What does it mean to have early arthrosis of the TMJ, and how will it affect me?

Doctor's Answers 1

Arthrosis (joint degeneration also known as osteoarthritis) of the TMJ is extremely common by the time you hit your 20s. The TMJ is one of the most heavily-used joints in the body, starting from birth.

Most people are symptom-free and painless clicking/popping joint noises may accompany opening/closing of the jaw.

For most, the occasional joint sounds do not pose any functional issues. In some patients, chronic manageable arthrosis may flare with acute pain, joint swelling, ear pain and limitation of jaw movement (limited mouth opening, or the inability to close the mouth, also known as open lock). This is usually triggered by prolonged or wide mouth opening (after dental procedures) or increased bruxism (teeth grinding).

Treatment of acute joint pain will NOT reverse the degeneration within the joint. Treatment is aimed at keeping the joint comfortable while allowing time for the entire jaw musculoskeletal system to readjust.

Simple jaw exercises to improve joint lubrication, a soft diet and painkillers are often sufficient to resolve an acute episode of joint inflammation and pain. The good news is, most patients will spontaneously recover and the arthrosis will tend to remain unchanged over a long period of time.

Similar Questions

How can I get rid of TMJ pain that persists despite a mouth guard?

Mouthguards do not cure bruxism but are used to try and limit the irreversible damage done to your teeth from the grinding. TMJ pain usually occurs on moving the jaw (opening or closing) and not necessarily on chewing. If you have issues with your TMJs, clicking, popping or cracking sounds may also occur during jaw movement. If you are experiencing persistent pain only on chewing on the left hand side, I would suspect the possibility of a cracked tooth. This requires treatment at the level of the tooth and cannot be solved just by wearing a mouthguard.

Photo of Dr Jaclyn Toh

Answered By

Dr Jaclyn Toh

Dentist

How does TMJ affect the balance system and cause dizziness?

Thanks for asking me such an intriguing question! One of the lesser known symptoms of Temporomandibular Joint Dysfunction (TMJ/TMD) is dizziness as your TMJ or jaw joint sits very close to the structures of the middle and inner ear. Your TMJ is supplied by a rich network of nerves which also supply different parts of the ear itself.

Photo of Dr Annabelle Leong

Answered By

Dr Annabelle Leong

ENT Doctor

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