Dealing with TMD / TMJ

Your temporomandibular joint (TMJ) is one of the most important joints in your body, allowing you to speak and chew food freely.

Dealing with TMD / TMJ

But for many Americans, dysfunction of this joint can cause pain, discomfort, swelling, and a bevy of other ailments.

In this blog, the Gaithersburg dentists at Clopper’s Mill Dental Care will help you understand Temporomandibular Disorders (TMD)—which are commonly misnamed as TMJ—and provide you with the most common methods for treatment and pain relief.

What is TMD?

Temporomandibular disorders are problems that affect the function and placement of your TMJ and the muscles surrounding it. It’s very difficult to determine the cause of TMD, but many dentists believe these disorders are caused by:

  • Teeth grinding or jaw clenching
  • Displacement of the cushions or discs around the TMJ
  • Arthritis of the TMJ
  • Increased stress levels, which can cause stiffness of jaw muscles

Symptoms of TMD

TMD most commonly occurs in people aged 20 to 40 and can affect either one or both sides of the face. Symptoms might include:

  • Face pain and soreness
  • A “locked” or “stuck” jaw
  • Popping or clicking noises during jaw movement
  • Facial swelling
  • Difficulty chewing
  • Sudden, sharp pains during the biting motion
  • A tired, sore feeling of the face

TMD can also cause toothaches, headaches, shoulder pain, and ringing in the ears.

Dealing With TMD

While there are quite a few medical procedures that can alleviate the symptoms of TMD, there are also some home remedies and good practices that can relieve pain and discomfort caused by the disorder.

Wear a mouthguard.

If your TMD is caused by jaw clenching or teeth grinding during sleep, getting a mouthguard from your dentist or your local pharmacy can protect the enamel of your teeth, and release some of the tension that can build up during the night.

Eat soft foods.

Munching on hard foods will only increase the pain and pressure of TMD—sticking to foods like soup, eggs, soft meats, yogurt, mashed potatoes, and pasta dishes will help you avoid extreme jaw movements, and will decrease the chance of friction between your TMJ and the surrounding socket.

Keep your mouth shut (literally).

Extreme jaw movements like yawning, intense chewing, and shouting can cause sharp pains and increase TMD swelling—mainly because they increase friction between the TMD and its socket. Avoid these extreme movements as much as possible to reduce TMD symptoms.

Relieve jaw pressure.

Constant contact between your top and bottom teeth can increase pressure, pain, and swelling. Keeping your teeth slightly apart, or placing your tongue between your teeth, will relieve these symptoms and prevent you from involuntarily clenching your jaw and grinding your teeth during the day.

More Aggressive TMD Treatment

For those with more severe TMD symptoms, more aggressive treatment might be needed to address the problem:

Transcutaneous Electrical Nerve Stimulation (TENS)

As one of the most effective pain-relief treatments for TMD, TENS uses low-power electrical currents to relax facial muscles and jaw joints. This can be done with at-home or dentist office treatments.

Radio Wave Therapy

Radio waves directed at the TMJ will increase blood flow and relieve pain.

Arthroscopic Surgery

Using an arthroscope (basically a flashlight/camera), an oral surgeon will administer anesthesia, make a small incision behind the ear, and insert the arthroscope, allowing them to see inside of the joint. The oral surgeon will then diagnose issues with the joint and will remove inflamed tissue, remove excess bone, or realign the disc or the joint.


Using general anesthesia, an oral surgeon inserts a needle into the joint to wash out the area and may use special tools to remove damaged tissue in order to dislodge a “stuck” TMJ or disc.

Open Joint Surgery

Generally used in the circumstance where the patient’s TMJ is affected by tumors or bone chips, an oral surgeon will open up the joint area for a better view and easier access to the joint. This procedure takes longer to heal from but is perhaps the most thorough and effective way to fix TMD problems.

Talk To Your Gaithersburg Dentist

If you experience any sort of TMD symptoms, it’s important to see your dentist as soon as possible. That’s where Clopper’s Mill Dental Care can help. With a team of seasoned dentists and oral surgeons on staff, we’re happy to help you with TMD problems, big or small. Schedule an appointment today.


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