TMJ pain & treatment Harley Street, London W1
What is TMJ disorder?
TMJ Disorder can be treated through safe, nonsurgical treatments that often permanently solve the issue, so no one has to suffer TMJ disorder or its myriad of side effects. Surgery should only be recommended as a last resort.
Treatment for TMJ disorder is very patient specific and the exact cause of the disorder should be determined. Here at Harley Street Dental Studio, our experts will review your symptoms and examine your teeth, including tooth wear, restorations and position, your gums for their health and your bite and bite movements.
Treatments often start with a hard bite guard (known as a bite splint) to allow your jaw and teeth to find a more balanced and natural position. Once this is achieved, and your symptoms have resolved, a more definitive treatment can be completed for a more permanent solution.
This can include orthodontics (teeth straightening), building up, restoring the teeth or a combination of these. We can also offer neuromuscular dentistry, which focuses on the position of the jaw, teeth and the tissues surrounding it. Treatment for your TMJ disorder is usually handled by one of our specialist prosthodontists or directors.
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A wonderful practice. The service and treatment from Administration and Clinical is 5*. The confidence they have given me back is impossible to…
A wonderful practice. The service and treatment from Administration and Clinical is 5*. The confidence they have given me back is impossible to put a price on. My continuing care is fantastic. A first rate Dental Team
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I saw Lana for my hygienist appointment, and I can confirm hands down that it’s the best clean I have ever had. She was very thorough and explained everything she was doing and why during the appointment. I have recommended her to all my friends. Fantastic service! Will come again!
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Sina’s attention to detail, insight and skill is next to none. Part of me feels a written review won’t do the experience justice, however I’ll try. I went into Sina with a good idea of what I wanted “ a natural looking straight smile which retained some character from my natural smile”. Sina clearly listed out the options, the pluses and negatives of each and provided a great deal of education along the way. I went for an exercise of patience and chose to correct the bite and straighten the teeth with Invisalign which was pain free and simple and then went onto perfect the smile with three perfected veneers and a crown. This is where Sina’s attention to detail kicked in. We came up with a plan together and didn’t miss a beat. I went into have a trial smile which I made changes too, things like making the teeth shorter, less round and wider were all things that where taking into account until it was perfect. At no point did I worry about a thing and constantly felt like I was in the best hands around. I couldn’t recommended Sina enough – if you’re planning on getting your smile perfect you’d be wasting your time looking elsewhere!Thanks again Sina.
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Could not recommend Harley Street Dental Studio more. I’ve just finished Invisalign, whitening and bonding treatment with Dr Shad Jaff and am genuinely smiling from ear to ear. Really professional set up with an incredible team of talented and friendly people. Thank you Shad for working your magic on my smile.
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I have always very nervous about having treatments such as bottox and fillers but the staff at Harley Street dental group were so very friendly…
I have always very nervous about having treatments such as bottox and fillers but the staff at Harley Street dental group were so very friendly and reassuring, putting me completely at ease. Every query I put to them was answered thoroughly and kindly. The treatment was done gently and compassionately, and everything was explained every step of the way. I would highly recommend coming here. Thank you Dr Adam Thorne I am delighted with the results.
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Best experience with a dentist in my life. No pain; great step-by-step explanation of the procedure throughout. Worked hard to save the problem tooth. Very knowledgable of the latest procedures. Great teamwork between dentist and assistant.
I highly recommend Dr Steffen Decker at Harley Street Dental Studio. He listened to what was important to me in achieving my final result with…
I highly recommend Dr Steffen Decker at Harley Street Dental Studio. He listened to what was important to me in achieving my final result with INCOGNITO and was always friendly and approachable. I got a much better result than I was expecting and it was well worth the investment.
It can be caused by:
An unbalanced bite
Bad and uneven bites, such as an overbite or underbite are the primary cause of TMJ Disorder. A bad bite can be a result of airway problems, allergies during childhood, thumb-sucking and tooth-loss.
Deformation of the skull
The pressures and forces exerted on a baby’s head during birth can affect the shape and affect the development of the skull. Misalignment of bones, muscles and ligaments can all lead to TMJ later on in life.
Injury, impact or trauma
When the human body absorbs a serious impact, it can alter the joints and muscles in your head, face and neck. This causes TMJ and its resultant irritation, discomfort and pains.
Unbalanced dental treatment
Dental and orthodontic treatment which causes asymmetry in the mouth can affect the bite and lead to TMJ problems.
Phase one – TENS treatment
Phase One: First of all, a TENS (Transcutaneous electrical nerve stimulation) machine is used to relax the jaw muscles using a series of tiny electrical impulses and find your jaw’s natural most relaxed position. The TENS machine will therefore relax and de-programme jaw muscles that have been overworked. Other exercises can also be used to decompress the temporomandibular joint. We will then use EMG data (electromyography data), to relax and prove your muscles are relaxed using a measure similar to a Richter Scale. After this, we capture this most relaxed position using high quality moulding material and then realign your bite into its optimal position.
After this, you will wear a custom-made orthotic (an orthopaedic device used to correct an underlying issue with your jaw placement). It rests on top of the existing teeth, is clear and looks completely natural, but will provide almost immediate relief from the effects of TMJ disorder, something that will increase as your muscles get used to the orthotic device.
Phase two – relapse prevention
Phase Two: Once you are completely comfortable with your new bite, Dr Frey may recommend additional cosmetic dental treatment to ensure the results of your treatment retain and there is no relapse of the temporomandibular joint. The exact nature of this depends on your individual circumstances but could include orthodontics or a full mouth rehabilitation. There are a number of options and Dr Frey will go through them with you at the end of Phase One of your treatment.
Dental health concerns
TMJ disorder and putting off treatment can lead to additional dental health issues. The grinding and clenching of teeth caused by TMJ and bruxism can lead to worn down and fractured teeth. Due to the misalignment of the jaw, TMJ sufferers often favour one side of the jaw over the other, and this could cause unsymmetrical muscle growth or swelling on one side of your face, causing an asymmetrical appearance.
Tooth and jaw pain
With TMJ disorder, your teeth can more rapidly be worn than if your jaw is properly aligned. This can lead to wear on your teeth that is uneven, the range of jaw motion being reduced or loss and the recession of gums. If you have any pain in your teeth or jaw the root cause could be TMJ.
Neck, back and shoulder pain
The unaligned bite caused by TMJ disorder can have a ripple effect that affects your shoulder muscles, back and neck. Tight, contracted and sore jaw muscles tilt the head which causes overcompensation by the neck, back and shoulder muscles. This causes pain throughout the upper body.
Numbness and tingling in fingers
A misaligned bite can cause the nerves and muscles through your face, jaw, neck and shoulders to spasm. This in itself can cause pinched nerves that lead down to your arm, causing tingling and numbness in your fingers, hands and arms. Almost half of people who suffer with TMJ suffer these symptoms, and the numbness and tingling can vary in intensity.
Grinding of teeth and jaw
Slight grinding of the teeth isn’t necessarily a serious issue unless it is done unconsciously whilst you are asleep. This is known as Bruxism and can be very painful. It results in a worn out tooth surface, and sometimes even fractured teeth.
TMJ disorder can have serious effects on your entire body posture. When your bite is unbalanced, your muscle activity and the length of your muscles will be similarly unbalanced. If muscles are contracted too much it creates a posture that leans and slouches forward. This has a ripple effect throughout your body, which if not lined up properly can result in a decrease of the physical performance of the body. This can cause you to feel increasingly tired and sluggish through the day.
People with TMJ will very commonly suffer pain in their face. As TMJ disorder affects neck, face and head muscles, if a nerve gets pinched the pain can cause discomfort in your face. The bad bite that dislocates the jaw and surrounding muscles can cause pain behind the eyes as well as pain in the face.
Ear pain and congestion
Earaches, dizziness, ringing in the ears or a congested feeling in your ears can be traced to TMJ disorder. The misaligned jaw makes your ear canal sensitive and affects the muscles and nerves in your ears. This can cause vertigo, dizziness, pain in the ear, sinus pain, reduced hearing and a feeling of congestion in your ears.
One of the most common complaints TMJ disorder suffer from, headaches are caused when the TMJ is out of alignment. This causes muscle tension in your face, neck and shoulders, which leads to tension headaches. They can also be caused by the build-up of blood pressure due to the muscles straining. Tension headaches can be extremely painful, to the point that they are often misdiagnosed as migraines.
Lockjaw, clicking and popping of jaw
If the jaw is not aligned in the proper position, it causes the TMJ disc to become displaced and the closing of the join spaces. This could result in popping or clicking sensations when you open or close your mouth. This can happen when yawning, or during biting or eating. In extreme instances, the displacement of the TMJ disc can case the jaw to lock if you open your mouth wide, which can cause problems with closing one’s mouth. This needs a doctor’s attention as it it’s a serious condition.
Tinnitus and ear issues
Due to the jaw’s placement directly beneath the ears, TMJ disorder can lead to hearing issues such as tinnitus, as well as damaged hearing and inner ear issues. Problems with the inner ear can cause balance difficulties as well as recurring dizziness.
Other medical concerns
There are other medical conditions that can arise from the effects of TMJ disorder on a patient. A number of patients will change their diet as a result of the pain and limited jaw motion by either not eating much or only eating soft foods and liquids, which could cause nutrition issues. The pain and grinding of teeth can cause issues with sleep as well, including disturbed sleep or insomnia.
HSDS – Clip – Adam (TMJ)
TMJ – Treatment Options for TMJ TMD with London Cosmetic Dentist Dr David Frey
6 ways to get your perfect smile
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