Do you clench and grind your teeth? Are you waking up with painful headaches that radiate from your temples, ears or jaw? Do you have limited mouth opening? Do you have sensitive teeth, loose teeth or toothaches in the absence of tooth decay? Do you have crowns or cosmetic veneers that constantly come off and need to be re-cemented periodically? Do you have clicking or popping of your jaw joint?If you answered yes to any of these questions, then you may be suffering from a common problem known as TMJ Disorder, an often misunderstood or misdiagnosed condition. In our 18 years of experience Downtown, we have successfully treated thousands of patients for this problem. Our experience has led us to believe that TMJ Disorder is prevalent in the Downtown population.
The Downtown patient works on average more than 40 hours per week and shoulders most of the responsibilities in the household. This results in high levels of stress due to the high pressures of daily life. There is no doubt that stress is a major factor in increasing the symptoms of TMJ, but contrary to what most people believe, it’s not the primary cause. The primary causes are reflexes that are triggered by the teeth that cause spasms of the numerous muscles of the jaw, neck and face.
Most joints of the body are fixed in a hinge axis. This is the same movement a door makes when it’s opening and closing from its hinge. The jaw joint is the only joint in the body that is able to slide out of its socket. Because it can do this, it’s able to deviate from its hinge axis and do the complex motion of chewing, an ability we all take for granted.
If teeth occlude (come together) at the hinge axis position of the jaw, most people would be fine. However, if the teeth developed in a position where the bite occludes outside this hinge axis, where the jaw is slightly protruded from the socket, then there is a potential for TMJ symptoms. The average person cannot tell if their bite comes together forward of this hinge axis, only observing that their jaw is intermittently sore or they have a sudden, uncontrollable urge to clench and grind their teeth. Only a properly trained dental professional can diagnose if the teeth are occluding outside of this hinge axis position.
The initial treatment for TMJ Disorder is relatively simple and noninvasive. However, it does require thorough care by a dental professional. We simply make a custom TMJ splint, adjusting it meticulously at several appointments so that the patient’s teeth come together on the device in the ideal hinge axis position. After achieving proper adjustment the splint will eventually neutralize the harmful reflexes. A mouth guard from a drugstore or by mail order will not resolve TMJ Disorder because it will be arbitrarily set to a bite position. After wearing a proper TMJ splint for only 48 hours, the TMJ patient will notice a difference. They will find that their jaw feels more rested, headaches occur less frequently and teeth sensitivity is resolved.
For the most part, TMJ Disorder can be managed with splint therapy. But fixing the bite itself could be required if an individual cannot wear a splint indefinitely, by either re-contouring certain teeth, doing crowns and/or veneers, doing orthodontic treatment or a combination of any of these treatments. But contrary to what most people have heard, there is an effective treatment for this disorder. At the same time, if not treated and ignored, it will worsen, resulting in breaking teeth, worsening gum disease and/or severe jaw joint damage requiring painful surgeries.
