Jaw Clicking: When to See a Dentist or Orthopedic Specialist - Dentistry

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Jaw clicking, often described as a "popping" or "clicking" sound when opening or closing the mouth, can be a common symptom associated with temporomandibular joint (TMJ) disorders. The temporomandibular joint connects the jawbone to the skull and is responsible for the movement of the jaw. When this joint is not functioning properly, it can lead to discomfort, pain, and the characteristic clicking sound.

There are several potential causes of jaw clicking:
1. TMJ Disorders: These can arise from various factors, including jaw alignment issues, arthritis, or injury to the jaw. TMJ disorders can lead to inflammation, which may cause the joint to not move smoothly, resulting in clicking sounds.

2. Disc Displacement: The TMJ has a small disc that acts as a cushion between the bones. If this disc becomes displaced, it can cause the jaw to click when moving.

3. Muscle Tension: Stress and teeth grinding (bruxism) can lead to muscle tension around the jaw, contributing to clicking sounds.

4. Arthritis: Conditions like osteoarthritis or rheumatoid arthritis can affect the TMJ, leading to changes in the joint structure and function.

5. Injury: Trauma to the jaw or head can also result in TMJ dysfunction and clicking.

When you first notice jaw clicking, it is advisable to consult a dentist, as they are trained to evaluate oral and jaw-related issues. A dentist can perform a thorough examination, including assessing your bite, jaw alignment, and any signs of inflammation or damage to the joint. They may also take X-rays or refer you for imaging studies to get a clearer picture of the joint's condition.

If the dentist determines that the clicking is related to a TMJ disorder, they may recommend several treatment options, including:
- Conservative Treatments: These may include physical therapy, stress management techniques, and the use of a night guard to prevent teeth grinding.

- Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and pain. Muscle relaxants may also be prescribed if muscle tension is a contributing factor.

- Dental Treatments: In some cases, dental adjustments or orthodontic treatment may be necessary to correct bite issues that contribute to TMJ dysfunction.

If the dentist believes that the clicking is related to structural issues beyond their scope of practice, they may refer you to an orthopedic specialist or a maxillofacial surgeon. These specialists can provide more advanced treatments, including surgical options if necessary.

In summary, while it may seem unusual to be referred to an orthopedic specialist for jaw clicking, it is not uncommon. The decision to refer you depends on the dentist's assessment of your condition. If the clicking is associated with significant pain, limited jaw movement, or other concerning symptoms, seeking further evaluation from a specialist is a prudent step. Always ensure that you communicate your symptoms clearly and ask questions about the recommended referrals and treatments to understand the best course of action for your jaw health.