Temporomandibular joint (TMJ)
I am currently experiencing pain in my temporomandibular joint (TMJ), and at times, I have difficulty opening my mouth.
I had an X-ray taken, and there was no damage to the joint.
The clinic mentioned that my deep bite combined with high stress levels could be contributing factors.
They suggested using an orthodontic appliance to reposition my lower teeth, which are covered by my upper teeth.
Will this be helpful?
Siqi, 20~29 year old female. Ask Date: 2015/07/11
Dr. Huang Zhicheng reply Dentistry
Dear Siqi,
Hello.
Temporomandibular joint (TMJ) disorders are related to malocclusion.
If pharmacological treatment is ineffective, we should start with functional occlusal therapy, such as a flat occlusal splint, and once the symptoms subside, we can evaluate whether to use some functional appliances for correction.
However, if the articular disc is displaced anteriorly and the mouth cannot open, using these appliances (orthodontic devices) prematurely may worsen the symptoms.
Wishing you safety and health.
Sincerely,
Dr.
Huang Chih-Cheng
Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare
Reply Date: 2015/07/11
More Info
TMJ (temporomandibular joint) pain can be a complex issue, often resulting from a combination of factors including dental alignment, muscle tension, and stress. Your description of experiencing pain and difficulty opening your mouth suggests that you may be dealing with a condition known as temporomandibular disorder (TMD). This condition can be exacerbated by factors such as deep bite, which is when the upper teeth significantly overlap the lower teeth, and stress, which can lead to muscle tension and clenching of the jaw.
Orthodontic treatment can indeed be beneficial for TMJ pain, especially if your dentist has identified that your deep bite is contributing to your symptoms. By using orthodontic appliances, such as braces or aligners, the goal is to realign your teeth and jaw to achieve a more balanced bite. This can help alleviate the pressure on the TMJ and surrounding muscles, potentially reducing pain and improving function.
Here are some ways orthodontic treatment may help with TMJ pain:
1. Realignment of Teeth: Orthodontic treatment can correct misalignments that contribute to an improper bite. By aligning the teeth properly, the forces exerted on the jaw joint can be distributed more evenly, which may help reduce strain and discomfort.
2. Reduction of Muscle Tension: A proper bite can help relax the muscles around the jaw. When the teeth fit together correctly, it can minimize the need for the jaw muscles to work harder, which can lead to less tension and pain.
3. Improved Jaw Function: By correcting the alignment of the teeth and jaw, orthodontic treatment can improve overall jaw function. This may help with issues like limited mouth opening and clicking or popping sounds in the jaw.
4. Long-term Relief: While orthodontic treatment may take time, the long-term benefits of a corrected bite can lead to sustained relief from TMJ pain and discomfort.
However, it is important to note that orthodontic treatment is not a one-size-fits-all solution. It is essential to have a comprehensive evaluation by an orthodontist or a dentist who specializes in TMD to determine the best course of action for your specific situation. They may also recommend additional treatments such as physical therapy, stress management techniques, or the use of a night guard to help alleviate symptoms.
Regarding your concern about the use of an orthodontic appliance to cover the lower teeth with the upper teeth, this approach can help in some cases by preventing the lower teeth from coming into contact with the upper teeth in a way that exacerbates the deep bite. However, the effectiveness of this treatment will depend on the specifics of your dental alignment and the severity of your TMJ symptoms.
In conclusion, orthodontic treatment can be a valuable part of managing TMJ pain, particularly when related to dental misalignment. It is crucial to work closely with your dental care team to develop a tailored treatment plan that addresses your unique needs and symptoms. Additionally, consider exploring other supportive therapies such as stress management, physical therapy, or even counseling if stress is a significant factor in your TMJ pain.
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