Does Temporomandibular Joint Disorder Affect Gums After Dental Implants? - Dentistry

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Will temporomandibular joint (TMJ) disorders affect the gums after dental implants?


Hello Dr.
Huang, I have a problem with temporomandibular joint (TMJ) arthritis, which often causes headaches and ear pain.
After getting dental implants, I feel that the joint in that area is several times more painful than before.
Recently, I've also noticed swelling in my gums.
Is there a connection between these two issues? Additionally, I am worried about the impact of the implant on the bone and always feel a bit anxious about it.

Aru, 20~29 year old female. Ask Date: 2016/05/05

Dr. Huang Zhicheng reply Dentistry


Hello, based on your description, it is unclear whether the dental implant procedure has been completed.
If the dental crown for the implant has been finished, changes in occlusion may affect the condition of temporomandibular joint disorder (TMJ).
However, most cases improve after occlusal adjustments.
TMJ disorders are generally believed to be more related to stress and a tense lifestyle.
On the other hand, gum swelling is usually caused by poor oral hygiene leading to gingival inflammation.
By improving oral hygiene, regularly visiting for dental cleanings, and monitoring the prognosis of the implant, you should see improvement.
Wishing you peace and health.
Sincerely, Dr.
Chih-Cheng Huang, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/05

More Info


Temporomandibular Joint Disorder (TMJ) can indeed have an impact on your gums and overall oral health, especially after dental implant procedures. TMJ disorders are characterized by pain and dysfunction in the jaw joint and the surrounding muscles, which can lead to a variety of symptoms, including headaches, ear pain, and jaw discomfort. When dental implants are placed, they can alter the dynamics of your bite and jaw function, which may exacerbate existing TMJ issues.

After dental implant surgery, it is not uncommon for patients to experience increased discomfort in the jaw area, particularly if they already have a history of TMJ disorders. The placement of an implant can change the way your teeth come together (occlusion), which may put additional stress on the temporomandibular joint. This stress can lead to increased pain and discomfort, as well as inflammation in the surrounding tissues, including the gums.

In your case, the swelling of the gums around the implant site could be attributed to several factors. One possibility is that the altered bite due to the implant is causing additional strain on the jaw muscles and joints, leading to inflammation and discomfort. Another possibility is that the swelling could be a sign of infection or peri-implantitis, which is an inflammatory condition affecting the tissues around the dental implant. This condition can occur if bacteria accumulate around the implant, often due to inadequate oral hygiene or improper healing.

It is essential to address any concerns regarding the health of your gums and the stability of the dental implant. Regular follow-ups with your dentist or oral surgeon are crucial to monitor the healing process and to ensure that the implant is integrating well with the bone. If you are experiencing significant pain or swelling, it is advisable to consult your dentist as soon as possible. They may recommend imaging studies, such as X-rays, to assess the condition of the implant and the surrounding bone.

In terms of managing TMJ symptoms, there are several approaches that may help alleviate discomfort. These can include:
1. Occlusal Adjustments: Your dentist may need to adjust the bite to ensure that the forces on the implant and surrounding teeth are evenly distributed. This can help reduce strain on the TMJ.

2. Physical Therapy: Exercises and therapies aimed at improving jaw function and reducing muscle tension can be beneficial.

3. Pain Management: Over-the-counter pain relievers or prescribed medications can help manage pain and inflammation.

4. Stress Reduction Techniques: Since TMJ disorders can be exacerbated by stress, techniques such as mindfulness, meditation, or even counseling may help reduce symptoms.

5. Mouthguards or Splints: These devices can help protect your teeth and reduce strain on the jaw during sleep, especially if you grind your teeth (bruxism).

6. Regular Dental Check-ups: Keeping up with dental visits ensures that any issues with the implant or TMJ can be addressed promptly.

In conclusion, there is a clear relationship between TMJ disorders and the health of your gums and dental implants. It is essential to communicate openly with your dental care provider about your symptoms and concerns. They can provide tailored advice and treatment options to help manage both your TMJ disorder and the health of your dental implants. Regular monitoring and proactive care are key to ensuring a successful outcome and maintaining your oral health.

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