JAW JOINT PROBLEMS
It is only through an understanding of how the normal,
healthy TMJ functions that we can make sense out of what
is wrong when it isn’t functioning comfortably. This understanding
of the TMJs is foundational to diagnosis and treatment.
Some of the most obvious aspects of the TMJ are often
missed, even though they are extremely important. To relate
each aspect of form to function, it is helpful to separate
the various components of the joint into understandable segments,
starting with the passive structures of articulation and
then progressing to an understanding of how the active elements
make the system function.
TMJ is the vital joint which communicates with the lower jaw bone(mandible).
Symptoms of TMJ /jaw joint problems:
● Pain,discomfort in opening mouth
● Pain experienced above or behind the ears,face ,neck
● Pain or discomfort around cheeks in the morning
● Muscle soreness
● Structural dysfunction i.e limited mouth opening
● Minimal pain at rest, increased pain with function
● Feeling of muscle weakness
● Feeling of muscle tightness and muscle fatigue.
● Local tenderness and firm on palpation
Protracted local muscle soreness
Local tissue trauma/ unaccustomed muscle use
Continuous deep pain
Idiopathic myospasm mechanism
Balancing occlusal contacts
Imbalance in occlusal contacts transmitted via the sensory output towards the muscles and TMJ .Balanced occlusal contacts create a harmonious relationship and releases the tension in the joint.
Occlusal Bite Splint Therapy(OBS)
The goals of OBS therapy are to protect teeth or restorations, redistribute the forces when teeth contact, and preview the patient response to defi nitive treatment. These occlusal forces can affect all parts of the stomatognathic system. Force levels that exceed the physiologic tolerance of the system are responsible for breakdown of the teeth, periodontium, masticatory muscles, and TMJs. OBS therapy is indicated for occlusal problems affecting all of these areas.
Bite guard/Night guard
Harmonious relationship is maintained via the bite guard.Bite guard maintains the occlusal contacts between upper and lower teeth with minimal interference.This stable relationship causes minimal strain to muscles and adjacent structures.
Muscle relaxation appliances
Muscle relaxation appliances release the strain on the temporo mandibular joint and are associated with the adjacent structures.
Psychiatric consultation if required