1. Dental & Mouth Concerns

Temporomandibular Joint (TMJ) Syndrome

Temporomandibular joint (TMJ) syndrome occurs when the muscles, joints, and ligaments of the jaw move out of alignment.

Signs & Symptoms

  1. •Pain is felt in or around an ear. Pain in the jaw spreads to the face or the neck and shoulders. Pain is felt when you open and close your mouth or you can’t fully open the mouth.

  2. •Headaches. Toothaches.



Causes

  1. •Clenching or grinding the teeth (bruxism).

  2. •Poor posture or sleeping in a way that misaligns the jaw or creates tension in the neck.

  3. •Stress in life when it results in muscle tension in the neck and shoulder.

  4. •Incorrect or uneven bite or injury to the jaw.



Treatment

Self-care measures may reduce the need for medical treatment. Treatment includes:

  1. •Wearing a mouthguard or bite plate.

  2. •Physical therapy.

With TMJ, a “clicking” noise occurs when opening the mouth or biting.

  1. •Medicine to reduce swelling. Muscle relaxants for a short period of time.

  2. •Counseling if the TMJ is caused by stress.

  3. •Surgery is a last resort.

Self-Care / Prevention

  1. •Massage the jaw area several times a day, first with your mouth open, then with it closed.

  2. •Wear a mouth protector or mouth device, as prescribed by your doctor or dentist.

  3. •Take medication as prescribed.

  4. •Don’t chew gum or eat foods that are hard to chew.

  5. •Try not to open your jaw too wide when you yawn and when you bite into foods, such as an apple, triple-decker sandwich, etc.

  6. •To help reduce muscle spasms that can cause pain, apply moist heat to the jaw area. Use a washcloth soaked in warm water.

  7. •If stress is a factor, use relaxation exercises.

  8. •Take steps to reduce the risk of jaw injuries.

  9. •Maintain a good posture.

Do you have signs and symptoms of TMJ listed above?

Does severe pain cause trouble eating? Or, can you not open or close your mouth?

Questions to Ask