Many adults suffer from chronic facial pain due to the temporomandibular joint (TMJ). TM is a joint that slides and rotates just in front of your ear, consisting of the temporal bone (side of the skull) and the mandible (lower jaw). Chewing muscles connect the lower jaw to the skull, allowing you to move your jaw forward, sideways and open and close. The joint works properly when the lower jaw and its joint (both the right and left) are synchronized during movement.
Some common symptoms of TMJ and TMD include pain in or around the ear, tenderness of the jaw, clicking or popping noises when opening the mouth, or headaches and neck pain.
We can help identify the source of the pain with a thorough exam and appropriate x-rays. Often, the pain may be from a sinus problem, a toothache, an early stage of gum disease or may be related to the facial muscles, the jaw or the TM joint.
Factors relating to the way the upper and lower teeth fit together (the bite) may cause some types of TMJ and TMD. Stress and teeth grinding are also considered as possible factors.
During the dental exam which includes checking the joints and muscles for tenderness, clicking, popping or difficulty moving, we also review your medical history. It’s important to keep your dental records up-to-date with any current medical conditions or injuries. We may take x-rays and may make a mold of your teeth to see how the upper and lower teeth fit together and may also request specialized x-rays for the TM joints. There are several treatments for TMJ and TMD disorders. They may include stress-reducing exercises and wearing a mouth protector to prevent teeth grinding. Treatment may involve a series of steps beginning with the most conservative options.