Jaw disorder is a painful condition of the lower jaw with clicks or popping sounds on opening the mouth, decreased mouth opening, and spasms of surrounding muscles.
We have two jaws-upper and lower jaw. During all the movements of the jaw, while eating and speaking, only the lower jaw moves. The upper jaw is fixed and does not move.
In the realm of jaw movement, we have two key players: the upper and lower jaw. When we eat and speak, it’s the lower jaw that does the lion’s share of the work. The upper jaw, however, remains stationary.
JAW disorder (Pain, Clicks) occurs when the muscles and ligaments around the Temporomandibular Joint (TMJ) or bones forming the joint become inflamed or irritated. The condition may be acute or chronic, and the resulting pain may be mild or severe.
Jaw disorders are most common in 20 to 40 years of age and are more common in women than in men and are associated with-
Neglected cases may lead to long-term problems such as sleep apnoea, sleeplessness, depression, and anxiety in patients which can cause and trigger TMJ pain again as a vicious cycle.
It is difficult to pinpoint the causes leading to this TMJ disorder. But probable causes include-
You can examine yourself and see whether you have TMJ Disorder (pain, clicks)
If you have one of these symptoms, then you might be having TMJ dysfunction. Once you visit us, we will examine you completely and will require the following investigations for diagnosis-
TMJ Disorders can be treated by either surgery or conservative management depending on the conditions. All the disorders are initially treated with non-surgical and conservative treatment
When non-surgical methods have failed to give relief in TMJ disorders, then surgical treatment can be opted for. The various modalities of treatment available are-
1. Injection of steroids into the joint space– This reduces the inflammation and pain associated with problems within the bone across the joint.
2. Arthrocentesis– This procedure is performed under local anesthesia. It is done when-
Arthrocentesis is also done when the jaw suddenly locks in the closed position. It is done with the help of a needle inserted into the TM joint and then irrigation is done with saline fluid to wash off the debris and the products of inflammation out of the joint.
3. Arthroscopy- This procedure is performed under general anesthesia. A small incision is made in front of the year and Arthroscopy with the light is inserted in TMJ and the whole joint is inspected and washed under vision. Any piece of inflamed tissue or debris is removed.
Because arthroscopic surgery is performed through tiny incisions, there is less scarring, a shorter recovery time, less discomfort, and fewer complications compared with open-joint surgery.
4. Open-joint surgery– It is done under general anesthesia and a longer incision is placed within the curvature of your ear which is very well hidden.
What are the indications for open TMJ surgery?
Open joint surgery is indicated in
Open joint surgery has a longer healing time and a chance of injury to frontal branch of the facial nerve (temporary paresis of muscle of the forehead) but still is the surgery of choice in patients with recurrent painful clicks and joint dislocations.
Within 48 hours of surgery, the patient begins physical therapy to regain the proper jaw movements.
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Jaw Disorders encompass a range of conditions affecting the jaw and TMJ, including pain, clicking, and dislocation. They differ from other jaw conditions due to their specific symptoms and the involvement of the TMJ.
Jaw Disorders can have various causes, such as trauma, stress, dental issues, or underlying medical conditions. Contributing factors may involve clenching, grinding, or injury.
Symptoms of Jaw Disorders can include jaw pain, clicking or popping sounds, and jaw dislocation. These symptoms can impact eating, speaking, and overall jaw function.
Diagnosis typically involves a clinical examination by a healthcare professional experienced in TMJ disorders. Imaging studies like X-rays or MRI may be used to evaluate the specific jaw issues.
Management of Jaw Disorders often involves conservative treatments such as physical therapy, medication, and lifestyle modifications. In severe cases, surgical intervention may be recommended.
Kayakriti Clinic specializes in Jaw Disorder management, offering a range of treatment options, including minimally invasive procedures and rehabilitation. They provide a patient-centric approach to relieve symptoms and improve jaw function.
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