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TMJ Treatment
Prevention & Treatment of all kind of Dental Problems
Temporomandibular joint and muscle disorders or popularly known as TMJ, is a condition where the jaws pain and the muscles attached to the jaw get dysfunctional. We understand that such pain is dread-some and know how to treat it providing you the best results! TMJ pain is often experienced in cycles and people tend to ignore it. When let it rest it can get right on its own, but if the pain becomes unbearable and persists for more than you think it should, visit us.
Treatment of TMJ is an extensive process and more than one type of treatment is generally done.
Indications
Full mouth reconstruction is indicated when
Indications for Dental Implants
- Multiple missing teeth : Missing teeth causes decreased efficiency of chewing food which causes the patient to swallow large lumps of food which in turn impairs digestion of food and bad stomach.
- Gum disease : Gum disease causes bad breath, swollen gums, bleeding gums, receding gums and bone loss. The teeth become loose and shaky in the bone decreasing the chewing capability
- Improper bite : Improper bite is caused by excessive grinding of teeth, broken teeth, crooked teeth.
- Smile design : smile design is done with the help of veneers, crowns and bonding. This is done when patient does not like his or her smile.
- Crooked teeth : Crooked teeth causes food to be lodged in between teeth and becomes difficult to clean causing bad breath, gum disease and improper bite in some cases.
- Loose dentures : Dentures are worn by patients who don’t have teeth, but sometimes they are not satisfied with Dentures as they rock in the mouth and move as we eat food causing lot of irritation to patient and impaired efficiency of chewing food.
Types Of TMJ Disorder
As the name has it, TMJ is often divided broadly in two types.
Masticatory Muscle Pain
When the muscles attached to the jaws feel sore and movement is restricted a dull pain can be experienced. Headaches and neck pain are a common symptom along with ears feeling full.
Jaw Joint Pain
When the cushioning disk in the jaw joint is disrupted, a severe cyclic pain can be experienced. If you are having Jaw locks with grinding noises in your joint. This is what you are faced with.
Pulp Vitality Test
These are doen by applying hot and cold to the tooth and pain response is tested. Pulp vitality can be done with a pulp vitality tester also.
Dental X-rays
x-rays are taken for the affected tooth and seen for any periapical infection
Palpation
Intraoral palpation and extraoral palpation is done to confirm the diagnosis.
Risks and Complications
Root canal treatment is one of the least risky treatment with negligible complications. Root canal failure or re-infection can occur after some years of root canal treatment. This happens if filling or crown over the tooth which is root canal treated is not good or root canal filling is not sufficient. Sometimes root canal file can break while doing the procedure. Then we have to either take the broken file out of the tooth or if not possible then we have to bypass the file and continue with root canal.
Expected Outcome
Root canal treatment brings relief to pain and hot and cold sensitivity to the tooth. You can enjoy your food for many more years to come. The infection in the tooth and bone is healed which brings the end to the agony suffered for so long.
At Rohit Dental Clinic, we lay out a custom plan for you in long term which can help you have a healthy & untreated smile always. Our Dentists are completely equipped with all equipment required to provide completely pain-free treatments for dental problems. They have been trained on most strenuous of environment to give best possible treatment at affordable cost.
Process For Extraction
One must not panic with this situation thinking that even after taking good care of their teeth they are facing this dental problem because it is a natural phenomenon. You must trust your dentist and should take treatment and medicines recommended by him. It is not a prolonged treatment. The patient takes hardly a week to recover after the surgery if he follows his dentist’s instructions.
- Anaesthesia : The most widely accepted method is by making use of Anaesthesia.It may be local, general or sedative. Each of its type works profoundly in lessening the pain or rather making the patient simply unaware about the gruesome pain that they witness during extraction.
- Making Flaps for Exposure : The whole process followed involves making a cut on your skin which is near the tooth making flaps for the exposure. There might be a removal of the bone that is blocking the way to wisdom tooth if any such bone exists.
- Breaking in Parts : The tooth is generally separated into parts for effective removal part by part.
- Tooth Removal : The tooth is gradually removed and the area infected is cleaned.
- Suturing : There might be stitches around the area that was wounded.
- Final Dressing : Placement of a protective layer is done to prevent bleeding from the point of extraction.
Risks and Complications
Contact your dentist if you have any problem regarding medication. If you face any strange symptom do not be afraid to visit him. Some of the risks & complications involve:
- Pain & Fever : Fever and two three days persistence of slight pain are common symptoms.
- Dry socket : Sometimes there is no development of blood clot which leads to formation of dry socket.
- Nerve Injury : Some patients experience numbness for very long periods due to nerve injury.
- Infection : Some patients also develop infections which can lead to delayed healing and yellow discharge from the extraction site.
- Bleeding : High amount of bleeding is one specific complication which needs to be addressed by the denstist Other than these if you face some painful symptoms like bleeding in nasal passage, numbness, pus in medicated area and prolonged swelling your dentist must be contacted. You should not delay visiting him.
Procedure
Often for TMJ a wide range of medications are applied. Drug medications may include Pain Relievers and Anti Inflammatory drugs, Tricyclic antidepressants and muscle relaxants. Sometimes use of acupuncture can also help in the treatment of TMJ Disorders. But when the problem reaches are certain limit, there are more sure shot, surgical methods to deal with the same.
- Arthrocentesis : This involves insertion of small needles in the joint to facilitate fluid flow to ease the pain.
- TMJ Arthroscopy : Arthroscopic surgery is often used and is a very effective for TMJ Disorder treatment. It has fewer risks and is easy to perform when compared to other surgical options.
- Modified condylotomy : This method addresses TMJ indirectly by performing surgery on mandible and not on the joint.
- Open Joint Surgery : This is the last option one considers because of the risks involved along with the surgery’s complications. It involves replacement of the joint and needs expert dentistry to get the perfect results.
- Radiowave Treatment : Subjecting the joint to radiowaves for increased blood flow has been tested successful in many cases and is a great way to deal with TMJ.
Though the time taken to get free of TMJ Disorder is highly patient specific, as in some cases it is cured on its own while often than not, a dentist’s intervention is required. The ideal time taken would be somewhere from around 12-18 months.
After Care
Age Group
TMJ Disorder is not very common in children and is often found to be a severe case in adults. Age groups of 25-60 have been diagnosed with TMJ, and they make up the 90% of patients for this disorder.
Cost
The cost of TMJ treatment begins at somewhere around `1000 and can go up to `80k and is very patient specific. One should consult with the doctor to get the best way to deal with TMJ Disorder, as If not dealt properly in severe cases, they become chronic and make life as miserable as miserable can be.
Self-care advice
- You can use safe painkiller like paracetamol or ibuprofen if you feel uncomfortable.
- Avoid Gyming or extentsive exercise for few days.
- You should avoid rinsing, spitting, hot drinks which could disloge the blood clot.
- Say ‘No’ to drinking and smoking.
- Avoid driving for first 24 hours especially if you were give some sedatives.
- Keep you head high while sleeping for few days.
- Try to take maximum liquid diet or chew from the other side only
Removable partial dentures
Removable partial dentures use plastic teeth to replace missing teeth. These plastic teeth are fixed on an acrylic plate and clasps are placed in the plate to take support from adjacent teeth.
- Basic Procedure : In this technique impressions are taken and then bite record is done on second sitting, then a try in is done to check the prosthesis before final insertion
- Time Required : 3-5 days
Full mouth reconstruction involves various techniques to reconstruct the mouth which may involve aligning of teeth with invasiline, metal braces. Smile correction with veneers, crowns, bonding. Reconstruction of mutilated teeth with tooth colored fillings, inlays, onlays and crowns.
Time required
- Time required depends upon the procedure of reconstruction to be done.
- If full mouth implants has to be done we can finish the treatment in 3-5 days from placing of implants to fixing of teeth.
- Bridges require 3-4 days from taking of impression to fixing of teeth.
- Veneers requires 2-3 weeks from taking of impressions to final fixing on to the teeth.
Endosteal Implants
Process comprising of surgically placing the implants directly into your jawbone.As soon as the gum tissues have healed upto a significant level further step of surgery that connects the post to the implant is done. Lastly an artificial tooth(teeth) is attached to the post individually or grouped on a bridge.
Subperiosteal Implants
The only difference from Endosteal implants is that this process involves placing of a metal frame instead of directly the implants. This frame gradually fuses with the jawbone and then the same process is followed.
FAQs on Temporomandibular joint and muscle disorders
What are the causes of TMJ D?
Abnormal position of upper and lower teeth are a major reason of TMJ. Also, when one clenches teeth for a stretched amount of time for months, TMJ can develop.
Is surgery the only way out of TMJ D?
Absolutely No. TMJ D is many a times seen to be cured on its own and if not, then there are other options like Radio wave therapy, Acupuncture and massage. One can also, on consulting with the doctor use medications to deal with TMJ D.
What are the symptoms of TMJ D?
Ringing or clogged ears
Headaches that persist
Pain in throat
Clicking or Grinding sound near the joint
Does TMJ D cause depression? If no, then why are anti-depressants prescribed for TMJ D?
Anti depressants do not always mean that the subject is suffering from depression. In the case of TMJ D, it is used to put patients in deep, Delta 4-stage sleep. This causes muscles and jaws to relax increasing blood flow and easing out the pain.
I will see the doctor soon, meanwhile what are the things I can do to ease pain?
Do not chew gums (chewing gums)
Eat food that is easy to chew
Massage the sore jaw
Apply heat for 10 minutes daily five times to the affected area