TMJ disorder, or temporomandibular joint dysfunction (TMD), refers to a range of conditions affecting the TMJ, which connects the lower jaw (mandible) to the skull. This joint functions like a hinge and is essential for movement during talking, eating, and other jaw activities. When the TMJ becomes inflamed, injured, or misaligned, it can result in pain and dysfunction in the jaw and surrounding muscles.
Common symptoms of TMJ disorders include:
TMJ disorders can be caused by several factors, often working together. The following are some of the most common causes and risk factors associated with TMJ dysfunction:
Facial trauma and injuries to the jaw, head, or neck can cause damage to the TMJ or surrounding tissues, leading to misalignment and inflammation. Common injuries that can affect the TMJ include motor vehicle accidents, falls, and sports injuries.
Bruxism, or the unconscious grinding of teeth and clenching of the jaw, is a significant contributor to TMJ disorders. This typically occurs during sleep and can cause pressure on the TMJ, leading to pain and inflammation. Stress and anxiety are often linked to bruxism, as they can lead to muscle tension in the jaw.
Arthritis, including osteoarthritis and rheumatoid arthritis, can affect the TMJ, causing degeneration of the cartilage and leading to pain and reduced mobility of the joint.
Misalignment of the teeth or jaw, such as an overbite or underbite, can lead to abnormal stress on the TMJ. This misalignment can contribute to pain and discomfort over time, as the joint is forced to work harder to compensate for the poor alignment.
Hormonal fluctuations, particularly in women, can make the TMJ more prone to dysfunction. Pregnancy, menstruation, and menopause are times when hormonal changes can affect the joints and tissues in the body, including the TMJ.
Chronic poor posture, such as slouching or forward head posture, can strain the muscles surrounding the TMJ, leading to discomfort and dysfunction. Contact us to learn more.
Accurate diagnosis is essential for determining the appropriate treatment for TMJ disorders. At The Oral and Maxillofacial Surgery Center, P.A., our oral surgeons in Hattiesburg, MS, and Laurel, MS, employ a comprehensive approach to diagnosing TMJ dysfunction, including:
The first step in diagnosing TMJ disorders is a thorough clinical evaluation. This involves an in-depth consultation in which the doctor will ask about your symptoms, medical history, and any factors that could contribute to jaw pain or dysfunction. During the evaluation, the oral surgeon will perform a physical examination, feeling for signs of muscle tenderness, jaw clicking, or jaw misalignment.
In some cases, imaging studies such as X-rays, CT scans, or MRIs may be required to assess the structure and condition of the TMJ. These tests can help identify joint degeneration, bone abnormalities, or displaced discs that might be contributing to the symptoms.
Dr. Thames and Dr. Alexander may perform a bite analysis to check for any misalignment between the upper and lower teeth, as this can play a significant role in TMJ disorders. They may also evaluate the way the teeth come together during normal jaw movements.
Effective treatment for TMJ disorders typically begins with conservative therapies aimed at relieving pain, improving jaw function, and restoring proper alignment. The following are some of the most common treatments used to manage TMJ dysfunction:
Conservative treatment options are often the first line of defense in managing TMJ disorders and may include:
Avoiding activities that require excessive jaw movement, such as chewing gum or eating tough foods, can help give the TMJ time to heal and reduce strain on the joint.
Applying hot or cold compresses to the affected area can help reduce inflammation, relieve muscle spasms, and provide temporary pain relief. A warm compress can be particularly helpful for relaxing tense muscles, while cold packs can reduce swelling and numb pain.
Over-the-counter anti-inflammatory medications, such as ibuprofen or acetaminophen, can help reduce inflammation and relieve pain associated with TMJ disorders.
For patients with muscle spasms or tension related to jaw clenching or grinding, muscle relaxants may be prescribed to alleviate pain and improve jaw mobility.
Splints or nightguards are commonly recommended for patients who grind their teeth or clench their jaws at night. These devices are worn over the teeth and can help protect the TMJ from further stress and damage. Additionally, these devices help realign the jaw and reduce discomfort.
Physical therapy can be an effective treatment for TMJ disorders. A physical therapist may work with you to strengthen the muscles surrounding the TMJ, improve jaw mobility, and teach exercises to improve posture and jaw function. Therapeutic ultrasound or trigger point therapy may also be used to relieve muscle tension and reduce pain.
For more severe cases of TMJ dysfunction, Dr. Thames and Dr. Alexander may recommend stronger medications, including:
In cases where conservative treatments fail to provide relief, surgical options may be considered. These procedures are typically reserved for severe cases of TMJ dysfunction, such as when the joint is severely damaged or when the condition interferes with daily activities. Surgical options include:
This minimally invasive procedure involves washing out the joint with fluids to remove debris and reduce inflammation.
In this procedure, a small camera is inserted into the joint to evaluate its condition and potentially remove damaged tissue or adjust the position of the joint.
In rare cases, open surgery may be necessary to repair or replace a damaged TMJ. This is typically reserved for cases of severe joint degeneration or when other treatments have failed.
While some risk factors for TMJ disorders, such as trauma or genetics, may be unavoidable, there are several ways to help reduce the likelihood of developing TMD:
TMJ disorders can significantly impact a person's quality of life, causing pain, limited jaw movement, and discomfort. However, with the right treatment approach, many individuals find relief and regain proper jaw function. At The Oral and Maxillofacial Surgery Center, P.A., in Hattiesburg, MS, and Laurel, MS, Dr. Clay Thames and Dr. Darren Alexander are committed to providing personalized care for patients with TMJ disorders.
By employing a combination of conservative treatments, therapies, and surgical interventions when necessary, our doctors work to relieve pain, restore function, and improve patients’ overall quality of life. If you are experiencing symptoms of TMJ dysfunction, don't hesitate to contact our office for an evaluation and personalized treatment plan.
Experience exceptional oral surgery care at The Oral and Maxillofacial Surgery Center, P.A. Visit us at our Hattiesburg office, located at 6284 US Highway 98, Hattiesburg, MS 39402, or our Laurel office at 325 South 13th Avenue, Laurel, MS 39440. You can also call our Hattiesburg office at (601) 271-2356 or our Laurel office at (601) 425-2356. From dental implants to wisdom teeth removal, our experienced team is ready to restore your smile — schedule your appointment today!
6284 US Highway 98, Hattiesburg, MS 39402
Phone: (601) 271-2356
Email: oralandmax2@thamesoms.com
Fax: (601) 271-2374
325 South 13th Avenue, Laurel, MS 39440
Phone: (601) 425-2356
Email: oralandmax1@thamesoms.com
Fax: (601) 426-9038