TMJ: How to Find the Relief You Need for Your Aching Jaw (and/or Face and Teeth!)
Your jaw pain may be caused by something bigger than stress.
Plenty of dental problems develop silently. People may not realize how conditions can eventually result when their dental and pain issues go undiagnosed.
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This can include conditions affecting the joint between your lower jaw and your skull (known as the temporomandibular joint or TMJ), those that affect the muscles that move your lower jaw, and/or those that affect your teeth (bite).
Disorders of these three structures, referred to as temporomandibular joint disorder (TMD), can cause noises like popping or clicking of the TMJ, as well as facial pain, headache and or damaging wear on the teeth.
“Each of the three parts of the system involved in TMD — the joints, the teeth/bite and the muscles require a practitioner to evaluate and confirm a diagnosis of TMD,” says dentist Karyn Kahn, DDS.
Here’s what you need to know about this disorder:
It’s important to be conscious of your daytime habits.
“Your teeth should only come into contact when you swallow, which is only about 17 to 20 minutes a day,” Dr. Kahn says. “We teach patients to practice having their lips together, teeth apart and tongue resting lightly behind the front teeth.” Try saying “N” — this is where your tongue should rest.
To address TMD, you should also:
If self-help strategies don’t give you relief, talk to your dentist or TMD specialist. They may prescribe splint therapy, physical therapy for jaw and neck muscles, short-term muscle relaxers or analgesics, or Botox® (botulinum toxin) injections to help ease muscle contractions. TMJ imaging may be necessary in some cases to confirm the diagnosis.
Dr. Kahn advises patients to give conservative management therapies a try before having invasive surgery for TMJ. This helps patients learn how to manage their habits, and allows the joints to adapt by allowing inflammatory processes to resolve.
“We allow a period of adaptation to allow the body to resolve inflammation, usually six to nine months,” she says. “Through self-help therapies and orthotics (night guards), we can allow for adaptation to possibly avoid surgical intervention.”