Temporomandibular joint (TMJ) occlusion & chewing gum
Hello Dr.
Kuan-Yu,
I have not been diagnosed with any occlusal temporomandibular joint issues.
My jaw opens and closes smoothly, and I have never experienced pain.
However, when I open my mouth wide, such as when making the "ah" sound, or even without vocalizing, I often hear a very faint sound on the left side that resembles a "click" or "pop." Currently, this does not interfere with my daily life.
I am working on the habit of brushing my teeth after every meal.
Since I am still in training and cannot brush after every meal yet, during this transitional phase, if I do not have time to brush my teeth, I chew sugar-free gum until I can brush after the next meal.
Could you please advise me on the advantages and disadvantages of chewing sugar-free gum in relation to my mentioned temporomandibular joint condition? Thank you, Dr.
Zhu, for your kind response!
Ya Xian, 10~19 year old female. Ask Date: 2016/11/23
Dr. Zhu Guanyu reply Dentistry
Hello, there are many factors that can contribute to temporomandibular joint (TMJ) issues.
If the problem is related to the muscles, it is advisable to allow the masticatory muscles to relax and rest.
If the issue involves mouth opening or abnormalities of the articular disc or fossa, there are different treatment approaches.
Some may require mouth opening exercises, while others aim to minimize joint compression.
Therefore, regarding whether chewing gum is suitable for your current condition, it is recommended that you visit a dental or TMJ clinic for an examination.
Thank you for your inquiry.
Wishing you peace and health.
Sincerely, Dr.
Kuan-Yu Chu, Chief of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2016/11/23
More Info
TMJ (temporomandibular joint) issues can manifest in various ways, including clicking or popping sounds when opening or closing the mouth, as you described. While you have not been diagnosed with a TMJ disorder and currently do not experience pain or significant discomfort, it's essential to consider how certain habits, such as chewing sugar-free gum, may impact your jaw health.
Pros of Chewing Sugar-Free Gum
1. Increased Saliva Production: Chewing gum stimulates saliva flow, which can help neutralize acids in the mouth and reduce the risk of cavities. This is particularly beneficial if you are unable to brush your teeth after meals.
2. Oral Hygiene: While not a substitute for brushing, chewing sugar-free gum can help remove food particles and plaque from teeth, contributing to better oral hygiene until you can brush.
3. Jaw Muscle Exercise: Chewing can serve as a mild exercise for the jaw muscles, potentially helping to strengthen them. This may be beneficial for maintaining jaw function, especially if you are training your jaw to adapt to a new routine of post-meal oral care.
4. Stress Relief: For some individuals, chewing gum can be a stress-reliever, which may indirectly benefit TMJ health by reducing tension in the jaw muscles.
Cons of Chewing Sugar-Free Gum
1. Increased Jaw Strain: For individuals with TMJ issues, excessive chewing can exacerbate symptoms. Even if you do not currently experience pain, repetitive motion may lead to muscle fatigue or strain over time, potentially triggering discomfort or worsening any underlying issues.
2. Popping or Clicking Sounds: As you mentioned, you experience a faint clicking sound on the left side of your jaw when opening wide. Chewing gum may increase the frequency of these sounds, as it requires repetitive jaw movement, which could lead to further irritation of the joint.
3. Potential for Overuse: If you chew gum frequently, you may inadvertently overuse the muscles involved in chewing, leading to muscle fatigue or discomfort. This is particularly relevant if you are already experiencing any clicking or popping sounds.
4. Limited Benefits for TMJ Disorders: While chewing gum can provide some benefits for oral hygiene, it does not address the underlying causes of TMJ disorders. If you were to develop symptoms or if your current sounds become more pronounced, it would be wise to consult a healthcare professional.
Recommendations
Given your current situation, here are some recommendations:
- Moderation: If you choose to chew sugar-free gum, do so in moderation. Limit the duration and frequency to avoid overworking your jaw muscles.
- Monitor Symptoms: Pay close attention to any changes in your jaw function or discomfort. If you notice an increase in clicking, popping, or any pain, it may be wise to reduce or eliminate gum chewing.
- Consult a Professional: If you have ongoing concerns about your jaw or if symptoms develop, consider consulting a dentist or a specialist in TMJ disorders. They can provide a thorough evaluation and tailored advice based on your specific situation.
- Alternative Oral Hygiene Practices: If you find it challenging to brush your teeth after meals, consider using mouthwash or dental wipes as an interim solution until you can brush properly.
In summary, while chewing sugar-free gum can offer some benefits, it is essential to be mindful of your TMJ health. Balancing the pros and cons will help you maintain good oral hygiene without exacerbating any potential issues with your jaw.
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