JAW JOINT DISORERS

 JAW JOINT DISORERS

Temporomandibular Joint (Lower Jaw Joint) Disorders, Symptoms and Causes of Lower Jaw Disorders
In summary, it is a pain and dysfunction syndrome involving the temporomandibular joint (TMJ, Lower Jaw Joint) and / or masticatory muscles. Jaw joint disorders have affected a widespread section today. It consists of a disruption of the alignment between the joint surface and the disc.




What are the Symptoms of Lower Jaw Disorders?
Pain during opening mouth
- Squeak, clicking sounds when opening and closing mouth
- Limited opening or locking during opening
- Pain or stiffness in the neck
- Headache (not to be confused with migraine pain)
- Feeling pain during chewing and pain on the face
- Pain when closing teeth on top of each other
- Fatigue in the jaw during chewing
- Difficulty and pain in opening the jaw, usually in the morning
- Difficulty in stretching
- Ear pains and ringing in the ears, rumbling, clogging and feeling of pressure
- Sudden change in the way our upper and lower teeth meet
- Face asymmetry due to hyperplasia in facial muscles
- Deviation of the jaw during mouth opening




What are the causes of lower jaw joint dysfunction?
- Direct trauma to the jaw or joint (accident or impact)
- One-sided chewing habit
- Tooth deficiencies
- Clenching and grinding
- Stress, depression, etc.
- Non-physiological tooth closure
- Developmental defects of the joint (hypoplasia, etc.)
- Degenerative joint disorders, osteoarthritis, arthrosis

- Autoimmune diseases, rheumatoid arthritis, lupus
- Unknown factors





Examination Methods
- Inspection of teeth and closing system
- Examination of masticatory muscles
- Examination of the jaw joints

Diagnosis
Some diagnostic tests may be used in conjunction with examination for diagnosis of jaw joint disorders. In addition, conventional or computed tomography and magnetic resonance imaging are commonly used imaging methods. Rarely, scintigraphy or PET may be required.
Treatment
- Treatment of symptoms.
- Treatment of the underlying cause.
- Elimination of preparatory factors.
- Treatment of pathological effect

What are the treatment options?    
Patient education and preventive treatment
- Splint treatment
- Medication
- Exercises
- Physiotheraphy
- Manipulation
- Psychiatric support
- Advanced treatment in late cases (surgery, etc.)


Treatment Process
- Reducing the load on the joints is very important and the patient shouldn't be stressed.
- It is forbidden to chew gum and eat hard foods that will exhaust the jaw.
- The mouth should not be opened excessively while yawning and sneezing, the jaw should be supported by hand.
- Biting movement should not be done, nutrients should be taken into the mouth in small pieces.
- One-sided chewing should not be done, the food should be chewed to be used on both sides.
- In cases of severe pain, until the process of applying for a doctor; painkillers, muscle relaxants and anti-inflammatory drugs may be used.

At the end of the Treatment Process
- Early and pathological tubercle contacts are corrected.
- The closure is checked and the patient is referred to the orthodontic department if necessary.
- If there are teeth deficiencies, they are removed by prosthetic treatments and a neutral closing is provided.
- If squeezing or grinding continues, a psychiatric consultation is requested.
As a result of these complementary therapies, the treatment process can be successfully completed. Treatment of TME dysfunctions requires a multidisciplinary approach, primarily patient compliance. In addition to the treatment to be performed by the TME specialist, a physical therapist, psychiatrist and neurologist may also be consulted.