What are the common causes of TMJ disorders. How can you identify the symptoms of TMD. What treatment options are available for jaw pain and discomfort. How does TMJ affect daily life and quality of life. What are the long-term implications of untreated TMJ disorders.

Understanding Temporomandibular Joint (TMJ) Disorders

Temporomandibular joint (TMJ) disorders, often referred to as TMD, encompass a range of conditions affecting the jaw joint and surrounding muscles. These disorders can cause significant discomfort and impact daily activities such as eating, speaking, and even sleeping. To better understand TMJ disorders, it’s crucial to explore their causes, symptoms, and available treatment options.

What is the Temporomandibular Joint?

The temporomandibular joint is a complex structure that connects the lower jaw (mandible) to the temporal bone of the skull. This joint allows for a wide range of movements, including opening and closing the mouth, as well as side-to-side and forward motions. The TMJ consists of several components:

• The ball and socket joint
• A cushioning disk between the bones
• Surrounding muscles and ligaments

When any of these components are affected, it can lead to TMJ disorders, causing pain and dysfunction in the jaw area.

Common Causes of TMJ Disorders

TMJ disorders can arise from various factors, often involving a combination of physical and psychological elements. Understanding these causes can help in prevention and early intervention.

Physical Factors Contributing to TMD

Several physical factors can lead to the development of TMJ disorders:

• Jaw injury or trauma
• Arthritis affecting the jaw joint
• Misalignment of the jaw or teeth
• Excessive teeth grinding or clenching (bruxism)
• Connective tissue disorders

Psychological and Lifestyle Factors

Psychological stress and certain lifestyle habits can also contribute to TMJ disorders:

• Chronic stress leading to muscle tension
• Poor posture affecting jaw alignment
• Habitual gum chewing or nail biting
• Prolonged use of mouthguards or dental appliances

Are certain individuals more prone to developing TMJ disorders? Research suggests that TMD is influenced by genetics, gender, and age. Women appear to be more susceptible to TMJ disorders, particularly during their reproductive years. Additionally, the risk of developing TMD tends to increase with age.

Recognizing the Signs and Symptoms of TMJ Disorders

Identifying the symptoms of TMJ disorders is crucial for early diagnosis and treatment. While symptoms can vary from person to person, there are several common indicators to watch for.

Pain and Discomfort

The most prevalent symptom of TMJ disorders is pain, which can manifest in various ways:

• Jaw pain or tenderness
• Facial pain, especially in the cheeks or temples
• Earache or pain around the ear
• Neck and shoulder pain
• Headaches, particularly tension headaches

Joint Sounds and Sensations

Many individuals with TMJ disorders experience unusual sounds or sensations when moving their jaw:

• Clicking, popping, or grating sounds when opening or closing the mouth
• A feeling of the jaw “catching” or getting stuck
• Difficulty or discomfort when chewing

Is clicking always a sign of TMJ disorder? While clicking sounds are common in TMJ disorders, it’s important to note that not all jaw clicking indicates a problem. Studies show that about one-third of people have jaw joints that click without experiencing pain or limited function. However, if clicking is accompanied by pain or restricted jaw movement, it may indicate TMD.

Limited Jaw Movement

TMJ disorders can also affect the range of motion in the jaw:

• Difficulty opening the mouth wide
• Jaw locking in an open or closed position
• Stiffness or restricted movement of the jaw

Diagnosis and Evaluation of TMJ Disorders

Proper diagnosis of TMJ disorders is essential for effective treatment. Healthcare professionals use a combination of methods to evaluate and diagnose TMD.

Physical Examination

A thorough physical examination is typically the first step in diagnosing TMJ disorders. During this examination, the healthcare provider may:

• Observe jaw movement and listen for any sounds
• Palpate the jaw and surrounding muscles for tenderness
• Check the bite and alignment of teeth
• Assess overall facial symmetry and posture

Imaging Studies

In some cases, imaging studies may be necessary to get a more detailed view of the jaw joint and surrounding structures:

• X-rays to evaluate bone structure and alignment
• CT scans for detailed images of bone structures
• MRI to assess soft tissues, including the joint disk

Can imaging studies definitively diagnose TMJ disorders? While imaging can provide valuable information, it’s important to note that there isn’t always a direct correlation between imaging results and symptoms. Some individuals may have normal-looking joints on radiographs but experience significant pain and dysfunction, while others may have arthritic-looking joints without any symptoms.

Conservative Treatment Approaches for TMJ Disorders

The initial treatment for TMJ disorders typically focuses on conservative, reversible approaches. These methods aim to alleviate pain, reduce inflammation, and improve jaw function without invasive procedures.

Self-Care and Lifestyle Modifications

Many individuals find relief from TMJ symptoms through simple self-care measures and lifestyle changes:

• Applying ice or heat packs to the affected area
• Practicing stress-reduction techniques like meditation or yoga
• Avoiding hard or chewy foods that strain the jaw
• Maintaining good posture
• Limiting extreme jaw movements, such as wide yawning or gum chewing

Medications for Pain Relief

Over-the-counter and prescription medications can help manage pain and inflammation associated with TMJ disorders:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen
• Muscle relaxants for severe muscle spasms
• Tricyclic antidepressants for chronic pain management

Physical Therapy and Exercises

Targeted exercises and physical therapy can strengthen jaw muscles and improve flexibility:

• Gentle stretching exercises for the jaw
• Posture training to reduce strain on the TMJ
• Massage techniques to relax tense muscles

How effective are conservative treatments for TMJ disorders? Many individuals experience significant improvement with conservative approaches. It’s generally recommended to exhaust these reversible options before considering more invasive treatments.

Advanced Treatment Options for Persistent TMJ Disorders

When conservative methods prove insufficient, more advanced treatment options may be considered. These approaches target specific aspects of TMJ dysfunction and may involve dental or medical interventions.

Dental Interventions

Dental professionals may recommend various treatments to address TMJ issues:

• Custom-fitted nightguards or splints to prevent teeth grinding
• Orthodontic treatment to correct bite misalignment
• Dental restorations to improve bite balance

Minimally Invasive Procedures

For more severe cases, minimally invasive procedures may be considered:

• Corticosteroid injections to reduce inflammation
• Arthrocentesis (joint lavage) to flush out the joint
• Botox injections to relax overactive jaw muscles

Surgical Interventions

In rare cases where other treatments have failed, surgery may be recommended:

• Arthroscopy for direct visualization and treatment of joint problems
• Open joint surgery for severe structural issues

Is surgery commonly required for TMJ disorders? Surgical intervention is generally considered a last resort for TMJ disorders. The vast majority of cases can be managed effectively with conservative treatments and minimally invasive procedures.

Living with TMJ Disorders: Long-Term Management and Quality of Life

Managing TMJ disorders often requires a long-term approach, focusing on symptom control and preventing exacerbations. Understanding how to live with TMD can significantly improve quality of life for those affected.

Developing a Personalized Management Plan

A comprehensive management plan for TMJ disorders typically includes:

• Regular check-ups with healthcare providers
• Consistent application of self-care techniques
• Stress management strategies
• Dietary modifications to reduce jaw strain
• Ergonomic adjustments in daily activities

Coping with Chronic Pain

For individuals dealing with chronic TMJ pain, developing effective coping strategies is crucial:

• Mindfulness and relaxation techniques
• Cognitive-behavioral therapy to manage pain perception
• Support groups for emotional support and shared experiences
• Exploring alternative therapies like acupuncture or biofeedback

Monitoring and Adjusting Treatment

TMJ disorders can fluctuate over time, necessitating ongoing monitoring and treatment adjustments:

• Keeping a symptom diary to track changes and triggers
• Regular reassessment of treatment effectiveness
• Adapting treatment plans as needed based on symptom progression

Can TMJ disorders be completely cured? While many individuals experience significant improvement or resolution of symptoms with proper treatment, TMJ disorders can be chronic conditions requiring ongoing management. The goal of treatment is often to control symptoms and improve function rather than achieving a complete cure.

Preventing TMJ Disorders: Proactive Measures for Jaw Health

While not all cases of TMJ disorders can be prevented, there are several proactive steps individuals can take to reduce their risk and maintain optimal jaw health.

Maintaining Good Oral Habits

Proper oral care and habits can play a significant role in preventing TMJ issues:

• Practicing good dental hygiene to prevent tooth decay and gum disease
• Avoiding excessive gum chewing or nail biting
• Being mindful of jaw clenching during stressful situations
• Using proper technique when brushing and flossing to avoid strain on the jaw

Ergonomic Considerations

Paying attention to ergonomics in daily activities can help reduce strain on the jaw:

• Maintaining good posture while sitting and standing
• Using a headset for prolonged phone conversations
• Adjusting computer screens to eye level to prevent neck strain
• Avoiding resting the chin on the hand for extended periods

Stress Management

Since stress can exacerbate TMJ disorders, implementing stress-reduction techniques is crucial:

• Regular exercise to reduce overall stress levels
• Practicing relaxation techniques like deep breathing or progressive muscle relaxation
• Seeking professional help for stress management if needed
• Ensuring adequate sleep and rest

How effective are preventive measures in reducing the risk of TMJ disorders? While preventive measures can significantly reduce the risk of developing TMJ disorders, it’s important to note that some factors, such as genetic predisposition or certain medical conditions, may still contribute to TMD development. However, maintaining good oral health habits and managing stress can help minimize the severity and frequency of symptoms for many individuals.

The Future of TMJ Disorder Treatment: Emerging Research and Innovations

As our understanding of TMJ disorders continues to evolve, researchers and healthcare professionals are exploring new avenues for diagnosis, treatment, and prevention. These emerging approaches hold promise for improving outcomes for individuals with TMD.

Advanced Imaging Techniques

Cutting-edge imaging technologies are enhancing our ability to diagnose and treat TMJ disorders:

• High-resolution MRI for detailed soft tissue imaging
• Cone-beam computed tomography (CBCT) for 3D visualization of jaw structures
• Dynamic ultrasound imaging for real-time assessment of jaw movement

Regenerative Medicine Approaches

Regenerative therapies are showing potential in treating TMJ disorders:

• Stem cell therapy for tissue regeneration
• Platelet-rich plasma (PRP) injections to promote healing
• Growth factor therapies to stimulate tissue repair

Personalized Treatment Plans

Advancements in genetic research and data analysis are paving the way for more personalized treatment approaches:

• Genetic testing to identify predisposition to TMJ disorders
• AI-powered analysis of patient data for tailored treatment recommendations
• Precision medicine approaches based on individual patient characteristics

What potential do these emerging treatments hold for TMJ disorder management? While many of these innovative approaches are still in the research phase, they offer exciting possibilities for more effective and targeted treatments in the future. As research progresses, we may see significant improvements in our ability to diagnose, treat, and potentially prevent TMJ disorders.

In conclusion, temporomandibular joint disorders represent a complex and multifaceted group of conditions that can significantly impact an individual’s quality of life. By understanding the causes, recognizing the symptoms, and exploring the range of available treatments, those affected by TMJ disorders can work towards effective management and relief. As research continues to advance, the future holds promise for even more sophisticated and personalized approaches to TMJ care, offering hope to the millions of individuals affected by these challenging conditions.

TMJ Disorders – Causes, Signs & Symptoms, Treatment Options | Trimmell & Anders Orthodontics

If you experience ongoing pain in the area near your ear, your jaw or the muscles on the side of your face, possibly accompanied by a clicking or popping sound or restricted jaw movement, you may be suffering from TMD — an abbreviation for Temporomandibular disorders. Sometimes people incorrectly use the term TMJ to refer to these problems, when in fact TMJ is the abbreviation for the temporomandibular joint — or jaw joint — itself. So while you definitely have a TMJ (two of them in fact), you may or may not have TMD.

TMD, then, describes a group of conditions characterized by pain and dysfunction of the TMJ and/or the muscles surrounding it. It’s not always so easy to figure out exactly what’s causing these symptoms, but the good news is that most TMD cases resolve themselves with the help of conservative remedies we will recommend for you to do at home. In fact, it’s important to exhaust all such reversible remedies before moving on to anything irreversible, such as bridgework or surgery.

The two TMJs that connect your lower jaw, the mandible, to the temporal bone of the skull on either side, are actually very complex joints that allow movement in three dimensions. The lower jaw and temporal bone fit together as a ball and socket, with a cushioning disk in between. Large pairs of muscles in the cheeks and temples move the lower jaw. Any of these parts — the disk, the muscles or the joint itself — can become the source of a TMD problem. If you are in pain, or are having difficulty opening or closing your jaw, we will do a thorough examination to try to pinpoint the problem area and suggest appropriate remedies.

Causes of TMD

As with any other joint, the TMJ can be subject to orthopedic problems including inflammation, sore muscles, strained tendons and ligaments, and disk problems. We also know that TMD is influenced by genes, gender (women appear to be more prone to it), and age. Physical and psychological stress can also be a factor. In some cases, jaw pain may be related to a more widespread, pain-inducing medical condition such as fibromyalgia (“fibro” – connective tissues; “myo” – muscle; “algia” – pain).

Signs and Symptoms of TMD

Clicking Sounds — Some people with TMD hear a clicking, popping or grating sound coming from the TMJ when opening or closing the mouth. This is usually caused by a shifting of the disk inside the joint. Someone standing next to you might even be able to hear it. Clicking by itself is actually not a significant symptom because one third of all people have jaw joints that click, studies show. However, if the clicking is accompanied by pain or limited jaw function — the jaw getting “stuck” in an open or closed position, for example — this would indicate TMD.

Muscle Pain — This can be felt in the cheeks (masseter muscles) and temples (temporalis muscles), where the two big pairs of jaw-closing muscles are located. If you feel soreness and stiffness upon waking up in the morning, it’s often related to habits such as clenching and/or grinding the teeth at night. If you have this type of nocturnal habit, we can have a nightguard custom-made for you that should be very helpful in decreasing the force applied to your teeth, which will in turn allow your muscles to relax and relieve pressure on your jaw joints. Other self-care remedies are discussed below (please see Relieving the Pain).

Joint Pain — Pain that’s actually coming from one or both jaw joints technically would be described as arthritis (“arth” – joint; “itis” – inflammation) of the TMJ. When we look at radiographs (x-ray pictures) we find that some people have arthritic-looking TMJs but no symptoms of pain or dysfunction; others have significant symptoms of pain and dysfunction but their joints look normal on radiographs. There is no cure for arthritis anywhere in the body, but medication can sometimes help relieve arthritic symptoms.

Relieving the Pain

Once we examine you, we will come up with a strategy for treating your condition and managing your pain. Sometimes a temporary change to a softer diet can reduce stress on the muscles and joints. Ice and/or moist heat can help relieve soreness and inflammation. Muscles in spasm can also be helped with gentle stretching exercises. Non-steroidal anti-inflammatory medications and muscle relaxants can also provide relief.

Other Treatment Options

Severe TMD cases may require more complex forms of treatment, which might include orthodontics, dental restorations like bridgework, or minor procedures inside the joint such as cortisone injections or lavage (flushing) of the joint. It’s rare for major surgery ever to be necessary in a case of TMD. Again, it’s important to try the wide range of conservative, reversible treatments available, and give them enough time to work as they almost always prove effective. The first step is an examination here at our dental office. We don’t want you to be in pain, so please come in and see us. To learn more about the treatment options available, view our Chart on TMD Therapy

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Why It Hurts & How PT Can HelpAdvent Physical Therapy

If your ear hurts every time you bite down, it may be because you are feeling referred pain from your jaw. Referred pain is pain felt in one part of the body while originating in a completely different body part. One study found that dysfunction in the temporomandibular joint (TMJ) or jaw joint can easily be the origin point for the pain you feel in your ear when biting down. TMJ dysfunction refers to a group of conditions that inflame and tighten the jaw joint, and it affects at least 10 million people.  

Why is TMJ dysfunction causing you ear pain?

The muscles, bones, tendons, and ligaments surrounding your jaw joint work together to move your jaw in multiple directions while eating and talking. However, if you frequently overstretch your jaw or grind your teeth, your jaw can become inflamed, stiff and painful. Because the TMJ is near the auditory canal, inflammation in your jaw can affect the muscles behind your ear and trigger pain there. 

What are some other TMJ dysfunction symptoms?

In addition to ear pain, TMJ dysfunction may also cause: 

• Chronic headaches.
• Pain in your neck and shoulders.
• Limited mobility or locking of your jaw.
• Grating in your jaw joint when opening or closing your mouth.
• A “popping” sound when moving your jaw. 
• A ringing sound in your ear (tinnitus).

Of course, TMJ pain may not be the only reason behind your ear pain when you bite down. Conditions like osteoarthritis involve the degradation of your connective tissue. As a result, your jaw bones can rub together and cause pain traced to your ear. 

How can you treat your ear pain when biting down? 

Ear pain when biting down may limit your ability to chew food comfortably and properly. To help, you can try the following at-home treatments: 

• Hot and cold therapy. 
• Compression. 
• Strengthening exercises. 
• Stretches. 

It is a good idea to consult with a medical professional before trying at-home treatments. A specialist like a physical therapist can help you identify the source of your ear and jaw pain and teach you how to safely perform exercises and stretches to limit your TMJ pain flare-ups. In particular, physical therapists can treat your TMJ pain using two specific TMJ exercises, including the relaxed jaw exercise and resisted mouth opening exercise.

How to perform the relaxed jaw exercise

One reason your ear and TMJ might hurt when you bite down is overly tense jaw muscles. Physical therapists can show you exercises to reduce tension in these muscles, which may include the relaxed jaw exercise. 

To do the relaxed jaw exercise, follow these steps: 

1. Sit in a stable chair with good posture. Make sure your ears are centered over your shoulders. 
2. Place the tip of your tongue on the roof of your mouth, just behind your front teeth. 
3. Slowly relax your jaw muscles and allow your mouth to fall open. Keep your tongue on the roof of your mouth as it opens.
4. Hold this stretch for 10 to 15 seconds. 
5. Return your jaw to its starting position.
6. Repeat these steps up to five times. 

How to perform the resisted mouth opening exercise

Your TMJ and ear may hurt when you bite down because of weak jaw muscles. Physical therapy specialists can help you learn exercises that strengthen these muscles. One of those exercises may be the resisted mouth opening exercise.

To do the resisted mouth opening exercise, follow these steps: 

1. Sit down in a stable chair while sitting up straight and keeping your spine in a neutral position. 
2. With your mouth closed, move the tip of your tongue so that it’s resting on the roof of your mouth behind your upper front teeth. 
3. Place one thumb on your chin.
4. Use this thumb to gently press upward as you open your mouth. Keep your tongue on the roof of your mouth as you do this. 
5. Close your mouth. 
6. Repeat these steps until you’ve done up to 10 repetitions.

Advent Physical Therapy can help treat TMJ dysfunction

Are your ear and TMJ hurting when you bite down? Advent Physical Therapy can help you treat the TMJ dysfunction that could be the root cause of your pain. We’ll start your treatment process by having you come into one of our clinics for a free screening. Then our team will build you an individualized treatment plan designed to reduce the pain in your TMJ and the referred pain in your ear.

Don’t wait to start getting our help with TMJ dysfunction. Contact our team today for more information about how we can help or to schedule your free screening.

Jaw hurts in the ear area, which doctor should I visit? / Dental center “Michurinskiy”

Pain near the right/left ear canal can be constricting or throbbing, burning or aching, sudden or increasing, at rest or when pressed. Sometimes, along with pain, the temperature rises, soft tissues swell. By the nature of the pain, you can first determine its root cause. That is why doctors, only after an in-depth interview, prescribe diagnostic procedures for the patient – X-ray, MRI, complete blood count.

Problems that cause pain in the cheekbones and jaw can be treated by dentists, surgeons, otolaryngologists and other specialized doctors. We read further about the possible causes of unpleasant sensations localized anterior to the ear.

TMJ dysfunction. Failure of the temporal joint and dysfunction of the masticatory muscles is the most common cause of pain in the jaw near the ear. Pain in this case does not occur spontaneously, but with loads or pressure. Soreness is felt when chewing, yawning and talking. It is already possible to diagnose the disorder by its characteristic features – clicking and crunching in the joint when moving the jaw (in conversation or while chewing food), tinnitus, dizziness. Articular pathology is characterized by a unilateral lesion. The disease develops in the place of localization of pain. That is, if it hurts near the left ear, cheekbones and neck, this means that the destructive process is on the left.

Facial injuries (contusion, dislocation, fracture)

Acute pain attack, swelling and hematoma are the key signs of soft tissue injury even without affecting bone structures. With a sharp opening of the mouth or as a result of a blow to the face, a dislocation of the TMJ may occur, making it difficult for the simplest swallowing and chewing movements. The fracture manifests itself as unbearable pain around the injury, which spreads to the entire facial area.

Bruxism. One of the most common causes of pain in the jaw is grinding teeth at night. Usually discomfort is felt in the morning due to constant clenching of the jaws. With bruxism, the cutting surface of the teeth is abraded, pain in the jaw and ear canal is accompanied by chronic headache, discomfort in the face area, as well as anxiety, depression and insomnia.

After dental treatment. The cause of aching pain in the jaw and cheekbones are often manipulations carried out in the office of an orthopedist or orthodontist. Soreness with inflammation and swelling can occur after poor-quality removal of eights, as well as after caries treatment or dentures. Jaw pain is usually experienced for some time after braces are placed. This is considered a normal response of the jawbone to pressure from the orthodontic appliance.

Infections and inflammations

Osteomyelitis – damage to bones and adjacent tissues by an infection spreading with blood. With jaw osteomyelitis, the TMJ often suffers. Symptoms include jaw pain, swelling of the face, and fever.

Abscess – disease resulting from infection of the pulp during advanced caries. Moving along the root canal, pathogens infect adjacent soft tissues, causing inflammation and jaw pain.

SARS. Persistent ear pain may be felt as a complication of viral infections. The reason for this is inflammation of the joint sac, provoked by the influx of viruses and bacteria.

The cheekbone in the area of ​​the auricle can also hurt with inflammation of the ear canal. However, this case is characterized by intense pain in the ear with a return to the jaw. Inflammation is accompanied by fever (37.5-38C) and general malaise.

Neuralgia. Acute pain syndrome develops with inflammation of the nerves – trigeminal, glossopharyngeal, upper laryngeal. Pain occurs when coughing, hiccups, eating, yawning and pressure.

With jaw pain, they turn to the following specialists:

• in case of TMJ pathologies, – gnatologist, orthodontist;
• in case of injuries, diseases and infections of the dental system – to the dentist, maxillofacial surgeon;
• in case of soft tissue diseases – to the surgeon;
• in case of inflammatory processes in the teeth or gums – to the dentist;
• if the pain is a consequence of complications of SARS or occurs with inflammation of the tonsils, larynx, sinuses, ears or lymph nodes – see an otolaryngologist;
• for neuralgia – to a neurologist.

If the etiology of the pain is unknown, the family doctor or general practitioner should be contacted initially. After examining and identifying a specific cause, the general practitioner will refer you to a narrow-profile specialist.

Author: Tamara Panterova

09/09/2020

Why does the jaw click when chewing and opening the mouth?

Regular jaw clicking is a precursor to temporomandibular joint disease. At first, discomfort may be rare and present only with active chewing or wide opening of the mouth, so it is not a cause for concern. With the development of the disease, the jaw begins to click even in a calm state, pain appears. At this stage, serious interventions may be required for treatment. That is why it is important to contact a gnatologist as early as possible: before complications appear and a significant decrease in the quality of life.

Contents

Bogorad Svetlana Mikhailovna

Experience — 27 years

Jaw crunching is a consequence of TMJ dysfunctions. The problem lies in the incorrect anatomical relationship of the articulation structures. A feature of the mandibular joint is that the surfaces that form it do not correspond to each other in shape, therefore, a disc is located to compensate for the difference between them. With a disease of the joint itself or the influence of external factors, it can be pushed out, and the cartilage begins to come into contact with each other. That is why the jaw begins to click when opening the mouth or chewing.

The main causes of jaw clicking are:

• Increased muscle tone. Manifested when muscle fibers contract when chewing, especially solid foods. In some cases, there is a pathological spasm caused by inflammation, stress, overload.
• Trauma. As a result of the application of force from the outside (a blow to the right or left), a violation of the anatomy of the joint occurs: crushing of the meniscus, loss of cartilage integrity, subluxation or dislocation of the articular heads.
• Caries. A defect in the teeth on one of the halves of the jaw causes a difference in the height of the bite, which disrupts the relationship between the elements of the joint.
• Bruxism – involuntary grinding of teeth, more often at night. According to various sources, it occurs up to 10% of the adult population. Caused by spasm of chewing muscles.
• Consequences of dental treatment. Incorrectly installed prostheses, implants and crowns are the cause of an imperfect bite. This leads to dysfunction of the mandibular joints.
• Fatigue of the joint as a result of a long stay in one position. For example, when the mouth is open at the dentist’s office. Therefore, the doctor suggests that he be covered when it is permissible.
• Arthritis is an inflammation of the joint, usually of a bacterial nature.
• Arthrosis – gradual thinning and destruction of cartilaginous surfaces and discs in combination with compensatory growths.

What to do if there are clicks when opening the mouth?

In addition to the appearance of clicks, a person may have other complaints that are worth paying attention to. You should consult a gnathologist if you have the following symptoms:

• feeling of spasm of the masticatory muscle group;
• the presence of unusual sounds when chewing or opening the mouth, when the jaw clicks, crunches, grinds;
• headache, especially unilateral, pain in the ear, jaw;
• movement disorder: jamming, when it is impossible to open or close the mouth, displacement to the side;
• change in occlusion;
• swollen lymph nodes (react from the inflamed joint).

Clicking in the TMJ area with any of the accompanying symptoms, as well as their increase, should be a reason to contact a specialist.

Clicks can be of different types depending on the cause of their occurrence. For a more accurate diagnosis, the doctor needs the following information:

• click intensity: strong (heard at a distance from the person), medium (heard mainly only by the patient), weak (may not be noticeable).
• multiplicity: single or frequently repeated;
• situations in which clicks occur: with a moderate or wide opening of the mouth, at rest, while chewing, talking, yawning, closing the dentition.

An increase in intensity, an increase in clicking and the addition of other symptoms (even with a small load on the joint) indicates the development of the disease.

Only a doctor can make a diagnosis. In order to determine not only the disease itself, but also its cause, it is advisable to apply at the first complaints. The symptoms accompanying jaw clicking can be specific, which helps in the diagnosis. In addition to the survey, the doctor makes an examination, during which the features of the bite and teeth are revealed: the presence of caries, fillings, prosthetics. An additional diagnostic method is an X-ray examination. The pictures show the consequences of trauma, inflammation and signs of arthrosis.

Timely undiagnosed and untreated diseases of the mandibular joints, accompanied by clicking, can lead to the following complications:

• the need for surgical treatment;
• the joint begins to hurt constantly as a result of irreversible degenerative changes;
• disorders of the nervous system;
• ankylosis of the TMJ, which may prevent the jaw joints from opening, preventing chewing, speaking, and other activities;
• change in facial expressions;
• dysfunction of the respiratory and digestive systems.

To prevent complications, it is important to pay attention in time to changes in the functioning of the lower jaw and to the appearance of clicking, pain and other symptoms. Timely treatment allows you to fully restore the function of the joint.

In diseases of the temporomandibular joints, qualified treatment should be carried out. The use of alternative methods contributes to the aggravation of the problem and increases the risk of complications. Self-medication with pain medication temporarily relieves pain, but threatens the same long-term problems.

Treatment depends on the cause of the clicking. The following assistance options are available:

• Special gymnastics. Used for isolated clicks that are caused by muscle spasm. The doctor recommends exercises that are performed several times a day. This can be forward movement of the jaw and return to the place, as well as lateral movements.
• In some cases, it becomes necessary to correct the bite with braces, caps or plates.
• Correction of unsuccessful dental treatment: changing the height of the filling, implant, making a new prosthesis.
• Antibacterial and anti-inflammatory therapy for arthritis.
• Reduction of dislocation and subluxation, immobilization in case of injury.
• Surgical treatment: reduction of the disc, excision of osteophytes inside the joint, plasty. In modern maxillofacial surgery, it is performed using minimally invasive endoscopic techniques.
• Pain relief if needed. It is an auxiliary symptomatic treatment, as it does not eliminate the cause of the disease.

Gnathologists treat diseases of the temporomandibular joint. They assess the problem comprehensively: the condition of the teeth, muscles, anatomy of the joint. Contacting this specialist eliminates the need for separate consultations with a dentist, orthopedist, neurologist. Gnathologist appointments are available at our clinics. A visit to this interdisciplinary specialist will save time and lead to a quick and high-quality result.

• Treatment of temporomandibular joint disorders with stabilizing splints in general dentistry: results after initial treatment
• Physical exercises in diseases of the temporomandibular joint
• Khvatova V.A., Abakarov S.I., Basov A.V., Abakarova D.S., Adzhiev K.S. Dysfunctions and diseases of the temporomandibular joint: textbook / V.A. Khvatova, S.I. Abakarov, A.V. Basov, D.S. Abakarova, K.S. Adzhiev; GBOU DPO “Russian Medical Academy of Postgraduate Education” – M.: GBOU DPO RMAPO, 2013. – 51 p. ISBN 978-5-7249-2102-2.

• Dental diagnostics
• Overbite Correction
• Dentures

Questions and answers

Ask a question

✅ Hello, for two months I have been worried about the constant hum-whistling in my left ear, the tone is the same, I hear more when I pinch my earlobe. At the same time, I noticed pain in my left eye, mainly when I rotate the eye diagonally, and my jaw still clicks when I open my mouth (it doesn’t hurt, it clicks for a long time). I went to the ENT and neurologist, from the examinations I did an MRI of the brain, a CT scan of the temporal bones, an Audiogram, tympanometry, an MRI of the cervical region, an ultrasound of the neck vessels with functional tests and an X-ray of the neck with functional tests and blood tests – everything is normal. Could my symptoms be related to jaw dysfunction? Bite disorder? The lower row of teeth is displaced and on the left side the tooth is displaced.

Noise in the ear and irradiation of pain can indeed occur when the temporomandibular joint is disturbed. The reason for this can be trauma, malocclusion, missing teeth and irrational prosthetics. To find out why such symptoms arose and whether it is related to the pathology of the bite, sign up for a consultation with a gnathologist, who treats and prevents dysfunction of the temporomandibular joints.

✅ Hello, when I open my mouth wide, my jaw starts to click (with one click) and when I now move my jaw forward very much, the left side of my jaw starts to hurt. I recently started doing facial exercises. He took rubber balls for dogs and chewed it to increase his cheekbones.

The symptoms described indicate a problem in the temporomandibular joint. Probably, active exercises led to a subluxation of the joint, because of which it began to click and hurt. In order not to start a disease that can lead to immobilization of the jaw, contact our gnathologist dentist.

✅ Hello doctor. Tell me, can it be a variant of the norm, when, with the mouth as open as possible, the condyle extends completely forward of the tubercle? It came to light at a roentgen concerning clicking on the right when closing a mouth. Also, the shape of the right tubercle is different from the left one, its posterior slope is much steeper than it should be according to the standard. Could it be from birth? Best regards and thanks in advance, Anar.

Anterior displacement of the condyle from the articular eminence is not normal, but indicates subluxation of the temporomandibular joint. The reason for this can indeed be a congenital weakness of the joint capsule and malformations of the condyles. However, subluxation also often occurs due to trauma and malocclusion. To identify the exact cause of joint dysfunction and carry out rational treatment that will prevent the problem from worsening, make an appointment with our gnathologist dentist.

✅ I am worried about the problem with the jaw, more precisely with the left side, when yawning, when I open my mouth, even when I hear sounds in the headphones like the sound of heels, when chewing, there is sometimes a little pain, but I think this happened due to a case with ears, back in 2020, how stupidly it turned out, I decided to wash my ears thoroughly, so to speak, and so it turned out that I often began to clean my ears every day, and it was after that that this problem with the jaw happened. In such a situation, what would you advise? Which doctor should I contact?

The signs you describe indicate a malfunction of the temporomandibular joint, which is responsible for the movements of the lower jaw. To determine what happened to the joint and treat it, contact a gnathologist dentist. You can get to a specialist in one of our clinics.

✅ I am 14 years old, for several months now my jaw or teeth have been creaking while eating (I don’t know) . This happens when the jaw is closed. Please tell me why this is happening, will it go away on its own, is it normal?

Such signs are not normal and indicate a malfunction of the temporomandibular joint. The problem may arise after an injury, due to a broken bite, after overstated fillings have been installed. Unfortunately, creaking in the jaw will not go away on its own. To prevent the problem from getting worse, you and your parents need to contact a gnathologist dentist.

✅ Hello, before, the jaw on the left sometimes just crunched, a week ago there was a dull pain in the left cheekbone, and last night the jaw began to crackle and ache a lot, like the lower one. What could it be?

Symptoms indicate dysfunction of the temporomandibular joint, which is responsible for all movements of the lower jaw. To eliminate pain, crunch and avoid jaw contracture, make an appointment with a gnathologist in one of our clinics.

✅ Hello! I am 33 years old, a couple of months ago I began to notice that when I yawned, kissed and opened my mouth wider on the left, my jaw began to knock at my ear. There were no injuries with teeth and bite, there is also no pain, but this discomfort interferes a little. Tell me what it is and is it possible to fix it on my own (exercises, medicines) or do I need to go to the doctor, how dangerous is it?

Signs point to dysfunction of the left temporomandibular joint. The cause of this pathology can be not only trauma, malocclusion, but also bruxism, improperly performed filling and prosthetics of the teeth. The danger of joint dysfunction is that, in addition to uncomfortable sounds, pain in the jaw, headache, and impaired opening and closing of the mouth will occur over time.
To eliminate this delicate problem and avoid worsening the situation, you need to make an appointment with our gnathologist. Treatment can be planned only after the examination, since you must first determine the cause of the dysfunction, and only then work on its elimination.

✅ My jaw crackles when I eat, when I talk. I just open and close my mouth. There is no pain at all. The crunch is heard by everyone around. Prompt, in what there can be a reason.

Symptoms indicate that the work of the temporomandibular joints responsible for the movement of the lower jaw is impaired. This could happen as a result of trauma, malocclusion, after the installation of oversized fillings or prostheses. If you do not identify the cause of the violation and do not start treatment, then pain will appear in the future, there will be a restriction of jaw mobility. To solve the problem, we recommend that you seek the advice of a gnathologist dentist. This specialist is engaged in the treatment and prevention of pathologies of the temporomandibular joint.

✅ Hello, when you yawn and open your mouth, there is a strong click on the left side, what should I do for about two years now?

Unfortunately, you are faced with the first signs of a malfunction of the lower jaw joint. If you do not take action, then pain will appear, it will be difficult to open and close your mouth, severe headaches will occur. To identify the cause of the pathology and select a treatment regimen, you will need to consult a gnathologist. To get to a specialist in our clinics, call the number listed on the website, or use the online appointment service.

✅ Good morning, after the installation of implants and crowns, a crunch appeared in the maxillary joints.

It is likely that the prosthesis was not carried out correctly and led to an overload of the joints. In order to prevent the situation from worsening, we recommend contacting a gnathologist dentist. After the diagnosis, the doctor will determine what kind of mistake was made and explain what needs to be done to fix the problem.

✅ When I open my mouth, it clicks, the left side of my head hurts, it gives to my head and nose, I take carbamazepine, it becomes easier.

Based on your symptoms, it can be assumed that you have a problem with dysfunction of the mandibular joint. In your case, it is better to consult a gnatologist than to take pills, since uncontrolled intake of an incorrectly selected drug will lead to the development of complications.

✅ Hello, I have a strong jaw crunch when I eat, every time my jaw starts to crackle, well, I don’t have pain, what should I do, where should I go please tell me 3 years ago I went to the Dentist, he put braces on me and exactly two years they stood. The teeth are all aligned, but the jaw still crunches😭 please tell me, can any vitamins help me?

A strong crunch in the jaw indicates dysfunction of the temporomandibular joint. Probably, orthodontic treatment was carried out without considering this problem. Unfortunately, in this case, vitamins will not help. You need to consult a gnathologist who deals with problems of the joints of the lower jaw.

✅ After the fall, there was a crunch in the jaw. No pain. Which specialist to sign up for and how can I fix it?

A crunch in the jaw arose after trauma to the temporomandibular joint. To solve the problem, you need to make an appointment with a gnatologist. The specialist will assess the situation and reduce the dislocation or subluxation with further immobilization of the jaw.

✅ Why does my jaw click when I open my mouth wide?

Clicking of the jaw when opening the mouth wide (for example, when yawning) is associated with the structure of the joint and excessive movement in this situation. The disk, located in the articular cavity, compensates for the discrepancy between the cartilaginous surfaces. With excessive opening of the mouth, the head of the mandibular branch approaches the cavity on the temporal bone, pushing the disc forward. Its return to its place can occur with a click, which becomes a cause of concern for a person. In some diseases, a click can appear not only with a wide opening of the mouth, but also with a moderate or weak one. In this case, you need to seek qualified help.

✅ When is crunching not dangerous?

For mild dysfunction caused by a single muscle spasm or overexertion due to chewing solid foods, crunching is not a concern. In these situations, it is not accompanied by pain, has a short-term character and low intensity. Repeated clicking in the jaw, an increase in strength and the appearance of additional symptoms should be the reason for consulting a specialist. The fact is that these complaints indicate the presence of TMJ disease. Postponing a consultation with a gnathologist can lead to complications.

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