Thursday, November 2, 2023

TMD













For most people, TMD is a reversible problem that can be treated using noninvasive and simple methods. Treatment typically involves resting the jaw, practicing stress relief techniques, and modifying behavior (such as learning not to clench the teeth).

  • Moist Heat. Moist heat from a heat pack or a hot water bottle wrapped in a warm, moist towel can improve function and reduce pain. Be careful to avoid burning yourself when using heat.
  • Ice. Ice packs can decrease inflammation and also numb pain and promote healing. Do not place an ice pack directly on your skin. Keep the pack wrapped in a clean cloth while you are using it. Do not use an ice pack for more than 10 - 15 minutes.
  • Soft Diet. Soft or blended foods allow the jaw to rest temporarily. Remember to avoid hard, crunchy, and chewy foods. Do not stretch your mouth to accommodate such foods as corn on the cob, apples, or whole fruits.
  • Jaw Exercises. Slow, gentle jaw exercises may help increase jaw mobility and healing. Your health care provider or a physical therapist can evaluate your condition and suggest appropriate exercises based on your individual needs.  A recent study found therapeutic jaw exercises bring earlier recovery of jaw function compared to splints! Click here to read the specific jaw exercises used in this study.
  • Relaxation Techniques. Relaxation and guided imagery can be helpful in dealing with the pain that accompanies TMJ dysfunction. Deep, slow breathing enhances relaxation and modulates pain sensations. Some have found massage helpful in reducing stress and aiding relaxation.
  • Side Sleeping. Sleep on your side using pillow support between shoulder and neck.
  • Relax Facial Muscles. Make a concerted effort to relax your lips, and keep teeth apart.
  • Yawning. Use your fist to support your chin as you yawn to prevent damage to the joint and prevent your jaw from locking open.

IN ADDITION, AVOID:
  • Jaw clenching
  • Gum chewing
  • Cradling the telephone, which may irritate jaw and neck muscles

Be sure to discuss your jaw limitations with your doctor prior to surgery or a long dental appointment so he/she uses extreme cautionAnesthesia, often used during dental procedures, can affect mouth opening and damage the joint. If possible, avoid long dental appointments requiring an open mouth for more than 30 minutes.

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