TMJ/TMD

TMJ: Causes of Temporomandibular Joint and Muscle Disorders

The term TMJ Disorder or TMD refers to a group of conditions that affect the temporomandibular joint and the muscles around it. It’s estimated up to 10 million Americans experience the pain, discomfort, and dysfunction in the jaw joint and its surrounding muscles due to some form of TMD. However, the number could be even higher as many cases remain undiagnosed.

People with TMJ issues often don’t seek medical help because the symptoms are intermittent. Although they may manage the condition themselves, painkillers and heat/ice packs only alleviate symptoms temporarily and do not address the underlying issue.

What is a TMJ Disorder?

Although TMJ disorders can vary among individuals, medical professionals, and researchers agree that it can be classified into three basic categories.

1.     Myofascial Pain

Myofascial Pain is the most common type of TMJ disorder and involves discomfort or pain in the muscles that control jaw movement. Common symptoms of myofascial pain include headaches, earaches, soreness around the face, neck, and shoulders, and popping or clicking sounds when opening or closing the mouth.

2.     Internal Derangement of the Joint

When there is an injury to the condyle, a dislocated jaw, or a displaced disc, it is referred to as internal derangement of the joint. This type of disorder also causes pain and restricted movement, along with a grating sensation when attempting to open the mouth.

3.     Arthritis

Arthritis is the third category, which refers to a joint disorder that causes degeneration and inflammation. It can also affect the temporomandibular joint. Symptoms commonly associated with arthritis are joint stiffness, limited range of motion, and chronic pain.

A Combination of TMJ Disorders

When someone is diagnosed with TMJ, they may have one, two, or all three of the associated conditions. Additionally, there are other issues that can coincide with these joint disorders, such as fibromyalgia, sleep disturbances, and chronic fatigue syndrome. Many people with TMJ have a mild form and can collaborate with their dentists and physicians to develop an effective treatment strategy.

Who is at Risk of Developing TMD?

Having certain risk factors can increase an individual’s likelihood of developing TMJ, but it is possible to develop the disorder even without these factors. The presence of multiple risk factors increases the likelihood of having TMJ.

Continuously engaging in stress-related actions like clenching your jaw, biting your lip or objects, grinding your teeth, or chewing gum, ice, or taffy for extended periods can up your risk of developing TMJ. Certain medical conditions can also raise the risk of developing a joint disorder, particularly if you have a misaligned jaw, teeth, or bite. Having jaw or facial deformities may also cause problems with your temporomandibular joint. Conditions like rheumatoid arthritis and osteoarthritis can impact the temporomandibular joint. Additionally, an inflamed membrane lining the temporomandibular joint can cause TMJ. Fractures or dislocations of the face or jaw can also cause long-term problems.

TMJ is more commonly diagnosed in women than in men, with most cases occurring in individuals between the ages of 30 and 50. However, TMJ can also affect men, and elderly patients with poorly fitted dentures may be at risk of developing TMJ.

TMJ Disorder Treatment Options

The treatment for TMJ can vary depending on the cause and severity of your condition. The main objective of the treatment is to alleviate the pain and enhance the functioning of the jaw joint. Sleep Better Columbus’ experts can assist you in identifying the probable cause of your TMJ and initiating a treatment plan that targets the underlying issue with your temporomandibular joint and surrounding muscle tissue, rather than just addressing the symptoms.

Strengthening Muscles and Reducing Jaw Clenching

The treatment options for your condition may involve physical therapy aimed at strengthening the muscles around the affected joint, as well as stretches to alleviate pain and promote muscle relaxation. Additionally, your dentist may suggest using a dental splint while you sleep to prevent teeth grinding and jaw clenching. If you participate in sports, your medical care may involve the use of a mouth guard to safeguard your teeth and jaw.

Lifestyle Changes

Simple changes to your lifestyle can help ease the pain and discomfort caused by TMJ. Proper posture maintenance, reducing stress, practicing relaxation techniques, and avoiding excessive chewing on non-food items, gum, taffy, and ice can significantly reduce or eliminate symptoms.

Medications and Procedures

You can use medications to treat TMJ symptoms. Taking pain relievers during the day can help alleviate any discomfort. Your dentist may recommend a muscle relaxant or sedative to take at night to help your body relax and prevent teeth grinding or jaw clenching. Often this can help reduce or eliminate nighttime jaw clenching and teeth grinding.

There are outpatient procedures available for TMJ treatment. One of them is joint irrigation, which involves rinsing away debris and has helped some patients. Surgery is usually a last resort and only recommended in extreme cases.

Consult the TMJ Disorder Specialists at Sleep Better Columbus

TMJ can be a painful and debilitating condition if left untreated. Fortunately, there are numerous treatment options available to help reduce the symptoms of TMJ and improve the functioning of the jaw joint.

Sleep Better Columbus‘ team of experienced dentists can assist you in finding a personalized solution for your TMJ condition and helping you enjoy life without pain or discomfort. With the right diagnosis and treatment plan, you can live a pain-free life with maximum jaw functioning. Contact us today to learn more about our comprehensive approach to treating TMJ disorders. We look forward to helping you find the ideal solution for your condition!

Call Sleep Better Columbus today at (614) 777-7350 or reach out to us online to see how we can help reduce your pain and help you sleep better tonight!

How Wearing a Face Mask Can Cause TMJ Problems

Face mask-wearing has become the norm these days due to the COVID-19 pandemic. The CDC has recommended wearing face masks to stop the spread of the coronavirus through particles released in the air. In many areas, wearing a face mask is mandatory in public.

While dentists and surgeons have been used to wearing surgical masks as part of their job for years, it’s an entirely new concept for most of the general public. Many people have had to get used to wearing masks, or in many cases, are still getting used to it.

As we wear face coverings to protect us from coronavirus, some people have begun experiencing headaches and jaw pain associated with TMJ. We’re going to take a look at these pains as well as what you can do to relieve them while still wearing your mask to prevent infection.

Headaches from Wearing Face Masks

Face mask-wearing has led many people to change the way they breathe. This may mean holding their mouths open and taking shallow breaths. Holding your mouth open when wearing a mash can cause muscle imbalances in the neck and jaw. These types of imbalances can cause headaches.

When you’re wearing a face mask all the time, you may not be drinking as much water as you used to. This can leave you dehydrated. Dehydration can lead to headaches and fatigue. One easy way to eliminate this problem is to set a timer for yourself to drink water. This will help to keep you hydrated while giving you a quick mask break throughout the day.

Jaw Pain From Wearing Face Masks

You may not even realize it, but you may be pressing your lips together or clenching your teeth under your mask. When the jaw and facial muscles are in this contracted position for a long time, they can get overworked, just like any other muscle in your body. When this happens, lactic acid builds up and irritates nerve fibers, causing pain.

Other factors that can contribute to TMJ pain while face mask-wearing come from tugging down on your ears or wearing a face mask with tight bands. When you do this, you draw your ears down and forward toward your jaw. This creates compression on the disc of your jaw.

If you are experiencing jaw pain from wearing a mask, you may want to consider the type of mask you’re wearing. There are cloth masks, surgical masks, and N95 masks. N95 masks can give a tight fit and when you combine that with a tugging on your chin, it can lead to more compression of the jaw and jaw pain. If you find this happening, you may want to try out different types of masks that will still give you protection from COVID-19, but with more comfort for your face.

What Can You Do to Relieve Pain from Face Mask-Wearing?

Since face mask-wearing is not something you can ignore, you have to find ways to decrease pain while remaining safe. Here are some ideas:

1. Be aware of your jaw when wearing a face mask

When you have your mask on, try not to make your jaw tense or push it forward to keep your mask on. The elastics are on your mask are supposed to keep your mask in place. If you find this is not happening, it may be time to look for a better fitting mask. When you wear your mask, your jaw should be relaxed when it’s resting, your teeth shouldn’t be touching, and your lips should be lightly together. Keeping these things in mind should reduce jaw pain when wearing a face mask.

2. Be aware of ear loops and look for alternatives.

Earloops can pull and tug on your ears, leading to headaches and jaw pain. When your mask’s ear loops are constantly tugging, the trigeminal nerve is triggered. This can lead to pain and tension in your jaw.

If you feel this pain, you may want to try ear savers. These fit around your head, eliminated ear loops and the pulling they cause. If you’re crafty, you can try to make one yourself. If not, there are plenty that are already made and available online.

3. Be aware of your breathing pattern.

Face mask-wearing might prompt us to breathe through our mouths instead of our noses. When we breathe through our mouth, our jaw is held open slightly, leading to tension around the jaw. Try to still breathe through your nose when you’re wearing a face covering. When you breathe through your nose, it allows the jaw to stay in a better resting position.

4. Keep your neck muscles loose.

When you wear a mask, it can change your normal head position. This can hurt your neck muscles and lead to jaw aches. If you can try to keep your neck muscles loose, you can eliminate the strain and keep TMJ symptoms at bay.

5. Ensure masks fit properly.

Your mask should fit snug across the nose and not slip up toward the eyes. This will prevent you from clenching or protruding your jaw.  Ear savers can also help keep your mask in place and reduce tension on the jaw.

It’s important to find a face mask that fits properly and doesn’t cause unnecessary problems. In the end, proper face mask-wearing should not only protect you from the coronavirus but also be comfortable and not lead to TMJ pain.

Resources for TMJ Pain

http://tmj.org/

http://www.tmj.org/Page/36/18

https://www.painnewsnetwork.org/stories/2020/8/3/what-if-you-cant-wear-a-face-mask#.XyhRL4mbgBA.facebook

https://www.msn.com/en-sg/health/medical/9-side-effects-of-wearing-face-masks/ss-BB13ZHW7#image=11

https://askthedentist.com/tmd-treatment/

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