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Marg helgenberger's - The Christ Hospital

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Not a<br />

headache?<br />

Not a<br />

toothache?<br />

Maybe it’s TMJ<br />

<strong>The</strong> dull ache in Lisa’s right cheek led her to<br />

the dentist’s office, where she figured she’d<br />

need a cavity filled at best or root canal at<br />

worst. She was surprised to learn that her<br />

teeth were fine—and to be referred to a medical specialist.<br />

Lisa turned out to have temporomandibular<br />

joint (TMJ) syndrome. Working with this specialist,<br />

she found that a combination of medication and<br />

lifestyle changes—not oral surgery—was the key to<br />

relieving her pain.<br />

What is TMJ?<br />

TMJ affects women in their childbearing years<br />

more than it affects men. Most cases are the result<br />

of displacement of the cartilage disk between the jaw<br />

bones, sometimes caused by an injury to the head,<br />

neck or face. This displacement produces pressure<br />

and stretching of the nerves, leading to pain. TMJ<br />

discomfort is also produced when the muscles used<br />

for chewing spasm. This spasm is commonly caused<br />

by clenching or grinding of the teeth (often while<br />

sleeping), or a poor bite.<br />

TMJ affects women in their<br />

childbearing years more than<br />

it affects men. <strong>The</strong> pain may<br />

be dull or shooting.<br />

Just as the causes of TMJ can differ, so, too,<br />

can the symptoms. Pain may be dull or shooting,<br />

feel like a toothache or a headache or radiate<br />

around the cheek or ear. Sometimes you can hear<br />

the joint pop as you open and close your mouth.<br />

Sometimes you can barely even open your mouth.<br />

Treating TMJ<br />

Treatment varies according to the causes and<br />

severity of your symptoms. If your problem is<br />

muscular, then appropriate actions may include<br />

massaging the muscles, eating soft foods that<br />

require little chewing, applying moist heat to your<br />

cheeks and taking muscle-relaxant medication.<br />

Some patients benefit from wearing a bite splint or<br />

a device like a dental retainer, which prevents<br />

clenching and grinding of the teeth during sleep.<br />

Braces or other orthodontia may be needed. Only<br />

in severe cases is surgery needed. If your pain<br />

points to TMJ, call your healthcare provider for<br />

a referral to a specialist trained in treating this<br />

syndrome. WHT<br />

<br />

Women’s Health Today

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