by Dr. Janhavi Rane, DDS, President and CEO, Rane’s Dental

Temporomandibular Joint Disorder, or TMD for short, is a condition involving the joints,muscles, nerves and teeth involved with jaw movement. It could be related to one or all components. When not working in sync, or if the chewing system is not properly aligned, many signs of discomfort and potentially painful symptoms may result for patients. For some people it may be a trigger for their migraine headaches.

The temporomandibular joint is the complex hinge that joins your lower jaw and skull together. It works similarly to a ball and socket, but also has the unique ability to glide forward via a series of muscles, ligaments, and fibrous tissues all working together.

Many factors can contribute to the development of TMD, including misalignment of the jaw and the way teeth touch, tooth clenching or grinding, arthritis, and posture issues. Anxiety and stress have also been shown to be related to TMD issues.

These factors may lead to inflammation of the joint and/or surrounding tissues, oftentimes triggering the connected pain receptors throughout the head, neck and face. Common symptoms include jaw pain or soreness extending through the face and neck, jaw clicking or popping, restricted jaw movement or locking, sensitive teeth, loose teeth, irregular or excessive tooth wear, earaches, and headaches, amongst others.

The wide range of possible resulting symptoms is what has historically made correctly diagnosing TMD challenging. If your doctor or dentist suspects TMD might be an issue, they will perform a thorough physical examination of the area and overall chewing system evaluating your jaw movement and noting any related tenderness or discomfort.

Oftentimes they will also take diagnostic images to aid the fact-finding process. There are a variety of treatments available to assist with properly diagnosing and alleviating some or all TMD discomfort, depending on the nature and severity of the issues causing it. It is important to work closely with your doctor or dentist to create a treatment plan that best meets your unique needs.

Temporomandibular joint (TMJ) syndrome often responds to home remedies, including ice packs to the joint, over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), avoiding chewing gum, massage or gentle stretches of the jaw and neck, and stress reduction.

When home treatment does not work, medical treatment for temporomandibular joint (TMJ) syndrome includes dental splints (occlusal guards), Botox injections, physical therapy, prescription medications, and in severe cases, surgery.

The prognosis for TMJ syndrome is generally good as the disorder can usually be managed with self-care and home remedies. Please call our main office at 609-275-1777 for a TMJ disorder consult so that we can help diagnose and treat the issue accordingly.

Rane’s Exclusively Yours Dental, is our parent office providing mainstream general, cosmetic dentistry, Invisalign (the invisible braces), and sedation dentistry for children and adults. Rane’s Dental Aesthetics, right across in the Plainsboro Village Center, is our specialty location providing orthodontics, periodontics, implants and advanced cosmetic dentistry.

Rane’s Exclusively Yours Dental (Main Office), Plainsboro Shopping Center (Beside Romeos Restaurant), 10 Schalks Crossing Road, Plainsboro. 609-275-1777. www.ranesdental.com

Rane’s Dental Aesthetics (Orthodontic and Periodontics), New Plainsboro Village (Beside 1st Constitution Bank), 11 Schalks Crossing Road, Plainsboro. 609-750-1666. www.ranesorthoperio.com

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