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Evaluating Your Need For TMJ Treatment

When symptoms of TMJ trouble appear, an oral and maxillofacial surgeon, orthodontist, or other dentists trained in the management of TMJ problems should be consulted. An oral and maxillofacial surgeon is a specialist in the areas of the mouth, teeth and jaws and can diagnose TMJ problems using a variety tools and techniques.

 

A physical examination of the head
and neck area is part of the process
to diagnose TMJ disorders.

You should be prepared to complete a thorough medical history, including information about your lifestyle and the level of stress you experience on a daily basis. Your oral surgeon will physically examine your head and neck area, including the TMJ, and a variety of tests may be used to confirm or eliminate a diagnosis of a TMJ disorder. These tests may include x-rays; magnetic resonance imaging (MRI) to produce images of soft tissue; computerized tomography (CT scans) to identify bone problems; and arthrograms, which use conventional x-ray techniques with a radiopaque material injected into the TMJ to study joint function. Your teeth will also be examined,

and models or molds may be made of your teeth so the surgeon can determine if your bite is contributing to your TMJ problem. If necessary, referrals to other dental or medical specialists such as an orthodontist, restorative dentist, psychologist, neurologist, or physical therapist, may be suggested.

When discussing your history with your surgeon, make sure you give details about the following important areas:

origin of the problem
duration and character of any pain you are having
joint noises (such as clicking, popping or cracking)
range of motion of the lower jaw
trauma to the head or neck
level of stress experienced at work or home
any related discomforts
previous or current treatments

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