Temporomandibular Joint Disorder (TMJ)
You are not alone! Did you know that more than 15 percent of American adults suffer from chronic facial pain; such as jaw pain, jaw popping, locked jaw, difficulty chewing, headaches or earaches? Bernard Bos in Gladstone can help you with the most appropriate and conservative treatments for your TMD/TMJ pain. Call us today at (503) 300-1185 or complete the form and we will contact you shortly.
What is TMD/TMJ?
Problems with your jaw, jaw pain and the muscles in your face that control it are known as temporomandibular disorders (TMD). Referring to the specific temporomandibular joint (TMJ), is the hinge joint that connects the lower jaw to the bone of the skull. This joint is located immediately in front of the ear on each side of the head. The muscles attached to the jaw allow the jaw an incredible amount of movement, such as side to side and up and down.
This flexibility allows us to chew, talk, and yawn. Each TMJ has a disc between the ball and socket. The disc cushions the load while enabling the jaw to open widely and rotate or glide. Any problem that prevents this complex system of muscles, ligaments, discs and bones from working properly may result in a painful TMJ disorder.
About Us
Bernard Bos, DDS
Dr. Bos, graduated from the University of Iowa College of Dentistry in 1978 and has over 35 years of clinical experience. The pursuit of continuing education throughout his career allows him to provide his patients with the best and latest in technological advances in dental medicine including sleep apnea treatments, implants, and the use of the latest developments in dental restorative materials.
Helping his patients regain and maintain their general and dental health and achieve their specific treatment goals with the highest degree of patient comfort gives Dr. Bos his greatest professional reward. Delivering care that is individualized to his patient’s desires is his ultimate goal.
Dr. Bos enjoys a wide range of recreational activities available in the great Northwest and feels he lives in the absolute best part of the country and among exceptional people.
Treatment Options
What treatment options do I have?
Keep in mind that for most people, discomfort from TMD/TMJ will eventually go away whether treated or not and our office encourages simple self-care non-invasive practices. If more treatment is needed, it should be conservative and reversible. Dr. Bernard Bos avoids, if at all possible, treatments that cause permanent changes in the bite or jaw. If irreversible treatments are recommended, we encourage you to gather all the information you need to make an informed best decision and even to get a second opinion. Pain clinics in hospitals and universities are a good source of advice and second opinions for temporomandibular disorders.
Non-Invasive treatment options include:
- Using a dental articulator, Dr. Bernard Bos will analyze your bite on an instrument that simulates the way your jaw works
- Bite correction with T-Scan computer-bite sensors which digitally map your bite so we know precisely how your teeth bite, from the high spots to the low spots
- Bite Splint Therapy- If we determine that there is a cause/effect relationship between the incorrect bite of the teeth and TMJ/muscle symptoms, a bite splint could be recommended. A hard acrylic therapeutic device is fabricated to fit snugly over either your upper or lower teeth creating an artificial biting surface that alleviates undue stress and force, providing for better joint and muscle function and comfort. As you wear the splint, your bite on it will change, requiring additional adjustments to the splint. The goal is to alleviate the signs and symptoms of TMJ disorders, as well as stabilize your bite on the splint.
- Inflamyar – a compound of various natural plant-based products for the treatment of Inflammation, Arthritis, Muscle Pain, Bursitis, Sprains, Bruises, and Sports Injuries. We use this with low-level laser therapy to help with sore temporomandibular joints and muscles
- Eating soft foods
- Try to avoid extreme jaw movements, like yawning and gum chewing
- Avoid biting your nails
- Applying warm compresses to the area of pain
- Muscle stretching and relaxation exercises to perform at home
- If you have the habit of teeth grinding, Dr. Bernard Bos can fit you with a therapeutic splint that fits over your upper and lower teeth like a mouth sports guard. The splint is designed to ease muscle tension by reducing clenching or teeth grinding at night
More invasive treatment options include:
- A bite adjustment to correctly engineer your bite. It is a precise procedure that is always done first on models of your mouth. And before that procedure is done, a bite splint may be prescribed to relax the muscles and allow the joints to stabilize first.
- Cortisone shots can help relieve inflammation and pain
- Fixing an uneven bite by adjusting or reshaping some teeth
- Orthodontic treatment may also be recommended
- Jaw joint replacement surgery to replace the jaw joint with an artificial implant
What are the chronic symptoms of TMD/TMJ?
- Facial pain or tenderness, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or yawn
- Limited ability to open the mouth wide
- Jaw popping
- Jaws that get “stuck” or “locked” in the open or closed-mouth position
- Clicking, popping, or grating sounds in the joint when the mouth is opened or closed
- Tired feeling in the face or neck
- Difficulty chewing
- Sudden uncomfortable feeling when biting
- Swelling on the side of the face
- Toothaches
- Consistent headaches or neck aches
- Dizziness
- Earaches
- Hearing problems
- Upper shoulder pain
- Ringing in the ears
- More women experience TMD/TMJ pain than men and is most often seen in people between 20 and 40 years of age.
What are potential causes of TMD/TMJ?
- Trauma or injury such as whiplash
- Bruxism, or teeth grinding
- Clenching
- Osteoarthritis
- Rheumatoid Arthritis
- Dislocation
- Tooth and jaw alignment
How is TMD/TMJ diagnosed?
At present, there is no widely accepted, standard test to correctly identify TMD/TMJ. Because the exact causes and symptoms are not clear, diagnosing temporomandibular disorders can be confusing especially because other dental conditions, such as a toothache or sinus problems, can cause similar symptoms.
The Delta Dental Plans Association says that in about 90% of the cases, your description of symptoms, combined with a simple physical examination of the face and jaw by Dr. Bernard Bos provides useful information for diagnosing temporomandibular disorders. During an examination, we perform orthopedic types of tests on the TMJ such as palpation (pressing various areas), auscultation (listening while the jaw moves), range of motion tests, and loading or joint compression tests.
These allow us to assess the current status of joint form and function. If you have joint pain, we will determine exactly which structure(s) are involved in order to make a diagnosis. We will also palpate the muscles of the head and neck area to determine if they may be a source of pain. Dr. Bernard Bos in Gladstone may also take x-rays and make a cast of your teeth to see how your bite fits together, or specialized x-rays of the TM joints will be taken.
Complimentary Consultation
After a personal consultation and exam, Bernard Bos can suggest the most appropriate therapy based on the suspected cause of your TMD/TMJ pain. Call us today (503) 300-1185 to schedule an appointment in Gladstone or complete the form for a complimentary consultation at Bos Dental
Call (503) 300-1185 NOW to schedule your Complimentary Consultation or fill in the following form and we will contact you as soon as possible.
Dr. Bos and his entire staff are wonderful people and real professionals in there field. I have been going there for years and have always had excellent care. The dental hygienist that cleaned my teeth this time did an excellent job. I highly recommend them. - John C.
Dr. Bos is one of the best dentists I've ever had. I've been seeing him now for almost ten years and he is unfailingly professional, caring, sensitive and top notch in his work. I especially appreciate that he is empathic with his patients, and does a great job of presenting choices and advice regarding what may or may not be needed and explaining everything in terms you can understand. I am really grateful to have a dentist like Dr. Bos that I can trust and feel that I'm in excellent hands. - Zachary N.
Would reccomend this office. Dr Bos is great and Vickiy is super friendly and helpful. Thank you! - Eda B.
Almost painless! Thank you for the caring and safe atmosphere . I’ve had some nasty dental work in the past and I worried more dental work another disaster I did not want. Thankfully, my fears were unfounded. I highly recommend Bos Dental. - Kathleen W.