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The
term TMJ is actually an abbreviation for the anatomical term
temporomandibular joint. This is the joint which articulates
the lower jaw with the skull and is found in front of the ear.
Just as in most joints in our body, the TMJ has a natural cushion
built in to absorb stress and allow the joint to easily move
during opening and closing the mouth. |
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At
the back of the joint, the disc attaches to tissue which contains
nerves and blood vessels that can become quite sensitive if
disturbed. The ligaments and muscles help stabilize the TMJ
during chewing and speaking. TMJ disorders can develop if
any of these elements are not functioning properly due to
stress or trauma
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The
most common symptoms relating to TMJ disorder include painful*
clicking or popping in the joint when opening or closing the
mouth, a habit of tooth grinding or clenching, sore jaw muscles
when awakening, difficulty in opening the mouth wide, frequent
headaches, or neck aches, pain in the ear or TMJ area and
or locking of the jaw.
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Disorders
of the temporomandibular joint can be broken down into two fundamental
conditions. When the disorder involves mostly muscular pain
and tenderness, or limitation in opening – this condition is
termed myofascial pain dysfunction. The second condition primarily
results from anatomical dysfunction of the TMJ and is called
Internal Derangement. The treatment of both conditions may require
a soft diet, bite splints, anti-inflammatory medications and
or physical therapy. |
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In the treatment
of TMJ disorders, you will be working closely with the oral
surgeon. This will require an extensive head and neck examination,
and radiographs to determine a diagnosis. The majority of patients
respond well to the treatment measures discussed previously.
Life style management is also a key element in understanding
and coping with TMJ. In most instances, like most joints in
our body, this is a chronic condition which will have flare-ups,
especially during times of stress. Typically these symptomatic
periods can be managed. In very rare instances, your TMJ disorder
may require surgery. These surgeries include arthroscopy, open
arthrotomy, or total joint replacement. The decision to perform
surgery is not taken lightly. This requires a detailed work-up
which will most likely include an MRI. The outcome of surgery
is dependent upon proper patient selection proper surgical technique,
and appropriate post-surgical follow up. If you have any questions
regarding TMJ disorder, please do not hesitate to call and schedule
a consultation. |
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| The material contained
herein is provided for informational purposes only and should not
be considered as medical advice or instruction. Individuals with any
disorder or other conditions discussed in this site should consider
a personal evaluation in our facility or contact a qualified professional
for further treatment. |
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