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  TMJ (jaw joint) and facial pain
   
 

The Tempomandibular joint (TMJ) is a small joint located in the front of the ear where the skull and the lower jaw meet. It allows the lower jaw to move and function. If a disorder exists with this joint, it can make talking, eating and yawning painful. TMJ disorders can be relatively minor or extremely incapacitating.

 
TMJ disorders can be caused by
Pain in the TMJ
Tender or painful jaw muscles
Clicking, popping or grating sounds in the joint
Difficulty or pain upon opening and/or closing of the mouth
Frequent headaches or neckaches
Ringing or buzzing sounds in the ears
Dizziness or lightheadedness
Decreased jaw opening
 
Symptoms of TMJ disorders include
Stress on the surrounding muscles
Teeth clenching or grinding
Stress, poor posture or body alignment can cause the muscles surrounding the joint to tighten
Abnormal jaw growth
Missing teeth
Diseases such as arthritis
Injury to the TMJ
 
Professional help
When symptoms of TMJ disorder appear, a specialist in the areas of mouth, teeth and jaws, the Oral and Maxillo facial Surgeon is in a good position to help with diagnosis and management of the underlying problem. Special imaging studies of the joints may be ordered (eg x-rays, CT scan, MRI scan) and appropriate referral to other dental or medical specialists or a physiotherapist may be indicated .
 
Treatment
Once TMJ disorders are correctly diagnosed, appropriate treatment can be provided. Treatment can range from conservative measures such as:
Physiotherapy
Stress management counselling
Muscle relaxant and anti-inflammatory medication
Splint therapy
to surgical interventions such as :
Arthroscopy (the method used to inspect and treat larger joints such as the knee)
Arthrocentesis (washing out of the joint)
Arthrotomy (open joint surgery)
 

In most cases, the Oral and Maxillo facial Surgeon will recommend a conservative non-surgical approach to treatment. Surgery is only indicated if conservative non-surgical treatment is unsuccessful or if there is clear joint damage.