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Treatment of Temporomandibular Joint (TME)

What Are the Causes of Temporomandibular Joint Disorder?

Direct trauma to the jaw or to the joints (a result of accident or impulse)

  • Unilateral chewing habit
  • Missing teeth
  • Teeth clenching and grinding
  • Stress, depression etc.
  • Non-physiological tooth closing
  • Developmental defects of the joint (hypoplasia etc.)
  • Degenerative joint disease, osteoarthritis, arthrosis
  • Dejeneratif eklem rahatsızlıkları, osteoarthritis, artrozis
  • Autoimmune diseases, rheumatoid arthritis, lupus
  • Orthodontic disorders
  • Unknown factors

Frequently asked Questions

What is Temporomandibular Joint

Temporomandibular joint (TMJ, lower jaw joint) is a dynamic living tissue which connects the lower jaw to the skull. jaw joint disorder is the syndrome that holds the pain in masticatory muscles and the dysfunction. Jaw joint disorders have affected majority of people today. It is caused by adjustment disorder between the joint surface and the disc.

What Are The Symptoms Of Temporomandibular Joint Disorder?

  • Feeling pain during while opening and closing mouth
  • Restricted mouth opening or getting blocked
  • Neck pain or stiffness
  • Headache (should not be confused with migraine headache)
  • Severe pain during chewing and on the face
  • Perceived pain while closing teeth on each other
  • Quick feeling of tiredness in the jaw while chewing
  • Having difficulty to open the mouth generally in the morning and pain
  • Difficulty in Stretching (Yawning)
  • Ear pain or ringing in the ears, roaring-like sounds, the feeling of congestion and pressure
  • Sudden changes in the form of combination of upper and lower teeth
  • Asymmetry in the face due to hyperplasia of the facial muscles
  • The deviation in the jaw during mouth opening (sliding)

What Are The Causes Of Temporomandibular Joint Disorders?

  • Direct trauma to the jaw or to the joints (a result of accident or impulse)
  • Unilateral chewing habit
  • Missing teeth
  • Teeth clenching and grinding
  • Stress, depression etc
  • Non-physiological tooth closing
  • Developmental defects of the joint (hypoplasia etc.)
  • Degenerative joint disease, osteoarthritis, arthrosis
  • Autoimmune diseases, rheumatoid arthritis, lupus
  • Orthodontic disorders
  • Unknown factors

Do Wisdom Teeth Cause Jaw Joint Disorders?

Dental malocclusion and growing of wisdom teeth in more behind than usual are the most important factors that lead to jaw joint disorders.

Do Misaligned Teeth Cause Jaw Joint Disorders?

Orthodontic disorders and dental displacement lead to dental malocclusion and are considered to be some of the most important factors of joint disorders.

Does Jaw Joint Treatment Provide Complete Recovery?

Jaw joint treatment may not always provide a complete recovery. It would be wrong to say that elongation or deformation in the jaw joint disc or in the secondary bonds can be fully repaired or healed. If the reason is of closure or orthodontical, terminating the disorder after orthodontic treatment provides a big relief in the jaw joint, but the joint tissues which are worn before the treatment can not be healed.

Can Jaw Joint Treatment Reduce My Pain?

Erosion in tissues is halted by reducing the loads imposed on the joints and gaining the proper chewing habits. This provides a huge relief.

How Will Jaw Joint Examination Be?

  • Examination of the teeth and closing system
  • Examination of the masticatory muscles
  • Examination of the jaw joint
  • Radiological examination

How To Diagnose The Jaw Joint Diseases?

To diagnose jaw joint disorders, some secondary tests along with clinical examination can be used. Computed tomography and magnetic resonance imaging are often used. Rarely scintigraphy or PET examinations are also required. Moreover, the use splint is another diagnostic tool.

How To Treat Jaw Joint Diseases?

  • Symptomatic treatment
  • Treatment of causes of the disease
  • Eliminating the predisposition factors
  • Treatment of pathological factors

Oral and Maxillofacial Surgent, who specializes in the diagnosis and treatments of jaw joint, will first diagnose what the disease is, and then provides information to patients for necessary treatment. Treatments are required upon acceptance of treatment by the patients.

Treatment of jaw joint requires a multidisciplinary approach including the compliance of patient as a priority. With treatment which is applied by the jaw joint Specialist, Orthodontic Specialist, Physical Therapist, Psychiatrist, neurologist may also be needed to consult.

What Are The Options Of Treatment In Jaw Joint Diseases?

  • Patient education and preventive treatment
  • Splinter treatment
  • Orthodontic treatment
  • Medication
  • Exercises
  • Physiotheraphy
  • Psychiatric support
  • For retarded cases, surgical treatment (arthrocentesis)

When I Wear The Splint, My Pain Declines And When I Don’t, It Increases. Why?

If it is caused by the orthodontic jaw joint malocclusion, it is normal to have pain when the splint is taken out. The thing to do is to heal malocclusion with orthodontic treatment.