Got TMJ??? (Part I)

The answer is YES!!!  Everyone has TMJs.  Temporo Mandibular Joints.  They’re located just in front of the ear on each side of the head.  Feel them–open your teeth slightly and place your fingers right in front of the ear hole and wiggle your lower jaw around.  You’ll feel them active beneath the ball of your finger.  They support the mandible (lower jaw) on the skull.   No other joints quite like them in the whole body.  Not only do they rotate, but they also translate down and forward. Anatomists call them a ginglymo-arthroidal joints due to their ability to rotate AND translate.

Right!  Okay, so I’m being a bit facetious about “TMJ.” The real question is:  Got TMD? TemporoMandibular Dysfunction!!  Now, we’ve got something to talk about!!  Some sources say that “TMD” stands for “Too Much Disagreement!”  The reason for that anacronym is there seems to be controversy out there between various camps about the nature of TMD.  The undergraduate curriculums in dental schools don’t spend much time on occlusion(How teeth fit and function) because, quite frankly, the students have their hands full just learning the basics of treating tooth decay and gum disease. That’s pretty sad, because often TMD springs from the teeth and muscles being out of harmony (malocclusion) and indirectly contributes to gum disease and tooth decay, and the average dentist feels rather overwhelmed trying to make sense of occlusion and TMJ.  But I digress…..

TMD has to do with dysfunction of upper quadrant musculature, (Head, neck, shoulders, upper back, etc.), TMJs and the bony parts of the mandible or lower jaw.  What kind of dysfunction?  Headaches, neckaches, ear pain or chronic stuffiness, pops and clicks in the joint proper, grinding noises in the joints when chewing, upper neck, back and shoulder pain, even pain between the shoulder blades.  Sometimes even the range of motion can be affected, like difficulty looking both ways over your shoulder before leaving a traffic signal, for instance. Or difficulty with opening wide enough for a hero sandwich.  Even jaws getting tired chewing gum or a chewy piece of meat.  (As Dave Barry used to say:  “I am NOT making this up!”)

So—Got TMD??  What should you do?  One thing’s for sure, if there is pain on a regular basis around these areas, taking Aleve, Motrin, or Advil is NOT a long-term solution that’s in your best interests.  These remedies are for occasional discomfort.  You don’t have an ibuprofen deficiency!  It might be a good idea to seek someone out who knows something about TMD.   I’d suggest interviewing a dentist who claims to know something about TMD.  In my own case, it took me about ten years to “get it in my tissues”, so to speak, with literally hundreds of postgraduate hours.  It’s a fascinating field, but there is a lot to know, and there’s always more to know!!

In Got TMJ, Part II we’ll talk more about this condition.

To your health!!  Dr. R.

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129 Responses to Got TMJ??? (Part I)

  1. DrRisbrudt says:

    Book mark away–there’s a lot more to come!! THR

  2. DrRisbrudt says:

    Read the whole series. This series has the most comment of all the copy I’ve written!! THR

  3. DrRisbrudt says:

    Thanks, and do come back. There’s several articles on this topic! THR

  4. DrRisbrudt says:

    Thanks, and do come back!! THR

  5. DrRisbrudt says:

    Thanks ! I think!? THR

  6. DrRisbrudt says:

    Thanks! I think!? THR

  7. DrRisbrudt says:

    Thanks!! And do come back!! THR

  8. DrRisbrudt says:

    Thanks for the encouragement! Anything you’d like to hear about ?? THR

  9. DrRisbrudt says:

    Thanks for your comment!! THR

  10. DrRisbrudt says:

    Thanks for your kind comment!! THR

  11. DrRisbrudt says:

    Hang in forf the whole series on TMJ, and keep your comments coming!! Thanks!! THR

  12. DrRisbrudt says:

    First, read the whole series on TMJ, then let me know what else you’d like to know about it!1 Thanks!! THR

  13. DrRisbrudt says:

    I don’t intend to just clutter up cyberspace! Thanks for your comment!! THR

  14. DrRisbrudt says:

    Thanks, but it’s Tom, not Jeff!! THR

  15. DrRisbrudt says:

    Thanks!! Please read the whole series and check back with any comment!! THR

  16. DrRisbrudt says:

    Thanks! Please read the entire series–should provide you with plenty of info!! THR

  17. DrRisbrudt says:

    Thanks!! I’m curious– what brought you to visit?? THR

  18. DrRisbrudt says:

    Glad you felt compelled to comment!! Anything else you would be interested in?? THR

  19. DrRisbrudt says:

    Thanks for your comment!! Every reader that I gain is a real compliment!! THR

  20. DrRisbrudt says:

    Read the whole series, then let me know if the rest was helpful!! Thanks!! THR

  21. DrRisbrudt says:

    Thanks for your encouragement!! Do come back!!
    THR

  22. DrRisbrudt says:

    Thanks!!! (I think!!) THR

  23. DrRisbrudt says:

    Thanks for the encouragement!! THR

  24. DrRisbrudt says:

    Thanks! Do come back!! THR

  25. DrRisbrudt says:

    Thanks! Read the whole series–should provide some insights!! THR

  26. DrRisbrudt says:

    What a nice compliment!! Is there content you’d like to see?? THR

  27. DrRisbrudt says:

    Thanks! ake it a point to come back, and tell your friends!! THR

  28. DrRisbrudt says:

    Wow! Thanks!! This series has generated huge interest!! THR

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