8 doctors weighed in:
Tmj, due to stress, narrow arch or braces?
8 doctors weighed in

Dr. Paul Grin
Pain Management
2 doctors agree
In brief: TMJ syndrome
related pain and symptoms may be caused by physical and emotional stress.
Bruxism or teeth may be also caused by stress or anxiety. However, there is overwhelming evidence that braces generally do not increase the risk of developing TMJ problems. See OFP specialist for diagnosis and treatment.

In brief: TMJ syndrome
related pain and symptoms may be caused by physical and emotional stress.
Bruxism or teeth may be also caused by stress or anxiety. However, there is overwhelming evidence that braces generally do not increase the risk of developing TMJ problems. See OFP specialist for diagnosis and treatment.
Dr. Paul Grin
Dr. Paul Grin
Thank
Dr. Louis Gallia
Surgery - Oral & Maxillofacial
2 doctors agree
In brief: Could be either
Complex question.
Many causes. Can be multifactorial. See an oral surgeon for expert advice.

In brief: Could be either
Complex question.
Many causes. Can be multifactorial. See an oral surgeon for expert advice.
Dr. Louis Gallia
Dr. Louis Gallia
Thank
1 comment
Dr. John Van der Werff
Seeing a tmj expert is key.. not all oral surgeons know the tmj as well as Dr Gallia..
Dr. LUIS IRIZARRY
Family Medicine
2 doctors agree
In brief: Possible.
Mostly due to muscle facial pain, dislocation of tm joint, osteoarthritis.
Some belief maloclusion is a cause. Try joint rest (avoid excessive mastication), physical therapy (open & close in straight line), stress management, bite guards. Motrin. Otherwise, consult oral surgery.

In brief: Possible.
Mostly due to muscle facial pain, dislocation of tm joint, osteoarthritis.
Some belief maloclusion is a cause. Try joint rest (avoid excessive mastication), physical therapy (open & close in straight line), stress management, bite guards. Motrin. Otherwise, consult oral surgery.
Dr. LUIS IRIZARRY
Dr. LUIS IRIZARRY
Thank
Dr. Gary Lederman
Dentistry
1 doctor agrees
In brief: Yes and no
Tmj is associated with previous orthodontics.
Often, narrow arches must be expanded to provide adequate space for the tongue. The bite must be relaxed in all dimensions. Best approach is to find the comfortable relaxed position and then consider the best way to transfer that position to the teeth permanently.

In brief: Yes and no
Tmj is associated with previous orthodontics.
Often, narrow arches must be expanded to provide adequate space for the tongue. The bite must be relaxed in all dimensions. Best approach is to find the comfortable relaxed position and then consider the best way to transfer that position to the teeth permanently.
Dr. Gary Lederman
Dr. Gary Lederman
Thank
In brief: Possible to all
Tmj/tmd can by stress (grinding and clenching of teeth, can change the bite, which can lead to inflamed and overstressed facial muscles and then jaw joints out of alignment, ) a narrow arch can create a poor tooth alignment and a poor bite.
Orthodontics can create some tmj/tmd, but most orthodontists, these days, are aware of the tmd element in moving the dentition for braces.

In brief: Possible to all
Tmj/tmd can by stress (grinding and clenching of teeth, can change the bite, which can lead to inflamed and overstressed facial muscles and then jaw joints out of alignment, ) a narrow arch can create a poor tooth alignment and a poor bite.
Orthodontics can create some tmj/tmd, but most orthodontists, these days, are aware of the tmd element in moving the dentition for braces.
Dr. Jeffrey Bassman
Dr. Jeffrey Bassman
Thank
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