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Bad Bites and Temporomandibular Disorders

Published: Aug 15, 2024 Last Updated: Aug 27, 2024
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Malocclusion and TMDs

Tooth malalignment and a bad bite can lead to Temporomandibular Disorders (TMD). It’s essential to understand this connection and recognise potential risk factors. Our orthodontists recommend seeking appropriate care if you are experiencing any symptoms related to TMD.

In this article, we will explore the relationship between tooth malalignment, a bad bite, and TMD. We will also look at the importance of early detection and the benefits of seeking professional evaluation.

What are Temporomandibular Disorders?

Temporomandibular Disorders (TMD) describe conditions that affect the temporomandibular joint (TMJ) and jaw muscles. These joints, muscles and soft tissues connect the lower jaw to the skull and are responsible for jaw movement during speaking and chewing. Jaw pain, headaches, earaches and difficulty fully opening or closing the mouth can indicate the presence of a TMD.

TMD risk factors can include injury, arthritis, bruxism and malocclusion. Malocclusion refers to the misalignment of teeth. It describes an upper and lower jaw that does not fit together properly when the jaw is closed.

Young woman treating her TMD with braces at MP Orthodontics

Malocclusion and TMDs

Malocclusions can create an imbalance in forces on the TMJ during jaw movement, such as chewing or speaking. When teeth do not fit together correctly, the jaw may need to adjust its position to allow for proper closure. This can result in parafunctional habits, such as teeth clenching or grinding (bruxism). Both habits can further strain the TMJ and supporting facial muscles.

Over time, excessive strain and pressure can contribute to the development of TMD. Our orthodontists recommend any patients who recognise tooth malalignment and bite issues seek professional evaluation to prevent the development of TMDs. 

Common Signs and Symptoms

Some common signs and symptoms that may indicate malocclusion-related TMD issues include:

Jaw pain

Persistent pain or discomfort in the jaw joint or muscles of the face, particularly when eating or speaking.

Clicking or popping sounds

Unusual sounds when opening and closing your mouth. These sounds are generally described as clicking or popping. These can be accompanied by a sensation of the jaw getting stuck or locking.

Headaches

You experience frequent headaches, especially upon waking in the morning. These may be related to clenching or grinding during sleep.

Tooth sensitivity or wear

Increased sensitivity in your teeth or noticeable wear on tooth surfaces may result from teeth not aligning correctly.

Limited jaw movement

Difficulty fully opening or closing your mouth can indicate possible TMJ issues.

Earaches or ringing in the ears (tinnitus)

Although not exclusive to TMD, tinnitus can sometimes indicate jaw joint problems. 

TMJ disorder

TMD Treatment

If you are experiencing any of these symptoms, it is crucial to seek professional evaluation from an experienced dentist or orthodontist. The evaluation will include a thorough physical examination.

Your chosen healthcare provider will assess the alignment of teeth and the jaw range of motion. Your teeth will also be checked for signs of clenching and grinding. Diagnostic imaging such as X-rays or MRI scans may be used to assess the TMJ and surrounding structures.

Early detection and treatment are essential in managing TMD related to malocclusion. Depending on the severity of the malocclusion and its impact on the TMJ, treatment options may include:

Orthodontic treatment

Treatment for malocclusion can include braces, clear aligners, or other orthodontic appliances. These can improve the bite alignment and help alleviate TMD symptoms by reducing strain on the TMJ.

Bite splints or night guards 

Customised oral appliances can be worn during sleep to prevent teeth grinding or clenching and promote proper jaw alignment.

Pain management 

Over-the-counter pain relievers, hot or cold packs, and jaw exercises can help manage TMD-related discomfort.

Lifestyle modifications 

Stress-reduction techniques and avoiding habits that strain your jaw, such as gum-chewing or biting on hard objects.

Physical therapy

Targeted exercises and therapies can improve your jaw mobility and reduce muscle tension.

Early Diagnosis

Early assessment and diagnosis are important to prevent any TMD-related conditions from worsening. Dentists or healthcare providers with experience in TMD can provide tailored treatment plans to improve all aspects of oral health, alleviate pain, and enhance overall quality of life.

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