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Temporomandibular
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What is temporomandibular disdorder?

Temporomandibular disdorder is a disorder that masticating, pronouncing and swallowing of temporomandibular is not functioning properly.
It is called temporomandibular disturbance and craniomandibular disorder because it usually includes headache and head and neck pain disturbance. Initial symptoms of temporomandibular disdorder are sound in front of ears when opening and closing mouth or moving jaw to the side.
In sever case, due to wearing out of joint, your mouth cannot be closed.

Symptoms of temporomandibular disdorder

Cardinal symptoms of temporomandibular disdorder are sounds in jaw joint in front of ear when opening and closing mouth (experience of sound also included), unable to open mouth widely, feel pain in front of ear (beneath or back of the ear) when moving the jaw, chewing food or opening mouth widely. But recently, re-recurrent headache (muscle contraction headache) related muscle sore of surroundings of jaw joint, head, neck and shoulder are also considered to be cardinal symptoms. Other related symptoms are nausea, feeling of face swollen, fullness of ear, buzzing in the ears, congestion of nose, paralysis of sensation, change of appetite, sensitive to noise and etc.

Cause of is temporomandibular disdorder

Precise cause of temporomandibular disdorder is not unfolded yet. But it is caused by complex set of factors like external injury (accident, be bumped or beaten and etc), malocclusion of upper and lower teeth (occlusal disharmony), bad habits (ordinarily lower and upper teeth are engaged, teeth grinding, bad posture and etc), psychological cause (anxious, tensed and depression).

Self-diagnosis of is temporomandibular disorders

There is difficulty or pain when opening the mouth (for example, yawning).

Feeling of jaw seized-up or fall out.

There is difficulty or pain when chewing food, talking or mowing jaw.

Can hear sound from jaw joint.

Feel pain at ear, chic or side of head.

Feel uncomfortable or strange when chewing.

Frequent headache.

Temporomandibular disorder remedies

Upon patient history check-up, examination or reexamination, if patient is diagnosed to have Temporomandibular disorder, depending on the patient, treatment will be chosen among the remedies introduced below.

Occlusion stabilizer cure for stabilizing jaw joint or occlusion

In case when opening the mouth is hard, we first check which joint has problem and when the doctor finds the referable part, he tightly holds lower jaw molar tooth of disease contraction site pulls it to the anterior and inferior to let the disk goes to the proper position as much as possible.
By doing this, there are cases when mouth opens normally immediately.

An exercise cure

Several exercise cure will be done to comfort jaw joint and relax head, neck and shoulder muscle.

Management of behavior and stress

Behaviors mention in cause like poor posture, teeth grinding, clenching, and biting of nail, lips and pencil, unilateral chewing, chewing gum, habit of resting chin, habit of biting chic, protending jaw to the front and continuously moving habits can cause temporomandibular disorder. So managing these actions/habits can be a remedy. Management of stress is also needed because stress can cause problem by constantly contracting head and neck muscle, including masticating muscle.

Physical therapy or medicinal therapy

In case of physical therapy, improve lower jaw’s motion range to normal by treatments that relax muscle. Such as cold or hot pack, ultrasound cure, transcutaneous nerve stimulation, exercise cure, electronic needle stimulation and sound wave osmotherapy.
Medicinal therapy eases patient’s symptom by using nonnarcotic analgesic, muscle relaxant, tranguilizer, tranquilizer and antidepressant.

Other therapies like bio feedback, injection towards trigger point, acupuncture, occlusal adjustment and prosthetic or orthodontic treatment are done if needed.
Operation might be recommended if conservative therapies are ineffective or has structural hindrance in soft and hard tissue of joint. But patients who need operation are below 5percent.

 

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