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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.

 

 

 

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:

> Headaches
> Loose teeth
> Worn, chipped, or cracked teeth or fillings
> Clenching or grinding
> Ditched root grooves
> Pain or clicking and popping in joints
> Shoulder, neck, and back pain
> Numbness in arms and fingers
> Pain behind the eyes
> Facial pain
> Difficulty swallowing
> Pain and sensitivity in teeth
> Crowded teeth
> Receding gums
> Ringing or congestion in the ears


The Focus 

In our office Neuromuscular Dentistry emphasizes the need to establish an occlusion based upon
:

> the optimal position and function of the temporomandibular joints and
> 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.

TMJ Mississauga

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