Call 905-791-4000
The Facts on TMJ Mississauga
TMJ, or Temporomandibular Joint and
Muscle Disorder, is a condition which is not
well understood in cause. The
condition involves pain around the jaw
joints and difficulty in moving the jaw due
to inflammation. Pain and stiffness in the
jaw naturally affects eating, talking and
swallowing. Therefore, TMJ is a serious
medical condition that impacts one’s health
and well-being.
What are the causes and symptoms of TMJ?
Because the jaw has joints, it is
susceptible to joint-related conditions such
as arthritis and ankylosis. The jaw may also
be affected by injury, or other problems
including teeth-grinding. Sometimes symptoms
of TMJ appear due to an incorrect bite.
Other factors such as severe stress,
tension, or nail-biting give rise to the
symptoms. TMJ is often part of other
systemic conditions, including fibromyalgia
and Chronic Fatigue Syndrome. Dental
treatments do not cause TMJ.
Common
symptoms include noticeable pain when a
person is moving his or her jaw, such as
when eating, chewing, or yawning. T he pain
will more frequently be on one side of the
jaw, but sometimes will be on both sides.
The pain can be gradual or sharp and sudden.
A sufferer may also feel soreness or
tenderness to the face, which may radiate to
other areas including the ears, head, neck
and even the shoulders. The strain and
discomfort often leads to severe headaches,
particularly in children. People of any age
and gender may suffer from TMJ.
A
very common symptom among TMJ sufferers is a
painful “clicking” or “popping” sensation
when the jaw is opened. This is
differentiated from minor clicking-type
noises, which are not accompanied by pain,
and therefore, usually do not need to be
treated. The jaw may also lock in an
open or closed position, or the jaw may be
unable to open wide, due to disc
displacement. The jaw lock may be followed
by a muscle spasm.
Diagnosis and Treatment of TMJ
TMJ is usually determined by exams, such
as x-ray, MRI and CT scan. If the
condition is not serious, a physician will
usually recommend several steps:
• Resting the jaw joint
• Utilizing conventional
analgesic pain killers or nonsteroidal
anti-inflammatory drugs to alleviate the
swelling and tight muscles •
Applying heated compresses to the areas
• Avoiding strain of the jaw
• Avoiding tough foods that
require heavy chewing
If the surfaces
of the teeth or the supporting structures
have been damaged because of dental neglect,
disease, or trauma, a dental professional
will need to be consulted to restore the
proper occlusion (the surface of a tooth
that “occludes” with or has contact with an
opposing surface of a tooth in the opposing
jaw).
A night guard might be given to
the TMJ patient to stabilize the jaw during
sleep. These night guards, or splints, are
clear plastic devices that would be used
temporarily to reduce teeth grinding and jaw
at night (a condition called bruxism). The
splints would help in keeping the jaw’s
condition from worsening, relieving pain,
and helping a displaced disc to return to
normal.
When monitoring a patient for treatment for
TJM, the doctor will most likely recommend
that the patient temporarily avoids any new
dental work that involves prolonged
attention to the teeth—such as crowns and
bridges, or treatment that affect the jaw. A
person who thinks he or she is suffering
from TMJ should consult a medical or dental
professional immediately. An orthodontic
evaluation can determine if you have TMJ,
the most likely cause, and how it can be
remedied. With the right diagnosis and
treatment, most people can have relief from
the symptoms of TMJ disorder.
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Neuromuscular Dentistry
What is NEUROMUSCULAR
DENTISTRY and
how does it differ from common dentistry.
Neuromuscular dentistry differs from
"traditional" dentistry in the emphasis that is
placed upon the activity of the muscles that
move the jaw. Unlike neuromuscular dentistry,
traditional dentistry uses the position that the
teeth come together and the position where the
jaw joint is positioned in a joint space in the
skull as a reference point to restore the teeth.
Neuromuscular dentistry recognizes that the
muscles that move the jaw must be in a
comfortable, relaxed position in order to not be
in conflict with the teeth and joint.
Common symptoms that occur when teeth,
jaws and muscles are in conflict include:
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Headaches |
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Loose teeth |
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Worn, chipped, or cracked teeth or
fillings |
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Clenching or grinding |
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Ditched root grooves |
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Pain or clicking and popping in joints |
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Shoulder, neck, and back pain |
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Numbness in arms and fingers |
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Pain behind the eyes |
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Facial pain |
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Difficulty swallowing |
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Pain and sensitivity in teeth |
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Crowded teeth |
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Receding gums |
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Ringing or congestion in the ears |
The Focus
In our office Neuromuscular Dentistry
emphasizes the need to establish an occlusion
based upon:
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the optimal position and function of the
temporomandibular joints and |
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the optimal resting posture and function
of the masticatory muscles |
This approach differs greatly from the common
dentistry approach that treats the teeth and
assumes the teeth, active muscles, and the jaw
joints will accommodate to the treated
occlusion. Treating teeth by restorative
procedures (crowns, bridges, and fillings) or
common orthodontics (straightening teeth) are
often done without accurately determining a
correct jaw posture and a proper vertical
dimension.
A Neuromuscular Dentist can
determine a proper resting jaw position that
effects the facial head and neck muscles, the
teeth as well as the joints. A physiologic
resting position and body posture is often
overlooked and not even considered as an
important part of the whole dental system.
Our success is in the philosophy of taking
a neuromuscular approach in
all facets of our dentistry including
orthodontics, TMJ/ myo-facial pain problems,
occlusal (biting) problems, all areas of
restorative and aesthetic treatments.
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