Treatment FAQ

how many tmj treatment places

by Tara Towne Published 2 years ago Updated 2 years ago
image

Medication

Although a variety of health care providers advertise themselves as “TMJ specialists,” most of the more than 50 different treatments available today are not based on scientific evidence of safety and efficacy. These doctors practice according to one of many different schools of thought on how to best treat TMJ .

Procedures

Most people with TMJ problems have relatively mild or periodic symptoms which may improve on their own within weeks or months with simple home therapy. Self-care practices, such as eating soft foods, applying ice or moist heat and avoiding extreme jaw movements (such as wide yawning, loud singing, and gum chewing) are helpful in easing symptoms.

Therapy

Surgery can be used to treat a TMJ disorder if more conservative treatments, such as oral splints or mouthguards, don’t help to reduce the severity of your symptoms. For some people, surgery may be necessary to restore full use of their TMJ.

Nutrition

Treatment. In some cases, the symptoms of TMJ disorders may go away without treatment. If your symptoms persist, your doctor may recommend a variety of treatment options, often more than one to be done at the same time.

Are there different types of TMJ treatments?

How do I Manage my TMJ on a daily basis?

Can surgery help my TMJ disorder?

Can TMJ go away on its own?

image

What is the best doctor to see for TMJ?

Most often, a dentist who specializes in TMJ disorders is actually your best choice. There are multiple forms of TMJ disorder treatment. Fortunately, dental specialists like Dr. Phillips have specialized knowledge of the jaw and the temporomandibular joint and can prescribe the correct treatment.

What is the most common treatment for TMJ?

Bite guards are the most widely recommended treatment for moderate TMJ symptoms. Research has found that splints can reduce TMJ pain and the risk of long-term side effects is minimal. There are two main types of dental splint, a TMJ mouthguard, and a bruxism (tooth grinding) mouthguard.

Can TMJ be fixed permanently?

Clenching and grinding of teeth are two of the major causes of TMJ pain. However, this is not an irreversible condition, and with proper treatment, one may be able to cure TMJ pain permanently. For starters, you must stop any habits of teeth grinding or clenching, and anything that puts pressure on the joint.

Is TMJ a medical or dental problem?

Because TMJ can be a medical problem, a dental problem, or a combination of both, it is beneficial to understand what is causing the patient's disorder before creating a treatment plan.

Is TMJ a lifelong condition?

While TMJ is not a life-threatening disorder, if left untreated, its symptoms can negatively affect your quality of life over time. If you're ready for a solution that is as unique as you and your pain, we're here to help.

How is long term TMJ treated?

The following tips may help you reduce symptoms of TMJ disorders:Avoid overuse of jaw muscles. Eat soft foods. ... Stretching and massage. Your doctor, dentist or physical therapist may show you how to do exercises that stretch and strengthen your jaw muscles and how to massage the muscles yourself.Heat or cold.

Can a chiropractor fix TMJ?

Licensed chiropractors adjust bones, joints, and muscles to improve function and reduce pain in their patients. One option a TMJ chiropractor can provide is to make these adjustments to help ease TMD/TMJ symptoms, including pain: Manipulate the jaw joint so it can move more easily.

Can Botox help TMJ?

Botox can help relax the muscles in your jaw Botox for TMJ can be highly effective. One 2012 study found that Botox treatments significantly decreased pain and increased mouth movements for three months following the treatment. Another study found that symptoms improved in 90 percent of participants.

When is surgery needed for TMJ?

Your doctor may recommend TMJ surgery if: You feel consistent, intense pain or tenderness when you open or close your mouth. You can't open or close your mouth all the way. You have trouble eating or drinking because of jaw pain or immobility.

Does an ENT treat TMJ?

Ear nose and throat doctors are the only professionals who can diagnose and treat TMJ/TMD. ENT doctors turn to various treatments for TMJ, including prescription, over-the-counter, and non-medicinal options.

How long does TMJ take to heal?

For most adults, the treatment averages anywhere from 18 months to three years. Therapies like massaging or stretching the jaw, stretching the neck, and stress reduction exercises can instantly provide some relief. Still, it may take anywhere from weeks to months to see the full benefits.

How long does it take for a mouth guard to work for TMJ?

Some people may experience relief from TMJ disorder symptoms as soon as they begin wearing a bite guard. Others may not have comfort for a few days or weeks. It's also important to note that regularly wearing your occlusal guard for TMJ will alleviate symptoms faster.

How to reduce TMJ?

Lifestyle and home remedies. Becoming more aware of tension-related habits — clenching your jaw, grinding your teeth or chewing pencils — will help you reduce their frequency. The following tips may help you reduce symptoms of TMJ disorders: Avoid overuse of jaw muscles.

What is the best medication for TMJ?

If over-the-counter pain medications aren't enough to relieve TMJ pain, your doctor or dentist may prescribe stronger pain relievers for a limited time, such as prescription strength ibuprofen.

What is the purpose of MRI for TMJ?

MRI to reveal problems with the joint's disk or surrounding soft tissue. TMJ arthroscopy is sometimes used in the diagnosis of a TMJ disorder. During TMJ arthroscopy, your doctor inserts a small thin tube (cannula) into the joint space, and a small camera (arthroscope) is then inserted to view the area and to help determine a diagnosis.

What is the procedure called when you insert a needle into a joint?

Arthrocentesis (ahr-throe-sen-TEE-sis) is a minimally invasive procedure that involves the insertion of small needles into the joint so that fluid can be irrigated through the joint to remove debris and inflammatory byproducts. Injections. In some people, corticosteroid injections into the joint may be helpful.

How long do you take muscle relaxers for TMJ?

Muscle relaxants. These types of drugs are sometimes used for a few days or weeks to help relieve pain caused by TMJ disorders created by muscle spasms.

Why are tiny openings inserted into the TMJ?

With arthrocentesis, tiny openings are inserted into the TMJ so that fluid can be flushed through the joint to remove debris.

What is the best device for jaw pain?

Oral splints or mouth guards (occlusal appliances). Often, people with jaw pain will benefit from wearing a soft or firm device inserted over their teeth, but the reasons why these devices are beneficial are not well-understood.

What to do if TMJ gets worse?

If your TMJ problem gets worse with time, you should seek professional advice. Proceed cautiously, and get several independent opinions before beginning any suggested irreversible treatment.

What kind of doctor treats jaw pain?

Complex cases, often marked by chronic and severe pain, jaw dysfunction, comorbid conditions, and diminished quality of life, will likely require a team of doctors from fields such as neurology, rheumatology, pain management, and other specialties for diagnosis and treatment.

Is TMJ a complex condition?

Since 1936 TMJ has been primarily treated by dentists, however today, we know TMJ to be a complex condition with many biological systems (circulatory, digestive, endocrine, exocrine, immune, muscular, nervous, reproductive, respiratory, and skeletal) playing a role, indicating the need to bring the medical and other allied health professionals in research and patient care.

How to treat TMJ?

Self-managed care is often recommended as a first line of treatment for TMJ disorder. Most of these strategies target the symptoms of TMD, not the underlying cause. A warm compress may relieve the pain in your jaw, but why was it painful in the first place? Avoiding a chewy bagel in the break room at work might prevent your symptoms from acting up, but why can everyone else enjoy them and you can’t?

What is TMJ Plus?

At TMJ Plus Wellness Center, we take a multi-pronged approach that starts by providing you immediate relief for your symptoms. Then, we move forward with Phase 1 and Phase 2 treatments that offer a long-term cure by resolving the dysfunction at the root of your chronic pain.

What is phase 1 TMD?

Next, we move onto Phase 1 TMJ treatment. Oftentimes, this involves an orthotic device that allows you to retrain your jaw by eating, chewing, and functioning in its optimal position. Phase 1 TMD treatment includes any of the following: 1 TMJ orthotics 2 Nite Bite reposition appliance 3 Oral sleep appliance 4 Decay removal 5 Infection removal

Can you cure TMJ pain?

Unfortunately, we can’t promise everyone who comes to our office a permanent cure for their TMJ pain, but our Phase 2 options offer true, lifelong relief for many of our patients. These are long-term, non-surgical treatment options that resolve the cause of your temporomandibular joint dysfunction. Phase 2 treatment options include:

Can a dentist help with TMJ?

Only then can you find lasting relief for your TMD. Many dentists take a one-size-fits-all approach to TMJ disorder, offering all of their patients nightguards no matter the cause of their joint dysfunction, while doctors may focus only on relieving your symptoms by prescribing medications for your pain and muscle tension.

What is the TMJ?

The temporomandibular joint (TMJ) is a hinge-like joint located where your jawbone and skull meet. The TMJ allows your jaw to slide up and down, letting you talk, chew, and do all sorts of things with your mouth. A TMJ disorder causes pain, stiffness, or lack of mobility in your TMJ, keeping you from using your jaw’s full range of movement.

What are the complications of TMJ surgery?

The most common complication of TMJ surgery is a permanent loss in range of motion.

What is the tube that is inserted into a joint?

A narrow tube called a cannula is then inserted through the hole and into the joint. Next, your surgeon will insert an arthroscope into the cannula. The arthroscope is a tool with a light and camera that’s used to visualize your joint.

Why does TMJ come back?

If you have an underlying immune condition that causes tissues to become inflamed, such as rheumatoid arthritis, TMJ pain can come back if your immune system targets the joint tissue.

What is open joint surgery?

Open-joint surgery. Open-joint surgery consists of opening an incision a few inches long over the joint so your healthcare provider can operate on the joint itself. This type of TMJ surgery is usually reserved for a severe TMJ disorder that involves: a lot of tissue or bone growth that stops the joint from moving.

What bone is removed when a surgeon removes a bone from the jaw?

When the bony structures of the joint are involved, the surgeon may remove some of the diseased bone of the jaw joint or the skull.

Can TMJ pain return after surgery?

TMJ pain can return even after you’ve had surgery . With arthrocentesis, only debris and excess swelling is removed. This means that debris can build up in the joint again, or inflammation can reoccur.

Where is the temporomandibular joint?

Your temporomandibular joint is formed by the articulation of your mandible to the mandibular fossa of the temporal bone of your skull. There is a small piece of cartilage called an articular disc that resides between the two bones. When you open and close your mouth, the disc slides as your jaw bone rotates and glides forward and back, making movement possible.

How to treat TMD?

There are many different treatments for TMD. You may benefit from medicine or massage, and some people even have surgery to correct the problem. Physical therapy for TMD is another option to help you relieve jaw pain.

What Is TMD?

Temporomandibular joint disorders, known as TMD, is a condition that can cause significant difficulty using your jaw. The condition is marked by pain in your jaw that limits your ability to comfortably open and close your mouth. You may also experience clicking or "catching" while chewing food, yawning, or talking.

How to evaluate TMD?

During the physical therapy evaluation, several tests may be performed to get a baseline measurement of your TMD condition. Components of a PT evaluation for TMD may include: 1 assessment of posture 2 measurements of neck range of motion 3 measurement of jaw range of motion in various directions 4 palpation of structures around your jaw 5 measurement of the strength of your jaw and postural muscles

What muscles are used to open and close the jaw?

Various muscles attach near your temporomandibular joint. These muscle help to open and close your jaw, allowing you to talk, eat, and swallow. (Your jaw is the most used joint in your body.) Several small ligaments attach the bones together, increasing the stability of the joint.

What to expect at first visit with a physical therapist for TMD?

Your first visit with a physical therapist for your TMD will be an initial evaluation. Your PT will take time to discuss your condition. He or she will ask you questions about how your jaw pain started and what activities make your symptoms better or worse. He or she will also discuss eating habits and other activities that may be irritating to your jaw.

Why does my jaw hurt?

If you have pain in your jaw on one or both sides, you may have a condition called temporomandibular joint disorder, or TMD. (You will also hear this referred to as TMJ.) Your jaw may hurt, the muscles of your face may feel like they are in spasm, and you may feel clicking and catching in your jaw.

image

Diagnosis

Treatment

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Mansi Shah
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
TMJ disorder may be self-treatable in some cases. In cases requiring treatment, it is always a combination of therapies.
Medication

Anti-inflammatory drugs: Drugs that are used to manage pain and inflammation.

Ibuprofen


Tricyclic antidepressants: Drugs used to treat depression.

Amitriptyline


Muscle relaxants: Reduces stiffness.

Cyclobenzaprine

Procedures

Arthrocentesis: Insertion of needles into the joints to drain out the fluid and inflammatory debris.

TMJ arthroscopy: Surgically correcting the joint using instruments and camera inserted into the joint through a small cut.

Modified condylotomy: Done in case of locking; involves surgery of the lower jaw bone.

Therapy

Physical therapy:Includes exercises, using ultrasound, moist heat and/or ice to relieve pain and improve jaw movements.

Counseling:To help you understand the factors causing your condition and avoid them.

Nutrition

Foods to eat:

  • Foods rich in hyaluronic acid like broth of animal tendons and bones
  • Foods rich in magnesium like green vegetables
  • Organ meat and red meat

Foods to avoid:

  • Foods rich in salicylates like jams, jellies and juices
  • Dairy products like yogurt, cheese and milk
  • Bakery products like cakes and cookies

Specialist to consult

Dentist
Specializes in the treatment of diseases associated with teeth and gums.
Otolaryngologist
Specializes in the diagnosis and treatment of diseases of the ear, nose and throat.

Preparing For Your Appointment

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9