People who grind their teeth can sometimes develop a serious
problem with their jaw, which left untreated, can adversely affect
the teeth, gums and bone structures of the mouth. One of the most
common jaw disorders is related to a problem with the
temporomandibular joint, the joint that connects your lower jaw to
your skull, and allows your upper and lower jaw to open and close
and facilitates chewing and speaking.
People with temporomandibular joint disorders (TMD) often have
a clicking or popping sound when opening and closing their mouths.
Such disorders are often accompanied by frequent headaches, neck
aches, and in some cases, tooth sensitivity.
Some treatments for TMD include muscle relaxants, aspirin,
biofeedback, or wearing a small plastic appliance in the mouth
during sleep.
Minor cases of TMD involve discomfort or pain in the jaw muscles. More serious conditions involve improperly aligned joints or dislocated jaws. The most extreme form of TMD involves an arthritic condition of the jaw joint.
TMJ Treatment
An estimated 10 million
Americans suffer from TMD. Caused by strenuous physical activities,
stressful situations, overuse of the muscles, and grinding of the
teeth, temporomandibular disorder (TMD) results in discomfort
for people with this disorder This condition occurs because of
dysfunction with the temporomandibular joint (TMJ), the joint that
makes it possible to chew. This joint allows your jaw to open and
close, and allows jaw movement forward, backward, and sideways. The
TMJ only works properly if the lower jaw and its movements are
synchronized.
What is TMD?
TMD affects jaw muscles,
the temporomandibular joint, and nerves where movements become out
of synch, which can lead to headache or neck pain. It can also
result in sensitive teeth, injured soft tissues, muscle soreness,
and jaw discomfort. Other symptoms include ringing in the ears,
facial pain, difficulty opening and closing your mouth, and jaw
locking when talking, yawning or eating.
Getting Help
Your dentist can recommend
treatment for TMD. A nighttime mouth guard can help stop the teeth
grinding. More severe cases can treated with physical therapy, ice
and hot packs, and posture training. TMD is usually cyclical and
may return when the patient experiences stress.
Questions about TMD
Can’t I just use a store-bought mouth
guard?
If your dentist determines that you need a
mouth guard, you need an appliance that fits your specific bite.
Using any other device can actually do more harm than good.
Is surgery my only option for TMD
treatment?
In about 95 percent of cases your dentist
can recommend non-surgical treatment for TMD. Strengthening
exercises, massage therapy, reducing stress, and mouth guards are a
few of the options available to decrease symptoms and relieve your
discomfort.
What causes TMD?
When your TMJ are out
of sync, the associated muscles get fatigued and the nerves become
strained. Common causes of TMD include stress, trauma, teeth
grinding, arthritis, improperly fitting dental work, and posture
issues.