The temporomandibular, or TMJ,  joints are located near the ear and at the top of the lower jaw.  These joints allow movement of the jaw.

TMJ disorders are caused by injury, arthritis or habits such as grinding the teeth at night.  These disorders may produce some of the following symptoms:

• Earaches
• Headaches
• Clicking or grating noises with jaw movement
• Pain opening or closing the mouth
• Limited movement of the jaw
• Pain in the face, temples, or neck

Not all discomfort of the jaw is the result of a TMJ disorder.  In many cases, stress causes the muscles in the jaw to tense, resulting in symptoms similar to those characteristic of a TMJ disorder.  Special imaging techniques may be needed to properly diagnose jaw problems and correct them accordingly.

Treatment

The necessary course of treatment is dependent on the specific diagnosis and severity of the damage to the joint.  Treatment for TMJ disorders include:

• Medications for pain and muscle relaxation
• A bit plate or splint
• Stress management
• Surgical repair of the joint
• Arthroscopic surgical repair (minimally invasive surgery)

Dr. Fleischmann does not recommend TMJ surgery unless the jaw cannot open, is dislocated and not able to be moved back, has severe degeneration, or appliance treatment has been unsuccessfully.