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TMJ / TMD

 

TMJ is an abbreviation meaning "temporomandibular joint" & any symptom of this joint is referred to as TMD "Temporomandibular Joint Disorder".

 

Woman jaw pain

Two temporomandibular joints, one on each side, connect the lower jaw (the mandible), to temporal bones of the skull. Between these two bones is a thin cartilaginous disc which acts to cushion the bones when the muscles open and close the lower jaw during chewing, talking and swallowing. When the lower jaw is centered in its most stable position, the muscles are relaxed and all the teeth touch together at the same time. This harmony allows the joints, muscles and teeth to be protected during chewing function.

When the chewing system is out of balance, caused either by a misaligned bite, trauma, dental work, or artificial tooth movement (orthodontic treatment), the joints must be pulled by the muscles away from their ideal, stable biologic position to make the teeth fit together. Early on, the jaw joints may be able to adapt to this position without any joint or muscle pain or visible damage to the teeth. Over time, however, this biomechanical and physiologic imbalance may result in severe damage to the chewing system, leading to a wide range of symptoms known collectively as Temporomandibular Joint Disorder (TMD) or TMJ dysfunction.

When the teeth do not fit together properly and TM joints are unstable, the chewing system begins to breakdown, causing the teeth, bone, muscles, joints and face to age prematurely. As with any chronic diseases, TMJ dysfunction may take years for a person to develop and become aware of its damaging effects. Many people suffer from headaches, neck pain and jaw joint problems associated with an improper bite relationship of their teeth, but never make the connection because the symptoms seem unrelated to a bite problem. There are many more people, however, who experience no pain and are thus often unaware of the progressive damage their teeth, joint and muscles are suffering because of their TMJ dysfunction.

Bioesthetic Dentistry focuses on diagnosing TMJ dysfunction as early as possible and restoring harmony to the chewing system by correcting the causes of tooth wear, joint imbalance and muscle pain, rather than just treating symptoms.

 
 

TMJ SYMPTOMS

If you have any of the common complaints listed below, Bioesthetic Dentistry may be of help to you:

  • Unattractive smile
  • Worn, chipped, cracked or broken teeth and dental work
  • Painful facial or neck muscles
  • Upper back or shoulder pain
  • Jaw joint soreness or pain
  • Headaches or migraines
  • Difficulty or pain with chewing
  • Grinding or clenching of the teeth
  • Jaw popping or clicking or grating noises
  • Loose teeth or receding gums and bone
  • Shifting bite
  • Ear pain, congestion or ringing in the ears
 
 
Sleep Apnea

TMJ & SLEEP APNEA

Nearly everyone on occasion experiences a throbbing headache that interferes with concentration at work or school or saps the joy from the day. For many people, the pain can be traced back to their teeth, their bite relationship, and the alignment of the lower jaw, which may also lead to a diagnosis of obstructive sleep apnea

Click here for great article on sleep apnea

 

 
Sleep Apnea Test
 

SLEEP APNEA TEST

The following questions are designed to identify a sleep problem. Choose the most appropriate number from the scale below for each situation.

SCALE

0 = Never
1 = Slight Chance
2 = Moderate Chance
3 = Regularly

 

In contrast to feeling tired, are you likely to dose or fall asleep in the following situations...

 

__  Sitting & Reading?
__  Watching Television?
__  Sitting inactive in a public place (i.e. theater)?
__  Passenger in a car for 1hr with no break?
__  Lying down to rest in the afternoon?
__  Sitting and talking to someone?
__  Sitting quietly after lunch without alcohol?
__  In a car stopped for a few minutes in traffic?

 

__  TOTAL SCORE

NOTE: A SCORE OF 6 OR MORE INDICATES THE POSSIBILITY OF A SLEEP DISORDER AND SHOULD BE DISCUSSED WITH Dr. CLark.

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TMJ & EAR PAIN AMONG CHILDREN

Kid Ear Infection
 

Inner ear infections are common among children from the age of two or three years until as late as 12 years-old. They often experience severe pain and a fluid-like sensation in their ears.

When a young patient is examined by a physician, the doctor looks into the ear and may find the presence of fluid. The protocol then follows of prescribing antibiotics or eardrops. In a percentage of children, the fluid feeling continues.