Temporomandibular Joint Issues: Symptoms and Relief Strategies - Dentistry

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Temporomandibular joint (TMJ)


Hello, doctor.
I have noticed since childhood that when I open my mouth to a certain extent (I have to open it quite wide), my jaw makes a clicking sound (is this considered dislocation?).
However, it is completely painless, and I have never experienced any inability to reposition it (I can dislocate and relocate it at will).
About five days ago, I went to the hospital to have a molar filled, which was quite difficult to handle and took six hours.
Because I had my mouth open for so long, my jaw joint (or is it the muscle?) became extremely painful.
Now, the pain radiates to my temple, and whenever I yawn slightly or even just open my mouth a little, my jaw feels like it might dislocate again, accompanied by pain.
After some research, I suspect it might be a temporomandibular joint (TMJ) issue.
I would like to ask if these symptoms indicate joint inflammation? How long should I observe before seeking medical attention if there is no improvement? What can I currently do to alleviate the pain or speed up recovery? I found that heat therapy might be beneficial, but I would like to hear professional advice.
Thank you very much for taking the time to respond amidst your busy schedule.
🙏

Doris, 30~39 year old female. Ask Date: 2024/03/05

Dr. Zeng Guanghui reply Dentistry


Hello Ms.
Doris:
1.
If you can open your mouth to 4-5 centimeters, it is considered normal.
However, if you open it too wide and hear a clicking sound, it exceeds the load capacity of the temporomandibular joint (TMJ) and should be avoided.
2.
If your mouth is open for too long, it may cause joint pain.
It is recommended to apply a warm compress in front of the ear afterward to relieve joint discomfort.
3.
If yawning or opening your mouth wide causes your jaw to drop and you feel pain, you should immediately consult a dentist or oral surgeon.
It is advisable to avoid opening your mouth too wide and to apply a warm compress in front of the ear.
Director Tseng Guang-Hui, Dental Department, Nantou Hospital

Reply Date: 2024/03/05

More Info


Temporomandibular joint (TMJ) disorders can manifest through various symptoms, and your experience seems to align with some common issues associated with this condition. The clicking or popping sound you hear when opening your mouth, especially if it occurs without pain, is often referred to as "crepitus" and can be a sign of TMJ dysfunction. However, the pain and discomfort you are experiencing after your dental procedure suggest that there may be inflammation or strain in the joint or surrounding muscles.


Symptoms of TMJ Disorders
TMJ disorders can present with a range of symptoms, including:
1. Jaw Pain: This can occur in the jaw joint itself or in the muscles surrounding it.

2. Clicking or Popping Sounds: These sounds may occur when opening or closing the mouth.

3. Limited Jaw Movement: Difficulty in fully opening or closing the mouth.

4. Headaches: Tension headaches or migraines can be associated with TMJ issues.

5. Ear Pain: Some individuals report earaches or a feeling of fullness in the ears.

6. Neck and Shoulder Pain: Tension in the jaw can lead to discomfort in these areas.


Possible Causes
Your symptoms may be due to several factors:
- Muscle Strain: Prolonged mouth opening during dental work can strain the muscles around the jaw.

- Joint Inflammation: Inflammation of the TMJ can occur due to overuse or trauma.

- Disc Displacement: The disc within the joint may become displaced, leading to clicking sounds and pain.


When to Seek Medical Attention
If your symptoms persist for more than a week without improvement, or if they worsen, it is advisable to consult a healthcare professional. Signs that warrant immediate medical attention include:
- Severe pain that does not improve with over-the-counter pain relief.

- Significant swelling around the jaw or face.

- Inability to open your mouth or close it completely.

- Symptoms that interfere with daily activities, such as eating or speaking.


Self-Care Strategies
In the meantime, there are several strategies you can employ to alleviate discomfort:
1. Heat Therapy: Applying a warm compress to the jaw can help relax the muscles and reduce pain.

2. Gentle Jaw Exercises: Performing gentle stretching exercises can help improve mobility and reduce stiffness.

3. Avoid Hard Foods: Stick to softer foods to minimize strain on the jaw.

4. Stress Management: Techniques such as meditation, deep breathing, or yoga can help reduce overall tension, which may alleviate TMJ symptoms.

5. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.


Professional Treatment Options
If self-care measures do not provide relief, a healthcare provider may recommend:
- Physical Therapy: A physical therapist can provide exercises and modalities to improve jaw function.

- Dental Splints or Night Guards: These can help prevent teeth grinding and reduce strain on the TMJ.

- Medications: Muscle relaxants or anti-inflammatory medications may be prescribed to alleviate pain and reduce inflammation.

- Injections: In some cases, corticosteroid injections into the joint may be considered for severe inflammation.

In summary, while your symptoms may indicate a TMJ disorder, it is essential to monitor your condition closely. If pain persists or worsens, seeking professional evaluation is crucial for appropriate management. Meanwhile, employing self-care strategies can help ease your discomfort and promote recovery.

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