TMJ Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
Temporomandibular joint and muscle disorders (TMJ disorders) are medical disorders that involve the chewing muscles and joints that connect the lower jaw to the skull.
Temporomandibular joint disorders involve the jaw joint.
The jaw joint is sited just in front of the ear and it connects the jaw bone (mandible) to the skull near to the temple.
This particular jaw joint is known as the temporomandibular joint (TMJ).
Medical conditions affecting this joint are typically called TMJ disorders.
Causes
The two temporomandibular joints are similar and sited just in front of the ears on each side of the head.
The results of physical stress on the structures around the joint are TMJ-related symptoms.
These structures include:
1. Cartilage disk at the joint
2. Muscles of the jaw, face, and neck
3. Nearby blood vessels, ligaments and nerves
4. Teeth
TMJ disorders are believed to have multiple causes which mean that there are typically a number of risk factors contributing to the cause.
These factors can be categorized into two forms:
1. Problems linked to the muscles working the joint,
2. Problems inside the joint itself
The muscle problems are the most frequent form, especially for younger people.
Conditions related to the muscles are:
1. Over-activity of the jaw muscles
Some rare kinds of movement disorders (called orofacial dystonias) can cause excessive jaw clenching.
2. Increased sensitivity to pain.
A higher sensitivity to pain can be related to mental stress or other process which involves pain sensitivity.
3. Wear and tear to the inside of the joint
Wear and tear to the cartilage is due to a form of arthritis called osteoarthritis.
4. Certain types of arthritis.
Arthritis is the inflammation which occurs in a joint.
5. Injury to the TMJ or to its cartilage disc can cause TMJ pain.
6. Idiopathic TMJ cause: The cause in many people with temporomandibular joint disorders is unknown.
Possible causes:
1. A bad bite or orthodontic braces
2. Stress and tooth grinding.
The stress related to this disorder may be caused by the pain as opposed to being the cause of the problem.
3. Poor posture can also be an important factor in TMJ symptoms.
Symptoms of TMJ disorders:
1. Jaw pain or tenderness of the jaw
2. Dull, aching pain in the face
3. Headache
4. Biting or chewing difficulty or discomfort
5. Difficulty opening or closing the mouth
6. Locking of the jaw
7. Clicking, popping, or grating sound when opening or closing the mouth
Diagnosis:
The diagnosis has been made based on the symptoms and a doctor's physical examination.
A thorough examination will be required that involve:
1. A dental exam to show if you have poor bite alignment
2. Feeling the joint and muscles for tenderness
3. Pressing around the head to locate areas that are sensitive or painful
4. Sliding the teeth from side to side
5. Watching, feeling, and listening to the jaw open and shut
An MRI scans which can be used to give a detailed picture of the joint.
Arthroscopy of TMJ joint
Treatment
1. Simple, gentle therapies are recommended first.
Physiotherapy methods such as how to gently stretch, relax, or massage muscles around the jaw are taught.
2. Resting the joint
3. Pain killers such as ibuprofen or codeine or paracetamol can relieve pain.
Muscle relaxant also help to loosen the jaw muscles
4. Moist heat or cold packs can be applied on the face.
5. Stress-reducing techniques can be learned.
6. Exercising several times each week may help you improve the ability to handle pain.
Mouth splints or bite guards have been utilized to treat TMJ disorders.
An injection of a steroid into the joint can reduce inflammation in the joint or botox
Surgical repair of the joint may be needed.
TABLE OF CONTENT
Introduction
Chap
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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TMJ Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
TMJ Disorders,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the TMJ disorders, Treatment and Related Conditions or in vernacular terms
(What You Need to treat TMJ disorders)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://ken-med.com.
From which many free articles from the blog was taken and put together into 590 amazon kindle books and some into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
TMJ disorders
What are