What treatments are available for TMJ disorders?
Treatment for temporomandibular joint disorders (TMD) varies based on the severity and underlying cause of the condition, often beginning with conservative approaches. Initial treatments typically include self-care practices such as applying ice or heat to the affected area, eating soft foods, and avoiding extreme jaw movements. Over-the-counter pain relievers and anti-inflammatory medications, such as ibuprofen, are commonly recommended to alleviate pain and inflammation. Physical therapy, including jaw exercises and stretches, can help improve mobility and reduce symptoms.
Additionally, stress management techniques and cognitive behavioral therapy are beneficial for patients whose TMD is exacerbated by stress or bruxism (teeth grinding) . Dental interventions like occlusal splints or mouth guards may be prescribed to prevent teeth grinding and reduce pressure on the jaw.
Injections into the painful portion of the offending muscle may be done to relax the muscle and oxygenate the area. Botox may also be considered, to help reduce the force of muscle contracture in the masseter and temporalis muscles.
Occlusal Splint Therapy
TMJ splints and orthotics, such as custom-made bite guards and night guards, protect teeth from grinding and clenching while also offering jaw muscle and joint protection, alleviating soreness, pain, and preventing jaw locking. Custom-made guards, unlike generic store-bought ones, are designed to fit securely and comfortably, providing therapeutic benefits and advanced protection. People who grind their teeth, experience jaw pain, stiffness, or TMJ-related issues would benefit from professionally-made guards, which also require monitoring by a trained clinician to avoid potential harm.
Injections
Trigger point injections in the jaw, head, and neck can relieve chronic headaches and TMJ by injecting an anesthetic, which numbs the area and provides pain relief for days to months. Botox injections may also be used for longer-lasting relief by relaxing taut muscle fibers and reducing pain transmission. Both methods offer therapeutic benefits by disrupting pain signals and alleviating symptoms associated with TMJ and facial pain. A trained professional can determine the right material, location and quantity to administer, tailored to an individual's need.
References:
American Dental Association. (2022). Treating TMJ Disorders.
National Institute of Dental and Craniofacial Research. (2021). TMJ Disorders.
Mayo Clinic. (2023). Temporomandibular joint (TMJ) disorders - Diagnosis and treatment.
American Association of Oral and Maxillofacial Surgeons. (2020). TMJ Disorders Diagnosis and Treatment.
Gauer, R. L., & Semidey, M. J. (2015). Diagnosis and treatment of temporomandibular disorders. American Family Physician, 91(6), 378-386.