TMJ Disorders: Symptoms and Concerns for Teens - Dentistry

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Temporomandibular joint (TMJ)


When I open my mouth wide, I hear a sound on the right side.
When I close my mouth and lightly bite my teeth together, there is also a sound.
Additionally, when I press on the area of my masseter muscle, it feels a bit sore.
So far, I am only experiencing the sound and soreness.
Could this be a temporomandibular joint (TMJ) disorder? I am only 15 years old...
I'm also unsure if my slight misalignment is causing my jaw to be a little crooked, as one side of my face appears slightly larger than the other.
It's not very noticeable, but upon closer inspection, it is still apparent.

Xiao Ming, 10~19 year old female. Ask Date: 2015/08/21

Dr. Huang Zhicheng reply Dentistry


Dear Xiao Ming,
Hello.
The sound when opening and closing your mouth is due to the displacement of the articular disc in the temporomandibular joint (TMJ).
Sometimes, unilateral chewing, nighttime bruxism, or stress from schoolwork can lead to muscle tension and pain, causing the articular disc to dislocate anteriorly.
Since you are still young, it may be beneficial to seek a diagnosis at the clinic.
Appropriate medication (oral or topical) and the use of an occlusal splint can lead to a quick recovery.
Wishing you peace and health.
Sincerely,
Dr.
Huang Chih-Cheng
Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/08/21

More Info


TMJ (temporomandibular joint) disorders are a common issue, especially among adolescents, and can manifest through various symptoms. Based on your description, it seems you may indeed be experiencing symptoms associated with TMJ disorders. The sounds you hear when opening your mouth or lightly biting down, along with the tenderness in your chewing muscles, are typical indicators of this condition.

TMJ disorders can arise from several factors, including jaw alignment issues (malocclusion), teeth grinding (bruxism), or even stress, which can lead to muscle tension. In your case, you mentioned a slight misalignment of your jaw and facial asymmetry, which could contribute to the discomfort and sounds you're experiencing. It's not uncommon for teenagers to have these issues as their bodies are still developing, and changes in jaw structure can occur during growth spurts.

The symptoms of TMJ disorders can include:
1. Pain or tenderness in the jaw, neck, or shoulders.

2. Clicking or popping sounds when moving the jaw.

3. Difficulty or discomfort when opening or closing the mouth.

4. Swelling on the side of the face.

5. Locking of the jaw in an open or closed position.

Given that you are experiencing pain and sounds in your jaw, it would be wise to consult with a healthcare professional, such as a dentist or an oral and maxillofacial specialist. They can perform a thorough examination, which may include imaging studies, to assess the condition of your TMJ and determine the best course of action.

In terms of treatment, options may include:
- Physical therapy: Exercises to strengthen the jaw muscles and improve flexibility.

- Pain management: Over-the-counter pain relievers or anti-inflammatory medications can help alleviate discomfort.

- Stress management techniques: Since stress can exacerbate TMJ symptoms, practices such as mindfulness, yoga, or relaxation exercises may be beneficial.

- Dental interventions: If misalignment is a significant factor, your dentist may recommend orthodontic treatment or a dental splint to help realign your bite and reduce strain on the TMJ.

It's important to address these symptoms early, as untreated TMJ disorders can lead to chronic pain and further complications. Additionally, since you are still growing, your jaw and teeth alignment may change, which could either improve or worsen your symptoms over time.

In conclusion, while your symptoms do suggest a TMJ disorder, a professional evaluation is essential for an accurate diagnosis and appropriate treatment plan. Don't hesitate to seek help; managing these symptoms early can lead to better outcomes and improved quality of life.

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