Tag Archive for: bruxing

Frequently, people are coming in to see me, wondering if they have a TMJ (Temporal Mandibular Joint) problem. Also known as TMD (Temporal Mandibular Dysfunction), TMJ symptoms will include, but are not limited to the following: facial pain, headaches, sore teeth, neck aches, shoulder pain, pain all around the neck, recession of the gums, earaches, ringing in the ears, popping or clicking jaw joints, crunching or grinding noises of jaw joints, soreness or scalloping of the tongue, ridges along the cheek, frequent root canals, broken and chipped teeth, short teeth, difficulty in smiling, more prominent facial wrinkles, loss of lip contour, etc.

This list is mind-boggling! One may have one or multiple symptoms, and not everyone suffers from the same ones. Symptoms commonly appear, seemingly without explanation and often under the wrong diagnoses, but people’s lives have been changed through simple TMJ treatment.

So how do we discover if you have TMJ or TMD? Well, we start with a thorough medical background check. How long have you had the symptoms? Do you have a history of trauma to the face, head, or neck? Have you tried any other forms of therapy or treatment? Your answers to these questions will greatly help me determine your problem and how to solve it.

Treatment of TMJ begins with a series of tests to diagnose the condition as accurately and thoroughly as possible. After that, patients are frequently given exercises to perform at home, a splint to aid in correcting the jaw’s alignment, or are requested to arrange meetings with a local physical therapist on a weekly or biweekly basis. Extreme cases may require surgery.

So if you think you are suffering from TMJ, request an examination. Ask your dentist about the things you can be doing to prevent TMJ. It is always better to speak up than to let the problem sit and grow worse!

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Renee, one of our blog readers, posted this question:

I have a bad habit of grinding my front teeth. I think it’s just a nervous habit. I’ve done it for about 5 years. I do it all the time day and night. My bottom front three teeth are now smooth across the top. Do I need a mouth guard or anything else to break this nasty habit?

Thanks!
Renee

Dear Renee,

Uncontrolled grinding of teeth is never good. In healthy mouths, the amount of time teeth are in contact is very little. It is important to find the reason for your grinding. For some people, some medications can be the cause, but in the majority of cases I see, it has to do with a mal-alignment of teeth.

Teeth serve many roles for the body. One of the important roles is to help position the upper and lower jaws in relation to each other. They act as nerve extenders that are highly sensitive (about 20 million nerves per tooth) so if the teeth do not send the correct message to your brain like “Do not grind” then your natural defense mechanisms are not working. In other words, grinding is used by the body to help keep the jaw in alignment by wiping away the interferences that keep you from closing properly. This is why it is important to find the cause of the interference and address it to protect both the jaw joint and the tooth structures.

Regarding mouth-guard /splints: when made well and properly adjusted, they can be highly effective in protecting the mouth. The key is properly understanding how the mouth is supposed to function so that the splint works in harmony with the jaw joint. I use splints to help me diagnose the extent of the mal-alignment. This help me decide what are the best choices to present to the patient for solution. Once the plan is devised then the implementation can take place. I feel a significant amount of dental problems are related to uncontrolled grinding.

I hope this helps answer your question.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com