4.17.2012

How Do You Prevent TMJ?

By Leif Oakman


The temporomandibular joint (TMJ) is the control-structure that forms the foundation of the human jaw. The two TMJs, one on the left and the other on the right, give the jaw the ability to move up and down; and connect the temporal bone (upper jaw) and the mandible (lower jaw). Between these two jaw bones, the TMJ puts in its working mechanism, the articular disc, which is comprised of fibrocartilagenous tissue similar to what you have in your ears.

Every time you open your mouth, this disc is called into play. For the initial mouth-opening movement, the disc moves in a rotational manner while your mouth's widening action requires transitional movement. Playing a central role in your daily life, the temporomandibular joint is just like any other joint in your body when it comes to damage or wear and tear. Any form of disorder or dysfunction in this joint is also named as TMJ or TMJD.

Several pain and discomfort-causing disorders like ankylosis (stiffness) or arthritis, along with external influences like trauma, affect this joint. To find a TMJ cure, you need to identify the symptoms and consult a physician to find out the right TMJ exercises and therapies that can help you fix the problem.

Identifying the Problem

If you experience a "click" or "pop" sound each time you open your mouth, you can consider it as one of the symptoms for TMJ. The jaw in itself, doesn't have any means of transferring pain messages to the brain due to the lack of nerve endings. However, it uses the surrounding tissue which gets affected due to inflammation of the joint to send this message. In such cases, any movement of the jaw may result in pain that seems to arise from facial muscles near the problem area.

The facial pain can reach out to other parts close to the joint, such as the ear or the head. Ear ache is a common accompaniment to the facial pain that you can expect, as are the bouts of headache that usually strike in the morning. Without TMJ exercises, it is hard to find a TMJ cure for these problems as well as for other causes like teeth-grinding, aka Bruxism. Chewing techniques also have a massive say in the onset of TMJ as improper habits may lead to faster wear and tear.

Patients have been known to report neck and shoulder pain, which can lead to dizziness. In TMJ, the degree of pain can vary depending on whether your condition is acute or chronic. That pain determines the limit you can open your mouth to and only appropriate treatment procedures can help you overcome this serious medical condition.

Treating TMJ

TMJ therapy requires a combination of short term techniques to handle acute pain while long term procedures and TMJ exercises ensure that chronic pain is cured over time. The treatment process has to be in-line with the patient's requirements as well as the reaction of the disorder to the treatment. A majority of short-term treatments work towards alleviating the symptoms while the long-term procedures work towards eliminating the problem.

Among short-term techniques, basic dental procedures like restoration of the occlusal surfaces goes a long way in ensuring better contact between the upper and lower layers of teeth. TMJ tends to worsen when the posterior teeth, upper and lower, touch each other. By reducing contact, the alignment of the jaw is fixed and this reduces the pain. Teeth grinding, which leads to TMJ, can be cured by using a mouth-guard or splint during sleep.

Pain is often the most unbearable symptom for TMJ, originating from various locations on your face and neck. Using prescribed painkillers is the most effective way of dealing with this pain as, over time, your TMJ therapy works towards making your jaw normal again.

Experimental techniques like Prolotherapy are being tested for efficacy while many patients prefer the long-term approach that involves exercises and sustained therapy as means to find a TMJ cure. Finally, if nothing else seems to be helping or if the condition is detected in the latter stages of joint-damage, then surgery becomes the only option. Oral surgery allows doctors to manipulate the jaw and carry out a procedure called arthrocentesis, i.e. washing the joint with a saline and anti-inflammatory solution.

Despite all the treatment procedures and cures, nothing can beat early identification of these symptoms for TMJ when it comes to alleviating the condition quickly and with as little pain as possible. As long as you are aware of the problem and follow the entire course of remedial action to the hilt, you can recover completely from this disorder and have your jaw working as good as new.




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