Expression and treatment of temporomandibular dysfunction

Symptoms of this temporomandibular dysfunction are often unclear, transient, even natural, so most people are not very interested. This is a disease that is not fatal but if detected slowly it will be difficult to treat and cause but uncomfortable, tired for the body.

Causes of temporomandibular disorders

1. The articulation of the teeth is not good, the loss of long-term teeth without implantation leads to the lateral inclination of the teeth into the tooth loss range, the opposite teeth rise, the teeth are misaligned causing disturbance of the joints between the teeth.
2. Fillings and dentures make the lower jaw uncomfortable.
3. Injury in the temporomandibular joint.
4. Habitually tighten teeth.
5. Stress.
6. Structural defects of the temporomandibular joint.
7. Systemic diseases: polyarthritis, rheumatoid arthritis.

Signs of disease

Patients with temporal dysfunction find it difficult to chew, open their mouths, and muscle to chew . The manifestations of chewing joints are patients who open their mouths to feel the inner hexagon. This symptom is very common. Or patients may also feel pain in the jaw joint, or open their mouths uncomfortably, which are very common signs in chewing apparatus.

Symptoms may appear in the chewing device, expressed on the chewing muscles, on the jaw temporal joints, in the teeth, the jaw bone, or the neck and face.

Expression in the chewing muscle

The most common sign is that patients experience pain in the chewing muscle , in the temporal muscles of the face, which is uncomfortable and tense. Pain can be located in many different places that may be painful in the muscles, maybe pain after chewing process or eating hard, tough food will appear. Besides signs of pain, pain leads to muscle spasms, which leads to limited opening of the mouth.

Expression at joints

The most common is that joint jaw pain especially when chewing can be painful.

Another expression that is often encountered is the cries of joints , which can open the mouth to scream the cup, the cup. Lightly, the patient may feel but severe, the person nearby can hear. When there is a noise, the damage of the disease has entered the joint and at that time it is relatively difficult to treat, so it should be detected early so that there can be the best treatment. Limited opening of the mouth is also a manifestation, due to damage to the joints that makes the movement of the joints not so good that the limit of opening the mouth.

Relaxing joints

The mouth is normally open and can reach three fingers through the mouth, which is the normal amplitude. But those who stretch their joints can put their whole hand in their mouths, such people have stretched the temporomandibular joint easily to the next stage of the temporal jaw dislocation . After dislocating the diseased jaw will move more severe stage such as joint, the joints begin to degenerate with the phenomenon of sticking between the disk and the bones, more dangerous can lead to perforation of the joint. When a hole in the joint has been ruptured, but the patient still does not know and does not pay attention to the treatment, it can lead to the destruction of the bone, causing stiffening of the joints so that the patient cannot open his mouth.

To avoid danger, we should monitor and pay attention to all signs of disease. Patients should go to the doctor in time to see the symptoms mentioned above, especially when the disease has only signs in the chewing muscle, such as jaw fatigue, open mouth is not comfortable . to be treated promptly.

Clinical examination measures such as neurological examination, ENT and body examination are essential. Clinical examination is intended to diagnose correctly because as mentioned above, temporomandibular dysfunction affects many other organs in the body, and vice versa, organs in the body also affect the chewing apparatus. There is a unity among the chewing machine and the whole body, so it is necessary to find a cause to cure the root of the disease.

Treatment

This disease is not difficult to cure, but because the Vietnamese people are often subjective to it, when the hospital is in serious condition. To treat jaw dysfunction, the doctor has just performed symptomatic treatment, and has just identified the cause of the disease. Treatment can be of two types:

Treatment of non-interventions such as measures of anti-inflammatory, analgesic, psychotherapy such as massaging, infrared irradiation, hot compress, lower jaw movement, chewing .

Implementation of interventions on the teeth and chewing system : if you have to intervene on the teeth and the chewing system, there are many other measures depending on the condition that the doctor will choose such as grinding adjustment of occlusal, extractions, prosthesis, surgery .

The duration of treatment is also dependent on each patient, depending on the duration of the disease. If people with the disease, by the time of examination and treatment less than a month, the probability of success is almost 100%, while the duration of disease is less than 6 months, the success rate is about 90%, over 6 months then about 70 - 80% less likely to succeed.

If the treatment time is good, the patient responds well after about five days, even after about 3 days it is almost impossible to get sick again. But there are also therapists who last for a whole year, even living together for life with the disease. In short, the longer it is, the harder it is to cure, the higher the cost and the lower the efficiency. Therefore, the success rate is more or less dependent on the patient who detects the disease and comes for early examination and treatment.

Prevention

1. In order to prevent the incidence of temporomandibular dysfunction, we need regular examination to be able to receive timely treatment of oral diseases. Deviant teeth should be orthopedic.
2. Teeth need to be replaced to replace lost teeth immediately after tooth loss.
3. Avoid bad habits like clenching your teeth, grinding your teeth, biting hard objects.
4. Chew on both sides, avoid chewing on one side.
5. Exercise regularly every day.
6. Having a reasonable working and resting regime.
7. Not often large and long.
8. Usually maintain the lower jaw in rest position: relax the muscles, tongue placed face in the incisor between the upper jaw, the upper and lower teeth do not touch.
9. In the diet should not eat foods that are too hard, too chewy that can affect the chewing apparatus to avoid the possibility of higher disease.