TMJ Disorders | Stony Brook, NY
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TMJ (temporomandibular joint) disorders are a family of problems related to your complex jaw joint. If you have had symptoms like pain or a “clicking” sound, you'll be glad to know that these problems are more easily diagnosed and treated than they were in the past. These symptoms occur when the joints of the jaw and the chewing muscles (muscles of mastication) do not work together correctly. TMJ stands for temporomandibular joint, which is the name for each joint (right and left) that connects your jaw to your skull. Since some types of TMJ problems can lead to more serious conditions, early detection and treatment are important.
No one treatment can resolve TMJ disorders completely and treatment takes time to become effective. Dr. Jonke, Dr. Guariglia, Dr. Jamdar or Dr. First can help you have a healthier and more comfortable jaw.
Trouble With Your Jaw?
TMJ disorders develop for many reasons. You might clench or grind your teeth, tightening your jaw muscles and stressing your TM joint. You may have a damaged jaw joint due to injury or disease. Injuries and arthritis can damage the joint directly or stretch or tear the muscle ligaments. As a result, the disk, which is made of cartilage and functions as the “cushion” of the jaw joint, can slip out of position. Whatever the cause, the results may include a misaligned bite, pain, clicking, or grating noise when you open your mouth or trouble opening your mouth wide.
Do You Have a TMJ Disorder?
- Are you aware of grinding or clenching your teeth?
- Do you wake up with sore, stiff muscles around your jaws?
- Do you have frequent headaches or neck aches?
- Does the pain get worse when you clench your teeth?
- Does stress make your clenching and pain worse?
- Does your jaw click, pop, grate, catch, or lock when you open your mouth?
- Is it difficult or painful to open your mouth, eat, or yawn?
- Have you ever injured your neck, head, or jaws?
- Have you had problems (such as arthritis) with other joints?
- Do you have teeth that no longer touch when you bite?
- Do your teeth meet differently from time to time?
- Is it hard to use your front teeth to bite or tear food?
- Are your teeth sensitive, loose, broken or worn?
The more times you answered “yes”, the more likely it is that you have a TMJ disorder. Understanding TMJ disorders will also help you understand how they are treated.
TMJ Surgery Overview
For a brief narrated overview of the TMJ surgery process, please click the image below. It will launch our educational MiniModule in a separate window that may answer some of your questions about TMJ surgery.
There are various treatment options that Drs. Jonke, Guariglia, Jamdar or First can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, Drs. Jonke, Guariglia, Jamdar or First will determine the proper course of treatment. It is important to note that treatment always works best with a team approach of self-care joined with professional care.
The initial goals are to relieve the muscle spasm and joint pain. This is usually accomplished with a pain reliever, anti-inflammatory, or muscle relaxant. Steroids can be injected directly into the joints to reduce pain and inflammation. Self-care treatments can often be effective as well and include:
- Resting your jaw
- Keeping your teeth apart when you are not swallowing or eating
- Eating soft foods
- Applying ice and heat
- Exercising your jaw
- Practicing good posture
Stress management techniques such as biofeedback or physical therapy may also be recommended, as well as a temporary, clear plastic appliance known as a splint. A splint (or nightguard) fits over your top or bottom teeth and helps keep your teeth apart, thereby relaxing the muscles and reducing pain. There are different types of appliances used for different purposes. A nightguard helps you stop clenching or grinding your teeth and reduces muscle tension at night and helps to protect the cartilage and joint surfaces. An anterior positioning appliance moves your jaw forward, relives pressure on parts of your jaw and aids in disk repositioning. It may be worn 24 hours/day to help your jaw heal. An orthotic stabilization appliance is worn 24 hours/day or just at night to move your jaw into proper position. Appliances also help to protect from tooth wear.
What About Bite Correction or Surgery?
If your TMJ disorder has caused problems with how your teeth fit together, you may need treatment such as bite adjustment (equilibration), orthodontics with or without jaw reconstruction, or restorative dental work. Surgical options such as arthroscopy and open joint repair restructuring are sometimes needed, but are reserved for severe cases. Drs. Jonke, Guariglia, Jamdar or First does not consider TMJ surgery unless the jaw can’t open, is dislocated and nonreducible, has severe degeneration, or the patient has undergone appliance treatment unsuccessfully.
Suffolk Oral Surgery Associates, LLP
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Dr. First is an incredible oral surgeon ! I was very nervous about getting my wisdom teeth removed and his ENTIRE staff was more than understanding, making me feel completely at ease ! I had an incredible experience here with Dr. first, he made my wisdom teeth removal PAINLESS !!! I had no swelling after the surgery, and such minimal pain after, Advil was more then enough to take care of any discomfort. It’s been a week since I’ve had my wisdom teeth removed and the healing process is going great all thanks to Dr. First and his staff ! I highly recommend this office, if there was an option for 100 stars that’s what my rating would have been. A HUGE thank you to everyone at this office for making my experience so quick and easy, you guys are the absolute best !
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Dr First is a remarkable oral surgeon. I have just completed my fifth & sixth implant, all performed by Dr First. There is minimal discomfort, not any pain. I have recommended family and friends to Suffolk Oral Surgery, they are the BEST!
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This is a terrific practice. Everyone is personable and helpful. Explanations by both doctor and staff are thorough and offered without prompting. The people at Suffolk Oral Surgery make tolerable what is by its very nature an unpleasant experience. What more need be said?
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Patient Review by Christie R
Dr. Jamdar was wonderful. I had a lot of anxiety going into the office for my dental implant surgery, but his confidence and calm demeanor put me at ease. The procedure wasn't half as bad as I thought it would be! Pain was minimal the few days following. He really is great at what he does. His surgical assistants were amazing as well. Very compassionate. They turned an unpleasant situation into a positive one. I will definitely recommend this office to my family and friends.
- Christie R
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Professional and caring staff. Definitely will recommend this practice to others. Thank you!
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Patient Review by Linda R
I almost never write reviews, but felt compelled to in this instance. I highly recommend this oral surgery practice. Dr. Guariglia & his assistant (can't remember her name, but she is engaged) were absolutely wonderful! They eased my mind, calmed my nerves, made excellent recommendations (sweet air), & generally made my extraction as painless as possible. TY!
- Linda R
Patient Review by Alexander M
Any fears or worries I felt before the dental implant procedure were immediately dismissed as I was made physically and mentally at ease. I was always in the best professional hands I had a painless experience both during and on the days afterwards.I cannot believe that I waited so long to have the surgery when it was such a seamless operation
- Alexander M