TMJ: Jaw Pain and Temporomandibular Joint Treatment in San Sebastian
What is TMJ?
The temporomandibular joint, or TMJ, is the joint that connects the jaw to the skull, and is what allows the jaw and mouth to move. If it were not for it, we would not be able to eat, speak or laugh, as all the movements of the jaw are possible thanks to this joint, which exercises a mechanism similar to a hinge axis that allows transversal movements. There is not just one TMJ, but two, one on each side.
Like many other joints in the body, it is made up of ligaments, cartilage, connective tissue, muscle attachments and also a joint disc (similar to the meniscus in the knee).

TMJ pain, noises, clicks, blockages…
The problem with this joint is that it is subjected to a high workload and forces throughout life and is therefore susceptible to alterations, pathologies or injuries, known as TMJ disorders. It should also be borne in mind that most of the population has dental malocclusion (inadequate fit of the teeth) and therefore the loads on the TMJ are more dangerous and damaging.
Temporomandibular disorders can cause:
Localised pain in the TMJ (near the ear)
Pain all over the face (on one or both sides).
Pain on chewing.
Limitation of mouth opening and jaw movements.
Headache and/or dizziness.
Bone degeneration of the jaw condyle or of the TMJ itself.
Dislocation or subluxation of the jaw.

These disorders are usually caused by an improper occlusion (incorrect bite) or a bruxing habit (clenching or grinding of the teeth). To improve or eliminate TMJ disorders there are several methods, the main objective being to achieve stability of the TMJ and reduce the harmful loads on it. The most advisable approach is to carry out orthodontic treatment and combine it with a physiotherapist specialised in this area to deprogram the muscles and bring everything back to its correct position, using an unloading splint at the end.
Who is it not
recommended for?
Every TMJ case is different and needs to be assessed individually at a consultation.
If you already wear another dental device (denture, active orthodontics, etc.), we will take this into account when designing your treatment.
At your first visit we assess your case to confirm whether combined treatment (orthodontics + physiotherapy + splint) is the best option for you.

Who is it not
recommended for?
Every TMJ case is different and needs to be assessed individually at a consultation.
If you already wear another dental device (denture, active orthodontics, etc.), we will take this into account when designing your treatment.
At your first visit we assess your case to confirm whether combined treatment (orthodontics + physiotherapy + splint) is the best option for you.

Post-treatment:
care and duration
TMJ treatment usually combines the use of an unloading splint with physiotherapy and, if necessary, orthodontics. Here are some general guidelines for caring for the splint:
Clean the splint daily with a soft brush and lukewarm water (never hot, so it doesn’t warp).
Maintain good, frequent oral hygiene.
Use a proper brushing technique every day.
Store the splint in its case when not wearing it, to avoid knocks or losing it.
If you notice pain, discomfort, or that the splint no longer fits well, contact us before your next check-up.
Treatment duration varies according to each patient’s progress, and is assessed at your regular check-ups.

Post-treatment:
care and duration
TMJ treatment usually combines the use of an unloading splint with physiotherapy and, if necessary, orthodontics. Here are some general guidelines for caring for the splint:
Clean the splint daily with a soft brush and lukewarm water (never hot, so it doesn’t warp).
Maintain good, frequent oral hygiene.
Use a proper brushing technique every day.
Store the splint in its case when not wearing it, to avoid knocks or losing it.
Attend your regular check-ups to make sure the fit is still correct.
If you notice pain, discomfort, or that the splint no longer fits well, contact us before your next check-up.
Avoid tobacco.
Treatment duration varies according to each patient’s progress, and is assessed at your regular check-ups.

Want to solve your jaw pain and find out how much your treatment would cost?
You can call us at 943 428 628, write to us on the form and to info@echeverriadelvalle.com, or if you prefer, leave us your contact details and we will call you at a time that suits you.
[form id=”3538″]
