Hope this helps.
Devang Shah DMD
The best way to correct this problem is to correct the bite by braces. You should definitely have a consultation with an orthodontist and ask for their opinion. 90 percent of the times the clicking corrects itself once the bite is corrected orthodontically. Hope that answers your question.
TMJ surgery should be limited to only the very most severe cases such as where pathology (tumor, cyst, etc.) is present or complete destruction of the condyle. Most popping can be eliminated by the use of orthopedic appliance therapy which is a mouth guard that moves the jaw down and forward. I had a patient who was too embarrassed to eat with clients, because his jaw popped so loudly. After wearing a custom appliance, he said the jaw popping was completely gone in one month.
So if I were you, I would rule out all possible non-surgical options before I would see an oral surgeon.
The best thing to do is to find a dentist that treats TMJ disorders and/or Bruxisim. Many general dentists have training in it.
I hope that this helps. If you have any further questions about this issue, just drop a line and let me know exactly what is happening with your condition and how it affects you.
Take care, keep smiling and floss the teeth that you want to keep! :)
The jaw joint, or the temporomandibular joint, connects the lower jaw to the skull. It is a ball and socket joint, with a disk between the ball and socket to cushion the joint. Normally, the disk sits right on top of the ball, and moves forward and down with the ball when opening mouth, and also moves up and back with the ball when closing the mouth. Clicking in the jaw joint when opening the mouth often indicates that the disc inside the joint may be partially displaced. The disc cannot be seen on x-rays, and is best visualized on an MRI, or magnetic resonance imaging.
If the jaw joint clicking is not painful and does not affect function, it may not require treatment. However, if pain or dysfunction is associated with the clicking jaw joint, treatment may help relieve the pain and improve function. This is probably why your dentist recommended that you see an oral surgeon.
Hope this helps!
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In my office I fabricate a Gelb or DNA appliance which are helpful for my patients. There are many appliances available and treatment is dependent on type of TMJ issue present.
Good luck to you.
Eyad Salloum DMD
Things like grinding, clenching or TMJ spasms can affect more than the stability and functionality of your teeth but can also lead to migraines and facial pain similar to trigeminal neuralgia.
I suggest scheduling a consultation with an oral surgeon to determine the reasoning for your issue and different ways to treat it.
Your dentist is right to send you to see an oral surgeon. Some of them are specialized in articulation and can provide great treatment options. If you don't do anything, it might get worse. Sometimes, just a mouth guard can help, the oral surgeon will tell you :)
To answer your question: If your jaw clicking is due to recent trauma, then an oral surgeon would be the best person to look at that.
Dr. Robert A. Strauss
It depends - if the clicking is associated with pain, discomfort or locking of your jaw. Even if no current symptoms are experienced, besides the clicking, these can develop later. Also, does it bother you? Is is very loud or barely audible? There is no harm to get a consultation, but it could create additional costs. Get a second opinion, if you are unsure. Surgery is not necessary in all cases. Ask about all the treatment options, if any treatment is advised. The clicking is caused by a cushion disk between your scull & lower jaw joint. This cushion disk is attached with a ligament. Sometimes, this ligament is warm & the disk slides forward & then suddenly 'jumps' back in position.
Hope this gives you a satisfactory answer.
Popping of the jaw without pain is common. It is often caused by grinding, clenching, bite misalignment or arthritis of the TMJ. Popping and clicking of the jaw is an indication of imbalance or disorder of the temporomandibular joints (TMD). Symptoms of pain starts to develop when the joints are compromised, which is often associated with erosion of the disk and cartilage damage. We treat our TMD patients with a special bite appliance that helps relieve tension of the facial muscles around the joints and protects the TMJ from further damage. Although popping of the TMJ may not cause immediate problem, I would advise you to get evaluated by a dentist who has experience in treating TMD.
Hope this helps.
Kathleen Young, DDS