Çene Cerrahisi

Çene Cerrahisi


Temporomandibular Joint Disorder and its Symptoms

TME Hastalığı ve SemptomlarıHeadaches
Ringing Ears (tinnitus)
Creakiness when opening and closing your jaws, clicking, grinding noise 
Limited opening or closing ability of your jawbones
Neck pain or firmness in the neck, nausea, fainting 
Pain experienced during chewing 
Facial pain 
Pain experienced when teeth are closed together 
Exhaustion of the jaw during chewing 
Numbness of the hands 
Experiencing difficulty when yawning

Symptoms of TME Disorder;
Tooth clenching or grinding is a frequently encountered symptom of TME disorder. Tooth clenching or grinding exerts excessive stress on tired muscles and this in turn may cause pain to be experienced in the head, neck, back of the neck and shoulder areas. 

Headaches are one of the most common complaints of patients with TME disorder. These headaches can be mistakened for migraine headaches. Headaches experienced as a result of TME disorder are usually felt around the temple, behind the eyes, behind the head and on the neck and shoulder areas. Migraine aches are usually one sided. Pain usually sets in after visual discomfort or by light. The treatment of these types of headaches is quite different. If you suspect you have migraine headaches, you should consult a neurologist. If you have TME disorder, you must consult a dentist who has specialized in this area. 

One of the most common symptoms of TME disorder is a clicking, grinding or scraping noise that originates in the joint of the jawbones. When patients open their mouth, the jaw joint moves forward and slides over the dislocated disc, making a clicking noise. The grinding noise which is referred to as crepitus is a sign that the dislocated disc is totally deformed and bones are scraping against each another. The disc acts as a cushion between the lower jawbone (condyle) and the glenoid fossa on the upper jawbone. When this cushion is deformed or dislocated, the two bones scrape each other and cause noises we refer to as crepitus.  

Another symptom occurs during the opening and closing of the mouth. Dentists try to treat the disorder during the stage when the clicking noise is heard and do not wish to wait until the disorder reaches the stage when grinding occurs or pain is felt during opening/closing of the mouth. 

If the patients experience ringing in their ears or ear congestion although they have no ear infections, this may be a sign that TME disorder involves a skeletal problem.  Other symptoms are poor hearing and loss of balance. If the joint is positioned too far back and the disc is positioned too far forward, this may cause spasms in the chewing muscles. If your otorhinolaryngologist cannot find the cause of your hearing problems or other symptoms, you should consult a dentist who has specialized in this field. 

Patients with condyl problems usually experience sleep deprivation. The brain prevents reaching the deeper stages of sleep and patients cannot sleep sound. Patients cannot rest sufficiently and feel sleepy and tired all day long. Another factor that causes sleeping problems is the pain associated with the muscle spasms and tension emanating from the disc dislocated as a result of tooth clenching and grinding. 

Another symptom caused by TME disorder is depression. These patients complain of ever increasing, unresolved, chronic pain. Depression causes problems for both dentists and medical physicians alike. If the pain experienced is originating from infections, tumors, dietary problems, systemic diseases, allergies or trauma, another physician must be consulted who specializes in the respective field.