Jaw Clicking: Causes and Treatment Options - Dentistry

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Sagging jawline


Hello, I would like to ask a question.
Every time I open my mouth wide, like when trying to eat a whole apple, there is a loud sound coming from the area near my ears, specifically behind my teeth.
It feels like my jaw is about to dislocate.
What could be the reason for this? Is that area bone? If left untreated, will my jaw actually dislocate? Should I see a dentist or an orthopedic doctor for treatment? I appreciate your time in answering my questions.
Thank you.

jean, 20~29 year old female. Ask Date: 2003/10/13

Dr. Zhuang Suhui reply Dentistry


Based on your description, this appears to be a case of temporomandibular joint (TMJ) disorder.
The temporomandibular joint is located just in front of and below the ear and is responsible for the movement of the mandible (lower jaw).
Issues with the joint disc, surrounding muscles, or ligaments can lead to the symptoms you described, which may sometimes be accompanied by pain when opening the mouth.
There are many potential causes, with the majority stemming from malocclusion, teeth grinding, emotional stress, or excessive pressure.
It is advisable to avoid prolonged mouth opening or excessive jaw movement.
If left untreated for an extended period, there is a possibility, though not guaranteed, of experiencing jaw dislocation.
It is important to seek treatment from a qualified dentist.

Reply Date: 2003/10/13

More Info


Jaw clicking, often referred to as "jaw popping" or "clicking jaw," is a common phenomenon that many individuals experience, particularly when opening their mouths wide, such as when eating or yawning. This clicking sound typically originates from the temporomandibular joint (TMJ), which connects the jawbone to the skull. Understanding the causes and treatment options for jaw clicking can help alleviate concerns and improve quality of life.


Causes of Jaw Clicking
1. TMJ Dysfunction: The most common cause of jaw clicking is temporomandibular joint dysfunction (TMD). This condition can arise from various factors, including stress, teeth grinding (bruxism), jaw misalignment, or arthritis. When the joint is not functioning properly, it can lead to a clicking or popping sound as the jaw moves.

2. Disc Displacement: The TMJ contains a small disc that acts as a cushion between the bones. If this disc becomes displaced or moves out of its normal position, it can cause clicking sounds when the jaw opens or closes.

3. Arthritis: Conditions such as osteoarthritis or rheumatoid arthritis can affect the TMJ, leading to inflammation and changes in the joint structure, which may result in clicking sounds.

4. Injury or Trauma: Any injury to the jaw or head can potentially lead to TMJ dysfunction, resulting in clicking or popping sounds.

5. Muscle Tension: Stress and anxiety can lead to muscle tension in the jaw area, which may contribute to jaw clicking.


Treatment Options
If you are experiencing jaw clicking, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Here are some common treatment options:
1. Dental Evaluation: Since the TMJ is closely related to dental health, a visit to a dentist, particularly one specializing in TMJ disorders, is often the first step. They can assess your bite, check for signs of bruxism, and recommend appropriate interventions.

2. Physical Therapy: Physical therapy can help strengthen the muscles around the jaw and improve flexibility. Techniques may include exercises, heat therapy, and ultrasound treatments.

3. Stress Management: If stress is contributing to your jaw clicking, techniques such as mindfulness, meditation, or counseling may be beneficial in reducing muscle tension.

4. Splints or Mouthguards: Dentists may recommend a custom-made splint or mouthguard to help prevent teeth grinding and reduce stress on the TMJ.

5. Medications: Over-the-counter pain relievers or anti-inflammatory medications may help alleviate discomfort associated with TMJ dysfunction.

6. Surgery: In severe cases where conservative treatments fail, surgical options may be considered. This could involve repairing or replacing the TMJ.


Concerns About Jaw Dislocation
It is important to note that while jaw clicking can be concerning, it does not typically indicate that the jaw will "fall off" or dislocate. However, if you experience persistent pain, difficulty opening or closing your mouth, or if the clicking is accompanied by swelling or other symptoms, it is crucial to seek medical attention promptly.


Conclusion
In summary, jaw clicking is often related to TMJ dysfunction and can be caused by various factors, including muscle tension, disc displacement, or arthritis. Treatment typically involves a multidisciplinary approach, starting with a dental evaluation. While jaw clicking can be bothersome, it is generally manageable with appropriate care. If you have further concerns or if the symptoms worsen, do not hesitate to consult a healthcare professional for personalized advice and treatment options.

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