CRB CLINIC DIGITAL DENTISTRY

Pain in the jaw joint
Pain in the muscles of the face, temples, headaches

License of the Ministry of Health of Ukraine AD No. 063321 dated 06.09.12
On this page we describe pain caused by TMJ (temporomandibular joint) dysfunction.
Symptoms we can help you with:
Eliminating pain in the jaw joint, we affect the underlying disease (TMJ dysfunction) at the same time. Thus, additional symptoms are eliminated.
✅ Pain in the jaw joint
✅ Crunch in the jaw joint, also crackling, creaking
Limited, uneven opening of the mouth, opening "to the side"

✅ Pain or noise, ringing in the ears
✅ Headache with TMJ problem
Neck pain with TMJ problem
CRB CLINIC
DIGITAL DENTISTRY

Treatment of pain
in the jaw joint

Diagnosis and determination of the cause of pain.
Treatment of muscles, ligaments, correction of the position of the joint
Phone consultations:
+38 044 580 40 04
How does pain appear in TMJ dysfunction?
PAIN CAN HAVE DIFFERENT LOCALIZATION
Pain can have completely different localization: pain in the muscles of the face, in the jaw, in the joint area, temples, pain in the ear or near the ear, headaches, pain in the neck, etc.

With such a scatter of options, a person does not immediately suspect TMJ dysfunction and does not understand which doctor to contact.

Additional symptoms may suggest:
- crunch, creaking when chewing, yawning;
- limited mouth opening;
- non-smooth stepped opening of the mouth;
- asymmetry of the movement of the lower jaw when opening/closing the mouth.
The main cause of jaw pain -
 is TMJ dysfunction
THE MAIN AND MOST COMMON DIAGNOSIS FOR PAIN IN THE JAW JOINT IS TMJ DYSFUNCTION
TMJ (temporomandibular joint) dysfunction is a collective term for various problems in this area, the dysfunction of which can be:

- the problem of muscles and ligaments of the jaw, joint;
- the problem of the articular bag (capsule);
- a problem inside the joint (disc blockage, ligament sprain);
- arthrosis of the jaw joint.
It is not uncommon for a patient to have two or three problems at the same time (for example, a problem in the musculoskeletal system and a problem in the joint).

Disturbance in the movement of the lower jaw
The video shows what types of mouth opening exist
CRB clinic

Three Causes of
TMD pain

Боль в мышцах

Сause 1- MUSCLE PAIN

Muscle pain is the most common variant.
Most often, pain occurs due to muscle spasm - the constant presence of the muscle in a contracted state. Hypothermia, muscle overload, malocclusion and asymmetric jaw movement can be a provocateur. Gradually, the spasm leads to poor circulation, metabolism is disturbed, muscle fibers stick together further, trigger points appear (hard to the touch, compacted painful area).

(Scroll through the gallery by clicking on the photo. The pain zone is marked with crosses)
An example is Bruxism, the involuntary grinding of teeth during sleep, which occurs in about 10% of people. Bruxism is caused by spasm of the masticatory muscles. At the same time, patients report pain in the jaw, morning headaches and migraines, pain in the neck, temples, ears, etc.

Causes of muscle problems
Learn more about what causes muscle spasms >>>
Muscle spasm is the body's response to any negative impact. Normally, a healthy muscle alternately contracts and relaxes. In a spasmodic state, the muscle does not exit the state of contraction.

What causes spasms of the facial muscles?
A spasm can be provoked by sudden hypothermia, stress, trauma or shock. It can also be an incorrect posture during sleep, an incorrectly selected pillow, or an uncomfortable head position.

Incorrect bite, incorrect chewing habits, chewing to one side, or the habit of holding objects in the mouth can all also cause muscle overload and spasm.

Another common cause is incorrect body architecture. In this case, the problem can begin, for example, in the back or even lower: due to postural disorders, the muscles of the back, then the shoulders, neck and finally the head spasm.
Боль в связках

Сause 2 - ENTHESOPATHY OF THE TMJ - PAIN IN THE LINATIONS

Enthesopathy is an inflammation of the fibers of the ligaments and tendons in the area of ​​their attachment to the bones:
- ligaments that stabilize and limit the movement of the lower jaw;
- tendons of the facial muscles;
- articular capsule of the jaw joint.
Inflammation occurs as a result of microfractures of the fibers and the accumulation of calcifications in these areas (calcification of the ligaments).
(Scroll through the gallery by clicking on the photo. The zone of microfractures is marked with a cross)

The first sign of developing TMJ enthesopathy is a crunch or crack in the ligaments. It can appear when chewing, talking, opening the mouth. The crunch occurs when the fibers coarsen and friction and sound occur during movement. When pain occurs, a characteristic symptom is the so-called "starting pain" - a sharp pain after sleep at the beginning of the movement, which weakens as the jaw continues to move.

Causes of TMJ Enthesopathy
Read more about what causes ligaments to suffer>>>
Enthesopathy usually occurs when two factors come together:

- on the one hand, this is the poor condition of the tissues, the inelasticity of the fibers of the ligaments and tendons. This may be due to muscle overload, vitamin and mineral deficiencies, and poor circulation.
- on the other hand, it is an overstretch or overload of the ligament / tendon as a result of muscle spasm, facial asymmetry, etc. In this case, inelastic fibers can tear, an inflammatory process occurs, which leads to pain.

n the zone of enthesopathy, calcifications begin to be deposited, calcification of the ligament occurs. At the same time, it loses its ability to stretch even more. This vicious circle can be broken only by undergoing a course of treatment and eliminating the cause of the problem.

Сause 3 - arthrosis pain

Arthrosis is a set of degenerative (destructive) processes in the joint:
✅ deformation of the intra-articular cartilaginous disc up to its complete destruction;
✅ flattening or deformation of the articular head;
✅ the appearance of bone growths, etc.

With these processes, movement in the joint is difficult, the interaction of articular surfaces, ligaments, intraarticular disc is accompanied by a crunch, creak, clicks.
(scroll through the gallery by clicking on the photo)

Артроз челюстного сустава
Causes of arthrosis
Read more about why arthrosis develops >>>
Arthrosis is an extremely advanced stage of joint damage. The reason for its development are untreated problems in the two previous stages:
✅ myofascial syndrome - spasmodic muscles impair blood circulation and nutrition, including joint tissues, which leads to degeneration;
✅ incorrect load on the joint as a result of malocclusion leads to rapid wear of the articular surfaces, overstretching of the ligaments, deformation and destruction of the intraarticular disc.

CRB clinic

Pain treatment for TMJ dysfunction

TMJ Dysfunction (TMD) Treatment Protocol

Orthopedic dentist consultation
The main task of the consultation is to confirm or refute the presence of TMJ dysfunction, and to identify the cause of the dysfunction. We pay attention to the condition of the teeth, the height of the bite, the wear of the teeth, the condition of the muscles of the face and jaw, the range of motion when opening/closing the mouth, the symmetry of the face, etc. The doctor conducts a survey, examination, palpation, functional tests and scanning of the teeth (2 jaws + occlusion).
Complex diagnostics for TMD
Comprehensive diagnostics includes additional studies. Diagnostics allows you to more thoroughly study the state of the dentoalveolar system, and adjacent areas that affect the jaw joints (posture, cervical vertebrae, muscles of the neck and shoulders).
Based on the results of the diagnosis, a step-by-step treatment plan is drawn up.
Diagnostics includes: CT scan of the jaws and joints, examination of teeth under a microscope, periodontal screening test, photo protocol, tooth scanning (2 jaws + occlusion), Batterfly measurements, functional tests for nerve conduction.
At this stage, the patient undergoes physiotherapy, and also uses a starting mouthguard to separate the joints. By measuring the muscle response to these stimuli, we can determine the duration of treatment in the future. In addition, the procedures themselves and wearing a mouthguard already have a therapeutic effect and relieve symptoms.
The complex includes consultation and diagnostics of an orthopedist-vertebroneurologist. It identifies problems in body architecture that affect the TMJ.
Council and presentation
The council is needed in order to choose the most optimal treatment tactics for the patient. All doctors of the clinic participate in the council, including orthopedic dentists, general practitioner, gnathologist, surgeon, orthopedic vertebroneurologist, and rehabilitation specialist.

All diagnostic data are summarized, analyzed, tactics and a step-by-step treatment plan are discussed at the council. The individual characteristics of each patient are taken into account.
Working with muscles and ligaments
TMJ dysfunction is not only a problem in the joint itself, but also problems of the muscles and ligaments surrounding the joint. At the first stage of treatment, we use physiotherapy and uncoupling caps to restore muscles and ligaments. The result of the stage is a uniform muscle tone and a decrease in symptoms.
Sanitation of the oral cavity
The purpose of sanitation is the elimination of any inflammatory processes in the oral cavity. This is a set of procedures for the treatment of teeth, gums, periodontal tissues, mucous membranes, etc.
Treatment of wrong bite
Treatment of malocclusion is carried out in the presence of individual indications. We make temporary constructions, dental crowns, carry out grinding, orthodontic treatment.
Treatmentof jaw joint
The main task of the stage is to restore the correct position of the articular surfaces and the intraarticular disc relative to each other. Correction is easy and painless due to preliminary work with muscles and ligaments.
In the correct position of the joint, diagnostics are carried out using digital equipment. The readings of the position of the jaws are taken in order to fix this position with the help of the correction of the dentition / bite. The order and strength of the closing of the teeth is determined for correction (if it is necessary).
Dental prosthetics
This stage is carried out if there are indications: the absence of teeth, the need to change bridges, crowns, etc.
Prosthetics may include implantation, installation of dental crowns, dental bridges.

What do we use for diagnosis and treatment?

Attention! Self-medication is dangerous for your health. The information is provided to familiarize you with the methods of treatment at the CRB clinic. The effectiveness of treatment depends on the focus of influence on each procedure.
3D scanner Medit i700
The latest model scanner allows you to create perfectly accurate digital impressions of teeth (accuracy of 11 microns), which means that the crown or veneer will also turn out perfect. Medit i700 is the winner of the 2021 Cellerant Best of Class Technology Award.
CT scanner HYPERION X9 PRO
Production of high-quality 3D CT images directly in the clinic facilitates and speeds up the diagnosis and treatment process. The CT device allows you to get pictures of the jaws and teeth, jaw joints, a teleroentgenogram, etc.
Ukrainian factory microscope "Scaner"
Today, the Ukrainian dental microscope is one of the best in quality and ergonomics among the world's analogues. We carry out all procedures under a microscope: dental treatment, canal treatment, teeth cleaning, orthopedic treatment.
TMJ correction
Correction or reduction of the joints means restoring the correct position of the articular surfaces and the intraarticular disc relative to each other. Correction requires a highly qualified doctor and preliminary preparation of muscles and ligaments with the help of physiotherapy.
Shock wave therapy StorzMedical
The shock wave affects the muscles and ligaments, relieves spasms, improves blood circulation, destroys calcifications. Muscle tone normalizes, elasticity of muscles and ligaments increases, pain, crunch and other symptoms decrease.
Orthopedic cap
Compensates for the negative impact of malocclusion on the jaw joint. Stabilizes the joint. Allows you to quickly reduce the symptoms of TMD: pain, crunching, tinnitus, etc.
Сonsultation and
digital diagnostics is carried out:
Majid I.G.
Deputy head physician of the CRB clinic Dentist orthopedist, specializes in the treatment of TMJ dysfunction, treatment of bruxism, total prosthetics. Works in a digital protocol. Before us, he worked in the Swiss digital scientific clinic Dentaprime. Work experience more than 9 years.
Dolya A.V.
Lead Physician
Candidate of Medical Sciences
Dentist-orthopedist, specializes in prosthetics, general dentistry, treatment of TMJ dysfunction, bruxism. Experience in digital protocol.
Work experience more than 20 years.
Gnatyuk-Temel B.V.
Lead Physician
Dentist-therapist,
specializes in general dentistry, endodontics and the treatment of bruxism.
Works in a digital protocol.
Over 19 years of experience.
Phone consultations:
+38 044 580 40 04
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