What Is TMJ?
The Temporomandibular Joint (TMJ) is the joint that connects the upper and lower jaw and is responsible for the opening and closing of the mouth. TMJ disorder is a catch all term for a wide variety of potential issues affecting the jaw joint, muscles in the face, neck, and surrounding nerves.
Frequent headaches, neck and jaw pain, worn teeth, and a clicking or popping jaw can all be signs of a temporomandibular disorder or TMD- often referred to as TMJ. For many patients, an untreated bite disorder can adversely affect both oral health and daily quality of life.
Dr. Nish Patel has extensive training in the diagnosis and treatment of bite disorders such as TMJ and can help patients achieve results that will not only relieve symptoms but address overall dental health.
TMJ is often a symptom of Occlusal Disease, indicating that the occlusal system (teeth, gums and jaw joints and muscles) are not working together properly. Occlusal Disease should be addressed and treated for both relief of symptoms like TMJ and lasting dental health.
Common Causes of TMJ Disorder
There is no single cause for TMJ dysfunction. Any number of factors or combination of factors may be to blame including:
- Trauma to the head, neck, or face
- Trauma to the TMJ joint or arthritis
- Hormonal changes or imbalances
- Malocclusion (where the jaws do not line up correctly resulting in bite problems)
Common TMJ Symptoms include:
- Teeth grinding or clenching, often characterized by tooth wear
- Neck and shoulder pain
- Limited mobility in the jaw
- Clicking or popping when opening or closing jaw
As with the causes, symptoms of TMJ disorder vary greatly between patients. TMJ symptoms often mask themselves or are similar to those of other medical conditions, making diagnosis difficult.
Mouth Guard and Splint Therapy
As a conservative option, Dr. Patel often recommends the use of a mouth guard or dental splint to alleviate specific symptoms of TMJ disorder. A mouth guard or splint is often a first step, used early in treatment and not needed as a long term solution. A dental split can be helpful to help identify a comfortable and stable bite position.
Bite Correction Therapy
This process is a series of adjustments made to the teeth which may include:
- Removing tooth structure
- Applying dental crowns or porcelain veneers
- Orthodontic treatment
- Implant dentistry
If the teeth are not in proper position, orthodontics may be needed to reposition the teeth, allowing them to fit together harmoniously. For adults who wish to avoid traditional metal braces, Dr. Patel offers invisible braces for more discreet and comfortable treatment.
In cases where teeth have been significantly worn and damaged restorative dentistry may be needed to bring the teeth back to their proper health and beauty. Dr. Patel may use dental crowns, porcelain veneers, or cosmetic bonding to restore teeth.