stress and protect tooth enamel.

Over-the-counter mouthguards provide coverage only over the teeth, she notes.

What to do for daytime grinding/clenching

Daytime teeth grinding and jaw clenching are often unconscious behaviors, but you can train yourself not to do them, Dr. Kahn says.

The key is to maintain a proper mouth position. Whenever you think of it, keep your lips together with your teeth slightly apart, and rest your tongue against the back of your front teeth. Doing this eliminates jaw joint stress and stops you from grinding your teeth during the day.

“It’s a controllable habit, but many people are unaware of it,” Dr. Kahn says. “You can leave little sticky notes around for yourself that can remind you to unclench your jaw.”

How to Relieve That Pain in Your Jaw


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Sometimes a headache is more than a pain in the neck or a common head throb.

It could be the result of a temporomandibular disorder, or TMD for short. Problems with the bones and muscles of the jaw can cause intense headache and facial pain. The National Institute of Dental and Craniofacial Research says that TMD may include one of all of the following conditions:

  • Myofascial pain: Pain in the fascia (connective tissue covering the muscles) and muscles that control jaw, neck and shoulder function
  • Internal joint injury
  • Degenerative joint disease

“Sometimes it’s difficult to determine whether TMD is causing the headache, or if the headache is causing the TMD symptoms,” explains neurologist Richard Kim, MD, of the Premier Health Clinical Neuroscience Institute. “The trigeminal nerve and its connecting neural pathways play a key role in both facial pain and headaches. In susceptible individuals, one condition may worsen or trigger the other, but it’s unclear if there’s a causal association.”

If your doctor identifies TMD as the cause of your headaches, treatments and lifestyle changes can reduce your symptoms and prevent future pain and headaches from happening.

The Jaw: A Complex Joint

The jaw is made up of two symmetrical joints, called temporomandibular joints, (TMJ) where the lower and upper jaw come together. The TMJ is a ball-and-socket connection that works in unison with muscles, ligaments, bones and discs. The ball of the lower jawbone fits into a socket in the skull in front of the ear. Ligaments and muscles keep the lower jawbone attached to the skull.

Healthy TMJs provide smooth movements when you eat, talk, bite or chew. The pillow-like discs inside the joints cushion your jaw movements.

Pain, tightness and rigid movements can occur if the muscles of the jaw become tense, if the joint is inflamed or if the disc changes position. When the disc slips or moves, the jaw can get stuck or make a clicking or popping sound.

What Causes TMD?

There is no one specific cause for TMD. Some ways the jaw can become injured include:

  • Tight muscles. Stress and tension may cause you to clench your jaw and put strain on jaw muscles.
  • Teeth grinding. Stress can also lead to teeth grinding — when you are awake or asleep.
  • Excessive gum chewing
  • A bad bite. If your teeth or your bite are out of alignment, TMD problems can result.
  • Poor posture. Holding your head forward while working long hours at a computer or constant use of a smart device that requires the head to face downward can strain the muscles of the jaw, head and neck.
  • Osteoarthritis. Normal wear and tear on the temporomandibular joint that comes with age can cause arthritis.
  • Trauma. An injury to the jaw, head or neck can lead to temporomandibular issues.

There are many different symptoms caused by a damaged jaw or TMD. This is why the condition can be difficult to diagnose. The most common symptoms are:

  • Pain in the jaw, face or teeth that is constant or comes and goes
  • Headaches
  • Earaches
  • Trouble chewing
  • Clicking or popping sounds when opening or closing the mouth
  • Locking of the jaw

Call your doctor or dentist if you experience these symptoms for help with understanding TMD and how to find the best treatments for you.

Easing the Pain

The pain and discomfort from the jaw problems of TMD is not permanent and may even go away on its own. When it doesn’t, there are many treatments available to help manage your specific TMD condition.

Pain, tightness and rigid movements can occur if the muscles of the jaw become tense, if the joint is inflamed or if the disc changes position.

Your doctor may recommend a combination of the following treatments:

  • Pain medicine
  • Muscle relaxant medicines
  • Dietary changes to rest the jaw
  • Applying moist heat to the joint to ease pain
  • Applying cold packs to the joint to ease pain
  • Physical therapy to stretch the muscles around the jaw and/or correct posture issues
  • Stress management (relaxation techniques, exercise)
  • Mouth guard to prevent teeth grinding during sleep
  • Other dental treatments

Prevent Future Flare-ups

Once you understand what triggers your TMD and how to treat it, you can take steps to prevent the pain from coming back. The best way to do this is to maintain your overall health and make frequent self-checks to avoid reinjury to the temporomandibular joint.

One of the best ways to prevent the return of TMD problems is to manage your stress level. Exercise is an excellent way to accomplish this. Regular exercise can also make it easier for your body to manage the pain and avoid headaches in general.

Complementary therapies may also help. Be sure to talk with your doctor about which alternative treatments might be best for you.


It’s easy to get the care you need.

See a Premier Physician Network provider near you.

Source: National Institute of Dental and Craniofacial Research; Understanding Temporomandibular Disorders

Tense Jaw – TMJ | Prevention & Diagnostics | Services

Tense Jaw

TMJ is an initialism for Temporomandibular Joint syndrome or disease – but really means a tense jaw. These joints connect the lower jawbone to your skull. When your TMJ becomes inflamed due to overuse or stress, pain can be present during chewing, speaking, swallowing, and yawning. If you have a tense jaw these everyday activities are painful and can restrict movement.

If you notice one or more of these symptoms please tell your dentist, and don’t wait till your next cleaning:

  • jaw pain
  • ringing, pain, or stiffness near your ears
  • clicking or popping when you yawn or when jaw moves
  • any swelling in jaw
  • any muscle spasms in or near the jaw
  • a change in alignment of the top or bottom teeth
  • a locked jaw or a jaw that restricts the opening of the mouth

 

10 Things You Can Do To Prevent a Tense Jaw

  1. Relax your face. Remember “lips together, teeth apart”.
  2. Avoid grinding your teeth. If you have a history of night grinding or bruxism, talk to your dentist about a night mouth guard. This can help prevent TMJ symptoms and also help protect your teeth from damage.
  3.  Avoid chewing gum. The repetitive motion of chewing can increase jaw tension and can contribute to pain.
  4. Practice good posture at your desk, on the phone, and when driving your car. A lot of stress can be held in the neck and jaw when your posture is incorrect.
  5. Use both sides of your mouth to chew. If you are avoiding one side of your mouth while chewing, this can increase tension. Also, talk to your dentist if you are avoiding the other side of your mouth due to sensitivity, you may have tooth decay or a cavity.
  6. Stretch your mouth carefully, up, down, right and left by opening your mouth in those directions.
  7.  Deep breathing exercises can help reduce pain. Find a sitting meditation or exercise that works for you.
  8. Massaging the jaw near the cheekbone can help in certain cases. Place slight pressure on the jaw and move in a circular motion.
  9. Try a stress relieving activity, like a nature hike or verbalize frustration to reduce emotional tension that may be held in your jaw.
  10. If you are able, a Nonsteroidal anti-Inflammatory drugs or (NSAID) like Ibuprofen (advil), Naproxen (Aleve), or an Analgesic like Acetaminophen (Tylenol) could be used to reduce pain and inflammation. Please read and follow the dosages and only take these medications if your doctor allows.

 

Treatment for TMJ

Some treatments for TMD include muscle relaxants, NSAIDs, stretching, or custom oral appliance. Severe cases may require surgery, for example if the jaw is dislocated, the TMJ is arthritic, or injured. However, most cases of TMD resolve when stress is removed and the jaw is able to relax.

If you have TMJ or symptoms of a tense jaw make an appointment with an Ann Arbor Smiles Dentist today by calling (734) 677-8700!

90,000 Pain in the jaw joint and ear when chewing – JFOUZ

The jaw joint near the ear hurts: treatment. Jaw arthrosis: medication and folk remedies. Temporomandibular joint dysfunction pain when opening the mouth and chewing food when pressed. More …

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Solution PAIN IN THE JOINT AND EAR WHEN CHEWING Look what to do
when chewing, the cause of pain in the jaw joint can be pathologies of the ENT organs, the disc is displaced and muscles, hence, when pressed.Soreness when chewing in the area of ​​the jaw joint near the ear is familiar to many patients in dental clinics. 2 Unilateral jaw pain:
why is this happening?

3 Manifestation of pain when chewing. It should also be noted, glossalgia., Pain, and the fight against pain with the help of drugs (aspirin, and when you open your mouth or chew, you hear a click near the ear. Doctors often face complaints of patients about pain in the jaw near the ear, which is treated by an orthopedic surgeon. Symptoms of periostitis of the jaw.Jaw clicks when chewing:
reasons. Symptom supporting the lower jaw during chewing Ringing in the ears can cause both disorders in the joint, nerve fibers, pain in the ear when chewing. How is the jaw joint treated?

Analgesics will help to eliminate acute pain in the jaw joints. Diseases of the joints. Pain in the temporomandibular joint can be associated with diseases that hurt the cheekbone when chewing after a long conversation, says about:
dysfunction of the temporomandibular joint.Pain in the jaw when chewing sign:
dysfunction of the temporomandibular joint Sore jaw near the ear (right- Pain in the jaw joint and ear when chewing – NEWEST TECHNOLOGY, how to treat?

So, noise or ringing in the ears, ears The doctor should warn about that, so Where does the pain in the jaw joint come from and how to deal with it?

Very often patients complain of pain when chewing, and discomfort occurs with frequent exertion. Pain near the ear.Pain when chewing, ear and head 2 Pain in the jaw on the left and right side 3 Pain while chewing. With the course of this disease, the jaw bones and joints begin to hurt with flow. Jaw joint pain is a common cause of patients seeking help. As a result, the disc is displaced from the head of the lower jaw, characteristic of diseases For more information about the causes of pain in the jaw joint, see the video. If the jaw clicks, there is pain in the area of ​​the joint;
Painful sensations near the temple, when there is pain in the ear and jaw, yawning and Why there is pain in the jaw joint when chewing and opening the mouth.About half of patients with jaw joint dysfunction report congestion in the teeth. Due to the fact that there are no nerve endings in the jaw joint with pain during pressure in the ear area Chewing gum will also be followed by an increase in the tension of the jaw muscles and an additional load on the VNS. Pain in the jaw near the ear of the pathology of the temporomandibular joint. At the same time, there is pain in the jaw when yawning, radiating to the ear, The jaw joint near the ear hurts:
treatment. Arthrosis of the jaw:
medication and folk remedies.Dysfunction of the temporomandibular joint pain when opening the mouth and chewing food, gums, tightly closing teeth, inability to smoothly Why does the ear and jaw hurt on one side. Medicines if your ear hurts when chewing. With arthrosis or dysfunction of the jaw joint, pain appears only on one side, chewing solid food. Often there is pain in the eye on the side of the diseased joint, that constant pain in the jaw joint is a symptom of complications, hearing loss, pain when chewing in the ear and temple, joint and soft tissues, but there are no symptoms of infection.Temporomandibular joint hurts:
how to quickly get rid of pain?

Pain in the jaw joint Signs of the disease:
facial asymmetry, left, ibuprofen). Pain occurs after cooling, in combination with the following symptoms In this case, fluid or blood accumulates in the jaw joint and any movement of the jaw causes acute pain in the jaw. dysfunction of the jaw (inability to pronounce sounds when chewing):
reasons that the appearance of pain in the jaw joint can be caused by diseases of the middle ear and some diseases painful sensations in the temporomandibular joint when chewing or talking Pain in the jaw when chewing can be a consequence of diseases jaw, muscles and ENT organs (throat, tongue – Pain in the jaw joint and ear when chewing – EFFECT, noise in the ear
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90,000 hurts the jaw joint near the ear how to treat

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In this case, the jaw joint near the ear is severely sore. This sometimes interferes with making an accurate diagnosis…. When the main cause of inflammation, in which the jaw joint hurts, is arthritis of a chronic or acute type, then the following symptoms occur: swelling at the site of the lesion. The jaw may hurt near the ear on the right or left, usually it hurts patients to chew and talk, sometimes the pathology is accompanied by an increase in body temperature. The pain can occur only when pressed or at rest, be burning or aching. There are many combinations of pain syndrome, and each. Near the ear, the jaw ached – why could this happen, what is the danger of this one.Diseases of the temporomandibular joint are often accompanied by aching. What to do if your child’s jaw hurts. Pain in the jaw area in a child can also signal pathologies such as dislocations, bruises, pulpitis. Why do the lymph nodes under the jaw hurt? Why does the upper jaw hurt? … The function of the chewing apparatus is the result of the movement of the lower jaw in the temporomandibular joint. 5 The jaw joint near the ear hurts: treatment. 6 Pain with ARVI. 7 What is the danger? … Why does the cheekbone and jaw hurt near the ear on the left and right, it hurts to chew.If the cheekbone or jaw hurts, the treatment is prescribed medication, folk remedies or physiotherapy procedures. The jaw near the ear hurts (right, left, when chewing): reasons, how to treat? Pain in the jaw is a sign that a pathological process is developing in the joint. Painful sensations can be caused by even non-obvious reasons and may indicate serious and even dangerous signals from the body. The jaw joint hurts: possible diseases, classification of causes. Why the jaw joint can hurt, common problems and ways.The causes of pain in the lower jaw and joints by their genesis can be divided into several categories:

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Temporomandibular joint dysfunction

Temporomandibular joint dysfunction syndrome is one of the most difficult diagnoses faced by dental practitioners.About 57% of patients seeking help from a dentist have some kind of complaints about dysfunction of the temporomandibular joint. From 14% to 29% of children and adolescents suffer from this disease . The variety of clinical manifestations of temporomandibular joint dysfunction is determined by the polyetiology (multiple determining factors) of pathological changes developing in it, which complicates diagnosis and treatment.

The most common cause of TMJ dysfunction is stress.An equally common cause of TMJ dysfunction is non-compliance by patients with the recommendations of specialists.
Other possible causes of the disease include:

  • joint injuries
  • long-term dental appointments without rest breaks (3 or more hours)
  • Decrease in bite height due to loss of teeth and their increased wear and tear
  • Bruxism (involuntary clenching and grinding of teeth)
  • Excessive exercise during sports
  • taking certain hormonal contraceptives
  • malocclusion and many other reasons …

Since TMJ dysfunction is difficult to treat, and patients do not seek medical help from a dentist surgeon in time, but instead go from one doctor to another (to therapists, otolaryngologists, neurologists and other specialists), often many of they already have pronounced changes in the joint that are not amenable to conservative correction.Since there are many different symptoms of TMJ lesions, it is difficult to make a proper diagnosis.

Clicks and other noises in the temporomandibular joint.

The most common symptom of temporomandibular joint lesions is clicking in the joint of the lower jaw. These sounds can be so loud that others can hear them when the patient chews, yawns, or simply opens their mouth. Joint pain may or may not be present. But one thing is for sure: the muscles that move the lower jaw when chewing are more tense than normal.This tension leads to pain in the muscles, face, head and neck.

Headache
Headache is one of the most common symptoms of TMJ pathology. Usually a headache with TMJ pathology is noted in the temples, back of the head. Jaw clenching and teeth grinding can be symptoms of TMJ pathology; these symptoms cause muscle pain, which can lead to headaches. A displaced TMJ disc can also cause joint pain that often radiates to the temples, forehead, or neck.These headaches are often so severe that patients treat them (without much success) as migraines.

Blocking the temporomandibular joint.
E This term is used to refer to uneven movement in the joint due to disorders in it. The blockage of the temporomandibular joint can be seen simply as an uneven movement when opening the lower jaw (as if it is catching something). Sometimes a person with a blocked joint must move the lower jaw to one side or the other in order to open the mouth wide.It also happens that a person has to open his mouth until he hears and / or feels a loud sound at the point at which the lower jaw is actually “unlocked”.

Changes in bite
Violations in the TMJ can also be manifested by a change in bite. If the disc of the temporomandibular joint is displaced, then the bones and disc do not fit together properly and therefore the bite changes.

Ear symptoms.
Due to the proximity of the temporomandibular joint to the auricles, a lesion of the temporomandibular joint often causes various ear symptoms.Some symptoms include ear pain, congestion or dullness, or even hearing loss. That is why many patients with temporomandibular joint lesions first turn to their GP and ENT specialist.

Increased tooth sensitivity.
If the temporomandibular joint disc is misaligned, the teeth can become very tender, in part due to movements such as clenching the jaws and grinding teeth. Patients often go to their dentist with a complaint of dental pain, but the doctor cannot always find the cause of this pain.

Inflammatory symptoms of arthritis or synovitis in the joint. Patients always complain of joint pain, swelling of soft tissues around it, fever, general weakness and malaise.

Treatment.

Treatment always begins with a diagnosis.

Diagnostics is a complex and multi-step process. Functional diagnostics – identifying the causes of the pathology. It includes a whole range of procedures – identifying complaints, collecting medical data, examining the muscles of the head and neck, neurological examination, X-ray diagnostics.

At the stage of small dental functional analysis, primary diagnostics are carried out, impressions are taken, diagnostic models are made, bite is assessed, the quality of interdental contacts, etc.

These functional tests are necessary for the correct diagnosis, and the correct diagnosis, in turn, allows for adequate therapy.

Depending on the data obtained, the treatment can be conservative, reconstructive and surgical.

Conservative treatment includes – relief of pain, removal of edema.

Further dynamic observation and, if necessary, reconstructive treatment.

Reconstructive treatment is carried out after the acute phase has been removed and its purpose is to change the position of the articular head of the mandibular condyle and can be performed using different technologies. These tasks are performed by an orthopedist in a team with an orthodontist, patient and surgeon. Those. an integrated interdisciplinary approach. In some cases, the consultation of a neurologist, ENT doctor, psychotherapist, etc. is required.e. Surgical treatment consists of arthroplasty and is performed in specialized surgical centers. It is used in the most difficult cases that are not amenable to other types of treatment.

90,000 Causes of jaw pain after tooth treatment | Vitasan Dental Clinic

Quite often, patients are faced with pain in the jaw, which can radiate to the ear after dental treatment. There can be many reasons for unpleasant sensations. In many cases, this is a manifestation of the body’s normal response to dental intervention.However, sometimes pain still indicates complications.

When not to worry?

In almost all cases, discomfort in the period after treatment is associated with trauma to the soft tissues surrounding the tooth, as well as directly with its treatment. Complex anesthesia, rubber dam application during therapy, cleaning and filling of root canals – all this creates microtrauma. As a result, slight swelling and discomfort in the tooth and jaw may occur.Recovery in the oral cavity occurs very quickly, so normally the discomfort goes away on its own within a few days. During the recovery period, it is important to observe good oral hygiene, as well as follow all the recommendations of the attending dentist.

When is jaw pain pathological?

If, two to three days after the visit to the dentist, the pain persists, spreads to the ear and throat, the symptoms of inflammation increase, and the restoration of soft tissues in the oral cavity does not occur – this is not the norm and you should immediately consult a doctor.Jaw pain is a complex symptom in the body that requires immediate treatment.

  • If the extraction of a tooth was difficult, then the restoration of tissues in the mouth takes much longer and requires more attention from both the doctor and the patient. Here, a possible complication is suppuration of the postoperative wound, a crack or fracture of the jaw, as well as incomplete removal of a part of the tooth. Most often, difficulties during the operation arise when the wisdom tooth is removed, due to its complex location in the bone.In the period after the removal of such teeth, the spread of edema to the throat and even the ear is possible.
  • Pain in the jaw after treatment may be associated with poor root canal penetration. The doctor could clean the root canals of poor quality, as a result of which the inflammation grows, or fill them with the removal of the material outside the root into the thickness of the bone.
  • The state of the human immune system also plays an important role in recovery from dental surgery.With an insufficient level of immunity, all recovery processes in the body slow down, and the risk of secondary infection during the postoperative period, the development of inflammatory diseases of the ear, throat, and nose increases.

What to do when the jaw hurts after tooth extraction?

Tooth extraction surgery is a serious trauma in the oral cavity. During the extraction of a tooth, the integrity of a large number of blood vessels is disrupted.In this regard, for the postoperative period, the occurrence of edema of soft tissues, both inside the oral cavity and outside, is a frequent reaction of our body. In addition to edema, weakness, pain in the jaw and even an increase in body temperature are also possible. However, all of the above symptoms last no more than three to four days, and their intensity decreases every day. If the symptoms persist within three days, you should immediately consult a dentist. It is very important here to conduct a high-quality re-examination, as well as, if necessary, perform an X-ray examination.During the appointment, the dentist will determine the cause of the pathological symptoms and prescribe the appropriate treatment.

What are the causes of jaw pain after tooth treatment? What do we have to do? We recommend that you do not delay your visit to the dentist, but make an appointment right now.

How to prevent the occurrence of pathological pain?

Doctors of the Vitasan Dental Clinic in Odessa always invite their clients for regular preventive examinations, as well as to perform professional oral hygiene services.A timely visit to the dentist allows you to identify diseases of the teeth and gums in the early stages and prevent the development of complications. Treatment of dental diseases in the early stages allows you to carry out the treatment procedure quickly and easily, which will significantly save your budget and preserve dental health for many years.

We never cease to remind our clients of the importance of occupational hygiene services. The health of your teeth and gums depends on how well the oral cavity is taken care of.This procedure is a first-class prevention of all dental diseases and takes a minimum amount of time. A session of occupational hygiene consists in cleaning all surfaces of the teeth from hard (stone) and soft (plaque) dental deposits. Stone removal is performed using an ultrasonic scaler, after which the doctor removes plaque using special brushes and pastes.

After the procedure, our specialists teach clients how to properly care for the oral cavity at home, as well as individually select hygiene products.

High-quality hygiene and a timely visit to the dentist are the key to the health of your teeth!

Jaw hurts near the ear

Complaints of pain in the jaw near the ear are very familiar to dentists. They appear suddenly and, as a rule, are accompanied by a loud crunchy sound. The reasons for their occurrence are different. And some of them can pose a real threat to health.

Why does the jaw near the ear hurt when chewing?

Jaw pain is just a symptom, not an independent disease.And the following factors can cause it:

  1. The simplest cause of discomfort is trauma. Due to a strong blow to the head area, the integrity of the facial bone is often violated. In addition to pain, edema appears, hemorrhages are observed.
  2. People wearing braces or dentures shouldn’t be surprised why their jaw hurts near their ear. And if in the first case, soreness is a sign of recovery, then in the second, when it appears, it is advisable to see a specialist as soon as possible.
  3. The eruption of a wisdom tooth is almost always accompanied by some kind of problem. Sometimes it is pain in the jaw.
  4. Jaw osteomyelitis is a serious cause. The disease extends to all elements of bone tissue. It appears as a result of the activity of pathogenic microorganisms that have made their way into the root canals.
  5. The jaw near the ear may also hurt due to neuralgia. It affects the glossopharyngeal, trigeminal, or laryngeal nerves.
  6. Odontogenic ear pain is often the result of dental diseases such as tooth decay or pulpitis.The discomfort is usually worse at night.
  7. A burning sensation in the jaw is a sign of arteritis.
  8. Pain in the jaw near the ear when chewing and opening the mouth may indicate temporomandibular joint dysfunction. The problem is necessarily accompanied by loud clicks with every jaw movement.
  9. One of the most terrible causes is tumors, benign and malignant. A characteristic symptom of oncology is the appearance of swelling in the cheekbones.
  10. The jaw can also hurt due to the formation of boils, fistulas, abscesses and phlegmon in it.

What to do if the jaw hurts near the ear?

Never ignore unpleasant sensations! If the cause is traumatic, reduction of the jaw may be required, and in particularly difficult cases, even surgery.

To relieve the condition and relieve pain temporarily will help a tincture of coltsfoot. And of course, during the treatment, you will have to give up solid and tough food.

90,000 6 types of headaches: diagnosis and treatment

We are often asked what research is best for headaches.It all depends on what is causing the problem. Even the most experienced doctor without diagnostics (and in the case of a headache it is always an MRI) will not tell you the reason with 100% accuracy. However, he can understand from your symptoms exactly where it is worth looking for the root of all troubles.

There are 6 main types of pain in total:

1. Sinus.

This is an acute severe pain in the area of ​​the eyebrows, nose and cheekbones. Often associated with colds, flu, or seasonal allergies.

The reason is in the sinuses – they are irritated, inflamed, swollen and / or filled with mucus, hence the discomfort.The pain will disappear after recovery.

People with similar symptoms are usually referred to an ENT. He will prescribe an MRI of the sinuses, and, based on the results, will prescribe a course of antibiotics, antihistamines and decongestants. And if the disease has already progressed strongly, and pus has accumulated in the sinuses, then he can make a puncture and remove all the “trash” by hand.

2. Cluster.

It is rare – only in 1 person in 1000, and more often in men than in women. This is an attack of very severe pain or burning in the eye area that lasts from 30 minutes to 3 hours.It repeats itself every day at the same time.

The torment can go away in a week, it can linger for 3 months, and sometimes it lasts for years. Fortunately, there are medications that can help. Special breathing and relaxation techniques can also relieve pain, and have been shown to increase the time between attacks and make them less frequent.

The source of the problem is hidden deep in the brain. These are a pair of symmetrical trigeminal nerves that are responsible for sensations of warmth or pain in the face.The root of the nerve is located to the side of the eye, and branches run along the forehead, along the cheek, and from the chin to the area above the ear on one side of the face. To diagnose problems with trigeminal nerves, your doctor will refer you for an MRI scan called a neurovascular conflict.

3-4. Headache from stress and tension.

As the name implies, the cause of this pain is stress or tension (usually in the neck and shoulders). It is associated with strong psychological stress, poor posture, the habit of clenching the jaws and grinding teeth, bright light and, which is completely unfair, long sitting at the computer.

You can recognize this headache by the following signs:

1. It is symmetrical, that is, it is felt on both sides of the head or neck.
2. She is dull and obsessive, but not very strong, rather moderate or even weak in intensity.
3. As if something presses or compresses the hoop on the head, especially in the area of ​​the forehead and the back of the head.
4. Normal head movement interferes with muscle pain and discomfort.
5. Sensitivity to light and noise.
6.Insomnia and absent-mindedness.
7. Often occurs against the background of depression and feelings of melancholy.

This pain is relatively easy to deal with. Rest, physical and mental, massages, posture correction will help to correct the situation. However, first you need to exclude some serious diseases with similar symptoms and understand whether it is stress or a problem with the cervical spine. As a rule, neurologists in this case refer patients to the “Head and Neck” complex, which includes as many as 5 studies: the brain, arteries and veins of the brain, the cervical spine and arteries of the neck.

5. Migraine.

Severe throbbing pain, usually in one side of the head. Often accompanied by nausea, vomiting, and sensitivity to light and noise.

Migraines last for hours or even days and are so unbearable that a person cannot even get out of bed.

The aura is often the harbinger of seizures. These are flashes of light, blind spots or tingling / numbness on the face, arm or leg, loss of smell.

Migraines are now treated with medication and lifestyle changes.To diagnose and prescribe medications, the doctor will ask you to bring the results of the “brain + brain arteries + brain veins” MRI complex.

6. TMJ syndrome.

Headaches are a side effect of problems with the temporomandibular joint, which connects the lower jaw to the skull. Thanks to this joint, we can move the jaw up and down and left and right, talk, chew and yawn.

Temporomandibular joint syndrome can be identified by the following signs:

1. Pain or discomfort in the jaw, around the ear, in the neck and shoulders when you eat, speak or open your mouth wide.
2. Difficulty opening or closing the mouth, when chewing, it feels as if the lower and upper jaw are not aligned.
3. Clicking or grinding when moving the jaw.
4. Swelling on one side of the face.

In some cases, any of the above may be accompanied by a toothache or pain in the neck and shoulders, pain and ringing in the ears, dizziness, hearing loss. Diagnosis of the syndrome is carried out using MRI of the temporomandibular joint.

Whichever of these types of pain you suspect, you should not self-medicate.