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Do I Have tmj or tmd?

Posted on by writeradmin.

I’m a little confused about which problem I have. I’ve been having problems with severe headaches and pain in my jaw. Someone said they think I have TMJ . I went home to look that up and there seems to be two things. One is called TMJ and one is called TMD. How do I know which one I have?

Carol

Dear Carol,

close up of temporomadibular joint

There’s a good reason you are confused about this. Even though they have two different technical meanings, people (especially patients) use them synonymously.

TMJ refers to the temporomadibular joint. I’ve placed a picture of it above so you can see a close up of it. TMD refers to the disorder of the temporomandibular joint.

Generally, when people say TMJ they mean TMJ disorder (or TMD).

If You Have TMJ Disorder

The symptoms you’ve described above do relate to TMJ Disorder.
There are many possible reasons for developing jaw problems. Your next step would be to see a dentist with expertise in TMJ problems, so he can properly diagnose the cause.

You want a dentist who’ has invested in significant post-doctoral training in TMJ diagnosis and treatment. For instance, Dr. Delaune has done extensive training with the world renown Dawson Academy.

There is not a recognized TMJ Specialty so any general dentist can call themselves a TMJ dentist. That makes it especially important you know that the dentist you’re dealing with is actually qualified.

Treatments vary depending on the cause. It can range from a simple orthotic device up to a full-mouth reconstruction. Good dentists start with the most conservative treatment except for the most rare, devastating cases.

I hope this helps. This blog is brought to you by New Orleans Dentist Dr. Duane Delaune.

My Husband Says My Migraines are From TMJ

Posted on by writeradmin.

I take medicine for migraines every day. My husband, who is not a big believer in medications, thinks I’m probably getting the migraines from TMJ disorder and the medicine is not necessary. How do I know if he’s right?

Adeline

Dear Adeline,

close up of temporomadibular joint

Migraines can be the result of TMJ disorder, but there are normally other signs which accompany it. Here are some of the more common symptoms.

  • Painful jaw muscles
  • Popping or clicking of jaw joints
  • Worn teeth
  • Ear pain

There are others as well, but these are some generalized indicators. Though a self-diagnosis will do you little good. Your best bet is to see a dentist who treats TMJ. They can give you a thorough exam and narrow down the cause of your particular TMJ.

For instance, worn teeth are usually a sign you grind or clench your teeth. Not only can this lead to TMJ, but it also wears your teeth down to nubs, requiring them to need dental crowns in order to function properly. Yet, a simple night guard worn at night can completely protect your teeth and ease up the pressure to your jaw.

In other cases, it’s a matter of your bite being thrown off by poor alignment. There can be several solutions for this depending on the severity of the problem.

Who Should Treat Your TMJ?

There isn’t a recognized specialty in TMJ, therefore any dentist can technically claim to treat it. However, the way the muscles, joints, and teeth line up is a complicated matter and requires some post-doctoral training in order to be effective. It’s imperative you see a dentist who’s invested time in learning how to properly treat it at a reputable institution.

Here are some well-qualified places a dentist may go to get trained in TMJ Disorder:

  • The Kois Center
  • The Pankey Institute
  • Dawson Academy
  • Las Vegas Institute of Advanced Dental Studies

Any of these places offers extensive instruction on the diagnosis and treatment of TMJ Disorder. You should be in safe hands with a dentist who’s studied at one of them.

This blog is brought to you by New Orleans Cosmetic Dentist Dr. Duane Delaune.

Is Jaw Pain Diet Related?

Posted on by writeradmin.

I have pretty severe jaw pain, especially in the mornings. My sister said it’s my diet and I need to eat only whole foods. I switched to a whole foods diet. I’ve been on it a few weeks and haven’t had any relief. Do I need to give it more time? I can’t decide if this is diet related or dental related?

Carla T. – Georgia

Carla,

There are some conditions that are thought to be diet related and while, if you eat something that aggravated your jaw it can cause pain, diet will not cause the type of pain you’re describing.

Because it’s stronger in the morning, and I suspect you probably get morning headaches as well. I’d look into night grinding and TMJ.

See a dentist who’s received significant training in TMJ diagnosis and treatment. It’s not a recognized specialty, so a general dentist will have to put forth specific effort to receive the training. Don’t be shy about asking them where they studied TMJ. We’re not talking about where they studied in dental school. This needs to be post-graduate training. For instance, Dr. Delaune, studied at the Dawson Academy.

If it turns out that you’re grinding your teeth at night, that would explain your jaw pain. A simple night guard should solve the problem.

This blog is brought to you by Dr. Duane Delaune.

Why Is My Dentist Sending Me Somewhere Else for My TMJ?

Posted on by writeradmin.

My dentist thinks I have TMJ, but he wants to send me somewhere else for treatment.  I thought all dentists treated TMJ.

Michelle – Ohio

Michelle,

While all dentists can treat TMJ, some have more training in treating TMJ than others. It sounds like your dentist feels like you would get better care with another dentist in this case. What that tells me is you have a dentist who really wants to be certain you get the best care possible. That’s something to be lauded.

If your dentist didn’t recommend a specific TMJ dentist, I’ll give you a couple of things to look for. You want a dentist who’s had post-graduate training in TMJ.

Some great training to look for is Dawson Academy, the Las Vegas Institute for Advanced Dental Studies (LVI),  Spear, or the Kois Center. There are others too, but these are among the top.

This blog is brought to you by Dr. Duane Delaune.

Do I Need to Get a Second Opinion from a TMJ Dentist?

Posted on by writeradmin.

I went through about two years of braces when I was a teen and I stuck with it. I even wore the retainer like I was supposed to for years. Now my dentist says my bite isn’t right. He wants me to get crowns on all my teeth to fix it. In all fairness, I’ve already had a couple of cavities, and I think we got on this because I said I wanted my teeth whiter, but getting crowns everywhere seems excessive to me. Should I get a second opinion from a TMJ dentist about my bite,  or is what he’s telling me on the up and up?

Lance

Dear Lance,

A second opinion from someone with significant training in TMJ dentistry  would be a good idea. There’s a whole lot going on here and it’s unclear why your dentist made the recommendation he did.

TMJ problems are serious, and they do need correction, but based on what you’ve documented here, I’ve seen no indication of you haven’t indicated that you have any TMJ symptoms. Those would include jaw pain, popping, grinding, clicking, or generalized mouth pain, and migraines. These symptoms would make me suspect TMJ.

As for having the crowns done, this is one way to go about correcting bite issues, but there are also less invasive and less expensive ways to go about doing it, too.

Wanting whiter teeth is no excuse to jump in and get crowns either. Unless you’ve had work done on your front teeth, you can just have teeth whitening done, for a fraction of the cost and without affecting healthy tooth structure. Even if you do already have dental work on those teeth, you can have it replaced after whitening so it all matches.

This blog is brought to you by Dr. Duane Delaune.