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Joint Pain

 

Joint (TMJ) Pain Disorders & Treatment

 

The temporomandibular joint (TMJ) is one of the most complex and highly active joints in the human body. It connects the lower jaw (mandible) to the skull and contains a soft cartilage disc positioned between the two bones.
This disc ensures smooth, coordinated movement while protecting the joint structures during opening, closing and chewing.

The joint is supported and stabilised by surrounding ligaments, muscles and a protective capsule, all working together to allow natural jaw movement.


Why TMJ Disorders Occur

TMJ disorders are multifactorial and may involve dentistry, oral and maxillofacial surgery, prosthodontics, orthodontics and even psychological factors.
A detailed and comprehensive clinical evaluation is therefore essential.

Common causes include:

  • Teeth grinding or clenching (bruxism)

  • Chewing predominantly on one side

  • Long dental procedures requiring prolonged mouth opening

  • Poorly fitting dental restorations or prostheses

  • Stress, anxiety or emotional tension

  • Trauma or injury to the jaw


Symptoms of TMJ Disorders

A patient may require evaluation and treatment if they experience:

  • Jaw joint pain or tenderness

  • Clicking, popping or grinding noises

  • Limited mouth opening

  • Difficulty chewing

  • Headaches, ear pain or facial discomfort

  • Stiffness or locking of the jaw


TMJ Treatment Approaches

Early diagnosis and intervention lead to a higher success rate and help prevent progression of symptoms.
Treatment options vary depending on the severity of the condition.

1. Conservative (Non-Surgical) Treatments

These are typically the first and most effective steps:

  • Night Guard / Occlusal Splint
    Designed to reduce clenching and grinding, relieve muscle tension and protect the joint.

  • Physiotherapy & Jaw Exercises
    Helps improve mobility and reduce muscle tightness.

  • Medication
    Anti-inflammatory drugs or muscle relaxants when needed.

  • Stress Management & Behavioural Techniques
    Addressing stress-related clenching.

  • Adjustment of Bite or Dental Restorations
    If an uneven bite or incompatible prosthesis contributes to the problem.


2. Advanced Treatments (When Necessary)

In more severe or persistent cases:

  • Intra-articular injections (such as hyaluronic acid)

  • Arthrocentesis (flushing the joint space)

  • Arthroscopy or open-joint surgery
    Rarely required but effective in selected cases.


Long-Term Management

TMJ disorders often require patience and consistent follow-up.
Most cases respond very well to conservative treatment and do not require surgery.

DentEuropa provides a personalised treatment plan tailored to your specific symptoms, habits and clinical findings, ensuring safe and effective long-term relief.

 

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