Blog Post

TMJ Tooth Pain and Sensitivity

Mar 18, 2020

One of the questions we get at REstore TMJ & Sleep Therapy is whether temporomandibular joint disorders (TMD) can cause tooth pain. It can, but it can be difficult to distinguish from other types of tooth pain. Toothaches are a common ailment among children and adults and can be caused by various factors and conditions. Between 20%-25% of Americans experience tooth pain per year. 


Some of the most common reasons for tooth pain include cavities, a crack in the tooth, or worn tooth enamel. However, if other specific symptoms compound your discomfort, the cause might be related to TMD. Dr. Phillips has years of experience treating TMDs and addressing the often painful symptoms that accompany these disorders. Learning more about TMJ disorder and how it affects your teeth can help determine if TMD causes your tooth pain.


What is TMJ Disorder?


Temporomandibular joint disorder (TMD) is a painful condition that affects many areas, causing symptoms like jaw pain, migraine headaches, and muscle fatigue through your neck and back.


TMJ is an acronym for the temporomandibular joint in your jaw that allows you to chew and talk. TMD is often used interchangeably with TMJ, but there is a difference between the two. TMD describes symptoms related to disorders of the TMJ. It's a group of conditions where the joint becomes affected and causes various painful symptoms. 

TMD disorders are a group of more than 30 conditions that cause pain and dysfunction in the jaw joint and muscles that control jaw movement. There are three main classes of TMDs

 

  • Disorders of the joints, including disc disorders
  • Diseases of the muscles used for chewing (masticatory muscles)
  • Headaches associated with a TMD


Can TMJ Disorder Cause Tooth Pain?

Yes, TMJ disorders can cause tooth pain. When you're suffering from a TMD, your joint or the muscles attached to it could be damaged or malfunctioning. When this happens, it can cause your muscles to tighten up, resulting in headaches.

 

Often, toothaches result from cavities, enamel erosion, and the like. That being said, if everyday dental concerns are ruled out, tooth pain may also be a symptom of a temporomandibular disorder. If a TMD is causing your teeth to ache, traditional tooth pain treatments will most likely prove ineffective.


A temporomandibular disorder occurs when the temporomandibular joint is functioning incorrectly. The temporomandibular joint is a complex anatomical orthopedic joint that allows side-to-side and up-and-down movement. A TMD may occur if the joint is misaligned or lacks proper lubrication. Other conditions, such as an injury, trauma, and even complex dental procedures, may also result in a TMJ disorder.


While TMDs frequently cause toothaches, the condition itself is often misdiagnosed. Part of this is due to the wide range of symptoms TMJ disorders can exhibit. Besides tooth pain, TMDs are frequently accompanied by jaw pain, headaches, swelling, joint popping and clicking, a limited range of motion, and more.


Many other conditions also have the same symptoms. As a result, TMJ disorders are easy to misdiagnose. With a master's degree in orofacial pain, Dr. Katherine Phillips helps hundreds of patients suffering from TMDs each year and knows how to tell TMDs apart from other conditions.

 

How Is Tooth Sensitivity Caused By TMJ Disoders?

 Since TMDs are centered around the temporomandibular joint, you might not think that a TMD would be the cause of tooth pain. Temporomandibular joint disorders can cause severe and chronic tooth pain and sensitivity.


TMDs frequently result in misaligned chewing, bruxism (teeth grinding), and problems with the mastication muscles, all of which can cause or contribute to tooth pain. Let's take a more detailed look at these conditions so you can understand why they can result in toothaches.

Bruxism

 Bruxism is one of the more common causes of tooth pain. Also referred to as teeth grinding, bruxism occurs when you clench your jaw or grind your teeth. Bruxism may result from stress, a TMD, or another condition.


Bruxism places a lot of strain on the teeth and, if left untreated, can cause severe damage to your teeth, the TMJ itself, and the muscles connected to it. TMDs often result in bruxism.

Mastication Muscles

 The mastication muscles enable your jaw to move. These muscles stretch across the maxillofacial region and allow the complex motion of your jaw. If these muscles are tense or damaged due to a TMD, it could result in tooth pain.

Malocclusion

 Teeth grinding and uneven pressure from the mastication muscles could cause your teeth to become misaligned. This misalignment, in turn, could produce tooth pain.

How Can I Treat My Tooth Pain Caused by TMD?

 While a TMD can result in tooth pain, the condition is treatable. However, TMJ disorders are complicated, and the state may persist or even worsen if the wrong treatment is applied. You must talk to a TMD treatment specialist if you are suffering from TMJ.


Dental Splints (Also known as Bite/Mouth Guard) - A splint can prevent teeth grinding and clenching. Custom-fitted splints are among the most effective, researched-based treatments available under the guidance of an experienced TMJ specialist. Using 3D imaging, REstore TMJ and Sleep Therapy creates custom bite orthotics that will address the underlying disorder and result in long-term pain relief.


If you're interested in learning more about how Dr. Phillips treats TMD, view our practice's TMJ disorder treatment page.


TMJ Massage- The proper massaging techniques can relieve tension and pain in both the TMJ and the teeth. Improper massaging could worsen tooth pain, so make sure you seek out professional treatment.


Home Exercises- Certain home exercises can alleviate the underlying TMD and relax the muscles attached to the jaw. This should result in pain relief. Speaking with a dental professional to learn how to do these exercises correctly is essential. Go about them the wrong way, and your condition could worsen.


Hot or Cold Compress- A hot compress can help loosen tight muscles in the jaw. A cold compress can help reduce any swelling present and will also numb pain. Still, compresses rarely provide long-term relief.


If your tooth pain results from an underlying TMD, treating the disorder itself should provide long-term pain relief. On the other hand, if you apply a pain reliever or cold compress, you might get some temporary respite, but the pain will likely return. TMJ disorders are chronic conditions that rarely go away on their own.


Besides tooth pain, TMDs are often accompanied by headaches, pain behind the eyes, ear pain, popping or clicking in the joint, or limited range of motion. So if you have a toothache, keep an eye out for these symptoms.


Finding a practitioner that understands the complexity of effective TMJ treatment is vital. Each TMD case is different, so the most effective treatment methods will often vary. In many cases, a mouth splint, like the ones we provided here by Dr. Phillips, can be very effective.

 

TMJ Disorders Often Produce Tooth Pain

 

If you’re regularly suffering from tooth pain and a common dental issue doesn’t appear to be the culprit, you may be suffering from a TMD. This condition is common but also serious. If a TMD is left untreated, it will likely get worse. You could soon find yourself struggling to move your mouth and even simple things, like talking and eating, can become difficult.

Luckily, TMDs are treatable, especially if you seek professional help. While diagnosing the underlying cause of the TMD can be tricky, Dr. Phillips has years of experience as a
TMJ specialist in the Houston, TX area and will be able to devise a TMD treatment plan that will provide effective, lasting relief.


How Can You Differentiate TMJ Pain from a Toothache?


TMJ pain may make you think you have a toothache, especially if it's undiagnosed. However, common dental issues that cause a toothache are usually easy to find due to specific symptoms and the physical appearance of damaged teeth. If you have a toothache, you should see your dentist.  If you can't get in to see your dentist right away, you might be able to find the reason for your pain by inspecting your teeth and taking inventory of your symptoms yourself. Try these steps to see if you can distinguish whether your toothache is caused by tooth damage or TMJ pain.


  • Take a look inside your mouth to check for any cavities, chips, or cracks which may be causing the pain.
  • Gently probe the painful tooth with a toothpick to see if the pain suddenly increases.
  • If one or more of your teeth is suddenly over sensitive to heat, cold, or sugar, you probably have a cavity.
  • Try resting your face or massaging the temporomandibular joint. If the pain seems to lessen, it might be TMJ pain.


TMJ pain can make your entire face hurt, including your teeth, making it hard to determine what kind of pain you are experiencing. If you think you have a cavity or other tooth damage, it's important to make an appointment to see your dentist as soon as possible. If you have had your teeth treated, and still have tooth pain with no known cause, the problem might be TMD. While a TMD can result in tooth pain, the condition is treatable. Often, splint therapy, oral appliance therapy or TMJ pain relief medication is the answer. H


However, TMJ disorders are complicated and if the wrong type of treatment is applied, the condition may persist or even grow worse. If you are suffering from a TMD, it's important to talk to a TMD treatment specialist.


Don't let tooth pain or other TMD-related problems lower your quality of life. Schedule an appointment with REstore TMJ & Sleep Therapy!

Contact Us Today For A Consultation!

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Dr. Kathrine Phillips
About The Author
Dr. Katherine Phillips, DDS, MS received her undergraduate degree from the University of Michigan and her dental degree from the University of Detroit Mercy School of Dentistry. She currently serves as the Secretary/Treasurer on the American Board of Dental Sleep Medicine (ABDSM) Board of Directors and treats TMD and sleep disordered breathing at Restore TMJ & Sleep Therapy in the Houston, TX area. 
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Teeth grinding is the most common cause of jaw pain. Grinding your teeth also results in fractured teeth and the destruction of dental work, which can even change how you look. People who grind their teeth during the day can make conscious changes to reduce their teeth grinding for those who grind their teeth at night . Fortunately, with a visit to Dr. Phillips, you can discover how to stop grinding your teeth. What is Teeth Grinding, and What Causes it? Grinding or clenching your teeth, or bruxism , is a common condition affecting millions of people and, if left untreated, can lead to broader health issues. According to the American Dental Association (ADA), a 2020 ADA Health Policy Institute report stated that half of the dentists saw a rise in clients with stress-related dental problems, primarily due to teeth grinding and jaw clenching. It can happen during the day or night and often goes unnoticed until the person is alerted by a partner or family member. Treating bruxism can prevent further damage to the teeth and relieve any symptoms associated with the condition, and there are several steps you can take to stop grinding your teeth and protect your oral health. People grind and clench their teeth for various reasons, including stress and anxiety, misalignment of the teeth and jaw, or an abnormal bite. In adults, teeth grinding is often caused by emotional tension and stress and can become a subconscious habit. In children, teeth grinding is usually due to an immature bite and can be triggered by new teeth erupting or the recent placement of braces. How Do You Know if You're Grinding or Clenching Your Teeth? Grinding or clenching your teeth can be challenging to identify since it usually happens when you are unconscious or sleeping. However, several signs could indicate you are grinding your teeth. Common symptoms of teeth grinding include: Waking up with a sore jaw Frequent headaches Increased sensitivity or pain in your teeth Tired or tight jaw muscles Pain that feels like an earache, but there is nothing wrong with your ear A locked jaw that is difficult to open or close completely Neck or face pain Noticing that your teeth feel different or worn down You or your sleep partner may also notice that you make clenching or grinding sounds during the night. At a dental appointment, your dentist may suspect teeth grinding if you have the following: Teeth that are chipped, loose, flattened, or fractured Worn enamel on your teeth Gum recession Possible Causes of Teeth Grinding Many people grind their teeth and tighten their jaws without realizing it, especially at night. Although stress and anxiety can lead to teeth grinding, other common causes are: Posture. Poor posture is not only horrible for your back; it's also bad for your teeth. When the body's joints aren't in proper alignment, it can result in jaw clenching and grinding. Misaligned teeth. If the upper and lower teeth don't fit together correctly, the misalignment may result in the tendency to grind teeth or clench jaw muscles. Sleep disorders. Sleep habits and sleep disorders can lead to teeth grinding at night. Chronic obstructive sleep disorder , also known as sleep apnea , is a known cause of sleep bruxism. Resolving sleep apnea can help stop teeth grinding. Sleep terrors and insomnia may also result in grinding teeth at night. Joint disorders. The temporomandibular region is around the jaw, mouth, and ears. This area contains the temporomandibular joints and jaw muscles, which allow the jaw to open and close. Disorders in this area can affect teeth grinding and a sore jaw. Stimulants. Stimulants like caffeine, nicotine, and alcohol can trigger teeth grinding. Avoiding these can help prevent teeth grinding. Stress. Stress is a common cause of teeth grinding and clenching. Finding ways to manage and reduce stress can help decrease teeth grinding. These can include relaxation techniques such as progressive muscle relaxation, yoga, deep breathing, meditation, and guided imagery can help relax the jaw muscles and stop teeth grinding. Chewing on Objects. Chewing on objects such as pencils or fingernails can trigger teeth grinding. You may also need to avoid chewing gum, which can exacerbate teeth grinding. Finding out how to stop grinding teeth at night takes getting to the root cause of grinding. Discovering the cause provides clues, pointing to the appropriate solutions. Prevent teeth grinding during the day. It is crucial to identify triggers that cause teeth grinding if you intend to stop grinding them during the day. Pay attention to your habits during the day and see if you notice when and if your grinding or clenching is worse. A TMJ specialist or dentist specializing in bruxism can provide you with exercises or relaxation techniques you can do throughout the day if you notice yourself clenching and, in some cases, offer medical treatment like muscle relaxants or Botox for bruxism. Prevent teeth grinding and clenching at night/in your sleep. You'll have to make changes during the day to stop grinding or clenching your teeth at night or in your sleep. Start by talking to your dentist or doctor to determine if you have underlying medical issues that could be causing the grinding. Additionally, your dentist may suggest you wear a mouthguard, splint, or other oral appliance. At the same time, you sleep to protect your teeth from further damage and keep your mouth in the proper alignment, helping your TMJ to relax. A custom-fitted mouthguard also helps lessen the impact of teeth grinding by covering the teeth to create a physical barrier that reduces damage. How To Stop Child/Baby Grinding Teeth Many children grind their teeth at night, but most grow out of it. If your child or baby grinds their teeth, the first thing to do is identify what might be causing the behavior. Stress, anxiety, or an underlying medical condition can cause your child to grind their teeth. If the grinding is stress-related, identifying and addressing the source of the stress, such as an overly demanding school schedule or peer pressure, may help. If a medical or dental condition causes the grinding, your child's dentist or doctor can help you determine the best action. If the grinding results from a habit, it can help redirect your child's attention when they start to grind and provide them with other activities that may help reduce their stress and anxiety. Side Effects of Teeth Grinding Grinding your teeth may seem like a harmless habit. After all, it's easier to notice this behavior if you're not on the lookout for it. And unless your significant other or family members complain about the noise from your nighttime teeth grinding, it's difficult to find proof of the act. However, long-term grinding of teeth at night can lead to significant side effects like: Pain in the jaw. The pressure and movement from teeth can lead to tenderness in the muscles, causing jaw pain . For some people, the pain may become chronic and severe. Headaches. The constant back-and-forth movement and clenching can impact the muscles around the neck and head, resulting in headaches due to muscle fatigue and tension. Wearing down teeth. Like sandpaper eventually smooths a surface, the repetitive motion from teeth grinding can flatten teeth and wear the enamel down over time. Teeth grinding can change the appearance of your teeth, causing them to look shorter and making chewing more difficult. Damage or fractured teeth. Grinding can destabilize teeth, making them shift and feel wobbly. The force from grinding may also crack teeth, causing pain and affecting oral health. Misalignment and cracked teeth can result in gum disease, cavities, and tooth loss — leading to poor overall health. Chronic ear pain. The temporomandibular area is closely connected. If the muscles around the ear become affected due to teeth grinding, chronic ear pain may occur. Facial muscle changes. Most people need to be aware that teeth grinding can change the shape of your face. Long-term bruxism can cause shorter teeth. Shorter teeth, in turn, change the structure of the face and jaw — leading to a sunken appearance. In addition, other muscles around the face can enlarge to compensate for dental changes. If you're concerned about your appearance, you may want to note that chronic teeth grinding can change the way you look. Remedies for Teeth Grinding The methods for how to stop teeth grinding at night versus teeth grinding when you are awake are typically the same. Although some treatments aren't quite possible when you're asleep, their benefits can last even after you've gone to bed. Reductive coronoplasty. Reductive coronoplasty directly involves changing or leveling the biting surface of teeth. This procedure reshapes crowded or crooked teeth, improving teeth alignment. Conversely, additive coronoplasty can add to the surface of teeth to help treat bruxism. Dental Appliances: Mouthguards, night guards, and splints. A mouthguard does just that — it guards teeth. Typically used for sports, a mouth guard keeps teeth from injuries sustained during activity. A night guard protects teeth from grinding at night. Lastly, a bit splint guides jaw movement, enabling the jaw to land in the appropriate position. These appliances protect teeth differently, and finding the right one for your situation is essential. Biofeedback. Biofeedback allows a person to train themselves by monitoring auditory and visual stimuli from the body. Although biofeedback needs a person to be alert, the technique can still help sleep bruxism by reducing overall stress. Stress reduction techniques. Though implementing stress reduction techniques such as yoga, exercise, and meditation requires a person to be awake, they can also help with nighttime teeth grinding. Allowing muscles to decompress and relieve tension alleviates stress-induced teeth grinding, even at night. Tongue and jaw muscle exercises. Most people don't stop to think about it, but their faces and mouth are a team of tissue, muscles, bones, and joints that closely affect each other. The tongue, for example, affects how the jaw moves. You reduce teeth grinding by exercising the right muscles — like the tongue and jaw. Behavior changes. Behavioral modifications like changing your posture and avoiding environments that cause stress can reduce instances of teeth grinding. Cognitive Behavioral Therapy (CBT) can help change behavior and thought patterns that lead to teeth grinding. Medications. A doctor can prescribe medication to help treat bruxism if all other treatments don't work. When used for short periods, muscle relaxants can relieve tension in the temporomandibular area. In severe cases of teeth grinding, botox injections can alleviate muscle tension. Antidepressants and anti-anxiety medications assist in decreasing anxiety, allowing jaw muscles to relax and reduce bruxism. How Can a TMJ Specialist Help with Teeth Grinding and Clenching? A TMJ specialist is a dentist board-certified in orofacial pain and conditions affecting the TMJ. TMJ specialists have extensive knowledge and experience regarding the structure, function, and pathology of TMJ. In addition to more thorough diagnostic evaluations, they can often provide more effective and long-term solutions for teeth grinding than your doctor or dentist alone. This is because TMJ specialists use a holistic approach to treatment, focusing on the underlying causes of the teeth grinding, such as stress, anxiety, or misaligned teeth, rather than just treating the symptoms. They often work with other medical experts like dentists or sleep physicians for more comprehensive care and treatment. Protecting Your Oral Health Protecting your teeth is critical to taking care of your overall health. Chronic teeth grinding can result in costly dental work, poor oral health, and chronic pain. If you're experiencing a sore jaw, headaches, or cracked teeth, seeking an expert diagnosis to find the cause is the first step to finding a solution. Get the answers you need on how to stop grinding your teeth at night or keep from grinding in the daytime to protect your oral health. As a TMJ and sleep apnea dentist, Dr. Katherine Phillips specializes in diagnosing and treating bruxism. With her Master of Science in Orofacial Pain From USC and extensive experience in TMJ therapy, Dr. Phillips utilizes proven and effective evidence-based medical interventions to identify bruxism and help find the right treatments to suit your needs. Get in touch today for more information.
By manager 16 Dec, 2022
The temporomandibular joint, or TMJ, is an anatomically complex joint, composed of muscles, joints, ligaments, bones, and discs. Proper jaw movement requires a high level of interaction and coordination among all these components, especially the articular disc (which absorbs stress), the adductors (jaw-closing muscles), the abductors (jaw-opening muscles), and jaw ligaments. This makes diagnosing problems or dysfunction with the TMJ extremely difficult. Properly diagnosing disorders of the TMJ—collectively referred to as TMD—requires both clinical examinations and medical imaging in order to develop an accurate assessment of the joint, its function, and its surrounding bone and tissue. If you are experiencing pain, discomfort, or dysfunction in your TMJ, you will first have a clinical evaluation. This is when your doctor or TMJ specialist will discuss your symptoms with you and examine your jaw, pressing on areas around it to identify any sensitivity. He or she will also observe the range of motion of your jaw and listen to and feel around your jaw while you open and close your mouth. In some cases, the doctor’s clinical findings are enough to diagnose a TMD and begin treatment. Other times, additional diagnostic imaging will be necessary to confirm the presence of a TMD.
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