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What is
Orthodontics ?
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Symptoms of TMD
TMJ disorders have been
called the "Great Impostors" due to the fact
that many of the symptoms have overlapping
characteristics, which often mimic other
conditions. Because these symptoms masquerade
so many other conditions, many people travel
from medical doctor to medical specialist in
search of a cure. Most patients never think to
contact a dentist since the symptoms are
primarily medical in nature.
TMJ symptoms may include any of the following:
- Headaches
- Earaches, congestion or ringing in the
ears
- Clicking, popping or grating sounds when
opening and closing the mouth
- Limited jaw opening or locking
- Neck pain or stiffness
- Dizziness and fainting
- Pain when chewing
- Facial pain
- Difficulty closing the teeth together
- Tired jaws when chewing
- Numbness in hands
- Difficulty in swallowing
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Also see:
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farid@drfarid.com
613-216-2016
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Signs that you may have a TMJ problem:
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Clenching and grinding of the teeth (bruxism) is
a common sign of TMJ disorder. The clenching and
grinding of the teeth put additional stress on
already tired, overworked muscles and can result
in pain being referred to the head, neck, face,
shoulder or back.
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Headaches are one of the most common complaints
of TMJ sufferers and these headaches are
frequently so severe they can be confused with
migraine headaches. TMJ headaches are most often
felt in the temple area, behind the eyes and at
the back of the head with pain radiating to the
neck and shoulders. Migraine headaches are
mainly on one side with the patient suffering
from visual disturbances and being extremely
sensitive to light. The treatment for migraine
headaches is much different from headaches
caused by dislocated joints.
If you suspect a migraine headache, then a
referral should be made to a neurologist. If the
TMJ (jaw joint) is the problem, a referral
should be made to a dentist or dental specialist
with training in the diagnosis and treatment of
these disorders.
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One of the most common signs of a TMJ problem is
a jaw joint making noise such as clicking,
popping or grating sounds. This clicking sound
occurs when the condyle (top of the lower jaw)
moves forward when the patient opens the mouth
and the condyle slips on and off the dislocated
disc. The grating sound, called crepitus, is the
sound of bone rubbing on bone and occurs later
on when the dislocated discs become completely
deformed. The purpose of the disc is to act like
a protective cushion between the two bones of
the lower jaw (condyle) and the skull (glenoid
fossa). When the protective disc is permanently
dislocated or distorted, the two bones contact
each other and this causes loud noises, which
are referred to as crepitus.
Another sign of TM joint dysfunction occurs when
the jaw either locks open or closed. Our
objective in the treatment of TMJ disorders is
to try and correct the problem of the dislocated
disc early when the jaw is clicking and not wait
until the later stages when the grating sound is
louder and the patient may experience an
extremely painful situation if the jaw locks
open or closed.
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If the patient suffers from ear pain, ringing or
buzzing in the ears, fullness or a stuffy
feeling without any ear infection, then this
could be related to a structural problem within
the TM joint. Other symptoms include a loss of
hearing, dizziness and loss of balance. If the
condyle is too far back and the disc dislocated
forward, this can cause some of the muscles of
mastication to go into spasm which can cause any
of the symptoms as mentioned above. If your
medical doctor or ENT (ear, nose and throat)
specialist can find no apparent reason for the
ear problems, these patients should be referred
to a dentist with training in the diagnosis and
treatment of patients with these problems.
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Sleep disturbances are common in patients
suffering from dislocated jaw joints. The brain
frequently does not allow the patient to reach
the deep stages of sleep and they are awakened
many times during the night. The patient does
not awaken feeling well rested and refreshed,
but rather they often feel tired and listless
with an obvious lack of energy to face the new
day. Often, the reason the patient cannot sleep
is that they are awakened due to the pain they
are suffering from severe muscle contractions,
muscle spasms and trigger points caused by the
dislocated jaw joints or clenching and bruxing
habits.
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Depression is another common sign of patients
who suffer from TM joint dysfunction for an
extended period of time. These patients suffer
constantly from chronic pain with no obvious
solution in sight. Depression is a problem for
both the medical and dental profession to try
and solve. If the pain is originating from a
tumor (very rare), an infection, systemic
disease, nutritional deficiency, allergies or
traumatic injuries, then the medical profession
should be consulted. However, if the problem is
a dislocated jaw or clenching or grinding habits
causing TM joint pain, a properly trained member
of the dental profession should be involved in
the diagnosis and treatment.
If you have any of the above symptoms, you could
possibly have a problem with your jaw (TMJ).
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