Treatment FAQ

what is tmj and tmd treatment

by Derick Corwin Published 2 years ago Updated 2 years ago
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Treatment for TMJ Disorder

  • Treatment Options: Conservative is Key. ...
  • Traditional Treatment Options. ...
  • Appliance Therapy (Splint or Mouth Guard) Typically the first line of treatment provided by your dentist will be the use of a splint. ...
  • Occlusal Equilibration. ...
  • Treating Structural Disorders. ...
  • Surgical Treatment. ...
  • Treatment Costs. ...
  • Alternative Treatments. ...
  • Botox. ...
  • Cost of Botox Treatment. ...

More items...

Nonsteroidal anti-inflammatory drugs (NSAIDs), like naproxen or ibuprofen, can relieve muscle pain and swelling. Use moist heat or cold packs. Apply an ice pack to the side of your face and temple area for about 10 minutes. Do a few simple jaw stretches (if your dentist or physical therapist OKs them).Oct 31, 2021

Full Answer

What is TMJ and how is it treated?

TMJ Physical Therapy. Physical therapy for TMJ can consist of a variety of unique techniques, including applying heat, icing the jaw, or using ultrasound treatments. Physical therapy will also have patients participate in jaw muscle exercises that work to stretch and strengthen the crucial muscles.

What are the best treatment options for TMJ?

Treatments You Can Try at Home

  • Eat soft foods. Jaw pain can be exacerbated by a lot of chewing or biting on hard or chewy foods. ...
  • Relax your jaw. This can be easier said than done. If you hold tension in your jaw when you feel stress, it can make TMJ/TMD worse.
  • Take a pain reliever. Over-the-counter pain relievers can help with the pain. ...

What treatments are covered by medical insurance for TMD/TMJ?

Medical coverage for treatments of TMD/TMJ

  • Reversible Intra-Oral Appliances
  • Physical Therapy
  • Pharmacological Management
  • Relaxation Therapy and Cognitive Behavioral Therapy (CBT)
  • Acupuncture and Trigger Point Injections
  • Manipulation for reduction of fracture or dislocation of the TMJ is considered medically necessary. ...

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Which doctor treats TMJ?

TMJ disorder is most often diagnosed and treated by a dentist. A dentist diagnoses and treats your oral health as a whole, which includes the jaw. Symptoms and problems related to the jaw also affect the health of your teeth in many cases, and vice versa.

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Is TMJ or TMD curable?

Unfortunately, there is no cure for arthritis. This means that for anyone suffering from TMJ due to arthritis, there's also no cure for the TMJ disorder. An eroded disk or a connective tissue disease may similarly have no cure.

What will happen if you have TMD?

Left untreated, TMJ disorder can lead to significant health problems, including chronic pain and inflammation. It can also cause bite issues, tooth erosion and long-term conditions such as sleep apnea, insomnia, depression and anxiety.

What are the treatment options for TMD?

Treatment Options for TMD/TMJ:Medications. ... A splint or night guard. ... Dental work. ... Transcutaneous electrical nerve stimulation (TENS). ... Ultrasound. ... Trigger-point injections. ... Radio wave therapy. ... Low-level laser therapy.

Is TMJ and TMD the same?

Temporomandibular disorders (TMDs) are a group of more than 30 conditions that cause pain and dysfunction in the jaw joint and muscles that control jaw movement. “TMDs” refers to the disorders, and “TMJ” refers only to the temporomandibular joint itself. People have two TMJs; one on each side of the jaw.

How long does TMD last?

Whether TMJ disorder is actively being managed by a doctor can also influence how long a flare-up lasts. Most flare-ups last anywhere from two days to a few weeks. Symptoms of a TMJ flare-up can include one or more of the following: Pain in and around the jaw joint – constant or intermittent.

Why does TMD happen?

Sometimes the main cause is excessive strain on the jaw joints and the muscle group that controls chewing, swallowing, and speech. This strain may be a result of bruxism. This is the habitual, involuntary clenching or grinding of the teeth. But trauma to the jaw, the head, or the neck may cause TMD.

How do you diagnose TMD?

How is TMD diagnosed?Health history. Your healthcare provider will ask if you have a past history of facial or jaw pain when you chew, bite, or open your mouth. ... Physical exam. Your provider will check if you have facial or jaw pain when moving your jaw, or can't open your mouth wide. ... Imaging tests.

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.

Is TMJ permanent?

Fortunately, TMJ disorder is not irreversible. With proper care and treatment, you can cure it permanently. In most cases (especially mild to moderate ones) you don't need to seek professional help, as there are ways to manage the pain, and even make it go away.

What TMD means?

What is TMD? TMD stands for temporomandibular joint disorder and refers to a variety of conditions that affect TM joints, jaw muscles and facial nerves that control jaw movement.

What TMJ looks like?

0:133:39Temporomandibular Joint (TMJ) Anatomy and Disc Displacement ...YouTubeStart of suggested clipEnd of suggested clipThe TMJ is essentially the articulation between the console of the mandible. And the mandibularMoreThe TMJ is essentially the articulation between the console of the mandible. And the mandibular fossa a socket in the temporal bone. The unique feature of the TMJ is the articular disk a flexible.

Treatment Options: Conservative Is Key

“Conservative” is the key word when it comes to TMD treatment. Most treatments are simple and can be done at home, without the need for surgery. Th...

Traditional Treatment Options

A careful examination of the joints and occlusion is a critical step before a specific treatment is selected. Only a small percentage of TMD cases...

Appliance Therapy (Splint Or Mouth Guard)

Typically the first line of treatment provided by your dentist will be the use of a splint. The splint is worn to reduce stress on the jaw, allow t...

Treating Structural Disorders

If your dentist suspects a structural disorder within the joint itself, further studies may be necessary prior to treatment to ensure that a proper...

What are some non-drug treatments for TMJ?

Nondrug therapies for TMJ disorders include: 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. Physical therapy.

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 pain?

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. Tricyclic antidepressants.

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 to remove debris from a joint?

When other methods don't help, your doctor might suggest procedures such as: Arthrocentesis. 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.

What are some ways to help with TMJ?

Complementary and alternative medicine techniques may help manage the chronic pain often associated with TMJ disorders. Examples include: Acupuncture. A specialist trained in acupuncture treats chronic pain by inserting hair-thin needles at specific locations on your body. Relaxation techniques.

How to strengthen jaw muscles?

Avoid overuse of jaw muscles. Eat soft foods. Cut food into small pieces. Steer clear of sticky or chewy food. Avoid chewing gum. 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.

What does TMD mean in the jaw?

TMD stands for temporomandibular disorder, and it refers to a problem with the temporomandibular joint , or the TMJ.

What is TMJ in medical terms?

TMJ is really just an abbreviation for the joint itself, not for the ailment or condition of TMJ pain and inflammation. But because TMJ has become a household term, many people use it to describe a problem with their TMJ. More accurately, it may be called a TMJ disorder, or TMJ syndrome.

What are the symptoms of TMD?

TMD symptoms include jaw pain and problems with chewing and talking, but they go well beyond the jaw. They may also include trouble sleeping, back and neck pain, ear aches, and headaches.

How to get back to life without TMD?

The best way to get back to your life without the pain of TMD is to talk with the right medical professionals. You need comprehensive care from a doctor who knows how to treat TMD and to address your individual case so you can get the best possible results.

Is TMD a health problem?

TMD is a major health problem that can severely affect quality of life. It needs much more respect and attention than a simple store-bought bite splint or a bottle of pain reliever. If you’ve been experiencing jaw pain, headaches, or other symptoms of TMD, this is not normal.

Does TMD go away on its own?

Don’t dismiss jaw pain, teeth grinding, headaches, and other TMD symptoms. More often than not, they do not go away on their own without treatment.

Is TMJ the same as TMD?

Many people think TMJ is the same thing as TMD. Although TMJ is the more commonly used term, it is technically not as accurate as saying TMD when describing jaw discomfort. Referring to a jaw problem as TMJ is not telling the whole story. TMJ is really just an abbreviation for the joint itself, not for the ailment or condition of TMJ pain and inflammation. But because TMJ has become a household term, many people use it to describe a problem with their TMJ. More accurately, it may be called a TMJ disorder, or TMJ syndrome.

How to reduce jaw pain?

Heat and Cold Packs: Heat and cold packs applied to the side of the face and temple for 10-minute intervals may reduce the intensity of the pain affecting the muscles and surrounding area of the jaw. Make sure to alternate with the hot and cold packs finishing with cold.

What to avoid when you have TMD?

In particular, avoid chewing gum, taffy, pretzels and raw carrots. Dental Treatment: Continue to receive dental treatment for any teeth requiring restoration. Tooth decay may affect the bite and could be a contributing factor to TMD. Physical Therapy, Biofeedback, and Massage: In some cases, physical therapy, biofeedback ...

What happens if your dentist determines that no structural disorder exists in the joint?

If your dentist determines that no structural disorder exists in the joint, but that there are deflective interferences on the teeth that are affecting the bite and causing an improper jaw closure, you may undergo occlusal equilibration or your dentist may elect to treat the bite with an appliance.

Why do dentists use botox injections?

Once reserved for lessening the tell-tale signs of aging, such as annoying wrinkles and frown lines , Botox injections are being used more frequently in dental offices as “off label” treatments for more troublesome maladies such as TMD. Scientific studies have shown that patients who received the injections experienced significant improvements in pain, function, ability to open their mouth, and levels of tenderness to palpation.

What is a CT scan of the jaw?

CT (computed tomography) scan to evaluate the bony areas of the jaw and hinge joint. Depending on what these images reveal, your dentist may recommend an intra-oral appliance, orthodontia, or maxillofacial surgery.

How does a surgeon clean a joint?

Arthrocentesis: During this minor procedure, your surgeon cleanses the joint by inserting needles into the joint area and dispensing sterile fluid. In some cases, the surgeon inserts a scalpel-like instrument inside the joint to remove any tissue adhesions and reposition the disc in the joint hinge.

Can a splint help with pain?

If a splint helps relieve the pain, it is possible that your bite or parafunction was causing the problem. Many types of splints and appliances may be fabricated by your dentist. The appliance that is best for you will be decided based upon clinical findings, symptoms, and diagnostic tests (X-rays, etc.).

What is TMD in dentistry?

Temporomandibular disorders (TMD) are disorders of the jaw muscles, temporomandibular joints, and the nerves associated with chronic facial pain. Any problem that prevents the complex system of muscles, bones, and joints from working together in harmony may result in temporomandibular disorder. The National Institute of Dental ...

What causes TMD pain?

But trauma to the jaw, the head, or the neck may cause TMD. Arthritis and displacement of the jaw joint disks can also cause TMD pain. In other cases, another painful medical condition such as fibromyalgia or irritable bowel syndrome may overlap with or worsen the pain of TMD.

What are the symptoms of TMD?

The National Institute of Dental and Craniofacial Research classifies TMD by the following: 1 Myofascial pain. This is the most common form of TMD. It results in discomfort or pain in the fascia (connective tissue covering the muscles) and muscles that control jaw, neck and shoulder function. 2 Internal derangement of the joint. This means a dislocated jaw or displaced disk, (cushion of cartilage between the head of the jaw bone and the skull), or injury to the condyle (the rounded end of the jaw bone that articulates with the temporal skull bone). 3 Degenerative joint disease. This includes osteoarthritis or rheumatoid arthritis in the jaw joint.

What is the most common form of TMD?

The National Institute of Dental and Craniofacial Research classifies TMD by the following: Myofascial pain. This is the most common form of TMD. It results in discomfort or pain in the fascia (connective tissue covering the muscles) and muscles that control jaw, neck and shoulder function.

What does TMD feel like?

Sensitivity of the teeth without the presence of an oral health disease. Numbness or tingling sensation in the fingers. A change in the way the upper and lower teeth fit together. The symptoms of TMD may look like other conditions or medical problems. See a dentist or your doctor for a diagnosis.

How do you know if you have TMD?

The following are the most common signs and symptoms of TMD: Jaw discomfort or soreness ( often most prevalent in the morning or late afternoon) Headaches. Pain spreading behind the eyes, in the face, shoulder, neck, and/or back. Earaches or ringing in the ears (not caused by an infection of the inner ear canal)

What are the factors that contribute to TMD?

A recent study by the National Institute of Dental and Craniofacial Research identified clinical, psychological, sensory, genetic, and nervous system factors that may put a person at higher risk of developing chronic TMD.

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Diagnosis

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.
See more on mayoclinic.org

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: 1. Avoid overuse of jaw muscles.Eat soft foods. Cut food into small pieces. Steer clear of sticky or chewy food. Avoid chewing gum. 2. Stretching and massage.You…
See more on mayoclinic.org

Alternative Medicine

  • Complementary and alternative medicine techniques may help manage the chronic pain often associated with TMJ disorders. Examples include: 1. Acupuncture.A specialist trained in acupuncture treats chronic pain by inserting hair-thin needles at specific locations on your body. 2. Relaxation techniques.Consciously slowing your breathing and taking dee...
See more on mayoclinic.org

Preparing For Your Appointment

  • You'll probably first talk about your TMJ symptoms with your family doctor or dentist. If suggested treatments don't provide enough relief, you may be referred to a doctor who specializes in TMJ disorders.
See more on mayoclinic.org

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