TMJ Disorders

TMJ (temporomandibular joint) disorders are a family of problems related to the complex jaw joint. If you have had symptoms like pain in the ear 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.

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.


There are various treatment options that Dr. Lahar can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, Dr. Lahar 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 medications, physical therapy and biofeedback training. These technologies may be combined with the use of a dental appliance called a splint that is used only at night. This splint (night guard) keeps the teeth apart and helps to relax the muscles therefore reducing pain. It also protects the cartilage of the joint and the teeth from excessive tooth wear by reducing the amount of nocturnal grinding. Elimination of facial pain related to joint problems and muscle soreness does not occur quickly. Typically it takes weeks to months and the level of pain reduction is often predicated on the amount of patient involvement in following treatment protocols. Long-term treatment may consist of bite adjustment by the restorative dentist, orthodontics with or without jaw surgery and dental tooth replacement to restore the normal form and function. TMJ surgical options are rarely needed and is reserved for only cases of severe joint damage.