Serious health problems occur as a result of individuals clenching their teeth uncontrollably, often at night but also during the day without realizing it. Although it is a very common situation in adults due to intense work tempo, stress, restless city life and limited body movements, if you have difficulty opening your mouth when you wake up from sleep or if you have a feeling of tension in your cheek muscles and ear pain accompanied by tinnitus as soon as you wake up, you are clenching your teeth in your sleep. and in this case, it is a sign that treatment should be started immediately.
Individuals who often complain of bruxism (teeth grinding) experience neck pain and tension-type pain in the head during the day. To be aware of this, it would be beneficial to have a dental check-up. If precautions can be taken, especially before permanent damage occurs to the jaw joint, you will have taken a step towards improving your quality of life. Temporomandibular joint (Jaw joint) problems are disorders that negatively affect jaw functions and reduce the quality of life of patients. Disorders in the jaw joint, which connects your lower jaw to the skull base, affect the chewing muscles and cause functional impairment.
Do you have jaw joint disease?
* Do you clench or grind your teeth?
* Do you feel fatigue, pain, muscle stiffness in your jaws when you wake up in the morning?
* Do you have frequent headaches, back and neck pains?
* Does the pain increase when you clench your teeth?
* Clicking sounds when opening your jaw Is he coming? Have you experienced a locking situation where you could not open your mouth?
* Is there pain when opening the mouth, chewing, or yawning?
* Do you have difficulty cutting food on your front teeth?
Your answer to the above questions is “Yes” ”, it is likely that you have a jaw joint disorder.
Joint Disorders are Examined in 2 Main Headings Related to Each Other:
1. Muscle-Related Disorders: These disorders are related to emotional stress. Chewing muscles contract excessively as a result of involuntary warnings from the brain. These excessive contractions cause both muscle fatigue and It also causes crushing in tissues. Pain is common in these disorders. There is widespread pain on the face on the side where the source is located.
2. Intra-Articular Disorders: Irregularities occur in the hard and soft tissues that form the joint due to reasons such as arthritis, arthrosis, microtraumas in the closing of the teeth, and excessive contraction of the muscles. In these disorders, the pain is pointwise in front of the ear.
Treatment Process for Joint Disorders
Jaw joint treatments are generally long-lasting treatments. After a detailed clinical examination, if necessary, jaw joint MRI and radiographic evaluation are performed to diagnose joint disease. In general, treatment begins with medication and oral appliances (night plate). In the presence of acute pain and locking, intra-articular washing (arthrocentesis) and joint manipulations may be required. Following your doctor's recommendations and doing the necessary exercises will speed up your treatment process. Resolving the patient's ongoing stress and anxiety has an important place in the treatment. For this purpose, professional help and psychiatric support treatments may also be on the agenda.
Night Plate (Stabilization Appliance)
Stabilization apparatus, known as night plate, can be used to relieve complaints of teeth clenching and/or grinding at night. These are removable appliances used to regulate the closure of the teeth in patients with osteoarthritis and to prevent excessive load on the joint. After the upper jaw measurement is taken from the patient, the plate made of transparent and hard plastic is delivered to the patient after closing arrangements and adjustments are made in the clinic. Its use may be recommended by the physician, especially before and after arthrocentesis and/or arthroscopy.
Arthrocentesis Procedure
Arthrocentesis procedure, which aims to wash the joint space in patients diagnosed with internal irregularity of the jaw joint, is a minimally invasive dental procedure. It is an office process. The procedure is performed with local anesthesia. Flushing with physiological saline is performed through catheters inserted into the joint cavity from the area in front of the ear. The procedure is then terminated following the injection of sodium hyaluronate solution, which provides lubrication and healing, into the joint space. After the procedure, the patient is sent home.
Involuntary teething at night Are you squeezing your teeth, grinding them, experiencing wear and tear problems on your teeth, sensitivity to cold, and risk losing your teeth in the future?
As a result of grinding, you experience muscle and headache due to overwork of the muscles in the temple and cheek area, If you encounter crackling and clenching in the jaw joint, these problems are eliminated with "botox", which is used in many fields of medicine.
Teeth grinding can lead to health problems that can lead to tooth loss after a while. With "Botox" injection, muscle stress and excessive chewing force are eliminated and relaxation is provided in the relevant muscle. It should be noted that no damage was caused to the muscle during the application and no problems with chewing occurred.
"Brusxism", popularly known as teeth grinding, is defined as jaw clenching and teeth grinding caused by strong jaw movements that generally occur during sleep. Although the habit of teeth grinding is a problem of psychological origin, daily stresses and other uncontrolled emotions also cause teeth grinding that occurs during sleep. If the treatment is neglected, some problems may occur in the teeth and jaw joints, and as a result of the friction of the teeth with each other, wear on the tooth surfaces, which causes shortening, especially in the front teeth.
As a result of long-term teeth clenching, cracks and fractures in the teeth may occur. It has been observed that cold sores may occur and sensitivity to cold may develop. Sudden toothache begins. As a result of years of grinding, teeth lose their bone support and begin to shake. Overwork of the muscles, especially in the temple and cheek area, causes muscle pain in these areas, which causes headaches over time. Due to excessive load on the jaw joint, pain, crackling and clenching may occur in the joint.
"THE CHEWING MUSCLE IS PROVIDED RELAXATION WITH BOTOX"
With the treatment, the treatment prevents permanent damage to the jaw joint and eliminates the pain. Although it is intended to be removed, it is determined by the dentist to prevent the teeth from coming into contact with each other during sleep and to close the joint space. "Night guards" can be placed between the lower and upper jaw teeth to allow the joint tissues to rest. However, night guards alone may not be sufficient.
"Botox", which is used in many areas, is among the new treatment methods for teeth grinding.
Botox, defined as a food toxin that does not harm the body unless used in very high doses, is a muscle It does not harm tissue or any other tissue. It just prevents the signal needed for the muscle to contract from reaching the muscle. It prevents muscles from contracting.
With a newly developed application, it is possible to get rid of teeth grinding by applying botox to the chewing muscle. Botox injection at certain points into the chewing muscle (masseter muscle) located under the cheek eliminates the stress in the muscle and excessive chewing force. Thus, the muscle is relieved and the problem of teeth grinding and clenching at night disappears.
"THERE IS NO PROBLEM WITH CHEWING"
With the correct application to the very strong masseter muscle, there is no damage to the muscle. No harm is caused and no problems with chewing occur. The patient does not feel the effects of this in his daily life. Only unwanted contractions and uncontrolled squeezing disappear.
The application is done within 5-10 minutes. Some people may need additional injections after a few weeks. Depending on the patient's condition, the procedure is requested to be repeated after 6-9 months as the effect of botox wears off.
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