Treating Your Jaw Trouble
By Dr. Stewart I. Perim, D.D.S., M.S.
Of PENINSULA PERIODONTICS & ORTHODONTICS

In the last issue we discussed TM (temporomandibular) disorder, or problems with the jaw. We’ll look now at treatment options. A dental and medical evaluation is the first step in planning a personalized treatment program for you. A dental and medical history
provides information about your overall health, begins to reveal the kinds of symptoms you’re experiencing, and hints at their possible causes. A physical exam helps identify your TM-related symptoms, such as joint pain, clicking, or a limited range of motion. Diagnostic tests pinpoint even further the possible causes of your TM disorder. There are many treatment options that improve the harmony and function of your jaw. But, in large part, relief hinges on you. The most important role you can play throughout your treatment program (and your lifetime) is resting your jaw, so it can heal and regain
stability. Other self-care techniques that may relieve your symptoms are ice, heat, and exercise. Self-care will help other kinds of treatment be more effective in resolving your TM disorder. Managing daily stress is one of the best ways to help restore harmony between your muscles and joints. Ask your doctor about relaxation techniques. Biofeedback and other methods, like deep breathing, relax your mind and body. A variety of physical therapy techniques, such as jaw exercises, postural training, and mobilization are often used when your disk, ligaments, or other joint tissues are injured. Physical therapy promotes healing, reduces pain and swelling, aids muscle relaxation and increases your jaw’s range of motion. Your doctor may recommend that you wear a splint -- a clear plastic appliance that fits over your top or bottom teeth. Splints may reduce bruxism by keeping your teeth apart, helping relax muscles, and reducing pain. They also can change jaw posture enough to stabilize some bite problems and reduce pressure in your joints. If your TM disorder has caused problems with how your teeth fit together, you may need treatment to correct your bite, although this is seldom necessary. Often, a splint alone is all that’s needed. But you may need other treatment, such as orthodontics or restorative work, to correct more serious bite problems resulting from TM disorders. Surgery can help restore your jaw joint and eliminate the pain and other symptoms of TM disorders. With other treatments available, surgery is rarely needed, especially if a problem is diagnosed and treated early.

MAGGIE’S MEMO:
Drs. Perim and Perez-Mera of PENINSULA PERIODONTICS & ORTHODONTICS have specialty training in orthodonics (children and adults), periodontics, dental implants, and T.M.J. therapy. For an appointment, call
410-742-8686.

MAGGIE SAYS:
Patients of PENINSULA PERIODONTICS & ORTHODONTICS praised the gentleness of their care and especially the fabulous results! Call PENINSULA PERIODONTICS & ORTHODONTICS to set up a free screening for you or your children and create a beautiful smile for life! Don’t forget to mention Maggie!