Temporomandibular Joint Dysfunction, or TMD, is a disorder which has a vast variety of symptoms and causations. Symptoms range from popping, clicking, locking of the jaw, reduced mouth opening, headaches, neck pain, ringing in the ears (tinnitus), or a number of related symptoms. Regarding causation, there is an exhaustive list, with the most common being trauma (i.e. whiplash), microtrauma (i.e. poor occlusion/bite contributing to grinding), stress (psychological or physical), postural problems, nutrition, or hormonal variations. The area of the Temporomandibular Joint, or TMJ, is the area of the face that contributes to chewing, bite (occlusion) and jaw movement. Therefore, TMD compromises jaw flexibility and may cause pain at rest or during common movements such as talking, chewing or yawning.
TMD relief and treatment
Dr. Moshiri believes in conservative management of TMD. Our treatment philosophy combines two phases of treatment. The initial phase incorporates splint therapy, combined with intensive physical medicine modalities (i.e. chiropractor or physical/massage therapists). The second phase may involve modification of the patient’s occlusion (bite) via orthodontics or restorative dentistry, or any other necessary treatment depending on the patient’s needs. If treatment for your TMD with Dr. Moshiri is not successful, other referrals may be provided.
Outside of splint therapy and physical medicine, patients should also avoid extreme jaw movements like yawning or singing. Additionally, patients should chew softer foods and stay away from food requiring repetitive chewing or opening movements. In particular, avoid gum, biting into apples and large sub sandwiches, chewing ice, etc. Patients should avoid keeping their mouth open for prolonged period of times (i.e. dental appointments).
Click here for more information on splint therapy.
Download our TMD handout for more information.
Click here to view our TMJ video.