TMJhealthcare

A recent TMD Diagnosis and chronic online scrolling is almost never enough to get you the kind of clarity on exactly what it is that is causing this little jaw bone of yours to hurt, pop and lock so much. Some say it is your bite, some say it is an imbalance; while another person says that jaw clicking is very normal. What is true? How to work on it? The questions and information online is overwhelming in itself. So, let me walk you through some of the causes for a TMJ Disorders. Remember, not everyone with these factors develops TMJ, and not every TMJ patient has all of them. The key to successful treatment isn’t simply managing the pain, it is to identify which combination of factors is responsible for your symptoms and addressing them individually.

Jaw grinding or bruxism, is the habit in which patients tend to grind or clench their teeth, throughout the day. This not only causes their teeth to chip and cause attrition, but can also place excessive forces on the jaw muscles and temporomandibular joint (TMJ). Many such patients are either advised to wear a night guard or request one themselves. Now, while this night guard is a good aid for patients with bruxism, it is often mistaken as a ‘solution’ for the TMJ Disorders. It is important to note that a night guard is not designed to treat the underlying causes of your TMJ Disorders or Bruxism. It is made for a specific purpose; to act as a physical barrier between your upper and lower teeth. It, however, only protects them from the effects of grinding, and does not usually stop the grinding habit itself. Both bruxism and TMJ Disorders are caused by multiple factors and hence need a collective approach for management. This does not mean that all oral appliances are ineffective in treating TMJ Disorders. There are over 20 types of oral appliances used in TMJ management, the choice of which is entirely based on your diagnosis, underlying cause and treatment goals.So, if your night guard didn’t help, it doesn’t necessarily mean your TMJ disorder cannot be treated. It mostly means the treatment was aimed at protecting your teeth rather than addressing the specific cause of your jaw pain. Successful TMJ management begins with an accurate diagnosis, followed by a personalized treatment plan tailored to your condition.

Most new TMJ patients are confused, stressed and overwhelmed from the hundreds of TMJ related treatment options they find online. The first thing anyone does after their diagnosis is scroll through the internet about the ins and outs of the disorder. Amongst all of this, there’s a lot of talk on the internet about the application of Botox for the treatment of TMD. But, is Botox really the magic solution we think it is? Let’s get into it. First off, what is Botox and how does it work? Botulinum Toxin Type A or Botox is a neurotoxin which, when injected into any muscle, causes it’s relaxation and prevents its contraction. In terms of TMJ disorder, some practitioners inject it into your hyperactive chewing muscles like masseter and temporalis which helps relax or ‘paralyse’ this muscle activity for a while. The effect of this injection lasts for a good few months after which it starts wearing off and you need a repeat dose. However, Botox is causing more harm than good in TMJ disorders. Did you know that repeated injections can change the shape of your face by permanently paralysing your muscles? Plus, the efficacy of the injection also reduces with every dose. Aside from all this, your TMJ Disorder will keep progressing. Botox is never a solution to TMJ disorders. TMJ disorders are multifactorial and need a multidisciplinary approach from the right TMJ and Orofacial Pain Specialist who works conservatively on the neuromuscular aspect of the TMJ Disorder.

I recently came across a Reddit post about AI suggesting a treatment plan for TMJ clicking. This raised an important point about the strengths and limitations of AI in the field of healthcare, especially a niche field such as TMJ. The post talks about how a certain tongue and jaw position suggested by AI helped a few people “practically cure years of TMJ clicking”. TMJ clicking is an indication of your disc moving out of its place in the joint. It indicates the malalignment and poor co-ordination between the condylar bone and the disc. A changed jaw movement is bringing the condyle in the place of the displaced disc. Hence, the clicking disappears in some cases. But, this is not bringing the disc back in its original position. In fact, it is bringing the condyle into an abnormal position. This can cause more harm than good for your underlying TMJ disorder.

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