TMJ disorders

For example, a new type of splint is called the NTI-tss. It fits over just a couple of top, front teeth. The idea is to keep all of your back teeth completely separated, under the theory that most clenching is done by these back teeth. With the NTI splint, the only contact is between the tiny splint and one bottom front tooth.

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MORE AGGRESSIVE TREATMENT

Be cautious about any non-reversible treatment method that permanently alters your bite. However, if a mouth guard doesn't work, your dentist may recommend orthodontics to help re-align your teeth.

Reconstructive surgery of the jaw is rarely required. In fact, studies have shown that the results are often worse than before surgery.

Muscle relaxant medications may help. Nonsteroidal anti-inflammatory medications (NSAIDS) help reduce inflammation in the jaw stemming from arthritis or other causes of inflammation.

Support Groups:

For additional information, two excellent books are Taking Control of TMJ by Robert Uppgaard and The Trigger Point Therapy Workbook by Clair Davies.

Expectations (prognosis):

Most cases can be successfully treated, although initially it may be difficult to diagnose the problem and find an effective solution. Some cases of pain go away on their own without treatment. TMJ-related pain tends to be cyclical and may return again in the future. If the cause is nightime clenching, treatment can be particularly tricky because it is a sleeping behavior that is hard to control.

Mouth splints are a common treatment approach for teeth grinding. While some splints may silence the grinding by providing a flat, even surface, their effectiveness at reducing pain or stopping clenching is more controversial. Splints may be effective in the short-term but could become less effective over time. Splints can also cause changes in your bite.

Complications:

Chronic headaches
Chronic facial pain

Calling your health care provider:

See your health care provider immediately if you are having trouble eating or opening your mouth. Keep in mind that a wide variety of possible conditions can cause TMJ symptoms, from arthritis to whiplash injuries. Experts who are specially trained in facial paincan help diagnose and treat TMJ.

TMJ problems do not fall clearly into one medical discipline. There are a wide variety of treatment approaches. If you are interested in a massage-based approach, look for a massage or physical therapist trained in trigger point therapy, neuromuscular therapy (NMT), clinical massage, or pain relief, particularly as it applies to TMJ pain.