1. TMJD Causes - Headaches, Migraines, Eye or Sinus Pain,
    Neck Pain, Shoulder Pain, Back pain.
TMJ Causes - Headaches, Migraines,  Eye or Sinus Pain, Neck Pain, Shoulder Pain, Back pain.
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  3. TMJD Causes

TMJD Causes

Unbalanced/Disturbed Bite

Your teeth are meant to meet in a certain fashion which is called as the Ideal Bite;the teeth have elevations known as the Cusps and Depressions known as the fossae. The elevations of your upper teeth oh fall into the depressions of the lower ones, which is how we obtain an ideal bite.

Bite Deformities can be of Many kinds:- An Overbite - when the upper and lower jaws have different proportions, the upper jaw has excess material and protrudes out. This also leads to an inability to establish a proper Lip Seal. This also leads to irregular delivery of forces on the adjoining muscles.

Underbite- When the excess of bony material is preset in the lower jaw than the upper jaw.

Missing Teeth - This has lead to major disharmony in teeth position inside the mouth. Our teeth tend to fill up these spaces and lead to movement of teeth into these spaces. The teeth migration leads to a lot of disharmony in the mouth, hence teeth should be replaced right then and there, so that the bite is restored.

Non Ideal Dental Treatment / Faulty Dental Treatments:

Malocclusion is the result of the body trying to optimize its function in a dysfunctional environment. It can be associated with a number of problems, including crooked teeth, gum problems, the temporomandibular joint (TMJ), and jaw muscles. Teeth, fillings, and crowns may wear down with time, break, or loosen, and teeth may be tender or ache.

Receding gums can be increased by a faulty bite. If the jaw is mispositioned, jaw muscles may have to work harder, which can lead to fatigue and or muscle spasms. This in turn can lead to headaches or migraines, eye or sinus pain, and pain in the neck, shoulder, or even back. Malocclusion can be a contributing factor to sleep disordered breathing which may include snoring, upper airway resistance syndrome, and / or sleep apnea (apnea means without breath). Untreated damaging malocclusion can lead to occlusal trauma. This is one of the commonest causes of TMJ disorders. So the point is creating harmony between the body and the bite.

TMJ and deformed facial profile

The process of giving birth is a beautiful one, but also very crucial. During difficult childbirth situations sometimes Forceps are used to extract the baby from the mother’s womb. When the pressure applied by the forceps is not adequate enough then its seen that external factors are required to pull out the baby from the womb , then forceps might be used , this is referred to as forceps delivery.

It’s a relatively old method and it has been seen the bones at this stage are relatively soft and pliable; they tend to deform themselves due to forceps injury. The placement of the forceps is usually on the jaw joint. This leads to a stunted growth of the face. Ankylosis of the joint is usually reported here .This means there is a stunted growth and development on the face.

The clinical examinations show an altered width and breath of the face, sounds of popping, clicking, crepitus etc. Such deformities lead to bigger issues like a deficient lower jaw growth. These further lead to a bird like face, a lot of facial deformities can be seen due to the same.

Such Abnormalities can be corrected using appliances that would train the muscles of the face and the jaw to close in a certain ideal manner. The good thing about these appliances is that they are given at the time of growth of the lower jaw.

Your TMJ dentist is the best person to tell you about these abnormalities. We at Zental specialize in the same.

Temporomandibular Joint & Airway Issues

Snoring, Constant Dizziness, Waking Up with a Heavy head??? Inability to have a sound sleep during the night.

Did you know that breathing problems can lead to Improper growth of the jaws and improper bite due to a Diseased Joint can lead to an Inability to breathe properly?

As Children grow, their bodies are constantly changing and growing, especially their teeth. Crowded teeth in children can cause bite issues because it can force their tongue forward against their teeth, narrowing their dental arch. A narrow dental arch will restrict the airway and leave no room for the tongue.

Thumb-sucking is a big contributor. The pressures that comes from sucking affects proper jaw development and can lead to poorly aligned dental arches as well as push the front teeth out. This leads to an improper effect on the tongue and the jaw development is altered.

Childhood allergies like Asthma, Bronchitis would also lead to an improper development of the Jaws. The reason being the child is unable to breathe effectively from the nose and hence breathes from the mouth. These kinds of children also suffer from a lot of Dental anomalies like forwardly placed teeth, inability to seal the lips, improper mastication. These further lead to deformity in the jaw joint. Hence it’s a vicious cycle continues as one thing lead to the other.

It's only a TMJ Specialist who will be able to detect the root cause of these problems and give you a proper solution for the same.

Occlussion- The Key To the Success of Dental Treatment

Occlusion, in a dental context, means simply the contact between teeth. More technically, it is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or at rest.

It is actually the Bite or Relation between the Upper and Lower Teeth.

For us as dentists it’s important that we can replicate the original Bite in The Patients Mouth.

If Bite is Messed Up with or Not Given the Importance it needs. The Teeth tend to grind onto each other and May lead to a lot of Unusual Pains in the Gum Joint.

Problem's Related to Occlussion

An Incorrect Occlusion can cause a number of problems, not just with teeth, but with the supporting bone and surrounding soft (gum) tissue, the temporomandibular joint (TMJ) i.e. the Jaw Joint, and Jaw muscles.

Teeth, fillings, and crowns may wear, break, or loosen, and teeth may be tender or ache. Receding gums can be exacerbated by a faulty bite.

TMJ problems, called temporomandibular joint disorder or TMJ syndrome, can include clicking, grinding, or pain in the jaw joint, ringing or buzzing in the ears, and difficulty in opening and closing the mouth.

If the jaw is improperly positioned, jaw muscles may have to work harder, which can lead to fatigue and or muscle spasms. This in turn can lead to headaches or migraines, eye or sinus pain, and pain in the neck, shoulder, or even back. Untreated damaging malocclusion can lead to occlusal trauma which can lead to loosening of the teeth, excessive wear of the teeth and drifting of the teeth into new positions.

Some of the treatments for different occlusal problems include tooth adjustments, replacement of teeth, medication (usually temporary), a diet of softer foods, and relaxation therapy for stress-related clenching.

Fixed appliances, known as orthodontics or braces, may be used to adjust the occlusion, and removable appliances, called occlusal splints, may be used to remove pain in the TMJ, prevent further damage and wear of the teeth and supporting structures.

But how does the mouth work from an occlusion standpoint?

The front teeth protect the back teeth by providing for a plane of guidance during protruding the jaw outside, thus allowing the cusps of the back teeth to move away rather than strike one another during lateral or protrusive movements from centric relation.

To put it simply, the back teeth have much larger crowns and many more cusps (elevations on the top surfaces) than the front teeth. Because of this the upper teeth and those of the lower teeth have an opportunity to bang into each other during chewing, speech or simply meeting together when one bites down. To prevent this from happening, the anterior teeth of each arch will, ideally, be situated so as to come into contact before the cusps of the posterior teeth do, thus averting such a situation.

The back teeth protect the front teeth by providing a stable vertical dimension of occlusion.

While front teeth may retain their natural position even after loss of posterior teeth, the masticatory forces will eventually cause the single-rooted anterior to splay, thus leading to a collapsed bite.

Occlusal splints (also called bite splints, bite planes, or night guards) are removable dental appliances carefully molded to custom fit the upper or lower arches of teeth of a patient.

They are used to protect teeth/implants and restoration surfaces, manage jaw dysfunction, and stabilize occlusion or create space prior to restoration procedures.

Patients prone to bruxism (nighttime clenching or grinding), should routinely wear occlusal splints at night to take stress of the TMJ and it’s an associated muscles and prevent damage to the teeth/implants and associated bone and soft (gum) tissue.

Occlusal splints are made of acrylic resin. There are several types of splints and these may be hard, soft or combination of hard and soft materials.

Soft splints have a memory and a tendency to cause “rebound” chewing in patients and are not as durable as hard splints. The splint generally covers all the teeth of the upper or lower arch, but partial coverage is sometimes used. Occlusal splints are usually used on either the upper or the lower teeth, termed maxillary splints or mandibular splints respectively.

We favor mandibular (lower) splints as they are less likely to interfere with speech and can be worn during the day without being obvious like maxillary (upper) teeth.

Hence Occlusion is a very integral and important aspect of Smile Makeovers, Even a Simple Crown, or a Single Filling / Restoration.

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