Where is the Temporomandibular Joint?

TMJ or temporo-mandibular joint connects the jaw to the skull and the term TMJ is often used as a generic term to describe the dysfunctions of the jaw muscles.

In order to function properly, the TMJ relies a great deal on proper alignment and maintenance of healthy teeth. The TMJ is seen by some to be one of the most important joints in the body because of its profound influence elsewhere.

What is and what causes TMD?

TMD (temporo-mandibular joint disfunction) is the discomfort or pain associated with the temporo-manidublar joint.
TMD problem occurs for various reasons such as crooked teeth or a deep overbite, the loss of teeth, various types of trauma to the head, whiplash injuries and even poor posture, strain of dental surgery like poorly fitted crowns and dentures etc. Sometimes a back or neck injury and excessive stress also trigger the TMD problems.

How do I know if I have TMD and Pain?

Many symptoms have been described but the most common are discomfort in the local muscles when the jaw moves, pain, stuffiness or itching, loss of hearing and dizziness, pain and blurring of vision, grinding or clenching of teeth, pain in face, head and neck. Unfortunately the majority of sufferers don’t seek help soon enough during which time these problems can become very debilitating.

Can TMD be treated?

First line treatments can include medications such as anti-inflammatory and pain killers, sometimes small doses of antidepressants can also help relax the muscles.

If the above are unhelpful then other options include:

Explanation and reassurance:
most TMD disorders are benign and will improve with noninvasive treatment.

Patient education and self-care:
this includes: limiting excessive mandibular (jaw) function by eating soft foods; avoiding wide yawning, singing and chewing gum; massaging affected muscles and applying heat; relaxation techniques; identifying and reducing life stresses. http://www.patient.co.uk/showdoc/40001781/#ref1

Jaw exercises can also be used.

Physiotherapy

Occlusal splints:
these are also known as "bite guards", Charlotte will often end up fitting you with a removable device, to be worn over the teeth, on the principle that they may help close the mouth more effectively.

Steroid injection:
can be helpful if TMJ inflammation is a problem.

Replacement of damaged or ill fitting crowns or dentures

Prosthodontic Specialist: Dr Charlotte Stilwell

Charlotte is passionate about TMD and is finding successfull ways of treating young and old of this often distressing condition.