Temporomandibular Joint Disorders in Teens: Symptoms and Solutions - Dentistry

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Is it temporomandibular joint disorder (TMJ disorder)?


Hello, Doctor! Last year, I noticed that when I eat, my left jaw joint makes a clicking sound, and after chewing for a while, it feels sore but not painful.
I have difficulty opening my mouth smoothly and often need to adjust it, and I can only fit three fingers into my mouth.
I'm not sure if I have temporomandibular joint disorder (TMJ).
I also have missing teeth and have been playing a wind instrument for a year now.
I'm 14 years old; would it be appropriate for me to wear a bite splint? If these symptoms require further examination, should I see a dentist?

An An, 10~19 year old female. Ask Date: 2016/03/11

Dr. Huang Zhicheng reply Dentistry


Hello, you have a temporomandibular joint (TMJ) disorder, with dislocation of the articular disc on the left side, causing interference with the movement of the mandible, resulting in clicking sounds.
Wearing an occlusal splint should be effective; please consult a dentist for this.
Wishing you safety and good health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Ministry of Health and Welfare.

Reply Date: 2016/03/11

More Info


Temporomandibular Joint Disorders (TMJ disorders) are increasingly recognized in adolescents, particularly among those who engage in activities that place stress on the jaw, such as playing wind instruments. Your symptoms, including the clicking sound in your left jaw joint, difficulty fully opening your mouth, and discomfort after chewing, are indicative of potential TMJ issues.
TMJ disorders can manifest in various ways, including:
1. Clicking or popping sounds: This is often due to the displacement of the disc within the joint.

2. Jaw pain or discomfort: While you mentioned not experiencing pain, discomfort or a feeling of tightness is common.

3. Limited range of motion: Difficulty in fully opening your mouth, as you described, is a classic symptom.

4. Muscle soreness: This can occur due to overuse or strain from activities like playing a musical instrument.

Given your age and the activities you are involved in, it is essential to address these symptoms early on. The presence of missing teeth can also contribute to TMJ issues, as it can alter your bite and the way your jaw functions.


Solutions and Recommendations:
1. Consult a Dentist: The first step is to consult a dentist, preferably one who specializes in TMJ disorders or orofacial pain. They can perform a thorough examination, which may include checking your bite, jaw movement, and any signs of wear on your teeth. They may also take X-rays or other imaging studies to assess the joint's condition.

2. Occlusal Splint (Bite Guard): Based on your symptoms, wearing an occlusal splint or bite guard may be beneficial. This device can help to alleviate pressure on the jaw joint, reduce grinding or clenching (if present), and promote proper alignment of the jaw. It is particularly useful for individuals who play wind instruments, as it can help mitigate the strain on the jaw muscles.

3. Physical Therapy: In some cases, physical therapy may be recommended to strengthen the muscles around the jaw and improve flexibility. Techniques may include exercises, heat or cold therapy, and manual therapy.

4. Pain Management: If you experience discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen may help. However, it’s essential to consult with a healthcare provider before starting any medication.

5. Behavioral Modifications: Reducing stress and avoiding activities that exacerbate your symptoms can also be beneficial. This includes being mindful of jaw clenching or grinding, especially during stressful situations.

6. Follow-Up: Regular follow-ups with your dentist or healthcare provider are crucial to monitor your condition and adjust your treatment plan as necessary.


Conclusion:
TMJ disorders can significantly impact quality of life, especially in adolescents who are active in sports or music. Early intervention is key to preventing further complications. By consulting with a dental professional and considering the use of a bite guard, you can take proactive steps to manage your symptoms effectively. Remember, it’s essential to communicate openly with your healthcare provider about all your symptoms and concerns to receive the best possible care.

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