Did you know that every hour, 24 hours a day, 365 days a year, someone succumbs to oral or oropharyngeal cancer? Despite its alarming prevalence, early detection remains our most potent weapon in combating this insidious illness. This year, an estimated 58,500 new cases of oral cancer will be diagnosed in the U.S.

The grim reality persists: these cancers are often detected late in their development, contributing to persistently high mortality rates. As we embark on this month of awareness, let us redouble our efforts to educate, screen, and advocate for early intervention, paving the way for improved treatment outcomes and saving lives.

Signs indicative of oral cancer, often linked to tobacco and alcohol usage, may include persistent sores, abnormal discoloration of soft tissues, bleeding, or hard lumps in the mouth. Conversely, oropharyngeal cancer, potentially caused by HPV16, may present symptoms such as persistent sore throat, swollen tonsils, or difficulty swallowing. These persistent symptoms, irrespective of their cause, warrant immediate attention.

Furthermore, understanding the risk factors associated with oral cancer is crucial. While historically prevalent among heavy drinkers and smokers over 50, the rising incidence among nonsmokers due to HPV infection underscores the evolving landscape of the disease. Approximately 99 percent of HPV oral infections resolve spontaneously, yet in some cases, the virus persists, potentially leading to cancerous growths. This underscores the importance of regular oral cancer examinations, especially during Oral Cancer Awareness Month in April.

Throughout April, dental professionals nationwide will offer free screenings to underscore the Oral Cancer Foundation’s website significance of early detection in mitigating mortality and treatment-related complications. Visit the Oral Cancer Foundation’s website for a comprehensive list of participating dental professionals and to access valuable oral cancer awareness, diagnosis, and treatment resources. Let us unite in our commitment to raise awareness, promote early detection, and empower individuals to prioritize their oral health.

If you would like to learn more about surgical and non-surgical treatment for TMJ in Reno, please contact our Northern Nevada Center for Orofacial Pain for a consultation about your options. We can be reached at 775-583-7755 today!

The post April is Oral Cancer Awareness Month first appeared on Northern Nevada Center for Orofacial Pain.

What is TMJ Disorder?

Your Temporomandibular Joint is the ball-and-socket-like hinge on either side of your mouth—where the top of your jaw meets the bottom of your skull—that allows you to open and close your jaw. TMJ Disorder is typically defined as irritation or decay of the cartilage or even bone in this joint and can make movements like opening and closing your jaw to speak, chew food, or yawn difficult or even painful. TMJ Disorder is more common in women than men and can affect one or both sides of the jaw. Aside from pain, stiffness, or discomfort in the actual joint, TMJ Disorder can also include similar feelings around the face and neck—and can worsen if left untreated for too long.

What are the Symptoms of TMJ Disorder?

TMJ Symptoms can vary depending on a variety of factors including, age, weight, body structure, and stress levels. Typically, TMJ Symptoms include:

• Pain or stiffness in your jaw, face, or even neck and shoulders and ears when you chew, speak, or open your mouth wide.
• Experiencing a “locked” sensation when your mouth is either in the open or closed position.
• Clicking, popping, or grating sounds in the jaw joint when opening or closing your mouth, or while chewing. This sensation may or may not be painful.
• Fatigue of the facial muscles.
• A sudden feeling of discomfort or misalignment when your teeth meet. May potentially be treated by tooth alignment procedures or surgery.
• Swelling in your face around the cheeks or jaws.

TMJ symptoms can encompass a wide range, and not all the symptoms listed above are necessarily caused by TMJ. Therefore, it’s important to see a dentist or orofacial pain specialist to be accurately diagnosed before attempting any treatments.

What Causes TMJ Disorder?

What causes TMJ Disorder is unknown, but different lifestyle factors and medical conditions have been found to influence the occurrence and severity of TMJ symptoms.

Stress can cause you to tense the muscles in your jaw and face, potentially leading to TMJ-like symptoms as the muscles around the jaw are overworked.

• Bruxism is a condition that causes you to grind your teeth throughout the night. It is considered a sleep movement disorder and can cause similar issues.
• Acute trauma to the face or mandible can also cause TMJ. If the joint is damaged and heals incorrectly, TMJ symptoms can occur due to misalignment of the jaw, degradation of the joint, or inflammation around the site of injury.
• Arthritis is a condition that weakens and erodes the body’s joints and can have a profound effect on the Temporomandibular Joint as it is used so frequently.

How is TMJ diagnosed?

Because TMJ symptoms can be caused by other dental or orofacial problems like tooth decay, sinus infection, or gum disease, it’s important to have your TMJ symptoms professionally diagnosed. Because TMJ is not solely a dental problem yet can cause complications to your bite pattern and oral health, TMJ is described as an orofacial pain disorder, and usually requires a medical specialist.

Your dentist can start by taking dental X-rays of your mouth to rule out tooth decay or other more obvious dental issues. Afterward, they may refer you to an orofacial specialist, who will start by asking you about your medical and dental history before conducting a physical exam. They will start by examining your jaw to ensure that the disc joint is aligned properly and doesn’t make any popping or clicking sounds when opening or closing.

Your orofacial pain specialist might also order a CT or MRI scan to better show the inner structures of your mouth and joints. Imaging like this can pinpoint where your discomfort or pain is happening and better equip the specialist to prescribe treatment.

Because TMJ Disorders are both medical and dental conditions, it’s important to find a provider that understands the overlap between the two. If you believe that you are experiencing TMJ symptoms, come see the orofacial pain specialists at Northern Nevada Center for Orofacial Pain. We are the only clinic certified to offer TMJ treatment in Reno and we’re ready to offer you a preliminary consultation today!

The post TMJ Disorders: Causes and Symptoms first appeared on Northern Nevada Center for Orofacial Pain.

What are TMJ symptoms?

The temporomandibular joint attaches your lower jaw to the bottom of your skull on both sides of your head and allows you to open and close your mouth while chewing, yawning, or speaking. TMJ or TMJD refers to a variety of conditions that affects this joint’s mobility, presenting with symptoms like:

• A loud cracking or popping sound when opening the jaw, which may or may not be painful.
• A locking sensation when opening or closing your jaw, or the feeling that your jaw is stuck in one position.
• Stiffness or tension in the jaw or neck.
• Headaches or radiating pain coming from the jaw or back of the neck.

It’s still unclear what causes many instances of TMJ, but there are theories that the inflammation in the joint can be caused by things like tensing the muscles around the jaw due to stress, or injury to the jaw which can result in the dislocation of the soft tissue that cushions the joint. The good news is, because the condition often appears linked to neuromuscular causes, if you’re wondering how to cure TMJ permanently, it may be useful to think of treating your condition like any other muscular strain.

How to Cure TMJ Non-surgically

Because surgery is invasive, costly, and—in some cases—a temporary solution, there are plenty of other treatment routes that those affected by TMJ can consider first. In fact, in some cases, TMJ has been observed to go away on its own. Because TMJ is, foremost, a misalignment of the jaw, treatment from a chiropractor to realign the spine and jaw, medication to relax inflamed muscles, or oral splints or other medical devices can be successful in correcting the condition before surgical applications are necessary.

Some treatments that can be used to potentially cure TMJ include:

• Muscle relaxants are sometimes used for a few days or weeks to help relieve pain caused by TMJ disorders created by muscle spasms.
• Pain relievers and anti-inflammatories such as over-the-counter pain medications or prescription strength ibuprofen if the pain persists.
• Some medications which are used mostly for depression can be used in low doses for pain relief or the control of bruxism—the clinical name for teeth grinding.
• Certain TMJ exercises can be done to stretch and strengthen jaw muscles, alongside the use of moist heat and ice.
• Oral splints or mouth guards, otherwise called occlusal appliances. These can be soft or firm devices inserted over their teeth to help better align the jaw.
• Certain factors and behaviors that may aggravate your pain include teeth clenching or grinding, leaning on your chin, or biting fingernails, and may require psychological counseling to help you better understand and recognize these habits in order to stop them.

When Is Surgery for TMJ Recommended?

Surgery is still a valid option for finding relief from TMJ symptoms, but it should be considered as a matter of last resort after other, nonsurgical options have been exhausted. If your TMJ symptoms are consistent and debilitating, and nonsurgical options have proved ineffective or temporary, you should make an appointment with an orofacial pain expert to explore your options. Even surgical treatments have levels of invasiveness, and your orofacial surgeon may recommend a certain procedure over another. Some common TMJ surgeries include:

Arthrocentesis, which involves the insertion of small needles into the joint so that fluid can be irrigated through the joint to remove any inflammation.

Corticosteroid injections into the joint may be helpful at eliminating inflammation. Or, sometimes, injecting botulinum toxin type A (or Botox) into the jaw muscles may relieve pain.

TMJ arthroscopy, or “keyhole surgery” uses a small thin tube (cannula) which is placed into the joint. Small surgical instruments are then used for surgery. TMJ arthroscopy is considered to have less risks than open-joint surgery does but has its own limitations as well.

Open-joint surgery. If your symptoms appear to be caused by a structural problem in the joint, your doctor or dentist may suggest open-joint surgery (arthrotomy) to repair or replace the joint. Open-joint surgery carries a greater risk of complication than other procedures, though, and should be considered very carefully.

If you are curious about finding both surgical and non-surgical treatment for TMJ in Reno, contact the professionals at the Northern Nevada Center for Orofacial Pain for a consultation about your options. Once an orofacial pain specialist diagnoses the cause of your symptoms, they can help you establish a treatment plan that works best for your level of pain, tolerance of risk, and goals for treatment.

The post TMJ Treatment: Can TMJ Be Treated Without Surgery? first appeared on Northern Nevada Center for Orofacial Pain.

12 different specialties fall under the dental practitioner umbrella, and orofacial pain specialists are the most recent additions to that list as of March of 2020. To understand the difference between an orofacial pain specialist vs a dentist, let’s take a look at what each treat and the main differences between their training and practice.

What Does a Dentist Do?

A general dentist’s main area of practice is the diagnosis and removal of diseased dentition (AKA, teeth, and the accompanying structures). While simply stated, these encapsulate a huge amount of information and possible treatments, and their services are invaluable in providing pain relief and general wellbeing to the majority of the population.

Dental pain can come from different sources, many of which are usually pretty straightforward: infection and decay allow room for irritating bacteria to cause pressure on the nerves and structures around the teeth. When this happens, dentists can treat dental pain by removing the diseased tissue, which should stop the pain at its source. Some examples of this are filling cavities or performing root canals on diseased teeth.

What Does an Orofacial Pain Specialist Do?

Orofacial pain specialists are dentists who have undergone training to diagnose and treat orofacial pain, which is more complicated and less understood. The American Academy of Orofacial Pain (AAOP) defines orofacial pain specialists as “the specialty of dentistry that encompasses the diagnosis, management, and treatment of pain disorders of the jaw, mouth, face, and associated regions.” This can encompass lasting or chronic pain around the face and neck which can even present similarly to dental pain, and in fact, has often been conflated or misdiagnosed as dental pain in the past. Only recently has the field of orofacial pain specialty started to be fully recognized and explored—to the benefit of frustrated patients who have dealt with orofacial pain.

The Big Differences

Training

General dentistry is a doctorate-level recognition and requires four years of training and clinical study at an accredited dental school. After graduation, a dentist receives their Doctorate of Dental Surgery degree and can go into practice. In addition to all of these certifications, achieving an Orofacial Pain Specialty requires the completion of a two or three-year advanced training program specifically pertaining to diagnosing and treating orofacial pain.

Duties

An Orofacial Pain Specialist works from the same knowledge set that a dentist does, but patients are often referred to an OPS by another dentist. Usually, these patients are experiencing pain that their dentist has concluded is not caused by any dental issues. An OPS will then explore alternative causes of pain, including bruxism (grinding of teeth), Temporomandibular Joint Disorders, or muscular tensing due to psychosocial stressors, among others. It’s this focus on biosocial causes of pain that is perhaps the greatest difference between a general dentist and OPS, as a pain specialist is trained to recognize these subtle causes of pain and treat them accordingly.

Pharmacology

An OPS may also have a greater knowledge of pharmacology to treat persistent or chronic pain. Medication may be prescribed in addition to lifestyle changes or physical treatment for orofacial pain, in which case an OPS must also have extensive knowledge of appropriate pharmacological treatment options and prescription protocols.

When to See an Orofacial Pain Specialist and When to See a Dentist

Most patients seek help from an orofacial pain specialist after consulting with their general dentist or orthodontist. Because the causes of orofacial pain are still not very well understood, many patients and physicians will eliminate other, more common, causes of pain before referring to a specialist. Suppose you are experiencing pain in the face, neck, or jaw, or perhaps are suffering from severe or persistent headaches. In that case, an orofacial pain specialist may be able to provide relief. Similarly, if you are experiencing pain in the mouth or near your teeth that is resistant to treatment from your dentist, you may be experiencing orofacial pain that is separate from dental pain, and should seek the help of an OPS.

If you live in northern Nevada and believe you need the help of a specialist, the Northern Nevada Center for Orofacial pain is the only orofacial pain clinic in the area—and is now accepting new patients! Our certified specialists offer the only form of orofacial and TMJ treatment in Reno, so call today to schedule an appointment and let us help you treat your pain.

The post Difference Between an Orofacial Pain Specialist and General Dentist first appeared on Northern Nevada Center for Orofacial Pain.

The Difficulties of Sleeping With TMJ

While the exact cause of Temporomandibular Joint Disorder is still unknown, most clinicians agree that it can be caused by undue tension placed on the jaw, head, and neck—usually from the unconscious strain caused by stress and anxiety. The TMJ treatment can help you relieve this pressure with conscious behavioral changes, medication, and other approaches, but it can be difficult to know how to relax your jaw when sleeping. As a result, many TMJ sufferers experience jaw pain when lying down, or wake up with agitated TMJ symptoms. In turn, these symptoms can disrupt your sleep, which can come with a host of other medical issues. Getting quality sleep with TMJ is possible, but it requires a total body approach—starting with the basics.

The Best Sleeping Position for TMJ

If you’re wondering how to sleep with TMJ, start by changing your sleeping position. Studies have shown that the most beneficial position for TMJ sleep is on your back with your head and neck supported by a quality pillow. Sleeping on your back takes the pressure from your neck and jaw muscles—one of the best methods for how to relax your jaw when sleeping.

By contrast, sleeping on your stomach is considered the worst position for sleeping with TMJ, as it requires the muscles in your back and neck to contract to counteract the force of gravity, causing strain or “sleep trauma” to your temporomandibular joint.

Similarly, sleeping on your side with your head supported by your arm causes your jaw to fall to one side, meaning the muscles must contract unevenly to support it. If you sleep for eight hours per night in one of these positions, that means you are inadvertently exacerbating your TMJ for one-third of the day, every day!

Unfortunately, only 14% of the population naturally sleeps on their backs. It can be difficult to change the sleep position that naturally feels most comfortable for you, but certain training techniques like sleeping in a shirt with a tennis ball taped or sewn to the front can prevent you from reverting to harmful sleep positions unconsciously. This self-training may be difficult or annoying in the beginning, but if you find yourself waking up with jaw pain or steadily worsening TMJ symptoms, the temporary discomfort may be worth the benefits.

TMJ And Sleep Apnea

One major caveat to sleeping on your back comes if you also suffer from sleep apnea. In this case, sleeping on your back can worsen your condition as the jaw naturally falls backward, obstructing your airway. If you suffer from both TMJ and sleep apnea, you can try wearing a bite splint while you sleep, which will gently push your jaw forward allowing you to breathe normally and maintain a beneficial sleeping position. Bite splints can also prevent you from clenching or grinding your teeth at night as well.

How to Sleep With TMJ if You Cannot Change Your Sleeping Position

It’s possible that you may have a physical condition that does not allow you to sleep on your back, or simply find that this position makes it impossible for you to sleep. In these instances, it’s recommended that you invest in a quality mattress and pillow that contort to support areas of common strain—your back and neck especially. Doing so can make optimal sleeping positions feel more comfortable throughout the night. If you must sleep on your side, you can also place pillows between your knees or under your arms to alleviate strain.

Sleep Hygiene and Its Effect on TMJ

Aside from your sleeping position, some of the other best tips on how to relax your jaw when sleeping happen before you even lay down. Sleep hygiene is generally referred to as the habits and environments that comprise your nightly routine, some of which can be damaging to your quality of sleep. Since TMJ and stress are linked, habits that undermine your rest can also exacerbate your symptoms. For optimal sleep, try incorporating some of these tips into your nightly routine:

Be Mindful of Light

Studies have shown that the blue-colored light common in smartphones, TVs, or other digital devices closely mimics that of actual daylight—meaning that imbibing in your devices for bedtime can disrupt your circadian rhythm and lead to less restful sleep. Try putting away your devices one hour before bed and reading a book or magazine in the meantime.

Keep an Eye on the Temperature

Most experts agree that the optimal temperature for sleeping is between 60 and 67 degrees. Avoid pointing fans or air conditioners directly at your face, however, as this can dry out your nasal passages leading to irritation.

Stay Away From Caffeine or Stimulants

Drinking coffee or other taking other stimulants before bed can seriously detract from your quality of sleep—even if you partake a few hours before actually sleeping. Try relegating your caffeine consumption to the mornings only.

Try Stretching

Simple, light, full-body stretching before bed can relax your muscles and make it easier to fall and stay asleep.

Consider Medications

Herbal supplements like chamomile and lavender can help you relax in the evenings, providing you with restful sleep. Melatonin is a natural hormone that gives your body the signal to sleep and is commonly available as an over-the-counter medication.

If you have tried all of these steps and still find yourself experiencing subpar sleep, waking with jaw pain, or otherwise experiencing TMJ symptoms, you may need to visit an orofacial pain clinic and meet with a specialist about further treatment options. If you are looking for TMJ treatment in Reno, Nevada, then the Northern Nevada Center for Orofacial Pain is the only certified treatment center for TMJ and TMD in the area. Our specialists can help you address the root cause of your symptoms and give you the tools and treatments to help you get restful, pain-free sleep, even with TMJ. Call today to make an appointment and let us help you reclaim your sleep.

The post Sleeping Tips For TMD and TMJ Patients first appeared on Northern Nevada Center for Orofacial Pain.

For example, pain can come from decay or infection of the teeth and gums, which might require dental surgery; or maybe the muscles around the jaw are tense, which would warrant a behavioral modification approach to stress management. As mysterious as the condition can be, experts have identified the most common types of orofacial and atypical facial pain, as well as the most effective treatments to improve symptoms and quality of life for patients who are suffering.

Identifying Orofacial Pain

Orofacial pain is most commonly defined as pain in the mouth, face, jaw, or head. The condition is usually chronic and can range in severity from mild to debilitating. Once a patient begins exhibiting symptoms, a full medical evaluation is usually required to better understand the nature of the pain. Specialists will usually start by examining structures in the jaw and face for obvious malformation or asymmetry, as well as dental and oral health. They might look for swelling or discoloration in the skin to indicate soft tissue disorders, or listen for popping, clicking, or cracking sounds in the jaw or neck during normal mobility.

Finally, they may ask questions like: When did the pain start? Do you notice it happening at certain times of the day or night? Have there been any major changes to your life or daily routine? Have you suffered any injuries or other physical conditions in the mouth, face, or head?

it’s crucial to understand the co-existing factors like psychiatric, psychosocial, or other health disorders to best diagnose the kind of pain the patient is experiencing. Migraines, for example, have many different causes—from atypical jaw alignment to potential neurological conditions like tumors or cancer. Evaluation at a specialized orofacial pain clinic gives patients the best chance at accurate identification and diagnosis of their pain, leading to more effective treatment.

Common Causes of Orofacial Pain

Once symptoms, co-existing factors, and a general timeline have been established, a specialist can better posit a formal diagnosis. The most common type of orofacial pain usually comes from a previous injury or infection which can cause lasting trauma to the nerves (of which there are many) or other structures in the face, jaw, and head. Pain from physical trauma is usually easier to spot and has clearer treatment methods than atypical pain from neurological or psychosocial causes.

Common Types of Orofacial Pain

To better understand the causes of orofacial pain, it helps to understand how orofacial and atypical pain is categorized. Experts have identified several common types of pain and where in the body they might originate

Musculoskeletal Pain

Musculoskeletal conditions involve improper function or inflammation of the muscles in the jaw, neck, or face, and are one of the most common conditions that patients seek treatment for. Perhaps the most well-known orofacial pain condition in this category is Temporomandibular Joint Disorder—commonly called TMD or TMJ.

Your temporomandibular joint is the main hinge that allows your jaw to open and close, and disorders are often characterized by clicking, popping, or locking sensation in the jaw when eating, talking, or opening your mouth especially wide. Many different factors can affect the operation of this joint, including stress, physical trauma, poor posture or oral habits, etc., which makes TMJ treatment challenging at times. TMJ mistaken for toothache or other dental conditions is also a common misdiagnosis.

Odontogenic Pain

Pain that originates or is caused by problems with the teeth or gums is referred to as odontogenic pain and is among the easiest orofacial pain conditions to identify and treat. Patients presenting with odontogenic pain will often have identifiable decay or trauma in the mouth, which—if left untreated—can compromise other structures in the mouth leading to pain that spreads beyond just a singularly affected tooth. In some instances, decay or infection in the tooth can spread to the nerve endings in the jaw causing radiating pain, burning, or throbbing.

Vascular Pain

Vascular conditions such as migraines and headaches can sometimes present as orofacial pain due to the disturbance of the trigeminovascular system that encompasses most of the head. Migraine symptoms can cause pain behind the eyes, forehead, and the sides of the head, yet the causes and exact anatomy of why do we feel pain from migraines are still not entirely understood.

Neuropathic Pain

Neuropathic orofacial pain is an atypical orofacial pain that can come from different conditions that may only affect the face or potentially the entire body, like fibromyalgia. These conditions affect the nerves and pain pathways in the body and are usually classified as episodic and continuous. Conditions like atypical odontalgia, for example, inflame the nerves around the tooth and can result in a lancing, or electrifying feeling around the affected area.

How is Orofacial Pain Treated?

While orofacial pain is a complicated and multifaceted problem, there is evidence to suggest that many conditions will improve on their own over time or with minimally invasive treatment, meaning that a conservative approach is ideal and, more often than not, effective. So how to cure TMJ permanently? It can be permanently cured with proper care and treatment. Treatment of pain usually is decided by the type of pain a patient is experiencing.

Mild TMJ, for example, can be treated with musculoskeletal therapy like ice, rest, and over-the-counter medication to control inflammation. Because there may be psychological components to TMJ like stress or anxiety that cause a patient to involuntarily tense the muscles in the neck, face, or jaw, a specialist might also order cognitive therapy or behavioral modification practices to treat the underlying mental issues.

Odontogenic pain can usually be treated with dental procedures ranging from simple fillings to root canals or, in certain cases, extractions. Often simply treating the affected tooth can relieve the accompanying pain, but there are cases where lasting symptoms can still impact patients’ quality of life. These, and more atypical causes like vascular or neuropathic pain, can require specific medication to manage symptoms, as well as potential lifestyle changes to avoid triggering episodic or conditional pain.

In most cases, surgery and other more invasive options are usually only considered as matters of last resort. Potential complications or other risk factors are always part of a surgical treatment route, but our team of orofacial surgeons has excellent results in helping patients live better pain-free lives. For more information on the causes and treatments of orofacial pain, including TMJ treatment in Reno, contact our office to make an appointment for an initial consultation.

The post Pain Classification: What Are The Types of Orofacial Pain? first appeared on Northern Nevada Center for Orofacial Pain.

What Is TMJ?

If you find yourself constantly asking ‘why does my jaw hurt?” you may suffer from TMJ. TMJ is the shorthand term used to refer to a number of different disorders that affect the temporomandibular joint and surrounding structures. Orofacial pain can have many different causes and multiple similar symptoms, meaning that it can be difficult to diagnose—most patients will have to being their journey by searching “TMJ specialist near me” to find a dentist with the appropriate qualifications. TMJ can range in its severity from temporary annoyance to a debilitating chronic condition, and the treatments are also similarly varied, including medication, lifestyle changes, stress management techniques and therapy, and even surgery.

What Are Common Symptoms?

The most common symptom of TMJ is pain or stiffness in the jaw, neck, or muscles in the face. This can also include a feeling of locking or grinding when opening your mouth, or an audible “crack” or “pop” while yawning, chewing, or speaking. Because TMJ is thought to come from stiffness in muscles around the jaw, neck, and head, the tension associated with the condition can also lead to headaches, difficulty sleeping or eating, and more. Other potential causes for TMJ include injury to the jaw, a misaligned bite or dental issues, and subconscious tensing due to mental stress.

Available Treatments for TMJ

Because there are so many potential causes for TMJ, clinicians have sometimes found that vastly different treatments—even in combination—can all be effective. Orofacial pain specialists can offer specific treatments based on your symptoms, health history, preferences, and more, some of which include:

Wearing a Splint or Night Guard

TMJ can still happen while patients are asleep, meaning that sufferers can often wake up with stiffness and pain. Sometimes TMJ is caused by bruxism, or grinding your teeth, in which case custom-made splints or night guards can prevent you from subconsciously tensing your jaw in your sleep and cushion your teeth.

Medications

In mild to moderate cases, pain from TMJ can be treated with over-the-counter pain medications or anti inflammatories. If these do not alleviate symptoms, prescription strength pain medication, muscle relaxers, and even tricyclic antidepressants have all been shown to provide relief.

Therapy

Because TMJ can sometimes be a physical manifestation of subconscious stress, your orofacial pain specialist may recommend that you seek psychotherapy to help you understand and combat stressors in your life. This may be as simple as taking longer breaks from work or finding hobbies you take pleasure in, to more intensive psychotherapy to establish and treat the root causes of stress in your life.

Surgery

Because many symptoms of TMJ are treatable through other means, orofacial pain specialists usually recommend surgical operations as a final option. This is not because they are not effective, but because it is always best practice to try less-invasive methods first. Surgical options for TMJ treatment include arthrocentesis to remove fluid from the joint, corticosteroid injections to reduce inflammation, open joint surgery to repair or modify the joint, and more.

TMJ Home Treatment Options

Patients who suffer from the condition rightfully wonder how to cure TMJ permanently, and the good news is that mild and moderate cases can often be treated at home without invasive or complicated treatments. In some cases, they can even be treated without the need for specialist consultation. Some effective home remedies include:

Jaw-Stretching Exercises

Certain exercises and physical massages can help improve mobility and strengthen weak muscles in the jaw. In this case, it’s best to consult a specialist to understand appropriate exercises as some movements may further irritate the joint.

Hot and Cold Compress

Alternating between hot and cold compresses on the affected muscles can help improve range of motion and treat inflammation by soothing the muscles.

Get Better Sleep

Sleep can often be impacted by TMJ symptoms caused by stress, which in turn can then make stress worse. If you find it difficult to sleep with your TMJ symptoms, check out some sleeping tips for TMJ patients here.

What Will Happen if TMJ Disorder Is Not Treated?

TMJ is a mysterious condition and sometimes it can go away on its own. This is especially true of mild and moderate cases that come on suddenly, and may just be a temporary response to a lifestyle change or other factor. In certain cases, though, TMJ can get worse if not treated, and can eventually become debilitating to patients suffering from it. If you have experienced consistent discomfort and pain in your jaw for more than a few weeks, it’s best to call and make an appointment with an orofacial pain specialist.

If you live in Northern Nevada and suffer from TMJ, headaches, or other pain in the face or neck, then the specialists at Northern Nevada Center for Orofacial Pain are ready to help you find relief. With a team of experienced and dedicated staff, we pride ourselves on diagnosing and treating TMJ so our patients can get back to their lives. If you are experiencing TMJ, need treatment, or have any questions, call our office and schedule an appointment today.

The post Best Practices to Help Manage Temporomandibular Joint Disorders first appeared on Northern Nevada Center for Orofacial Pain.

What Is TMJ Surgery and When Is Surgery Needed for TMJ?

There are different types of TMJ surgeries designed to alleviate symptoms of TMJ depending on what your orofacial pain specialist has identified as the primary cause of your condition. Because TMJ is often caused by a variety of issues compounding their effects, the primary cause can sometimes be difficult to diagnose. For this reason, TMJ surgery is usually only considered a last resort after other therapies have been attempted.

Arthrocentesis, Arthroscopy, and Open-Joint Surgery are all types of TMJ surgical procedures that have varying levels of invasiveness. The most invasive procedure is a relatively new one called Total Joint Replacement, wherein surgeons replace the joints in the jaw with artificial ones—usually made of a combination of high-density plastic and titanium. This procedure is only recommended for patients who exhibit persistent and severe pain, difficulty eating or speaking due to limited jaw mobility, and other debilitating symptoms that impede their ability to live otherwise normal lives.

What Are the Possible Complications of TMJ Total Joint Replacement?

Confidence in TMJ Replacement procedure is high thanks to relatively new advancements in the field, but as with any surgical procedure, there are risks of potential complications. Complications from Total Joint Replacement include:

• Infection and allergic reaction to implant components.
• Facial swelling and facial nerve weakness.
• Bone growth in an abnormal place
• Abnormal growth of nerve tissue
• Ear problems from misalignment
• Dislocation
• Possible misalignment of the teeth or bite
• Continues pain, in which case a specialist will need to provide further treatment options

How Long Does It Take To Recover From TMJ Replacement Surgery?

Recovery from TMJ surgery, especially total joint replacement, can be extensive but is highly dependent on the patient’s individual circumstances. The initial 1-2 weeks of healing will be indicative of the timeline of the recovery process, and strict aftercare protocols must be followed during this time. Some of the factors that influence recovery from TMJ surgery include the initial quality of bone available for grafting, the extent of damage to the joint before surgery, intended outcomes, and complications during and after the procedure. Most patients can expect to be fully healed from a TMJ Replacement Procedure within around 3 months.

What Diet Should I Follow After TMJ Replacement Surgery?

The immediate weeks after your procedure are most crucial to a speedy recovery. Expect to have a liquids-only diet in the first week after your procedure and a soft foods diet for three weeks after that. Hard and crunchy food can place strain on the implant, hindering healing and potentially causing pain or other complications.

Post-Operation Instructions for TMJ Surgery

You will need to take the day of your surgery off from work, and it is preferable to have a few days afterward to rest if your work situation allows. After the procedure, you may have a bandage on your jaw around which your surgeon may place an additional bandage to keep the dressing in place. Your doctor will provide you with any wound care or dressing instructions you need to follow. For a few days after the procedure, you may want to do some of the following:

• Ask your healthcare provider about which nonsteroidal anti-inflammatory drugs (NSAIDs) for pain they might recommend and follow their dosing instructions.
• Drink plenty of water, it’s important to stay hydrated after surgery.
• Apply a cold compress to the area to help with swelling. The compress can be as simple as a bag of ice or a frozen bag of vegetables wrapped in a clean towel.
• Warm heat applied to the jaw muscles may also help with comfort after surgery, such as heating pads or microwaving a damp cloth.
• Dress your bandage so it’s watertight before bathing or showering.
• Your doctor may instruct you to wear a splint or other structural device on your jaw at all times for a certain amount of time.
• See your healthcare provider 2 to 3 days after surgery to make sure you’re healing well and to receive any further instructions on taking care of your TMJ.

During your follow-up procedure, your doctor may remove any stitches that haven’t dissolved on their own or update your medication schedule. You may also need to see a physical therapist to help you regain motion in your jaw and to keep swelling from limiting your TMJ motion. Working with a physical therapist may take weeks or months, but patients who do often see better healing results.

Contact Northern Nevada Center for Orofacial Pain to Talk to a Specialist

If you struggle with persistent TMJ symptoms and want to know more about surgical options for treatment, Northern Nevada Center for Orofacial Pain is the only Orofacial pain clinic in Northern Nevada capable of giving you specialized consultation and advice. Our dedicated team of experts can off TMJ treatment in Reno that’s customized to your needs, so call today and schedule your first appointment!

The post Enhanced Recovery After Surgery for TMJ Total Joint Replacement first appeared on Northern Nevada Center for Orofacial Pain.

What Is TMJ?

Your temporomandibular joints are located on each side of your head and connect your jawbone to your skull. They are the sliding “hinges” that allow you to open and close your jaw to chew, talk, yawn, etc. These joints can become injured or misaligned due to overuse or trauma or from the psychological stressors that induce pressure from teeth grinding or clenching. When these conditions create symptoms like jaw pain, headaches, tooth pain, sensitivity, locking or stiff jaw, earaches, neck and shoulder pain, orofacial pain, etc., it is a diagnosable condition called Temporomandibular Joint Disorder (sometimes just called TMJ, TMD, or TMJD.)

What Are the Best Soft Foods to Eat in a Diet for TMJ?

Any TMJ and orofacial pain clinic will tell you that because TMJ disorders are caused by trauma or overuse of the joints, eating certain foods can either help or hurt your symptoms. A soft food diet for TMJ is recommended as the food you don’t have to chew very much can help the temporomandibular joints rest and reduce inflammation, while other foods can help strengthen the jaw over time. Some of the best soft foods to eat include:

• Quinoa
• Farina
• Yogurt
• Applesauce
• Beans
• Fish
• Soft chicken
• Macaroni and cheese
• Ground meat
• Tofu
• Well-cooked vegetables
• Avocados
• Mashed potatoes and gravy
• Meatloaf
• Soups
• Scrambled eggs
• Fruit and yogurt smoothie
• Hot cereals
• Cottage cheese

Some of the foods included in a diet for TMJ designed to make the jaw stronger without inflaming your symptoms include naturally occurring compounds and nutrients that have proven to contribute to overall joint health. Some of these include:

• Moderate amounts of organ meats and red meats, which contain joint-repair compounds.
• Gelatin and hyaluronic acid are natural joint-strengthening agents.
• Certain saturated fats. While consuming these in moderation can strengthen joints, too much-saturated fats will contribute to weight gain, which in turn is detrimental to your joints.

What Are Foods to Avoid With TMJ?

In the same way that a soft food diet for TMJ can help alleviate symptoms, you can also eat things that make TMJ worse, leaving many patients wondering, “Why does it hurt to eat?” These foods include:

• Hard or crunchy foods that strain the jaw
• Exceedingly chewy foods like taffy, beef jerky, etc.
• Preservatives, especially MSG
• Starchy foods like wheat
• Dairy
• Sugar
• Yeast
• Foods with a high content of salicylates (e.g., jellies, jams, juices)

Getting Help

Adopting a diet for TMJ is one of many steps you can take for noninvasive methods of treating your TMJ. If you have more questions about TMJ treatment in Reno, Northern Nevada Center for Orofacial Pain specializes in helping TMJ patients take control of their symptoms and get their lives back. If you’re suffering from TMJ or another orofacial pain condition, call today for your initial consultation!

The post Best Foods & Diet to Ease Your TMJ Pain first appeared on Northern Nevada Center for Orofacial Pain.

Severe tension from impacted wisdom teeth can lead to TMJ issues. However, this is a rather uncommon cause as TMD is significantly more likely to be caused by strained muscles, malocclusions, or jaw injuries. Let’s take a look at the possibility of developing TMD from wisdom teeth, and what can be done about it.

Can Wisdom Teeth Cause TMJ?

The lower jaw bone is joined to the temporal bones on either side of the head by the temporomandibular joint (TMJ), also called the jaw joint, which allows you to open and close your mouth. Disorders of the TMJ can cause jaw discomfort and dysfunction at various levels of intensity. According to studies, TMJ disorders are more common in women than men and impact over 10 million people in the United States.

TMJ issues have various causes, including jaw trauma, some types of arthritis, and muscle tension from subconscious stress, to name a few. Although impacted wisdom teeth and TMJ problems have some similar symptoms, TMJ disorders are hardly ever brought on by impacted wisdom teeth. However, to avoid potential issues, including TMD from wisdom teeth, doctors usually advise having impacted wisdom teeth removed.

Why Is It Necessary to Have Your Impacted Wisdom Teeth Extracted?

Your wisdom teeth—or the third molars at the rear of your mouth—may not require extraction if they are:

• Healthy
• Fully grown
• Perfectly positioned and using their opposing teeth to bite
• Easily cleanable as part of everyday hygiene

However, wisdom teeth usually lack enough space to emerge normally. Wisdom teeth that are about to erupt can develop in the jaw at different angles, occasionally even horizontally, resulting in some of the following problems:

Cysts and Tumors

Wisdom teeth get impacted (stuck) in your jaw if they are unable to erupt properly. This can occasionally lead to infection or even a cyst that harms nearby tooth roots, soft tissues, or the bone’s support system.

Dental Injury

Wisdom teeth that partially emerge form a pathway into the inner structures of the jaw and might attract germs that cause gum disease and oral infections since this region is difficult to notice and clean.

Damage to Neighboring Teeth

Wisdom teeth may crowd or harm neighboring teeth if they don’t have enough room to erupt correctly.

It is possible that wisdom teeth can cause TMD if they don’t fully erupt, as they can push back against the jaw, leading to pain and discomfort. Many dentists agree that it is preferable to remove wisdom teeth when they are still developing, as recovery after TMD treatment is usually quicker. This is the reason why some young adults choose to remove their wisdom teeth before they start to cause issues related to TMJ.

It’s not always easy to decide whether to get wisdom teeth removed, so it’s important to discuss their position, health, and the best course of action for your issue with your dentist or an oral surgeon.

How Long Does TMD Last After Wisdom Teeth Removal?

The duration of TMD symptoms after wisdom teeth removal can vary depending on a number of factors such as the extent of the surgery, the individual’s healing process, and if they follow the post-operative instructions provided by their oral surgeon. On average, the recovery time can be anywhere from a few days to several weeks. Some people may experience mild discomfort or swelling for a few days, while others may have more severe pain and swelling that can last longer. In some cases, TMD symptoms may persist even after recovery, which may require additional treatment. It’s best to consult with a qualified orofacial pain clinic to discuss your individual recovery timeline and any concerns you may have regarding TMD treatment.

What Aids TMJ During Sleep?

The biggest harm to your jaw and temporomandibular joint (TMJ) issue can frequently occur while you are asleep, especially if you have TMD from wisdom teeth. In order to stop the problem from becoming worse while you’re sleeping, it’s crucial to safeguard your teeth, jaw muscles, and joints. So how to sleep with TMD, and how to relieve TMJ pain at night?

The most crucial factor to take into account while protecting your TMJ from wisdom teeth while you sleep is your sleeping posture. Avoid sleeping on your stomach since it might put stress on the jaw and induce jaw dislocation. If you normally sleep on your stomach, you’ll need to teach yourself to do otherwise. One method is to sew a tennis ball into the front pocket of a shirt, wear that shirt to bed until you’ve broken the habit, and then remove the garment after you’re done.

The ideal sleeping position for your TMJ is on your back. Many people are able to find a comfortable position by putting a small cushion beneath their knees and using a towel folded up to support their necks.

You can also wear an oral appliance prescribed by your dentist while you sleep, such as a night guard or tooth splint. It’s crucial to wear it at all times, even if you’re just taking a quick nap, since your jaw may bite down harder when you’re sleeping than when you’re awake.

Both the body and the mind need to be at ease to treat TMJ when you sleep. Consider stretching your entire body gently before going to sleep. You can also try some gentle yoga, an Epsom salt, and lavender oil bath, and guided meditations at night. If you are looking for TMD treatment in Reno you can book an appointment with us.

Conclusion

Many people decide to have their impacted wisdom teeth removed by an oral surgeon in advance in order to prevent issues like TMD, infection, etc. Wisdom tooth extraction technically entails surgery. However, after having their wisdom teeth removed, patients often may return to their regular activities within a few days. If you’re experiencing jaw pain, TMD, or issues related to your wisdom teeth, call the professionals at Northern Nevada Center for Orofacial Pain for a consultation and let us help!

The post Can Wisdom Teeth Cause TMJ Disorder? first appeared on Northern Nevada Center for Orofacial Pain.