Jaw Joint Treatment
Jaw joint disorders occur with the deterioration of the structure that provides jaw movements called temporomandibular joint (TMJ). It usually manifests itself with symptoms such as noise during jaw opening and closing, pain, feeling of fatigue, jaw locking or limited opening.
In the diagnostic process, firstly a clinical examination is performed, then the joint structure is evaluated in detail with three-dimensional imaging methods (such as 3D tomography). In this way, structural distortions or position changes within the joint can be clearly demonstrated.
The treatment plan is prepared individually according to the current situation. TMJ problems are usually a long-term process and patient compliance is decisive for success. Treatment options include the use of a night plate (splint), arthrocentesis (intra-articular fluid washing), mechanotherapy, botulinum toxin (Botox) applications and physical therapy protocols when necessary.
In some cases, load imbalances in the masticatory system may affect the bite relationship of the teeth. In such cases, existing restorations (fillings or porcelain) may need to be re-evaluated. An occlusion adjustment is an important step to support the treatment.
Regular follow-up is of great importance in TMJ treatments. Daily application of the exercises recommended by the physician increases the efficiency of the treatment process.
Jaw joint problems usually manifest themselves with the following symptoms:
- Restriction or locking of jaw movements
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Clicking or crunching sounds when opening and closing the jaw
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Pain during chewing
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Ear pain, ringing or dizziness
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Pain in the head, neck and shoulders
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Wear or sensitivity of the teeth
The main causes of these disorders are:
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Teeth clenching or grinding (bruxism)
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Incorrect dental treatment or poor bite relationships
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Trauma to the jaw or facial area
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Stress and anxiety
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Habits such as prolonged gum chewing or nail biting
Treatment depends on the cause and severity of the condition. Among the methods applied:
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Splint (night plate) applications performed by a dentist or maxillofacial surgeon
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Physiotherapy and exercises
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Medication (painkillers, muscle relaxants)
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Botulinum toxin injections
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ESWT (shock wave therapy) and chiropractic treatment
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Surgical interventions (rarely, when other methods fail)
Surgical intervention is usually considered when other treatment modalities have failed. It is important to evaluate all conservative treatment options before surgery.
With appropriate treatment methods, jaw joint disorders are usually cured. The treatment process can vary from person to person, but with ESWT, chiropractic treatment, physiotherapy and the right measures, most patients achieve a lasting improvement.
