TMJ Therapy

TMJ Therapy

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:

  • Jaw Pain or Tenderness: Pain around the TMJ, which is located in front of the ear, is often one of the first signs of TMD.
  • Limited Jaw Movement: Difficulty or pain while opening or closing the mouth, sometimes causing the jaw to "lock".
  • Clicking or Popping Sounds: A clicking, popping, or grating noise when opening or closing the mouth is common with TMD.
  • Headaches: TMJ disorders can trigger frequent tension headaches or migraines.
  • Earaches or Ringing in the Ears: TMD can result in pain or fullness in the ears, sometimes mistaken for an ear infection.
  • Neck, Shoulder, or Back Pain: The muscles that control jaw movement are connected to the neck and shoulders, so TMD can lead to pain in these areas as well.

Causes of TMJ Disorders in Hattiesburg, MS, and Laurel, MS

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:

Jaw or Head Trauma

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.

Teeth Grinding and Jaw Clenching

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

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.

Jaw Alignment Issues

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 Changes

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.

Poor Posture

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.

Diagnosis of TMJ Disorders in Hattiesburg, MS, and Laurel, MS

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:

Clinical Evaluation

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.

Imaging Studies

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. 

Bite Analysis

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.

Treatment Options for TMJ Disorders

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 Treatments

Conservative treatment options are often the first line of defense in managing TMJ disorders and may include: 

Resting the Jaw 

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. 

Heat and Cold Therapy 

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. 

Anti-Inflammatory Medications 

Over-the-counter anti-inflammatory medications, such as ibuprofen or acetaminophen, can help reduce inflammation and relieve pain associated with TMJ disorders. 

Muscle Relaxants 

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 and Mouthguards 

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 

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. 

Medications 

For more severe cases of TMJ dysfunction, Dr. Thames and Dr. Alexander may recommend stronger medications, including: 

  • Corticosteroid Injections: To reduce inflammation and pain. 
  • Tricyclic Antidepressants: These may be prescribed for patients who experience chronic pain or those with sleep disturbances related to TMJ dysfunction. 
  • Botox: Injections of Botox can help relax the muscles around the jaw, reducing muscle spasms and pain 

Surgical Treatment

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:

    Arthrocentesis 

    This minimally invasive procedure involves washing out the joint with fluids to remove debris and reduce inflammation. 

    Arthroscopy 

    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. 

    Open Joint Surgery 

    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. 

    Preventing TMJ Disorders

    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:

    • Practice good posture to avoid strain on the jaw muscles.
    • Avoid clenching or grinding your teeth, especially during periods of stress.
    • Wear a mouthguard if you participate in sports or if you grind your teeth at night.
    • Manage stress through relaxation techniques such as meditation or yoga.

    Conclusion

    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! 

    LOCATIONS

    6284 US Highway 98, Hattiesburg, MS 39402

    Phone: (601) 271-2356

    Email: oralandmax2@thamesoms.com

    Fax: (601) 271-2374

    • MON - FRI8:00 am - 5:00 pm
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    325 South 13th Avenue, Laurel, MS 39440

    Phone: (601) 425-2356

    Email: oralandmax1@thamesoms.com

    Fax: (601) 426-9038

    • MON - FRI8:00 am - 5:00 pm
    • SAT - SUNClosed
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