Treatment FAQ

what treatment for tmj

by Mr. Jarred Stehr Jr. Published 2 years ago Updated 2 years ago
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Medication

“There are a wide variety of potential treatments for TMJ, including self-management, physical therapy, medications, occlusal adjustments, intraoral appliances, and surgery. Evidence based clinical practice guidelines for the treatment of TMJs do not currently exist, despite the fact that treatment is common.

Procedures

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.

Therapy

TMJ Treatment Q&A. What are the signs and symptoms of TMJ disorders? Your temporomandibular joint (TMJ) is like a door hinge for your mouth. It connects your jaw to your ... What causes TMJ disorders? What TMJ treatment may I receive?

Nutrition

Apr 10, 2017 · These 6 at-home treatments for TMJ disorders may help you. Choose the right foods: Eating soft foods, such as mashed potatoes and applesauce, can decrease jaw pain and discomfort. If you do eat hard foods (eg, raw carrots), be sure to cut them into tiny pieces or take very small bites.

What are the best treatment options for TMJ?

splints are the most widely used treatments for TMJ disorders. Studies of their effectiveness in providing pain relief, however, have been inconclusive. If a stabilization splint is recommended, it should be used only for a short time and should not cause permanent changes in the bite. If a splint causes or

What is TMJ, and how is it treated?

For others, the symptoms can go on for years. Over-the-counter non-steroidal anti-inflammatory drugs are typically used to relieve TMJ discomfort. Sometimes, dentists also prescribe muscle relaxants and tricyclic antidepressants to help patients cope with symptoms.

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

Mar 18, 2022 · When home treatment does not work, medical treatment for temporomandibular joint (TMJ) syndrome includes dental splints, Botox injections, physical therapy, prescription medications, and in severe cases, surgery. The prognosis for TMD is generally good as people usually can manage the disorder with self-care and home remedies.

How long should TMJ treatment take?

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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.Jan 6, 2021

How do you permanently cure TMJ?

Having said that, the following are how TMJ could be permanently cured:Custom-made splints. Custom-made splints are made to be fitted over your lower or upper teeth. ... Physical therapy. Physical therapy involves appropriate exercises for the joint. ... Surgery. ... Transcutaneous Electrical Nerve Stimulation.Nov 19, 2019

How is TMJ corrected?

If your jaw disorder is related to a misalignment, your pain specialist or dentist may recommend physical therapy for the jaw area, orthodontic treatment, such as a jaw splint, braces, or a TMJ retainer. These jaw treatments can realign your smile for a more comfortable bite which, in turn, can address your symptoms.Sep 30, 2021

What is the main cause of TMJ?

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.

Does TMJ ever go away?

Remember that for most people, discomfort from TMJ disorders will eventually go away on its own. Simple self-care practices are often effective in easing symptoms.

Is TMJ a synovial joint?

The temporomandibular joint (TMJ), also known as the mandibular joint, is an ellipsoid variety of the right and left synovial joints forming a bicondylar articulation.

What happens if TMJ goes untreated?

Although not life threatening, if TMJ disorder is left untreated, it can contribute to significant discomfort and tension. Chronic pain can even lead to the development of diseases like anxiety and depression.

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.

Does TMJ show up on xray?

Touch – your dentist will use their fingers to apply a bit of pressure to the jaw and TMJ to test for tenderness and pain. Sight – your dentist will look inside your mouth for signs of teeth grinding, clenching and alignment issues. They'll also use X-Rays, if they've found evidence of a TMJ disorder.

How do u know if u have TMJ?

Signs and symptoms of TMJ disorders may include:Pain or tenderness of your jaw.Pain in one or both of the temporomandibular joints.Aching pain in and around your ear.Difficulty chewing or pain while chewing.Aching facial pain.Locking of the joint, making it difficult to open or close your mouth.Dec 28, 2018

Where do you massage TMJ?

TMJ Friction MassageLocate the mandible muscle. This is the lower part of your jaw just below the masseter, found along your jawline.Apply gentle, constant pressure to the mandible muscle using your index finger.Experiment with the exact spot and amount of pressure that works for you.

Can TMJ happen suddenly?

While there are several reasons a patient can experience sudden or severe jaw pain, inflammation and overworked muscles tend to be the most common causes of TMJ flare-ups. Many physical changes and lifestyle habits can contribute to swelling around the joint and muscle tension.

Can you get better with TMJ?

The treating community remains in chaos and controversy about TMJ treatments. The advice we must still offer patients is – you may get better on treatments; you may be unaffected by treatments; you may even get better in spite of treatment, or you may get worse.

Is TMJ surgery reversible?

Conservative treatments do not invade the tissues of the face, jaw, or joint, or involve surgery.

Can reversible treatment cause permanent changes in jaw?

Reversible treatments do not cause permanent changes in the structure or position of the jaw or teeth. If TMJ issues become persistent and severe, moving toward aggressive treatments does not necessarily ensure improvement of the symptoms.

Seeking TMJ Care

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.

Be Informed

First and foremost, educate yourself. Informed patients are better able to talk with health care providers, ask informed questions, and make knowledgeable decisions. When going to the doctor, it is in the best interest of every patient to always be accompanied by a person whom you trust and who will act as your advocate.

Clinical Trials

If you are offered a clinical trial*, feel free to ask any questions or bring up any issues concerning the trial at any time. The following suggestions may give you some ideas as you think about your own questions.

Tips for Talking to Your Doctor

Your health care provider should answer these questions in words you can understand. If you don’t understand any part of the discussion with your health care professional, it is important to ask that it be explained again. If your provider will not or cannot answer these questions, find one who will. You must be your own health care advocate:

Throughout Your Treatment

Some people find it helpful to keep a diary of pain and other symptoms. A diary can help when you talk to your doctor.

How to treat TMJ?

These 6 at-home treatments for TMJ disorders may help you. Choose the right foods: Eating soft foods, such as mashed potatoes and applesauce, can decrease jaw pain and discomfort. If you do eat hard foods ( eg, raw carrots), be sure to cut them into tiny pieces or take very small bites.

How to control TMJ pain?

Learn stress management techniques and do them frequently: Stress can aggravate TMJ pain—and that's why stress management techniques are so important to do. Examples of ways to control your stress at home are doing yoga poses, deep breathing, guided imagery, and meditation. Limit extreme jaw movements: Yawning and yelling are examples ...

What are some examples of jaw movements that can place tension on the TMJ?

Limit extreme jaw movements: Yawning and yelling are examples of extreme jaw movements that can place tension on the TMJ. Be aware of overusing your jaw muscles because it can lead to jaw strain.

Can TMJ be treated at home?

When it comes to treating TMJ disorders, there are a variety of at-home treatments that can help ease TMJ symptoms, especially jaw pain and discomfort.

Can you use a bite guard on a TMJ?

If the bite guard increases your pain or is beginning to change how you bite, stop using it immediately and call your doctor. Adding these at-home treatments to your overall treatment plan for TMJ disorders can help make your TMJ disorder a lot easier to deal with.

What is the best treatment for TMJ?

TMJ disorders often responds to home remedies, including ice packs to the joint, over-the-counter nonsteroidal anti-inflammatory drugs ( NSAIDs ), avoiding chewing gum, massage or gentle stretches of the jaw and neck, and stress reduction.

What is TMJ syndrome?

Temporomandibular joint (TMJ) syndrome is a disorder of the jaw muscles and nerves caused by injury or inflammation to the temporomandibular joint. The temporomandibular joint is the connection between the jawbone and the skull. The injured or inflamed temporomandibular joint leads to pain with chewing, clicking, crackling, ...

What is TMJ in medical terms?

Facts you should know about temporomandibular joint (TMJ) syndrome. The temporomandibular joint is the joint that connects your jaw to your skull. When this joint is injured or damaged, it can lead to a localized pain disorder called temporomandibular joint ( TMJ) syndrome or temporomandibular disorder (TMD).

What are the symptoms of TMJ?

Signs and symptoms of temporomandibular joint (TMJ) syndrome include. jaw pain, jaw clicking and popping, ear pain / earache, popping sounds in ears, headaches, stiff or sore jaw muscles, pain in the temple area, or. locking of the jaw joint.

What causes pain in the temporomandibular joint?

The injured or inflamed temporomandibular joint leads to pain with chewing, clicking, crackling, and popping of the jaw; swelling on the sides of the face; nerve inflammation; headaches, including migraines; tooth grinding ( bru xism ); Eustachian tube dysfunction; and sometimes dislocation of the temporomandibular joint.

Why do people have jaw trauma?

People with jaw trauma or poorly positioned teeth have increased risk. People who have a genetic predisposition to pain sensitivity and increased stress responses may be more susceptible. Causes may include misalignment (malocclusion) of or trauma to the teeth or jaw. Source: iStock.

Where is TMD pain located?

The main TMD symptom is pain in the jaw joint. This joint is located just in front of the ear, and pain associated with TMD may involve the face, eye, forehead, ear, or neck. Signs and symptoms of temporomandibular joint dysfunction include the following: Pain or tenderness in the jaw, especially at the area of the joint.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

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.

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