TMD

Online Dental Education Library

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

TMJ Pain.If you experience ongoing pain in the area near your ear, your jaw or the muscles on the side of your face, possibly accompanied by a clicking or popping sound or restricted jaw movement, you may be suffering from TMD — an abbreviation for Temporomandibular disorders. Sometimes people incorrectly use the term TMJ to refer to these problems, when in fact TMJ is the abbreviation for the temporomandibular joint — or jaw joint — itself. So while you definitely have a TMJ (two of them in fact), you may or may not have TMD.

TMD, then, describes a group of conditions characterized by pain and dysfunction of the TMJ and/or the muscles surrounding it. It's not always so easy to figure out exactly what's causing these symptoms, but the good news is that most TMD cases resolve themselves with the help of conservative remedies that you can try at home. In fact, it's important to exhaust all such reversible remedies before moving on to anything irreversible, such as bridgework or surgery.

The two TMJs that connect your lower jaw, the mandible, to the temporal bone of the skull on either side, are actually very complex joints that allow movement in three dimensions. The lower jaw and temporal bone fit together as a ball and socket, with a cushioning disk in between. Large pairs of muscles in the cheeks and temples move the lower jaw. Any of these parts — the disk, the muscles or the joint itself — can become the source of a TMD problem. If you are in pain, or are having difficulty opening or closing your jaw, a thorough examination can help pinpoint the problem area; then an appropriate remedy can be recommended.

Causes of TMD

TMJ Joint.As with any other joint, the TMJ can be subject to orthopedic problems including inflammation, sore muscles, strained tendons and ligaments, and disk problems. TMD is also influenced by genes, gender (women appear to be more prone to it), and age. Physical and psychological stress can also be a factor. In some cases, jaw pain may be related to a more widespread, pain-inducing medical condition such as fibromyalgia (“fibro” – connective tissues; “myo” – muscle; “algia” – pain).

Signs and Symptoms of TMD

Clicking Sounds — Some people with TMD hear a clicking, popping or grating sound coming from the TMJ when opening or closing the mouth. This is usually caused by a shifting of the disk inside the joint. Someone standing next to you might even be able to hear it. Clicking by itself is actually not a significant symptom because one third of all people have jaw joints that click, studies show. However, if the clicking is accompanied by pain or limited jaw function — the jaw getting “stuck” in an open or closed position, for example — this would indicate TMD.

Kids mouth anatomy.

Muscle Pain — This can be felt in the cheeks (masseter muscles) and temples (temporalis muscles), where the two big pairs of jaw-closing muscles are located. If you feel soreness and stiffness upon waking up in the morning, it's often related to habits such as clenching and/or grinding the teeth at night. If you have this type of nocturnal habit, a custom-made nightguard should be very helpful in decreasing the force applied to your teeth, which will in turn allow your muscles to relax and relieve pressure on your jaw joints. Other self-care remedies are discussed below (please see Relieving the Pain).

Joint Pain — Pain that's actually coming from one or both jaw joints technically would be described as arthritis (“arth” – joint; “itis” – inflammation) of the TMJ. Radiographs (x-ray pictures) show that some people have arthritic-looking TMJs but no symptoms of pain or dysfunction; others have significant symptoms of pain and dysfunction but their joints look normal on radiographs. There is no cure for arthritis anywhere in the body, but medication can sometimes help relieve arthritic symptoms.

Relieving the Pain

Once you have been examined, a strategy for treating your condition and managing your pain can be developed. Sometimes a temporary change to a softer diet can reduce stress on the muscles and joints. Ice and/or moist heat can help relieve soreness and inflammation. Muscles in spasm can also be helped with gentle stretching exercises. Non-steroidal anti-inflammatory medications and muscle relaxants can also provide relief.

Other Treatment Options

Severe TMD cases may require more complex forms of treatment, which might include orthodontics, dental restorations like bridgework, or minor procedures inside the joint such as cortisone injections or lavage (flushing) of the joint. It's rare for major surgery ever to be necessary in a case of TMD. Again, it's important to try the wide range of conservative, reversible treatments available, and give them enough time to work as they almost always prove effective. The first step is an examination at the dental office. To learn more about available treatment options, view this Chart on TMD Therapy

Related Articles

TMD - Dear Doctor Magazine

TMD – The Great Impostor This “chameleon” of dental disorders manifests in a variety of ways, including joint pain, sinusitus, ear pain, tooth and headaches. Dear Doctor magazine examines the causes of TMD, its signs and symptoms and what can be done to treat this common disorder... Read Article

Relief from TMD - Dear Doctor Magazine

Seeking Relief From TMD TMD, or Temporomandibular Disorders, is an umbrella term for various painful conditions that affect the jaw joints. There are different treatment approaches to TMD problems, but not all are based on science. It's important to be up on the latest information and to be an educated consumer. In this comprehensive article, Dear Doctor magazine provides state-of-the-art information and guidance on what you should know, whom you should see, and what you should ask... Read Article


OFFICE HOURS
Monday: 09:00 AM - 5:00 PM
Tuesday: 09:00 AM - 8:00 PM
Wednesday: 09:00 AM - 5:00 PM
Thursday: 09:00 AM - 6:00 PM
Friday: Closed
Saturday: 9:00 AM - 3:00 PM
Sunday: Closed

  • High quality service, super friendly and professional staff.

    ***** By Rany K. on 12/15/2017

 

  • Best dentist I've ever had
    Dr. Channo does great work. He's courteous and fast. Never an issue with his work and his staff is amazing. If you're looking for a dentist or not happy with you're current one, go see Dr. Chano. You won't be disappointed. Never a billing issue with the insurance company like I had at multiple other places in the past.

    ***** By Michael M. on 11/13/2017

 

  • A very good experience!! Terrific staff and very helpful!

    ***** By Bernie K. on 09/02/2017

 

  • Great Dentist
    All went very well! Doc Channo is awesome and painless! For that matter his staff is also Awesome!!!

    ***** By Stan C. on 05/20/2017

 

  • Always professional, efficient and top quality
    In my 9th year as a patient at Art Dentistry Center, I can honestly say that the professionalism, efficiency and expertise continue to be the best. I had x-rays and a cleaning done this morning. Thorough, all questions answered and out the door. My dental hygiene is really good at 62 because of what they have taught me.

    ***** By Nancy S. on 05/02/2017

 

  • Professional, Very kind
    Took my daughter in because a tooth was bothering her. The dentist staff were extremely friendly and took care of everything quickly. I already have more appointments scheduled!

    ***** By Andrea B. on 04/04/2017

 

  • So far I have gotten my teeth cleaned twice and I just recently had 4 fillings done, and I have had nothing but the best service ever. Their receptionist is sweet, my dental hygienist is great, and my dentist is understanding. When I had to get my teeth filled, I was supposed to only have 3 of them done on one side at one appointment and then do the last one on a different day. I arrived at the office as nervous as ever because I absolutely hate the Novocain shot. The dentist offered anxiety medication, but I didn't have a ride home. He then stated that my cavities weren't very deep and could do them without the Novocain. I went with that option and didn't feel any pain at all!! I'm so happy he offered to let me go without the Novocain because no other dentist has done that for me. I actually opted to get the 4th tooth done right then and there to get it all over with. I love this dentist office and will recommend them to everyone!

    ***** By Sarah R. on 09/01/2016

 

  • Excellent Rating- I love this dentist! Fantastic staff with excellent environment and service! I wish they accepted Meridian Insurance!!! 

    ***** By Cynthia R. on 08/03/2016 (Published on RateABiz)

 

  • High quality service, professional Doctor and staff
    I recommend Dr Channo, he's professional and very pleasant.

     

    ***** By Aslan S on 06/28/2016 (Published on RateABiz)

 

  • "Art Dentistry Center gives my family and me more reasons to smile."

     

    - The Johnson Family.

 

 

 

  • I have always received a professional and very good service on my dental needs when visiting Art Dental. Very nice staff and service.

     

    - Jeff H

 

Contact Us