The temporomandibular joint (TMJ) is the joint that connects your mandible (lower jaw) to your skull. The joint can be found on both sides of your head in front of your ears. It allows your jaw to move, enabling you to speak and eat.
Although TMJ refers to the joint, the abbreviation is also used to indicate problems that occur with the temporomandibular joint. TMJ disorders refer to a group of health problems that cause tenderness in the joint, facial pain, and difficulty in moving the joint. The National Institute of Dental and Craniofacial Research reports that as many as 10 million people suffer from TMJ disorders (NIDCR 2011).
The cause of temporomandibular joint disorders is unknown in many cases. Trauma to the jaw or joint may play a role in the development of TMJ disorders. In addition, there are other health conditions that may contribute to the development of these disorders. These include:
Other factors are associated with the development of TMJ disorders. However, these factors have not been proven to cause these disorders. They include:
The symptoms of TMJ disorders will depend on the severity and cause of your condition. Pain in the jaw and surrounding muscles is the most common symptom of TMJ. Other symptoms typically associated with these disorders include:
TMJ disorders may be difficult for your doctor to diagnose. There are no standard tests to diagnose these disorders. Your doctor may refer you to a dentist or ear, nose, and throat (ENT) specialist to diagnose your condition.
If you have symptoms of a TMJ disorder, your doctor may examine your jaw to see if there is swelling or tenderness. In addition, your doctor may use several different imaging tests. These include:
In most cases, the symptoms of TMJ disorders can be treated through conservative self-care practices at home. To ease the symptoms of TMJ you can:
If your symptoms do not improve with these measures, you may need help from your doctor. Depending on your symptoms, your doctor may prescribe or recommend the following:
In rare instances, your doctor may recommend surgery or other procedures to treat your condition. Procedures include:
Procedures used to treat this condition may, in some cases, make your symptoms worse. Talk to your doctor about the risks of these procedures.
If you develop a TMJ disorder, your prognosis will depend on the cause of the problem. In many patients, TMJ can be successfully treated with at-home remedies such a changing posture or reducing stress.
If your condition is caused by a chronic (long-term) disease such as arthritis, your prognosis will not be as good. Arthritis will result in destruction of the joint over time and increased pain. In these cases, more aggressive treatment such as surgery may be needed. Talk to your doctor about your options to determine what treatment is right for you.
You may not be able to prevent TMJ from developing. If you notice symptoms of this disorder, you may reduce them by lowering your stress. If you grind your teeth, stopping this behavior may also be helpful.