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What are temporomandibular disorders?

The jaw joints,or temperomandibular (TM) joints, connect the lower jawbone (mandible) to the skull. These flexible joints are used more than any other joint in the body. They allow the jaw to open and close in a wide variety of movements, for talking, chewing, swallowing, yawning, and other functions. Many people have dysfunction and pain in and around th jaw joints at some point during their lives. Collectively termed temporomandibular (TM) disorders, these joint and muscle problems are complex and not completely understood. As a result, proper diagnosis and treatment of TM disorders are still evolving. You may also hear TM disorders called "TMJ," "TMD," or "TM problems."

What are common symptoms of temporomandibular disorders?

 TM disorders can affect the jaw and jaw joint as well as muscles in the face, shoulder, head, and neck. Common symptoms include joint pain, muscle pain, headaches, joint sounds, difficulty with fully opening the mouth, and jaw locking.

In most cases, symptoms of TM disorders are mild; they tend to come and go without getting worse and usually subside without formal treatment. About 65% to 95% of people who see a health professional for initial TM disorder symptoms will get better regardless of the type of treatment.

Approximately 12% of people who have TM disorders develop chronic (long-lasting) symptoms. Any chronic pain or difficulty moving the jaw may affect talking, eating, and swallowing, thus affecting a person's overall sense of well-being.

 

How is a temporomandibular disorder diagnosed?

Although there is no definitive way to identify a temporomandibular disorder, your health professional can most likely assess your condition with a physical exam and health history. In some cases, an X-ray, CT scan, or MRI is also used to check for bone or soft tissue problems related to temporomandibular disorder symptoms.


How is temporomandibular disorder treated?

You can treat your TM disorder symptoms by reducing muscle tension and stress on the jaw. Initially, resting the jaw joint, short-term use of anti-inflammatory medicines or muscle relaxants, applying hot moist compresses to painful areas, and eating soft foods can help reduce pain.  Other conservative therapies treatments such as physical therapy , stress-reduction skills training, and oral orthopedic appliances  may also help to reduce pain and TM joint problems. Continue to use some of these strategies over time to prevent and manage recurring symptoms.

If your pain is chronic or severe or is caused by structural problems, such as joint degeneration or disc displacement, your health professional may recommend surgery. Surgery is rarely used to treat TM disorders.  However, it can be very beneficial if there is severe disc damage. Some treatments, such as  reshaping or shaving down the teeth, need to be considered carefully because they are irreversible and can even damage the TM joint.

Chronic pain can lead to depression, anxiety, a sense of helplessness, and biochemical changes in the body that perpetuate pain. If you have chronic pain, talk to your health professional about medication and psychological skills for pain management, with special attention given to treating any related anxiety or depression.

Call For a Free Cosultation  315-732-3515

Contact us if you or a loved one would like to schedule an appointment or receive more information about our office or procedures.

Louis D. Rabice, DDS

Cosmetic Implant & Sedation Dentistry

(315) 732-3515

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