Dentist in Avondale, AZ
3400 N. Dysart Rd, Suite G125
Avondale, AZ 85392

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Palo Verde Dentistry - Thihan C. Phan DDS TMJ TMD Neuromuscular dentist in Avondale, AZ


Diagonosis and Treatment of TMJ/TMD

 

What is TMJ? "TMJ/TMD" - What is it?

According to the lay person the TMJ (Temporomandibular Joint) is a term that is often used to identify a multifaceted multi etiological group of problems that involve both medical as well as dental conditions involving the temporomandibular joint, muscles of mastication, the teeth/occlusion as well as the central nervous system. TMJ is more appropriately called TMD (Temporomandibular Joint Disorder or Dysfunction).

 

For an animation overview of how TMD affects your entire body click here or the figure on the right. 

 

Read more about Initial Treatment for TMD/TMJ

 

Symptoms associated with TMD:

  • Facial pain
  • Jaw joint pain
  • Back, Neck, cervical pain
  • Postural problems (forward head posture)
  • Pain in the face
  • Limited opening of the mouth (commonly known as “Locked Jaw”)
  • Headaches (tension type)
  • Pain in the muscles surrounding the temporomandibular joints
  • Pain in the occipital (back), temporal (side), frontal (front), or sub-orbital (below the eyes)
  • Pain behind the eyes – dagger and ice pick feelings
  • Multiple bites that feels uncomfortable or, “off,” and continually changing
  • Clenching/bruxing
  • Tender sensitive teeth to cold
  • Deviation of the jaw to one side
  • The jaw locking open or closed
  • Ringing in the ears, ear pain, and ear congestion feeelings
  • Sinus like symptoms
  • Dizziness or vertigo
  • Visual Disturbances
  • Tingling in fingers and hands
  • Insomnia – difficulty sleeping  

 

Common TMJ problems that can occur with the temporomandibular joint are disc disorders or internal derangements of the disc, disc locations, tearing of the lateral and medial collateral ligaments due to traumatic injuries, inflammatory disorders as synovitis/capsulities, inflammatory arthritis, capsular fibrosis, ankyosis, subluxations, spontaneous dislocations, chronic (recurrent disc locations) contributing to clicks and audible popping sounds. Fractures and hemarthrosis within the TM Joint should also be considered. Masticatory disorders (muscle pain), chronic mandibular hypo-mobility, mandibular hyper-mobility, growth disorders of the jaw (i.e. coronoid hyperplasia), and functional abnormal jaw closure patterns also be recognized. Common misdiagnosis’ are fibromyalgia, migraineous head pain, neuralgias of the masticatory system as well as cervical/neck/ shoulder and back pain.