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A 42-year-old male asked:

Is it true that once your tmj go into spasm you can never get it out ...despite treatment and physical therapy?

5 doctor answers8 doctors weighed in
Dr. Terri Silverman
Dentistry 41 years experience
Not correct.: It is the muscles around the joint that are in spasm. Just like any other muscle in your body, these muscles can recover. You need to find out why they are in spasm and see what you need to do to correct the problem. A dentist will be able to help you with that.
Dr. Reed Day
Dr. Reed Dayanswered
Specializes in Oral and Maxillofacial Surgery
No: That is fortunately not correct. With proper diagnosis first followed with proper treatment most TMJ muscle related problems will go away. The key is proper diagnosis. With basic muscle spasm the doctor must check the bite and deprogram the muscles with splint and phyical therapy.
Dr. James Courey
Specializes in Prosthodontics
Not at all!: Although earlier attempts to cure bruxism have ranged from sound alarms, electrical stimulation, psychotherapy, hypnosis, & drugs, we can now recommend simple, effective dental solutions like an oral appliance. Some act like a crutch to rest the jaw joints while others encourage a natural reflex that stops your jaw automatically to protect your teeth & jaw joints. See a prosthodontist for help.
Dr. Louis Gallia
Oral and Maxillofacial Surgery 45 years experience
No!!!: Most TMD can be successfully treated. See a TMJ expert. Any dentist can be a TMJ expert with the proper training and experience. Most commonly, oral surgeons, prosthodontists, and orofacial pain specialists. Ask your MD, your dentist and your dental society for referrals.
Dr. Paul Grin
Pain Management 36 years experience
See OFP specialist: The secret of success in treating pain and TMJ syndromes is proper diagnosis. See an Orofacial Pain specialist for conservative and predictable treatment.

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Last updated May 6, 2019
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