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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.
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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 |
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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 |
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| 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 . |
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| 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) |
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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. |
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