TMJ Disorder And Facial Pain


If You Suffer From Any Of The Following You May Have TMD:

·        Discomfort in the jaws

·         Difficulty in opening the jaws or difficulty with chewing

·         A tired feeling in your face

·         Jaw joint locking or clicking

·         Clenching or grinding of teeth

·         Constant tooth ache in absence of dental problem

·         Pain or tightness in the muscles of neck, shoulders or head

·         Migraine and frequent headaches

·         Experiencing pain behind your eyes

·         Experiencing blocked ears or ringing ears (tinnitus)

Jamnagar TMJ specialist describe symptoms of TMJ disorder and facial pain

TMD often causes severe pain and discomfort. It can be temporary or last many years. Most commonly appear off and on. It might affect one or both sides of your face, most commonly one side. TMD is more common in women than men, and it’s most common among people between the ages of 20 and 40 years.


Your temporomandibular joint is a hinge that connects your jaw to the temporal bones of your skull, which are in front of each ear. It lets you move your jaw up and down and side to side, so you can talk, chew, laugh and yawn.


Problems with your jaw and the muscles in your face that control it are known as temporomandibular disorders (TMD).


The symptoms of TMD can vary drastically. The most common symptoms are muscle fatigue and soreness when chewing, headaches, clicking and popping of the jaw, clenching and grinding of the teeth, locking of the jaw, and even ear pain or ringing of the ears. It sounds crazy.


The jaw can affect so many parts of the head and neck. If these seemingly unrelated problems have been frustrating you for a long period of time, it might be time to see a TMJ specialist to see if your symptoms are related to your jaw function. The symptoms of TMD involve so many organ that patient may confuse and consult so many various specialist doctors like general practitioner, oral surgeon, ENT surgeon, orthopedic surgeon, general physician, neurosurgeon, neurophysician, ophthalmologist, physiotherapist, general surgeon and quack.(ભૂવો) (Yes, it’s fact. Many times patient can’t describe his problem, what happened with him).



Treatment of TMD need a holistic approach.


What Happened If You Ignore TMD?

·         Lockjaw and progressive limitation in jaw movement

When your jaw fails to function properly, there’s a risk of the jaw locking or being unable to move in certain ways. You should be able to speak, laugh, and yawn without your jaw stuck in one spot.

·         Sore teeth and gums

Improper joint alignment doesn’t just affect the jaw. It may be placing more stress on your teeth and gums. This can lead to toothaches, sensitive gums, and even gum recession over time.

·         Pain radiating to other parts of the head and face

In addition to sore gums and teeth, it’s common for the jaw pain to radiate into the other parts of your face and head.

·         Headaches and migraine

·         Earaches

·         Eye pain

·         Neck pain

·         Sore shoulders

·         Ringing in the ears (tinnitus)

·         Vertigo


If left unattended, the negative effects of TMD will worsen over time and become more complicated to treat. 

TMJ pain can be a huge limitation on your life. Many patients suffer for far too long because the symptoms are confusing–often vague and diffuse. 

Studies show that 70% of the world population has at least one symptom of TMD and 12% of the population suffers with severe TMD symptoms everyday.


Causes Of TMD

There is no single cause of TMD, as it is caused by a combination of factors.

·         Symptoms usually are created by a lack of harmony between the patient’s bite, muscles, and/or temporomandibular joint. For example, jaw misalignment, which is a consequence of poor teeth alignment.  This misalignment makes the jaw muscles work extra hard to compensate for incorrect positioning.

·         Stress,  which can cause you to tighten facial and jaw muscles or clench the teeth

·         Faulty dental treatment – high dental filling, crown and bridge

·         Previous jaw injury - if you’ve experienced a previous injury to the jaw, you’re more likely to experience an issue with joint alignment.

·         Hormonal fluctuation

·         Teeth grinding (bruxism) - grinding your teeth places a lot of stress on your teeth and gums as well as the jaw joint. The long-term repercussions of teeth grinding often include a TMJ disorder.

·         Tears in the TMJ capsule

·         Arthritis - the long-term wear and tear on the jaw joint can cause arthritis, which can make TMJ disorders more likely

·         Poor posture

·         Obstructive sleep apnea


Treatment Of TMD

Treatment of TMD is liberating.

Treating TMD early is important for overall well being. It can be distracting to have chronic pain…all the time.

The first step in treatment is reviewing a patient with TMJ symptoms is simply getting detailed history. We will ask you lot of questions related with present problem, your lifestyle, work environment, prior trauma, personality type, dental history and medical history. This discussion helps us to know any additional factors which could be linked to exacerbating your symptoms.

The second step is physical examination. 

A comprehensive exam of the head and neck , which includes muscles, joint mobility, how the teeth come together, the position of the top and bottom jaw relative to one another, and contributing factors like headaches, migraine, acidity, sleep disorder or ear pain.

Many other conditions cause similar symptoms -- like tooth decay, sinus problems, arthritis, or gum disease, which are ruled out in history and physical examination.

We may take full x-ray (OPG) to view your jaws, temporomandibular joints, and teeth to rule out other problems. We may suggest MRI to check the proper position of disc only in case of advanced TMD.


After examination a customized treatment plan is created, which depends upon how much disharmony in TMJ, how long have the symptoms been left untreated, etiological factors, severity of the symptoms.


 Some treatment options that may be a part of your treatment plan may include the following.


·         Permissive splints

The alignment of how the top and bottom jaw come together can create tension on the muscles and joints of the jaw. Permissive splint can allow repositions the jaw into a more stable position to remove the relax muscle and to heal the joint.

·         Restorative dentistry

Severely worn or broken teeth create unbalanced force muscles and TMJ of the jaw. To balance the force, the teeth can be restored with dental crowns, bridges, implants, or composite fillings which reduce symptoms.

·         Occlusal equilibration

The teeth are designed to fit together in a particular balanced way. In many cases the teeth hit harder in some spots than others. This uneven force creates instability. The muscles feel strained by this instability.  The occlusal equilibrium includes selective grinding of occluding tooth surface.

·         Painkillars and muscle relaxant medication to relax jaw muscles

·         Jaw exercises

·         Heat and ice application according to condition

·         Ultrasound. Deep heat applied to the joint can relieve soreness or improve mobility.

·         Trigger point relief in painful muscle

·         Diet instructions

·         Avoid wide mouth opening

·         Posture correction

·         Physical self regulation

·         Relaxation technique in case of stress related TMD

·         Transcutaneous Electrical Nerve Stimulation (TENS)

·         Acupuncture

·         Laser

·         Rarely, surgery in advanced case of TMD like arthrocenthesis, arthroscopy


Unburden yourself from TMJ pain. I am TMJ specialist in Jamnagar, Gujarat, help you every step of the way.


:Kindly Note:

There is no permanent cure for TMD’s. TMD is like diabetes and hypertension. We can control it's symptoms, but can’t cure completely.

You may need to follow instruction for the rest of your life.

Due to so many causes of TMD’s, no single therapy has been proved to be totally effective. Thus, based on your symptoms, contributing factors and scans, an individualized treatment approach will be recommended to you. However, the original treatment plan may need to be revised on the bases of your symptoms response.

The key to success is being patient and believing in the therapy.

Treatment can often take extended periods of time and recovery is subjective to one’s healing ability and mental make-up.


Our Commitment

“I was fortunate to recognize the rise in TMJ dysfunction very early in my career. I sought direct mentorship from the specialty of TMJ, Dr. Moez Khakiani, a leading TMJ specialist of India (mumbai). This unique background solidified my passion for TMJ treatment and catapulted my career as a TMJ specialist. For this, I am forever thankful.”                                                                                                                                                                                                                                                                          Dr. Bharat Katarmal

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