Temporomandibular Joint Disorder

Some 60 million Americans have TMJ. Simply put TMJ is the syndrome that happens when the muscles in the jaw and the temporomandibular joint are out of alignment or misaligned, causing problems when chewing. In plain English, the ligaments, muscles, bones and joints do not line up, which causes pain.

Some Symptoms Associated with TMJ:

  1. a clicking or popping or grating sound when opening or closing the mouth:
  2. headaches and/or dizziness;
  3. tenderness in the jaw muscles:
  4. ear ache;
  5. jaws that sometime lock open when yawning or if mouth is held open;
  6. Spasm or cramps in the jaw area (very common).


What Causes TMJ? These are the most common causes:

  1. accidents;
  2. developmental (natural) defects, including the wearing-down of teeth or fillings causing a misalignment of the teeth;
  3. surgery;
  4. orthodontics;
  5. stress that causes clenching of the jaws and grinding of the teeth; and
  6. Naturally misaligned teeth.

 

What Can be Done to Correct TMJ?
If the temporomandibular area has been damaged by arthritis or as a result of an accident, surgery may be needed to correct the TMJ and re-establish the proper occlusion.

Far more likely, Dr. Raymond will recommend a therapy that may include an orthotic and specific exercises to keep the teeth from touching and to allow the joint to remain lined up, which allows the jaw's hinge area to relax. Such therapy increases your comfort by diminishing the TMJ pain.

If an orthotic is prescribed for you, it is very important that you follow Dr. Raymond's instructions regarding the amount of time and time of the day that you wear it.

If your condition is temporomandibular joint disorder (TMJ), then you need to wear your orthotic all the time unless directed otherwise, Do not remove the orthotic when you eat, as this would compromise your treatment and diminish the effect. The orthotic stops tooth-to -tooth contact and keeps your jaw lined up properly, allowing the muscles and joint area to heal As this healing takes place the symptoms gradually disappear, your doctor will adjust your splint to keep your teeth lined up properly. During this period of your therapy you will begin wearing the splint fewer hours of the day; and after a period of time you will no longer need to wear an orthotic.

Grinding ("Bruxism") and Clenching: These conditions require you to wear your orthotic only at night while sleeping. Clean the orthotic by brushing it, and keep it in water and mouthwash solution when it is not in your mouth.