|
|
 |
|
|
|
Treatment of TMJ
If a malocclusion is detected, your teeth may require some restoration to improve the alignment of your "bite" and TM joints. This may include the addition of crowns or a "re-contouring" of tooth surfaces to improve the "bite" or occlusion.
When bruxism, or "grinding" of the teeth, is a persistent, unconscious reflex, an orthotic, sometimes called a "splint", may be custom-fitted to separate the upper and lower teeth slightly and align the bite. If an orthotic is prescribed, you may be instructed to wear it during the course of your day or only when sleeping.
In the short term, your dentist or physician may prescribe some treatments for immediate relief of pain and muscle spasm. These often include prescription muscle relaxers, pain killers, heat compresses or ice packs. The doctors may also suggest self-care techniques such as posture correction, specialized exercises to improve jaw muscle flexibility and strength, and a diet which excludes hard or tough foods like carrots or steak.
To relieve stress and anxiety, biofeedback, relaxation techniques or psychological counseling are often employed. Physical therapy can include ultrasound, postural training, mobilization and jaw exercises.
Only in rare cases is surgery required to correct a TMJ Disorder. Arthroscopy or arthocentesis utilizing tiny instruments and needles to flush the joint and introduce anti-inflammatory medication can provide relief. Soft tissue repair is usually required when the disc must be repositioned or to release a "locked jaw".
When arthritis causes severe degeneration of the joints, various procedures are performed to repair or replace severed or perforated discs and smooth bone surfaces. Surgery, however, for TMJ Disorders is generally considered appropriate only after all other therapies have been fully explored. |
|