Temporomandibular joint disorder, called TMJ or TMD, is a common problem that can cause a wide range of unpleasant symptoms. Your jaw is at the crossroads of major nerves, important muscles, vital blood vessels, and your airway, so problems here can have far-reaching effects. Since many TMD symptoms may be caused by a variety of other health problems and may be far from the jaw, TMD can be difficult to diagnose. Columbus, Ohio TMJ dentist, Dr. Michael Firouzian, can help alleviate TMD symptoms, reducing your discomfort and improving your quality of life.
What Is TMJ / TMD?
The temporomandibular joint (often abbreviated TMJ, which is why some people use TMD to refer to temporomandibular joint disorders) is the joint in the jaw where the mandible, or lower jaw, meets the temporal bone in the skull. The alignment of the joint is largely determined by the way the teeth in the upper jaw align with the teeth in the lower jaw. This is commonly referred to as the “bite,” and a misaligned bite, or malocclusion, is a major cause of TMJ.
Jaw dysfunction can cause jaw-related symptoms. Jaw pain, jaw sounds, and problems with jaw movement are all common in this condition. Because the jaw joint is at an important intersection of the body, symptoms can also be far-reaching.
TMJ is one of a number of what we now call chronic overlapping pain conditions (COPC), in which people experience multiple, painful conditions. About three-quarters of all people with TMJ have at least one other COPC.
What Percentage of TMJ Patients Experience Associated Pain Conditions?
- Migraine: 100%
- Chronic lower back pain: 25%
- Irritable bowel syndrome: 5%
- Fibromyalgia: 40%
- Vulvodynia: 0%
- Interstitial cystitis: 0%
- Endometriosis: 15%
- Chronic Fatigue Syndrome: 80%
- Cardiac Arrhythmia’s: 80%
- Dizziness: 60%
- Ear pain & Tinnitus: 50%
- Fibromyalgia: 50%
Some research even suggests that TMJ plays a causative role in these conditions through the release of calcitonin gene-related peptide (CGRP). This has been so solidly established for migraines, that new migraine drugs target CGRP. We also know that TMJ treatment can help with migraines. Research has not yet established the impact of TMJ treatment on these other conditions.
It is common for people with TMJ to get diagnosed with a related condition, such as Meniere’s disease or trigeminal neuralgia. We have helped patients with these conditions to get relief from their bothersome, potentially debilitating, symptoms.
Diagnosing TMJ can be a challenge. We utilize a scientific, high-tech approach called neuromuscular dentistry that produces verifiable, objective data that can guide treatment. The K-7 system allows us to gather comprehensive data about the function of your jaw. Amplified sound analysis, muscle tension measurements, and precise jaw tracking help determine the nature of your TMJ. We may also use imaging such as an MRI or CT scan to view your jaw tissues in detail. Kinetisense motion tracking allows us to see the impact of TMJ beyond your jaw. By taking detailed pictures of your body in motion and remaining still, this technology allows us to see how TMJ imbalance impacts the entire body. Because we collect this comprehensive suite of data, we can distinguish TMJ from other conditions with overlapping symptoms.
We are very thorough in the diagnostics we like to have comprehensively on patients so we take our time to gather all the details in their baseline position. We have X-rays, Scans, questionnaires patients complete, and digital images. Usually, the initial diagnostics are completed over one day 2-3 hours, and the next day we also have them come in for a shorter visit to verify their bite and to go over their treatment plan once we know more about their occlusal disorder.
How Long Does It Take to Diagnose TMJ?
TMJ is diagnosed on the day of the appointment but the first phase is all about stabilization so once patients have started that first phase we see them periodically to verify that they are on the right path to complete stability and we can measure that with certainty by equipment that documents their progress.
For more information, see TMJ Treatment Options .
Symptoms of TMD
Several important facial nerves pass through the jaw, so misalignment can compress these nerves, leading to a variety of symptoms. Some typical symptoms of TMD include:
- Pain, popping or clicking in the jaw
- Earache or ringing of the ears
- Tension in the shoulders, upper back, and neck pain
Some of these symptoms can be related to much more serious conditions, so it is important to have a doctor evaluate your case to ensure there are no other medical conditions present. If the symptoms remain unexplained, TMD may be the culprit.
There are many potential treatments for TMJ in Columbus, OH. Sometimes minor muscle massage using TENS (transcutaneous electric nerve stimulation) gives relief. Other times, this is simply a necessary step that helps us diagnose what’s really wrong with your bite.
In many cases, correcting the bite can alleviate TMD. We may begin with temporary bite treatments, such as an orthotic or splint (similar to a sports mouthguard) that you wear at night. If you like the results but want to get rid of the splint, we might adjust the bite permanently using dental restorations or orthodontics.
How Soon Do Patients Notice the Benefits of TMJ Treatment?
TMJ treatment starts providing patients with relief almost immediately. They see the resolve of pain as they are wearing an orthotic that prevents the TMJ joints from the type of compression that leads to all the symptoms that are a consequence of their unhealthy bite. The relief of symptoms alone is not what we use to verify results. We verify the results by repeating the diagnostic tests that initially identified the problem and then we search for confirmation that the body’s muscles are adapting and responding positively to the impact we have created with the patient’s new bite.
Additionally, since the orthotic is not removed and worn 24/7 it is far easier for patients to use it as they are doing all the routine functions of speaking, chewing, and swallowing so this becomes easier to adapt to. Once the certainty of bite stabilization offers patients the maximum medical improvement we typically see almost all symptoms resolve and can be assured that we have been able to identify the best long term bite.
Learn more from our patients’ Questions about TMJ.