What is TMJ?

Temporo-Mandibular Joint Pain (TMJ)

Women with hand to jaw

Temporo-Mandibular joint discomfort or what some people refer to as just “TMJ” is a problem for many.  The joint is actually the area that connects the lower jaw (mandible) to the upper  part of the skull.  Even though it is actually a small disc of cartilage, the TMJ separates the 2 areas so you can talk, swallow, chew, kiss, and etc.  Pain and discomfort can occur when the cartilage is damaged.  

Symptoms of  TMJ Pain

  • Sore jaw muscles

  • Locking of the jaw

  • Ear pain

  • Temple or cheek pain

  • Frequent head and/or neck pain

  • Jaw popping or clicking

  • Difficulty in opening the mouth fully

  • Ringing in the ears (tinnitus)

The pain may be sharp  and can possibly occur every time you swallow, yawn, talk, or chew.  It can also be a dull, constant discomfort.  Usually the pain occurs over the joint in from of the ear but pain can radiate elsewhere.  It may cause spasms in facial muscles nearby and it may cause pain in the temple, cheek, lower jaw, and teeth.  Since a common symptom is ear pain, many people see an ENT (ear, nose, and throat) specialist.  When the “ear pain” is not associated with a hearing loss and the eardrum looks normal, the ENT specialist will consider the possibility that the pain comes from the temper-mandibular joint.

Causes of TMJ Pain

The TMJ pain is usually related to movement or displacement of the cartilage disc which may cause pressure and possible stretch the sensory nerves.  You may hear popping or clicking noises as the disk slips back into place when the jaw moves.  Chewing muscles may also not function efficiently causing pain and tenderness.  Other ways of damaging the TMJ:

  • Major and minor trauma to the jaw

  • Teeth grinding

  • Excessive gum chewing

  • Stress and other psychological factors

  • Improper bit

  • Arthritis

Treatment Options

Depending on your case, your ENT specialist may recommend a few self remedies such as: resting your muscles and TMJ by eating soft foods, not chewing gum, not clenching or tensing your jaw, and relaxing your muscles with moist heat.  In cases of actual joint injury from trauma, your doctor may recommend applying an ice pack soon after the injury to reduce swelling.  Some relief may be obtained also by relaxation techniques , stress reduction, non-steroidal anti-inflammatory drugs, and/or muscle relaxants.  In advanced cases an  occlusal splint(mouth guard) to prevent wear and tear on the joint. Your ENT specialist may request additional consultation with your dentist to manage the TMJ discomfort.