Do you wake up in the morning with sore jaws? When you bite, do you feel like your jaw is lopsided? If so, then you may need an occlusal adjustment. An occlusal adjustment corrects the alignment of the bite resulting from loose, shifting, crowded, or missing teeth. The result is an evenly distributed bite that eliminates irregular pressure on one side of the mouth.
Once your bite is adjusted, your teeth will meet properly. Occlusal adjustment is a common TMJ treatment in our Galveston, TX office, addressing pain from damaged temporomandibular joints and restoring the comfort of the smile. Our office also provides general, cosmetic, and restorative dentistry treatments and services.
TMJ Treatment in Galveston, TX
Occlusal adjustment causes minimal pain and only a little discomfort. The adjustment is made using a dental drill using a fine filing stone. In addition to the actual adjustment, removal mouthpieces are utilized to protect the tooth surface and relax the jaw muscles once the adjustment is completed.
Who is a good candidate for an occlusal adjustment?
Patients with loose or shifting teeth will many times not meet correctly. Patients, who grind or clench their teeth, will have an uneven bite and pressure distribution in the mouth, which is also corrected through an occlusal adjustment. Sometimes tooth sensitivity can be corrected through an occlusal adjustment as the treatment reduces pressure on the sensitive tooth.
New technology allows dentists to identify the areas which need adjustments accurately. The dentist utilizes a computer scan of the mouth, which records hundreds of bite registrations per minute, and notes even the slightest irregularity. That data allows the dentist to make the necessary adjustments, ensuring a well-aligned bite and minimal tooth wear.
TMJ Causes
The causes of TMJ disorders are varied, and understanding these causes can help with effective treatment.
Jaw Injury
One of the most common causes of TMJ disorders is injury to the jaw. A blow to the face from a car accident, sports injury, or even a fall can damage the TMJ or the muscles around it. This injury can cause the jaw to become misaligned, swollen, or stiff, making it difficult to move it properly. If the TMJ becomes dislocated or damaged, it may not function well, leading to ongoing discomfort or pain when opening and closing the mouth.
Teeth Grinding and Jaw Clenching (Bruxism)
Teeth grinding, or bruxism, is another leading cause of TMJ disorders. People often grind their teeth or clench their jaws when stressed, anxious, or even focused on a task. This pressure can strain the muscles around the TMJ, causing inflammation and pain. In many cases, bruxism happens at night when the person is asleep, so they may not even be aware that they are doing it. Over time, the constant force from grinding or clenching can cause significant damage to the TMJ, leading to long-term issues.
Arthritis
Arthritis is a condition that can affect joints throughout the body, including the TMJ. The two most common types of arthritis that impact the TMJ are osteoarthritis and rheumatoid arthritis. Osteoarthritis causes the cartilage in the joint to wear down over time, resulting in pain, stiffness, and limited movement. Rheumatoid arthritis is an autoimmune disease in which the body’s immune system attacks the joints, including the TMJ. Both types of arthritis can lead to inflammation, discomfort, and damage to the TMJ.
Jaw Misalignment
Misalignment of the teeth, or malocclusion, can contribute to TMJ disorders. When the teeth don’t align properly, it creates uneven pressure on the TMJ. Over time, this extra pressure can strain the joint and lead to pain. Misalignment can occur for various reasons, including crooked teeth, overcrowded teeth, or missing teeth. This imbalance in the bite can force the jaw to compensate, putting stress on the TMJ, which may result in discomfort or dysfunction.
Poor Posture
Your posture plays a key role in how your body feels, including the health of your TMJ. Poor posture, especially from sitting at a desk for long periods or slouching, can lead to muscle tension in the neck and shoulders. This tension can travel to the jaw, causing TMJ pain. Holding your head in an awkward position or straining your neck muscles places additional stress on the jaw joint, potentially leading to discomfort over time. Maintaining good posture and being mindful of body position can help reduce the risk of TMJ disorders.
Stress
Stress is a major factor that contributes to the development and worsening of TMJ disorders. When people are under stress, they may unconsciously clench their teeth or tighten the muscles in their jaw. This constant tension can lead to pain and discomfort in the TMJ. In addition, stress can make a person more sensitive to pain, meaning TMJ symptoms may feel more intense during stressful times. Managing stress through relaxation techniques and exercise can help reduce the impact of stress on the TMJ and alleviate symptoms.
Genetics
Genetics can also play a role in the development of TMJ disorders. Some people may inherit traits that make them more prone to jaw problems, such as weaker TMJ structures or a tendency to grind their teeth. If other members of your family have experienced TMJ issues, you may have an increased risk of developing similar problems. While genetics can influence the likelihood of TMJ disorders, environmental factors such as stress or injury also contribute to the condition.
Signs and Symptoms of TMJ
TMJ disorders (TMD) affect millions of people, but recognizing the signs early can help you seek treatment and prevent further complications.
Jaw Pain or Tenderness
One of the most common symptoms of TMJ disorders is pain or tenderness in the jaw. This pain is usually felt around the joint but can also radiate to the cheeks, neck, or shoulders. The discomfort may be constant or occur only during certain activities, such as eating, speaking, or yawning. If jaw pain persists or worsens over time, it could indicate a TMJ issue that requires professional attention.
Difficulty Opening or Closing the Mouth
Another key sign of TMJ disorders is difficulty opening or closing the mouth. This can feel like the jaw is “stuck” or “locked” in place, a condition known as jaw locking. Sometimes, the jaw may temporarily get stuck in an open or closed position, making it difficult to move naturally. This symptom can be alarming and often indicates an issue with the joint’s alignment or function.
Clicking or Popping Sounds
Many people with TMJ disorders report hearing clicking, popping, or grinding sounds when they move their jaw. These sounds are typically more noticeable during activities like chewing or speaking. While these noises don’t always cause pain, they can be a sign of joint misalignment or damage to the cartilage within the TMJ. Persistent jaw noises should not be ignored, even if they are painless.
Facial Pain or Pressure
TMJ disorders can cause facial pain or a sensation of pressure around the jaw and temples. This pain may feel like a headache or sinus pressure, leading some people to mistake it for other conditions. The facial muscles around the jaw often become sore or tense, especially if you clench or grind your teeth, contributing to the discomfort.
Headaches and Migraines
Frequent headaches or migraines are another common symptom of TMJ disorders. The pain from the TMJ can radiate to the temples, forehead, or even the back of the head, mimicking tension headaches. TMJ-related headaches often occur alongside other symptoms like jaw pain or clicking sounds, making them a key indicator of a potential problem with the joint.
Ear Pain or Fullness
TMJ disorders can cause ear-related symptoms, such as pain, a feeling of fullness, or ringing in the ears (tinnitus). The TMJ is located close to the ear, so problems with the joint can easily affect this area. Many people mistake these symptoms for an ear infection or other ear-related issues, delaying proper diagnosis and treatment.
Neck and Shoulder Pain
Pain from TMJ disorders doesn’t always stay confined to the jaw. Many people also experience discomfort in their neck and shoulders. This occurs because the muscles connected to the jaw joint extend into the neck and upper back. When the TMJ isn’t functioning properly, it can create tension and soreness in these areas, leading to widespread discomfort.
Teeth Clenching or Grinding
While teeth clenching and grinding (bruxism) are often a cause of TMJ disorders, they can also be a symptom. Many people unconsciously clench their teeth during the day or grind them at night, leading to sore jaw muscles, worn-down teeth, and increased pressure on the TMJ. If you wake up with jaw pain or notice flattened or chipped teeth, bruxism may be contributing to your TMJ symptoms.
Changes in Bite Alignment
TMJ disorders can sometimes cause changes in how your upper and lower teeth come together, known as your bite alignment. You might notice that your bite feels “off” or that your teeth no longer fit together as they used to. This symptom can occur due to joint misalignment or muscle tension that affects jaw movement.
Swelling or Inflammation
Swelling or inflammation around the jaw joint is another potential symptom of TMJ disorders. This can cause puffiness on one or both sides of the face, particularly near the ears. Inflammation may also lead to a sensation of heat or tenderness in the area, making the joint feel sensitive to touch.
Tooth Sensitivity
Tooth sensitivity is a lesser-known symptom of TMJ disorders. This occurs when grinding or clenching places extra pressure on the teeth, leading to worn enamel and exposed dentin. As a result, your teeth may become more sensitive to hot or cold foods and drinks. Persistent tooth sensitivity and other TMJ symptoms can point to an underlying joint issue.
Fatigue in the Jaw Muscles
People with TMJ disorders often report feeling like their jaw muscles are tired, especially after eating or talking for extended periods. This muscle exhaustion occurs because the jaw has to work harder to function when the TMJ isn’t operating correctly. Resting the jaw or applying warm compresses can provide temporary relief, but ongoing fatigue may require professional treatment.
Dizziness or Vertigo
The TMJ is located near the inner ear, which helps regulate balance. Problems with the joint can sometimes lead to dizziness or vertigo, causing a spinning sensation or difficulty maintaining balance. If you experience these symptoms, jaw pain, or clicking sounds, TMJ dysfunction could be the underlying cause.
Numbness or Tingling
In some cases, TMJ disorders can cause numbness or tingling in the face, jaw, or neck. This occurs when inflammation or tension affects nearby nerves, leading to unusual sensations. While these symptoms are less common, they are still a possible indicator of TMJ issues and should be addressed by a healthcare provider.
TMJ Treatment FAQs
Without treatment, TMJ can have debilitating impacts on your jaw and teeth. Read the answers to these commonly asked questions to learn more.
How is TMJ diagnosed?
TMJ disorders are typically diagnosed through a combination of a physical examination and a review of your symptoms. Your dentist will assess your jaw’s movement, check for clicking or popping sounds, and examine the muscles surrounding the joint. In some cases, imaging tests like X-rays or MRIs may be ordered to rule out other conditions or assess the extent of damage to the joint.
What causes TMJ disorders?
TMJ disorders can be caused by various factors, including jaw injuries, teeth grinding (bruxism), arthritis, jaw misalignment, or stress. The exact cause is unknown in some cases, but factors such as genetics, posture, or poor dental habits may contribute to the development of TMJ problems. Stress and anxiety often play a significant role, as they can lead to teeth clenching and muscle tension in the jaw.
How long does it take to see improvement with TMJ treatment?
The timeline for improvement with TMJ treatment can vary depending on the severity of the disorder and the treatment plan used. Some patients experience relief within a few weeks of starting non-surgical treatments like wearing a night guard or physical therapy. Others may take longer to notice significant improvements, especially if their TMJ disorder is more complex. It is important to follow the recommended treatment plan and work with your dentist to track progress.
Can stress cause or worsen TMJ disorders?
Yes, stress is a common contributor to TMJ disorders. When stressed, many people unconsciously clench their jaw or grind their teeth, which can strain the temporomandibular joint and surrounding muscles. Stress management techniques, such as relaxation exercises, deep breathing, meditation, and therapy, can help reduce the impact of stress on the jaw and alleviate TMJ symptoms.
Can TMJ disorders lead to permanent damage?
If left untreated, TMJ disorders can potentially lead to long-term damage to the jaw joint, including erosion of the cartilage or misalignment of the teeth. Chronic pain, limited jaw movement, and teeth wear from grinding can also cause lasting issues. However, most cases of TMJ can be managed effectively with early intervention and appropriate treatment, preventing long-term damage and improving quality of life.
Can diet affect TMJ disorders?
Yes, diet can play a role in the management of TMJ disorders. Eating hard, chewy, or crunchy foods can exacerbate symptoms by putting additional strain on the jaw muscles and the temporomandibular joint. A soft-food diet may help reduce pressure on the joint and minimize discomfort. Avoiding excessive jaw movements like chewing gum or biting into tough foods is also a good idea.
Call Us Today
Address TMD symptoms. Schedule an appointment if you suspect you need an occlusal adjustment. You can also call 409-235-0789.