Dennis R. Brenkert, D.D.S., M.S., Orthodontics

TMJ PROBLEMS

Temporomandibular joint problems can occur during treatment as the teeth are moved. Typically, the TMJ problem has pre-existed the orthodontic treatment and is caused by underlying skeletal and dental problems or stress/bruxism or jaw injuries. The temporomandibular joint functions between the jaw bone and the skull and allows you to open and close your jaw and move it from side to side. Abnormalities that occur within the jaw joint beyond the orthodontists control are treated with a jaw splint and physical therapy modalities, just as if you would sprain you elbow or knee. Oftentimes, as the bite relationship is corrected with associated splint and physical therapy modalities the temporomandibular joints can be stabilized and the treatment will be successful. If the patient suffers a jaw injury during treatment resulting in a temporomandibular dysfunction, further evaluation with an MRI and treatment with an oral surgeon may be required. Excessive gum chewing can also be the cause of the start of temporomandibular joint problems along with clenching and grinding of the teeth from stress. These factors along with an underlying dental/skeletal bite problem usually are the result of development of a temporomandibular joint problem.