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The letters T.M.J are an abbreviation of Temporo-Mandibular
Joint, which is the joint between your lower jaw and skull . Movement
in this joint enables you to open and close your mouth and chew
from side to side .
TMJ pain effects up to 1 in 4 people both men
and women are affected equally although more women tend to seek
treatment more often than men. The problem can arise from having
imperfect occlusion and missing teeth. Most occasions peoples mouths
automatically adjust to their problems. Occasionally, in times of
increased stress and tension , the symptoms may occur and then go
away immediately.
Clenching and grinding your teeth ( most people
are not aware that they do this .) This maybe related to anxiety
.
Waking up in the morning with an awareness / tenderness
about your teeth and jaws, as if you had been clenching or grinding
them in your sleep .
Chronic headaches, or chronic head , neck, and
shoulder pain .
Recurring pain or discomfort on the side of your
face around your ears or jaw joints .
Clicking or difficulty moving jaw joints
loss of back teeth, which may lead to your bite
becoming unbalanced.
The symptoms are sometimes collectively referred
to as the T.M.J Syndrome.
If your dentist suspects that your problems are
due to an incorrect bite, he may help to diagnose the problem by
supplying a hard plastic appliance that fits over your upper or
lower teeth. This appliance needs to be measured and fitted very
accurately so that when you bite on it , all your teeth meet exactly
at the same time in a position where your muscles are relaxed. You
may have to wear this all the time or just at night. In simple cases
you may not need to wear an appliance.
If the appliance relieves your symptoms then your
bite will need to be corrected permanently. This can be done by:
Your teeth may need to be carefully adjusted to
meet evenly. Changing the direction and position of the slopes that
guide your teeth together can often help reposition the jaw.
The joint needs equal support from both sides
of both jaws. Missing teeth may need to be replaced with either
a partial denture or bridgework. Replacement is not usually carried
out until a diagnosis has been confirmed by use of an appliance
and the symptoms fully relieved. Relief in some patients is instant
, in others it can take a long time.
As with any joint pain, reduced stress, i.e. soft
diet, corrective exercises and external heat can be useful in certain
cases.
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