Temporomandibular Joint Issues: Causes and Solutions - Dentistry

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Temporomandibular joint (TMJ)


Hello Doctor, I am in the ninth grade this year.
Recently, I have noticed a clicking sound in my temporomandibular joint when I open my mouth.
I often clench my teeth, which I believe is the root of the problem.
I would like to ask a few questions: 1.
Should I go to the dentist for this? 2.
How long does it take to recover with a bite splint? 3.
If I stop clenching my teeth, will it recover on its own?

Niming, 10~19 year old female. Ask Date: 2016/04/19

Dr. Huang Zhicheng reply Dentistry


Hello,
1.
Yes, for temporomandibular joint issues, please visit a dental clinic.

2.
The use of an occlusal splint for treatment depends on individual circumstances; it is recommended to schedule an outpatient appointment for diagnosis.

3.
You can try to relax, ease the muscles on both sides of your cheeks (gentle massage may help), and apply hot and cold compresses for about 5-10 minutes to gradually alleviate the feeling of pressure.

Wishing you safety and health,
Dr.
Huang Chih-Cheng
Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2016/04/19

More Info


Hello! It sounds like you're experiencing some issues with your temporomandibular joint (TMJ), which is quite common, especially among teenagers. Let's address your questions one by one.

1. Should I go to the dentist?
Yes, visiting a dentist, particularly one who specializes in TMJ disorders or an orthodontist, is a good idea. They can perform a thorough examination of your jaw and teeth alignment, and they may take X-rays to assess the condition of your TMJ. Since you mentioned that you often clench your teeth, this could be contributing to the sounds you're hearing when you open your mouth. A dentist can provide you with a proper diagnosis and recommend appropriate treatment options.

2. How long does it take to recover with a bite guard?
The duration of recovery with a bite guard (also known as an occlusal splint) can vary significantly from person to person. Generally, many patients start to notice improvements within a few weeks of consistent use. However, for some, it may take several months to see significant relief from symptoms. The bite guard works by preventing teeth grinding and clenching, which can reduce strain on the TMJ and help alleviate pain and clicking sounds. It's essential to follow your dentist's instructions regarding how long to wear the guard each day for the best results.

3. Will I recover on my own if I stop clenching my teeth?
If you can consciously stop clenching your teeth, you may experience some improvement in your symptoms. However, it's important to note that the TMJ can be sensitive and may not fully recover without intervention, especially if the clenching has been a long-term habit. Stress management techniques, relaxation exercises, and avoiding hard or chewy foods can also help reduce strain on the joint. However, if the clicking or pain persists, it's advisable to seek professional help.


Additional Information on TMJ Disorders
TMJ disorders can arise from various factors, including stress, teeth grinding (bruxism), jaw misalignment, or even arthritis. The clicking sound you hear when opening your mouth could be due to the displacement of the articular disc within the joint, which can happen when the jaw is under stress or misaligned.
In addition to bite guards, treatment options may include physical therapy, medications (such as anti-inflammatories), and lifestyle changes. Some patients benefit from exercises that strengthen the jaw muscles and improve flexibility. In more severe cases, dental procedures or even surgery may be considered, but these are typically last-resort options.

It's also worth noting that stress management techniques, such as mindfulness, yoga, or other relaxation methods, can be beneficial in reducing the frequency of teeth clenching and overall tension in the jaw.

In summary, consulting with a dental professional is the best course of action to address your TMJ issues. They can provide personalized advice and treatment options based on your specific situation. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek help!

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