TMJ

Michael P Gelbart, Dr.

The temporomandibular joints (TMJ) are located in the area in front of the ears where the upper and lower jaws meet. These ball and socket joints work in unison. Between the two bones of the joint sits the articular disc, a disc made up of a cartilage-like substance. This disc keeps the bones from rubbing against each other.

These joints are the most used joints in the body. They move every time the mouth opens and closes to eat, talk or yawn. Because they are used so often, there are many disorders associated with the joints being unbalanced or overstressed. These disorders are often called TMJ but this refers to the joints. Problems or disorders with the tempromomandibular joints are called TMD.

Symptoms include: migraines, jaw pain, ear pain, dizziness, and clogged ears. Hearing a popping sound in the jaw or a constant ringing in the ears can also be an indication of TMD. Sometimes the jaw will actually “lock” in place leaving the jaw immobile. Patients who experience one or more of these symptoms should contact Michael P Gelbart, Dr. at (845) 279-4999 so they can help evaluate the cause and ease your discomfort.

They will first work with you to determine the cause of the symptoms so they can effectively treat the cause. TMD symptoms can be caused by Myofacial pain dysfunction, Costen’s syndrome, teeth grinding, constant gum chewing, fingernail biting, jaw fractures, arthritis and stress. Dental problems and misalignments also have been known to cause problems with the TMJ joints. If the small disks between the jawbone and the sockets are displaced or perforated, this could also cause pain in the TMJ joints.

Michael P Gelbart, Dr. will evaluate the area, ordering dental x-rays and CT scans if necessary. If they think there might be a problem with the tissue, a MRI also may be ordered. Most of the discomfort associated with TMD can be eased with nonsurgical treatments. If the problem is minor, it can be treated with jaw rest or heat and ice therapy. You may get prescriptions for medication or cortisone preparation. Physical therapy, stress management or corrective dental therapy may also be needed.

If the problem is more serious, you may be referred to an oral and maxillofacial surgeon. These surgeons specialize in the jaws, teeth, and mouth areas. The surgeon may use arthroscopy or repair tissue by a directly repair the problem with surgery.

Call Michael P Gelbart, Dr. at (845) 279-4999 if you have any persistent symptoms. If you catch the problem early, it can be resolved before it causes you major discomfort or the need for surgery. If you live near Brewster, NY, Michael P Gelbart, Dr. can work with you to find both the cause and solutions for your problem.

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