Temporomandibular joint issues?
Hello doctor, sometimes when I wake up, my face feels uncomfortable, but I can't pinpoint the exact area of discomfort.
My boyfriend says I grind my teeth while sleeping (not bruxism), and I've noticed a line on both sides of the inside of my mouth.
After researching online, it seems to be related to temporomandibular joint (TMJ) issues.
However, I've had this problem for several years; it just wasn't very uncomfortable at first, but it's become more noticeable in the past few months.
I would like to ask: 1.
I plan to see a doctor next week.
Is it serious to have waited this long? I don't have difficulty opening my mouth; it just feels uncomfortable, and it usually improves in two to three days.
Occasionally, when I open my mouth, I hear a popping sound.
2.
I've also noticed that I tend to clench my teeth when I'm awake, so now I'm trying to keep my upper and lower teeth from touching when my mouth is closed (my tongue naturally rests on the roof of my mouth, which seems fine; I found online that normally, teeth shouldn't touch and should have a slight gap).
However, I realize that trying to prevent my teeth from touching is making my jaw sore.
Is this approach correct? Will the soreness go away once I get used to it, or is this method of correction not advisable?
Xiao Lu, 20~29 year old female. Ask Date: 2021/07/02
Dr. Lin Jiayong reply Dentistry
Hello: Based on your description, it is recommended to take muscle relaxants in conjunction with a hard occlusal splint for treatment, and to conduct long-term follow-up to monitor the condition of the joints and tooth wear.
If there is still no improvement, further assistance from a neurologist may be sought to evaluate nerve conduction status.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/07/02
More Info
Temporomandibular Joint (TMJ) disorders can be a source of discomfort for many individuals, and it sounds like you are experiencing some symptoms that may be related to this condition. Let's break down your concerns and questions regarding TMJ issues, their symptoms, and potential solutions.
Understanding TMJ Disorders
TMJ disorders can manifest in various ways, including pain or discomfort in the jaw, difficulty in jaw movement, and sounds such as clicking or popping when opening or closing the mouth. The symptoms you described, such as waking up with facial discomfort and your boyfriend noticing that you clench your jaw at night, are common indicators of TMJ dysfunction. The presence of lines on the inside of your mouth could also suggest muscle tension or irritation due to clenching or grinding.
1. Severity of Delayed Treatment
Regarding your concern about delaying treatment, it is important to note that while some TMJ disorders can resolve on their own or with conservative management, chronic symptoms can lead to more significant issues if left untreated. If you are not experiencing severe limitations in jaw movement or intense pain, it may not be an emergency, but it is advisable to seek professional evaluation. A healthcare provider can assess the severity of your condition and recommend appropriate interventions. Early intervention can prevent the progression of symptoms and improve your quality of life.
2. Managing Jaw Clenching
You mentioned that you have been consciously trying to keep your teeth apart to avoid clenching. This is a common strategy, but it is essential to approach it carefully. While it is beneficial to be aware of your jaw position, forcing your teeth apart can lead to muscle fatigue and discomfort, as you have experienced. Instead of trying to keep your teeth completely apart, consider the following strategies:
- Relaxation Techniques: Incorporate relaxation exercises into your routine. Techniques such as deep breathing, meditation, or gentle neck and jaw stretches can help reduce muscle tension.
- Mouth Guards: Consult with your dentist about the possibility of using a night guard. This device can help protect your teeth from grinding and reduce strain on the jaw muscles.
- Physical Therapy: A physical therapist specializing in TMJ disorders can provide exercises to strengthen and relax the jaw muscles, improving function and reducing discomfort.
- Heat and Cold Therapy: Applying a warm compress to the jaw area can help relax tight muscles, while cold packs can reduce inflammation if there is swelling.
Conclusion
It is commendable that you are taking steps to understand your symptoms and seek medical advice. When you visit your healthcare provider, be sure to discuss all your symptoms, including the discomfort you feel upon waking and any sounds you notice when moving your jaw. They may recommend imaging studies, such as X-rays or MRIs, to assess the joint's condition further.
In the meantime, focus on relaxation techniques and be mindful of your jaw position without forcing it. With appropriate treatment and self-care strategies, many individuals with TMJ disorders find significant relief from their symptoms. Remember, you are not alone in this, and many resources are available to help you manage your condition effectively.
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