Posts for tag: jaw pain

By Hyannis Dental Associates
October 11, 2018
Category: Oral Health
Tags: jaw pain   tmj disorders  
TrytheConservativePathtoJawPainReliefFirst

If you have chronic jaw pain, you know how difficult eating, speaking or even smiling can be. Many sufferers will do anything to gain relief, even surgery. But before you go down that road, consider the traditional conservative approach to temporomandibular disorders (TMD) management first—it could provide the most relief with the least risk of side effects.

The temporomandibular joints connect the lower jaw to the skull on either side of the head. These ball and socket joints also contain a cushioning disk to facilitate movement. This disk is believed to be the primary focus for jaw pain problems known collectively as TMD.

Doctors now believe injury, stress, metabolic issues, jaw anatomy defects or similar factors trigger the chain reaction of muscle spasms, pain and soreness that can erupt during a TMD episode. A TMD patient may experience pain within the jaw muscles or joints themselves, clicking sensations, or an inability to open the jaw to its full range.

TMD therapy has traditionally followed an orthopedic path—treating jaw joints like any other joint. In recent years, though, a more aggressive treatment model has emerged that promotes more invasive techniques like orthodontics, dental work or jaw surgery to relieve discomfort. But the track record for this model, especially concerning jaw surgery, remains hazy at best and offers no guarantee of relief. These techniques are also irreversible and have even made symptoms worse in some patients.

It’s usually prudent, then, to try conservative treatments first. This can include pain and muscle relaxant medication, jaw exercises, stretching and massage, and dietary changes to reduce chewing force. Patients with teeth grinding habits may also benefit from a bite guard worn at night to reduce the biting force during sleep and help the joints relax.

By finding the right mix of treatments, you may be able to find significant relief from TMD symptoms with the conservative approach. If not, you might then discuss more invasive options with your dentist. But even if your dentist recommends such a procedure, you would be wise to seek a second opinion.

TMD can definitely interfere with your quality of life and peace of mind. But there are ways to reduce its effects and make for a happier life.

If you would like more information on managing chronic jaw pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Seeking Relief from TMD.”

By Hyannis Dental Associates
August 01, 2017
Category: Oral Health
Tags: jaw pain  
TheresNewHopeforaBetterUnderstandingofChronicJawPain

Chronic jaw pain and limited jaw mobility are two common symptoms of a group of conditions known as temporomandibular joint disorders (TMJD or TMD). Several effective treatments have developed over the years, despite the fact that the underlying causes for TMD remain an elusive quarry for medical researchers.

But we may now have a promising new lead in understanding TMD: a possible link between it and other systemic inflammatory diseases. In recent study researchers interviewed over 1,500 people with TMD about various aspects of their lives. Nearly two-thirds reported at least three or more other inflammatory health conditions like fibromyalgia, chronic headaches or rheumatoid arthritis.

These statistics suggest a relationship between TMD and these other conditions. Further exploration of these possible links could result not only in a greater understanding of TMD but better treatment strategies for it and the other related conditions.

In the meantime, though, what can you do if you're currently dealing with TMD?

As of now the approaches with the best results continue to be conservative, non-invasive techniques we've used for several years. Thermal therapies like hot or cold compresses to the jaw area, for example, are quite effective in providing pain relief, and muscle relaxant drugs have proven beneficial for improving jaw mobility.

More radical approaches like jaw surgery have also come into prominence. But there's a caveat here: a significant number of people find their conditions don't improve or may even worsen. In the study previously mentioned, only 38% of respondents who had undergone jaw surgery saw any range of improvement (from slight to significant); by contrast, 28% indicated no change in symptoms and 46% said they were worse off.

It's important, then, that you thoroughly discuss your condition with your dentist, verifying first that you have TMD.  Together you can develop a treatment plan to relieve pain and restore jaw function. If your dentist or surgeon suggests surgery, consider seeking a second opinion before choosing this more radical approach.

Hopefully, further research into the causes and relationships of TMD with other health conditions will yield still better treatments. In the meantime, you may still find relief and improve your quality of life with the proven techniques available now.

If you would like more information on treatments for chronic jaw pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Chronic Jaw Pain and Associated Conditions.”

By Hyannis Dental Associates
September 08, 2014
Category: Oral Health
Tags: jaw pain   tmj   tmd  
DeterminingtheRealCauseofJawPainisKeytoEffectiveTreatment

You’ve suddenly noticed a significant amount of pain radiating from your jaw, so severe you can barely bring your teeth together.

First things first: with this level of pain you should see us as soon as possible. There are a number of possible causes, but only a thorough examination will give us the correct diagnosis and answers we need to develop a plan to treat the cause and alleviate the pain.

With that said, here are a few possible causes for that severe jaw pain.

Injured or diseased teeth. Although the pain you feel seems to come from the jaw in general, the true source may be an individual tooth that’s been traumatized or infected. Because of the interconnectivity of nerves throughout the oral structure, the pain could be radiating from the teeth to the jaws. By effectively treating the affected tooth, we may in turn reduce the jaw pain.

Trauma around the joint. If you’ve taken a physical blow to the area around the jaw joint, the resulting swelling in the joint space is keeping the head of the jaw joint (the “condyle”) from seating in the space properly. You may also notice the upper and lower teeth in the back of your jaw won’t touch. As the swelling from the injury subsides (aided by anti-inflammatory drugs that also reduce pain), the joint should eventually return to its normal position.

Jaw fracture. The most common jaw fracture occurs in the area just below the condyle. The pain is usually much more severe than you might experience with indirect trauma. Fractures are normally treated by repositioning the broken bone and immobilizing the area to allow healing.

Joint dislocation. The injury you’ve sustained may have actually moved the condyle out of the joint space. If this is the case careful manipulation may be needed to reseat the condyle back into place, along with anti-inflammatory medication to reduce swelling.

TMJ or TMD. Muscle spasms can cause significant pain with similar symptoms, including limiting jaw movement. Only an examination with x-rays (to determine if it’s a soft tissue or bone-related injury) can narrow down the possibilities to the true cause. The sooner we make that determination and begin treatment the better you’ll feel — and the less likely the injury will result in irreversible damage.

If you would like more information on the causes of jaw pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Jaw Pain — What’s the Cause.”



Hyannis, MA Dental Office
Hyannis Dental Associates
750 Attucks Lane
Hyannis, MA 02601-2902
(508) 778-4488

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