While Dr. Lazare can successfully manage TMJ disorders, he must first diagnose the cause of joint issues. In cases of situational stress, tooth grinding and jaw clenching may subside when the stressful event ends, or the patient is able to manage difficulties in their life. When a connective tissue disease or arthritis causes dysfunction in the joint of the lower jaw, the condition may be chronic until the disease is controlled. Most patients will not experience TMJ disorder (or at least its negative effects) long term.

While there are more invasive methods available, Dr. Lazare typically suggests beginning TMD treatments conservatively with the use of a night guard. The guard can provide clues as to the patient’s nighttime jaw movements, and will alleviate pain associated with the hard pressure placed on the teeth by acting as a buffer. In many cases, the use of a night guard is sufficient in treating TMD. The added benefit is that a night guard made of a hard material will also keep the teeth in proper alignment, serving as a nighttime retainer.

It is difficult to pinpoint the exact cause of one’s TMJ syndrome, although it is often related to stress. It also may be the result of a traumatic accident or a disease such as arthritis.

Stress is the most common factor behind TMD, and should be treated alongside the physical symptoms of the joint issues. Mental stress can manifest as physical symptoms, even if we are not conscious of it. Some people enduring a stressful event may notice short term TMJ disorder, while those with issues like anxiety or chronic stress may find that problems like bruxism are ongoing.
A common consequence of stress are clenching and grinding, which can tire and strain the chewing muscles, causing them to go into spasm and cause pain. An improper bite can also result in TMJ dysfunction. Among the symptoms are: headaches (usually upon awakening), tenderness or fatigue of the jaw muscles, earaches, and pain or difficulty when chewing, yawning or opening wide. Clicking or popping sounds are very common signs, and in some extreme cases, the jaw can actually get stuck in the open or closed position.