Unlocking TMJ

Carla Yamashiro, DDS • October 25, 2023

TMD (temporomandibular dysfunction) is a condition that affects the TMJ (temporomandibular joint) or jaw joint and the muscles controlling its movement. In the non-dental language, when people have TMD, they call it TMJ so we will be referring to TMD as TMJ for the remainder of this article. TMJ is a complex disorder with a variety of symptoms that can impact your daily life. The symptoms of TMJ can often include:


Jaw pain or discomfort: This pain or discomfort is different for everyone and can range from feeling of tightness to an intense pain around the jaw joint and nearby areas. TMJ can reduce one’s ability to chew hard foods. TMJ is also related to teeth grinding and causes flattening of the teeth, chipping, fractured teeth and gum recession with subsequent notching of the roots of teeth.


Headaches and migraines: TMJ can trigger headaches that often radiate from the jaw to muscles of the head, shoulder, and neck.


Popping or clicking sounds of TMJ: Some individuals may experience these sounds when opening and closing their mouth. The disc between the joint may become trapped and snaps back into place; hence the pop or clicking sound as one opens or closes their mouth.


Crepitus of the TMJ: Some individuals experience a sort of grinding; bone on bone sound when opening and closing their mouth. In this case it is likely that the disc has been perforated. What sounds like bone on bone, really is bone on bone sounds.


Limited jaw movement or locked jaw: A poor functioning jaw joint can cause TMJ, limiting the mobility of the joint which can affect speaking, eating, and even breathing.


Ear-related issues: TMJ may lead to sensations of fullness, ringing in the ears (tinnitus), or earaches.


Causes of TMJ

While the exact causes can vary from person to person, some common factors can contribute to TMJ.


A dysfunctional occlusion (bite) causing dental misalignment: Irregularities in dental and jaw alignment can impact the functioning of the jaw joint.


Stress and tension: Emotional and physical stress can lead to clenching and grinding of the teeth as well as tightness in the muscles placing strain on the jaw joint.


Poor posture: Incorrect posture can affect the alignment of the jaw and contribute to TMJ symptoms.


Inflammation: Conditions like arthritis can lead to inflammation and degradation of the joint complex.


Treatments for TMJ

Discovering the root causes of TMJ can provide lasting relief when treated. Our holistic approach to treating TMJ embraces natural methods to alleviate pain and restore balance.


Mindfulness and relaxation techniques: Stress management can play a crucial role in TMJ care. Relaxation techniques may help to reduce stress and tension.


Gentle jaw exercises: Targeted exercises can improve jaw mobility, strengthen muscles, and promote proper alignment. Massage therapy by a professional who has learned the techniques of massage in this complex area can be of great benefit.


Nutritional guidance: Balanced diet rich in anti-inflammatory foods can contribute to reducing TMJ-related inflammation.


Posture correction: Addressing posture-related issues can contribute to a healthier jaw alignment. Chiropractic care can help with correcting posture and may improve jaw alignment.


What Can a Dentist Do for My TMJ?

There are a variety of non-invasive treatments offered by dentists. Dental orthotics can help TMJ pain by decompressing the joint allowing it the much-needed relief to heal. When a person doesn’t have arch support in their feet, they use an orthotic to help support the arch. In a similar way, a dental orthotic can support the jaw joint and relieve stress on the jaw joint from teeth grinding and a dysfunctional occlusion (bite).


Although dental orthotics look like nightguards, they are not the same. While nightguards can serve as a bandage solution for teeth-to-teeth grinding and wear, it doesn’t address the TMJ itself. Nightguards may also inhibit the airway making it more difficult to breathe.


Unlock the mysteries of TMJ with a comprehensive assessment including the TMJ complex, occlusion (bite), and upper airway.


Dr. Carla Yamashiro is the principal Integrative Biological Dentist at Ecologic Dentistry located in Bonney Lake, WA. Please visit ecologicdentistry.com for more information.


*Disclaimer This article is intended for informational purposes only and should not be considered a substitute for professional medical and dental advice. Please consult with Dr. Carla Yamashiro or a qualified healthcare provider for personalized guidance on your specific condition.*

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