TMJ
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Frequently, headaches, facial or neck pain can be traced to what is called Temporomandibular Joint Dysfunction or “TMJ”. Actually, this condition should be thought of as a problem within the entire chewing system, not just the jaw joint. TMJ dysfunction may be caused by misalignment of the jaws where they hinge, or by disharmony between teeth and jaws. If the joint is painful, or tends to click or catch, this could be an early warning sign. Other symptoms may be muscle pain, or limitation of jaw movements. There are often other symptoms that the patient does not detect. These could include any or all of the following: tooth wear, receding gums, notching of the teeth at the gum line, and adverse bony changes within the joint. Treatment can reduce or eliminate the possibility of further damage.When a patient reports to us with signs and symptoms of TMJ dysfunction we will first do an evaluation, including history and clinical examination. If Dr. G thinks we can help, he will likely order further diagnostic data such as dental molds mounted on an articulator and images of the jaw joints. Note we said “images” of the jaw joints, not “joint x-rays”. Though Dr. G is a recognized authority on the jaw joint, and has been using joint x-rays for nearly 30 years, we are excited to tell you about the newest technology in dental-facial imaging. It is called I-cat, or cone bean ct. This high tech imaging process is like a cat scan with a fraction of the cost and radiation exposure. With this process Dr. G can obtain multiple, high quality views of the jaw joints in all three planes of space at a very reasonable cost. Of course, this equipment is extremely expensive and requires professionally trained people to use it. That is why we send out patients to a nearby laboratory to obtain these images (see www.rmox.com, click on i-CAT).
Once all the needed data has been collected, Dr G will study it to arrive at a diagnosis and treatment options. At a subsequent appointment, Dr. G and Cheryl will explain all aspects of your case and help you decide what course of action is best for you. Treatment for TMJ dysfunction usually involves splint therapy. The splint is a very effective appliance that is custom made for each individual. Dr G will adjust the splint as needed to reduce painful symptoms and stabilize the entire chewing system. |
