TMJ-TMD

Temporomandibular Disorder

Millions of Americans suffer from chronic facial and neck pain as well as severe, recurring headaches. In some cases, this pain is due to Temporomandibular Disorder, also known as TMD.

Your temporomandibular joints, or TMJs, connect your lower jawbone to your skull. These joints get a lot of use throughout the day as you speak, chew, swallow, and yawn. Pain in and around these joints can be unpleasant and may even restrict movement.

Symptoms of TMD include:

  • Pain in the jaw area
  • Pain, ringing, or stuffiness in the ears
  • Frequent headaches or neck aches
  • Clicking or popping sound when the jaw moves
  • Muscle spasms in the jaw area
  • A change in the alignment of top and bottom teeth
  • Locked jaw or limited opening of the mouth

If you notice that you are experiencing any of these symptoms, let your doctor know at your next dental appointment. Your dentist can help determine if you have TMD and either provide treatment or refer you to the orthodontist or oral surgeon if they feel its appropriate.  Patients are welcome to schedule with us as well as there are some situations where some forms of orthodontic treatment may provide some improvement.

Not all Jaw Pain is Associated with TMD

If you feel that you might have TMD, it is always important to see your dentist and receive an exam. However, not all jaw pain is associated with TMD, and if you do not have TMD there are many different preventive steps you can take to maintain a healthy, strong smile.

  • Relax your face — “Lips together, teeth apart”
  • Avoid grinding your teeth
  • Avoid all gum chewing
  • Don’t cradle the phone receiver between your head and shoulder — either use a headset or hold the receiver to your ear
  • Chew food evenly on both sides of your mouth
  • Do not sit with your chin rested on your hand
  • Practice good posture — keep your head up, back straight, and shoulders squared

TMD is rarely related to orthodontic treatment, however any symptoms should be discussed with your orthodontist before starting treatment.  Except for very specific situations, TMD is rarely affected by orthodontic treatment, for better or for worse. Symptoms usually wax and wane regardless of whether braces are worn.