Sunday, July 23rd, 2017

TMJ problem or Grinding problem ?

September 30, 2011 by  
Filed under Dr. Smith's Blog, News & Information

A true TMJ problem exists when there is clicking, grating, limited opening, and/or pain in one or both jaw joints.  The most common causes are deep overbite, missing back teeth, incorrect bite, grinding your teeth and accidents involving a blow to the jaw.  Most commonly a splint or grinding appliance can be used to “depressurize” and reposition the jaw joints and allow the time for internal joint healing to occur.  It is unusual to have an adolescent with TMJ problems

The vast majority of  TMJ patients are adults in the 20-50 age range. The major causes for TMJ dysfunction are accidents, crowded teeth, missing teeth and a bad bite. Regardless of the causative factors, a corrective splint or bite appliance (also called grinding appliance) is required.  It will require a custom made hard plastic appliance not a flexible one as sold in pharmacies and sporting goods stores.  Flexible ones will be “chewed” on and can cause the problem to get worse. The flexible appliances are only good for very short term relief until you can get to a dentist who treats TMJ problems. There are very few dentists trained in the treatment of true TMJ problems. We have been treating TMJ patients for 30 years, so we are well versed in all of the treatment modalities for TMJ problems.

If left untreated, the problem will get worse , it never gets better if it is a true TMJ problem. A grinding or bruxism problem is NOT a TMJ problem until the grinding problem has gone untreated for a time. So grinding and clenching problems , if treated, can be prevented from cause damage to the TMJ area.

  • Camden Smith

    Thank goodness I have those trays you gave me otherwise I wouldn't have teeth left with the grinding I do while I sleep!

  • Becky Sears

    Dr. you are wonderful.  You have helped me and I am so thankful.  TMJ, I would have never guessed but you have fixed so many of my ailments just by putting me in a night guard for alignment of my teeth.  My husband loves you too, I don’t grind my teeth at night and wake him up! You are a life saver, thanks so much!