The number of people with pain in the joint area or dysfunction in the joint is much higher than thought. It causes the appearance of various clinical manifestations in changes in neighbouring structures outside the joint and systemic diseases. Sometimes, pain and loss of function may be observed when muscle-related disorders are seen.

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Symptoms of TMJ disorders

Tinnitus

Squeaking, clicking, clacking sound when opening and closing your mouth

Limit opening or locking your jaw

Pain or stiffness in the neck

Dizziness, fainting

Pain when chewing

Pain in the face

Pain when closing teeth on top of each other

Fatigue in the jaw when chewing

Numbness in the hands

Difficulty in stretching

Displacement of the disc or degenerative changes in the condyle and disc may also occur in the TMJ. Differences in clinical symptoms in the TMJ cannot always be explained as disc displacement. The function and dysfunction of the masticatory muscles should also be taken into account.

Factors that cause temporomandibular joint disorders

Direct trauma to the jaws (as a result of an accident or impact),

Iatrogenic(physician-induced) injuries that occur during dental or medical treatment,

Developmental defects of the joint(hypoplasia, etc.),

Degenerative joint disorders, osteoarthritis, arthrosis,

Autoimmune diseases, rheumatoid arthritis, lupus,

Parafunctional jaw activities: squeaking, bruxism,

Orofacial movement disorders,

Behavioural disorders: stress, depression, somatization,

Major incompatibilities in jaw relationships,

Major incompatibilities in dental occlusion,

Unknown factors.

How do I know if I have TMJ discomfort?

Have you had any unusual pain?

When you open and close your mouth, does it make a clicking, or tapping sound?

Do you have any pain in these areas? Jaw joints, lower jaw, upper jaw, neck, back of your head, forehead, temples.

Is there congestion, pressure, or excessive dirt secretion in your ear?

Do sounds such as ringing, rumbling occur in your ear?

Have you felt dizzy before?

Do you get chills or numbness in your hands, fingers or arms?

Do you always get tired easily or have you thought that you have chronic fatigue?

Do your teeth marks form on the side where your tongue is?

Does your tongue get between your teeth when you swallow Decently?

Do you have difficulty chewing food?

Have you lost a tooth in the back area?

Do you clench your teeth at night or all day long?

Do you grind your teeth while sleeping at night? (Ask your family)

Have you ever woken up with a toothache?

Have you experienced a neck injury before?

Have you ever been hit in the jaw, face or head before?

Has it happened that the medications have not affected your pain for a long time?

Do your symptoms get worse during chewing?

Does it hurt when you open and close your mouth while putting your fingers inside your ears and pressing?

Does your jaw shift to the right or left when you open your mouth?

When you open your mouth, can your first 3 fingers enter vertically?

Do you have asymmetry on your face?

If the answer to many of these questions is "Yes", you may have disease. You need to consult with your dentist.

Methods by which you can check your jaw joint

Put your fingers in your ears, open and close your mouth several times. Do you feel clicking sounds?

Stand in front of the mirror and slowly open and close your mouth. Is there a shift to the other side or pain when opening?

Slide your jaw from one side to the other and note if there is pain.

Check the Sensitivity of Your Muscles

Place your fingers on the area where your joints are, which are slightly in front of your ears, apply pressure to your cheek area.

If you feel any discomfort or pain in your jaw joint, consult a dentist who specializes in TMJ.

TMJ treatment

Treatment of symptoms

Treatment of the underlying cause

Treatment of predisposing factors

Treatment of pathological effects

Treatment options

Patient education and preventive treatment

Physiotherapy

Medication

Splint treatment (Night Guards, NTI- treatment)

Intra-articular injections (Steroid, Na Hyaluronate, etc.) and lavage

Manipulation under general anaesthesia

Surgery (arthroscopic surgery, arthrocentesis, discectomy, disc repair, etc.)

Further treatment (rheumatological, endocrinological, otolaryngological complaints, psychiatric supportive therapy, etc.)

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