Aurora Press

 


TMJ: THE JAW CONNECTION
THE OVERLOOKED DIAGNOSIS

By Greg Goddard. D.D.S.

—CONTENTS—
 

 

 

Acknowledgements

ix

 

 

Forward by Patricia Rudd, R.P.T.

xi

 

 

Introduction

1

 

 

CHAPTER 1: THE CONTROVERSIAL TMJ

3

 

 

    What Is the TMJ?

5

 

 

    The TMJ Controversies

5

 

 

CHAPTER 2: HOW DO I KNOW IF I HAVE A TMJ DISORDER?

7

 

 

    How Common Are the Problems?

10

 

 

    What Tests Can I Do?

11

 

 

      l. FeeI Your TMJ Joint

11

 

 

      2. Press on Your TMJ Muscles 11

11

 

 

      3.Watch Your Jaw Open

14

 

 

      4. Listen for Noise

14

 

 

      5. Check for Pain

16

 

 

    What Other Med. Problems Can Be Confused with TMJ Problems?

16

 

 

      Headaches

16

 

 

      Ear Infection

18

 

 

      Sinusitis

18

 

 

      Temporal Arteritis

19

 

 

      Carotidynia

19

 

 

      Neuralgias

19

 

 

      Lyme Disease

20

 

 

      Arthritis

21

 

 

      Osteoarthritis

21

 

 

      Rheumatoid Arthritis

22

 

 

      Other Types of Arthritis

22

 

 

CHAPTER 3: HOW SHOULD A TMJ DISORDER BE DIAGNOSED?

23

 

 

    TMJ Specialists

28

 

 

    X-Raysand MRIs

28

 

 

    Other Tests

30

 

 

      Electromyography

30

 

 

      Thermography

30

 

 

      Sonography

31

 

 

      Doppler Auscultator

31

 

 

      Jaw Recordings or Gnathogram

31

 

 

CHAPTER 4: HOW DOES THE TMJ WORK?

33

 

 

CHAPTER 5: WHAT CAUSES TMJ DISORDERS?

43

 

 

    Muscle Injuries

43

 

 

    Joint Injuries

45

 

 

    Whiplash

47

 

 

    Bad Bites

47

 

 

    Sudden Bite Changes Through Loss Of Teeth

51

 

 

    Arthritis and Other Diseases

52

 

 

    Stress and Distress

52

 

 

    Bruxism

60

 

 

      Treatments

63

 

 

      Bruxism in Children

63

 

 

    Sex

65

 

 

CHAPTER 6: WHAT CAUSES TMJ SYMPTOMS?

67

 

 

    Joint Noises and Joint Pain

67

 

 

      Structural Abnormality

67

 

 

      Over-opening

69

 

 

      Displaced Disc

69

 

 

      Sticking Disc

69

 

 

    Headaches

70

 

 

    Earaches

70

 

 

    Muscle Aches

70

 

 

      Distress

72

 

 

      Pain

72

 

 

      Poor Posture

72

 

 

      Overuse

74

 

 

    What is Pain?

74

 

 

      Emotional and Psychological Effects of TMJ Pain

77

 

 

CHAPTER 7: SELF-CARE TIPS FOR TMJ DISORDERS

81

 

 

    1. Rest

83

 

 

    2. Soft Food Diet

83

 

 

    3. No Gum

83

 

 

    4. Relax Your Facial Muscles

84

 

 

    5. No Clenching

85

 

 

    6. Yawn Against Pressure

85

 

 

    7. Moist Heat

87

 

 

    8. Ice

87

 

 

    9. Heat and Ice

91

 

 

    10. Good Posture

91

 

 

    11. Sleeping Position

91

 

 

    12. Jaw Exercises

93

 

 

    13. Exercise

93

 

 

    14. Acupressure

96

 

 

    15. Over-the-Counter Medications

96

 

 

    16. Yoga and Meditation

99

 

 

    17. Good Nutrition

102

 

 

    18. Massage

103

 

 

    19. Athletic Mouthguard

105

 

 

    20. Avoid Long Dental Appointments

106

 

 

    21. Avoid General Anesthesia

108

 

 

    22. Telephone Use

108

 

 

    If Your Jaw Locks Open

108

 

 

    If You Can't Open Your Mouth

109

 

 

    Herbal Medicines That Can Help

110

 

 

CHAPTER 8: DENTAL TREATMENTS FOR TMJ

113

 

 

    Splints

113

 

 

      How Long Will I Need to Wear the Splint?

116

 

 

      Dental Checkups

116

 

 

      Difficulties Wearing a Splint

117

 

 

      Cleaning and Maintaining Your Splint

117

 

 

    Trigger Point Therapy

118

 

 

    Dr. Travell Illustrations

119-21

 

 

    Prescription Medications

121

 

 

    Dental Work

125

 

 

    Surgery

127

 

 

CHAPTER 9: TREATMENT BY OTHER HEALTH CARE PROVIDERS

133

 

 

     Physical Therapy

133

 

 

    Chiropractic Treatment

141

 

 

    Acupuncture

143

 

 

    Counseling and Support Groups

146

 

 

    Biofeedback

147

 

 

    CraniaI Osteopathy

149

 

 

    Alexander Technique

149

 

 

    Feldenkrais Method

150

 

 

CHAPTER 10: COSTS AND INSURANCE

151

 

 

CHAPTER 11: PREVENTION OF TMJ PROBLEMS

155

 

 

GLOSSARY

159

 

 

APPENDIX

163

 

 

    Suggested Foods for Soft Food Diet

164

 

 

    Sample Soft Food Diet Plan

165

 

 

    Quiz