Problems with your jaw can literally be felt from head to toe. Yet, temporomandibular disorders are often misdiagnosed, dismissed as “all in your head,” or symptoms masked with pain killing medications. The dentists at Pasadena Prosthodontics and General Dentistry in Pasadena, CA take your discomfort seriously. They use leading edge technologies for accurate diagnosis and recommend treatment techniques that get to the source of the problem.
Causes of TMJ disorders
Many factors, from sudden trauma to genetics, may result in dysfunction of this complex joint. However, one of the most common causes of TMD is loss of a molar. When there is deep decay or damage to a back tooth during youth, many people choose extraction since they feel the gap won’t show. This may be true, but impact on the smile, oral health, and the body can be far-reaching. Lack of posterior teeth allows other teeth to shift, creating imbalance in the bite and premature dental wear. Jaw joints become inflamed, putting pressure on the fifth cranial or trigeminal nerve, which controls motor functions of the mouth. You may simply have a stiff jaw with limited mobility, or pain when chewing. Some TMD patients have facial swelling and earaches, as well. The trickle-down effect of a problem with these critical joints can result in headaches and migraines; neck, shoulder, and back pain; and even problems with hips, knees, and ankles.
Real results
While over-the-counter or prescription analgesics may temporarily relieve symptoms, Dr. Marchack takes a dental approach for long-term improvement. Here are a few of the techniques he may employ:
- Digital diagnostics to assess occlusion (how upper and lower teeth come together), alignment, and health of hard and soft tissues in the joint.
- Replacement of missing teeth with dental implants, bridges, or dentures.
- Adjustment or replacement of ill-fitting dental restorations.
- Referral to an orthodontist for significant bite adjustment.
- Oral appliance therapy to reduce bruxism (nighttime clenching and grinding), reposition bite, and reduce strain on the joint.
TMJ Disorders FAQs
What is a TMJ disorder?
A TMJ disorder affects the temporomandibular joint—the hinge connecting your jaw to your skull. This joint allows your jaw to move smoothly when talking, chewing, or yawning. When the joint or surrounding muscles aren’t working correctly, it can lead to pain, limited motion, popping, or clicking sounds. TMJ disorders can range from mild irritation to chronic discomfort that affects daily life.
What are the signs and symptoms of a TMJ disorder?
Symptoms vary but often include jaw pain or tenderness, headaches, earaches, or a feeling of tightness around the jaw and neck. You may notice grating, popping, or clicking noises when opening or closing your mouth. Some people experience difficulty chewing or a jaw that occasionally locks in place. Others may feel that their bite doesn’t fit together properly, making everyday tasks uncomfortable.
What can cause TMJ problems?
There’s no single cause. Common contributors include jaw injuries, teeth grinding or clenching, arthritis in the jaw joint, misaligned teeth or bite, and even stress, which can tighten muscles around the jaw. Missing teeth or poorly fitted dental work can also place uneven pressure on the joint, triggering symptoms over time.
How is a TMJ disorder diagnosed?
Diagnosis starts with thoroughly reviewing your dental and medical history, followed by a careful physical exam. Dr. Marchack checks jaw movement, bite alignment, and muscle tenderness. Imaging tools, such as X-rays or digital scans, may be used to examine the structure of the joint and surrounding tissues. This comprehensive approach ensures a precise diagnosis and helps determine the most effective treatment plan.
What treatment options are available?
Treatment depends on the severity and underlying cause. Non-invasive options often include oral appliances, such as nightguards or splints, to reduce teeth grinding and ease pressure on the jaw. Physical therapy exercises can improve strength and mobility. Pain-relief medications or anti-inflammatory drugs may be recommended. In addition, stress management and relaxation techniques can help reduce jaw tension. In rare cases, surgical interventions may be considered to correct structural problems.
Can missing teeth lead to TMJ issues?
Yes. When teeth are missing, especially molars, the balance of your bite can be disrupted. This uneven pressure forces the jaw joint to compensate, which can strain muscles and connective tissues over time. Restoring missing teeth with crowns, bridges, or implants can help reduce the strain and improve overall jaw function.
How does Dr. Marchack treat TMJ disorders?
Dr. Marchack creates individualized treatment plans tailored to each patient. He evaluates bite alignment, jaw motion, and muscle function, then recommends therapies that address the root cause of the disorder. From custom oral appliances to gentle physical therapy and long-term bite management strategies, his goal is to relieve pain, restore comfort, and improve daily jaw function.
Are there lifestyle changes that can help?
Yes, simple adjustments can ease symptoms. Avoid hard, chewy, or sticky foods, practice jaw relaxation exercises, and maintain good posture to reduce stress on the neck and jaw. Applying warm or cold compresses can relieve discomfort, and being mindful to avoid clenching or grinding your teeth can prevent worsening symptoms.
Is a TMJ disorder permanent?
Not necessarily. Many people experience significant improvement with proper care and habit changes. Some may need ongoing maintenance or therapy to keep symptoms under control, but most achieve lasting relief and return to normal jaw function.
How do I schedule a consultation with Dr. Marchack?
If you are experiencing jaw pain, clicking, or difficulty chewing, schedule a consultation at Pasadena Prosthodontics. Dr. Marchack and his team provide personalized evaluations and treatment plans designed to restore comfort, improve jaw function, and help you enjoy everyday activities without pain or restriction.
Are you ready to stop treating symptoms and start resolving the cause of your temporomandibular disorders? Call 855.770.3737 in Pasadena, CA to schedule a consultation.
