Temporomandibular joint disorder (TMJ disorder)
I have noticed a clicking sound in my jaw when I bite down for the past three years.
I consulted a doctor who mentioned that it could be due to debris in the jaw joint and advised me to avoid tough foods and not to open my mouth too wide; otherwise, surgery might be necessary.
I recently read an article suggesting that unexplained tinnitus could be related to issues with the jaw muscles and the temporomandibular joint (TMJ) (http://www.ebcbuzz.com/watch/23958).
I would like to ask, if I choose not to undergo surgery: 1.
Will my symptoms worsen over time? 2.
Could this eventually lead to hearing loss? 3.
If I continue to delay treatment, what might happen? Please provide a detailed response.
Thank you.
jaha, 10~19 year old female. Ask Date: 2016/01/30
Dr. Huang Zhicheng reply Dentistry
Hello: The clicking sound in the temporomandibular joint (TMJ) is due to the anterior displacement of the articular disc located above the joint.
As the TMJ moves, it can catch and rub against the displaced disc, resulting in the sound.
Symptoms may vary depending on the severity of the displacement; if the condyle cannot glide down properly, it can lead to limited mouth opening, allowing only a small gap.
This condition is unrelated to hearing but may cause tinnitus due to the tension in the masticatory muscles affecting the Eustachian tube.
If left untreated, it may lead to locking of the jaw or progression to osteoarthritis, resulting in pain while chewing.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2016/01/30
More Info
Temporomandibular Joint Disorders (TMJ disorders) are a group of conditions that affect the jaw joint and the surrounding muscles. These disorders can lead to a variety of symptoms, including jaw pain, clicking or popping sounds when moving the jaw, and even headaches or ear-related issues such as tinnitus (ringing in the ears). Your experience of hearing a clicking sound when you bite down is a common symptom associated with TMJ disorders.
1. Will my symptoms worsen if I don't have surgery?
The progression of TMJ disorders can vary significantly from person to person. In some cases, symptoms may remain stable or even improve over time, especially with conservative management strategies. However, in other cases, if left untreated, symptoms can worsen. Factors that can contribute to worsening symptoms include stress, teeth grinding (bruxism), and poor jaw alignment. It is essential to manage these factors proactively. Non-surgical treatments such as physical therapy, dental splints, and lifestyle modifications (like avoiding hard foods and practicing relaxation techniques) can help alleviate symptoms and prevent further deterioration.
2. Will this lead to hearing loss?
While TMJ disorders can cause ear-related symptoms, including tinnitus, they do not typically lead to permanent hearing loss. However, the close anatomical relationship between the jaw joint and the structures of the ear means that inflammation or dysfunction in the TMJ can sometimes affect ear function. If you experience persistent ear symptoms, it is crucial to consult with an ear, nose, and throat (ENT) specialist to rule out other potential causes of hearing loss or ear issues.
3. What happens if I continue to delay treatment?
Delaying treatment for TMJ disorders can lead to increased pain and discomfort, reduced jaw mobility, and a higher likelihood of developing chronic symptoms. In some cases, untreated TMJ disorders can lead to secondary issues, such as headaches, neck pain, and even changes in dental alignment due to altered bite mechanics. Additionally, chronic pain can significantly impact your quality of life, leading to difficulties in eating, speaking, and performing daily activities.
In summary, while surgery is an option for severe cases of TMJ disorders, many individuals find relief through conservative management strategies. It is advisable to work closely with a healthcare provider, such as a dentist specializing in TMJ disorders or a physical therapist, to develop a personalized treatment plan. Regular follow-ups can help monitor your condition and adjust your treatment as necessary. If you have concerns about your symptoms or their progression, do not hesitate to seek further evaluation and support.
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