A 40-year-old member asked:
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temporomandibular joint syndrome (tmj) without pain but lots of tightness--what to use besides guard?

5 doctor answers
Dr. James Bates
35 years experience Oral and Maxillofacial Surgery
Several Things...: You're very fortunate if you are pain free. I generally prescribe muscle relaxants like cyclobenzaprine (flexeril) for muscle tightness. You can also apply moist heat (much better than ice) to your facial or jaw muscles to relax them. Also, over-the-counter non-steroidal anti-inflammatory drugs such as Ibuprofen (advil) or Naproxen (aleve) may be beneficial.
Answered on Nov 3, 2018
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1 comment
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4 thanks
Dr. John Van der Werff
38 years experience Dentistry
if that dies not help a physical therapist trained in TMD may be helpful.
Aug 4, 2013
Dr. Gary Alder
46 years experience Dentistry
Stretching: Cold and heat compresses along with stretching the mouth open can help regain a full range of motion and stretch and relax the muscles.
Answered on Nov 3, 2018
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2 thanks
Dr. Jeffrey Bassman
44 years experience Dentistry
Depends: If you have no pain, you may be on the borderline of the pain starting. You may still have a displaced disc and other issues that need to be addressed- grinding, clenching, headaches, etc. Do you wear a mouthpiece? If you have not seen a dentist or specialist, you should do so to avoid potential pain.
Answered on Nov 3, 2018
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1 thank
Dr. Louis Gallia
44 years experience Oral and Maxillofacial Surgery
A few things.: Self treat with soft diet, jaw exercises, massage, heat/cold, OTC pain meds. Physical therapy would be next. Occasionally muscle relaxants, biofeedback. Xrays are done for diagnosis. Surgery usually reserved for serious symptoms not responsive to other treatments.
Answered on Nov 3, 2018
Dr. Paul Grin
Dr. Paul Grin answered
35 years experience Pain Management
See a TMJ specialist: TMJ disorder is a complex medical condition, therefore, it's a good idea to see a TMJ specialist for proper diagnosis and treatment if needed.
Answered on Nov 3, 2018

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A 40-year-old member asked:
Dr. Duane Keller
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Normal is comparison: A normal jaw movement is painless, noiseless, has full range of motion (at least 3 fingers between the teeth) that is a straight motion without deviat ... Read More
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A 33-year-old member asked:
Dr. James Bates
35 years experience Oral and Maxillofacial Surgery
AAOMS: There are many spurious websites out there with questionable information on temporomandibular disorders, or TMJ problems. For an authoritative, reputa ... Read More
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A 33-year-old member asked:
Dr. TED FEDER
Dr. TED FEDER answered
39 years experience Oral and Maxillofacial Surgery
Early Stages: Before pain develops, understanding tmd helps. Do you grind at night? Prior trauma? Bad bite? Take care of the causes first. Parafunctional habit ... Read More
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3 thanks
A male asked:
Dr. Fredric Pullen
61 years experience ENT and Head and Neck Surgery
Yes, muscle spasms: It is difficult to make a suggestion without more history but TMJ can cause muscle spasms, but not usually in the SCM and scalenes. The SCM muscle ma ... Read More

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