My Blog
Archive:
- 2020
- 2019
- 2018
- 2017
- 2016
- 2015
- 2014
- 2013
- 2012
Tags
- fluoride (2)
- celebrity smiles (79)
- floss (1)
- periodontal (gum) disease (1)
- common symptoms (1)
- oral health (24)
- oral hygiene (28)
- diabetes (1)
- smile makeover (7)
- cosmetic dentistry (20)
- veneers (5)
- invisalign (1)
- clear aligners (4)
- orthodontics (5)
- dental implants (21)
- chipped tooth (3)
- bonding (2)
- pediatric dentistry (5)
- teething (1)
- thumb sucking (2)
- oral cancer (6)
- orthodontic treatment (7)
- braces (8)
- dentures (5)
- pediatric care (2)
- pregnancy (3)
- gum disease (8)
- periodontal disease (3)
- tooth decay (14)
- crowns (7)
- local anesthesia (2)
- dental crowns (2)
- missing tooth (2)
- replacing teeth (1)
- dental implant (3)
- porcelain veneers (4)
- bleeding gums (1)
- bridgework (1)
- tooth pain (4)
- root canal treatment (2)
- plastic surgery (1)
- gum recession (1)
- wisdom teeth (4)
- x-rays (2)
- tooth grinding (1)
- athletic mouthguards (2)
- dental injury (8)
- mouthguards (4)
- tooth extraction (1)
- toothache (2)
- abscessed tooth (1)
- tmd (3)
- tmj disorders (5)
- tmj (3)
- tooth wear (1)
- cancer (1)
- root canal (3)
- smoking (2)
- mouthguard (1)
- root resorption (1)
- canker sores (1)
- dental emergency (2)
- teeth wear (1)
- bad breath (1)
- teeth grinding (2)
- nutrition (6)
- sugar (2)
- sensitive teeth (1)
- dry mouth (2)
- missing teeth (2)
- implant dentistry (1)
- toothpaste (1)
- restorative dentistry (1)
- teeth whitening (3)
- Family Dentist (1)
- dental care (2)
- flossing (1)
- chipped teeth (1)
- snoring (1)
- sleep apnea (1)
- dental injuries (1)
- removable partial denture (1)
- Damaged Teeth (1)
- tooth replacement (1)
- sports drinks (1)
- dentistry (1)
- x-ray (1)
- Family Dentistry (1)
- osteoporosis (1)
- bone grafting (1)
- CAT scans (1)
- bridge (1)
- bone loss (1)
- Dental Sealants (1)
- retainer (1)
- vitamins (1)
After ruling out other possibilities for your constant jaw joint pain, your doctor has diagnosed you with a temporomandibular disorder (TMD). Now that you know what you have, what can you do about it?
Unfortunately, it's not always an easy answer. Ideas about treatment are almost as numerous as theories on the causes of TMD. By and large, though, we can classify treatment into two broad categories: conservative and aggressive.
The conservative approach is the result of many years of experimentation and application; it's also much less invasive than aggressive treatments. For most patients, though, these treatments can offer significant relief from pain and dysfunction.
Conservative treatments are based primarily on the philosophy that the temporomandibular joint is like any other joint, and should be treated that way. Treatments include thermal therapies like ice or heat packs applied to the jaw, physical therapy (gentle stretching, jaw exercise, and massage) and pain and muscle relaxant medication. In cases where teeth grinding may be a contributing factor, we might recommend a bite guard worn in the mouth to reduce biting pressure.
On the other end of the spectrum are treatments like altering the bite or the position of the jaw. The purpose of bite alteration is to change the dynamic when the jaws are in contact during chewing or clenching, and reduce pressure on the joints. This is often done by reshaping the teeth's biting surfaces, moving the teeth with orthodontics or performing crown and bridgework. Another possibility, actually modifying the lower jaw location, requires surgery. All of these aggressive treatments are done in order of less to more invasiveness.
These more aggressive treatments, especially jaw surgery, are irreversible. Furthermore, studies on results have not been encouraging — there's no guarantee you'll receive relief from your symptoms. You should consider the aggressive approach only as a last resort, after you've tried more conservative measures. Even then, you should get a second opinion before undergoing more invasive procedures.
Hopefully, you'll see relief from therapies that have made a significant difference for most TMD sufferers. And that's our goal: to reduce your pain and dysfunction and help you regain your quality of life.
If you would like more information on TMD causes and treatments, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Seeking Relief from TMD.”
