Joshua Hong, DDS Blog

If you find it difficult to open your mouth completely, experience discomfort when chewing food, and your jaw locks often, you are likely suffering from TMJ disorder and your daily diet can make your condition severe. The main causes of the temporomandibular joint disorder are stress, misaligned teeth, and inflammatory musculoskeletal disorders but it is very important that you know the symptoms of this dysfunction.

Some of the symptoms of TMJ disorder include:

• Swelling of the jaw
• Tooth grinding
• Jaw popping
• Locked jaw
• Frequent headaches
• Sharp pain when chewing food
• Inflamed nerves
• Painful yawning
• Tenderness in jaw muscles
• Ear ache and neck pain

These symptoms can also occur in other medical conditions and so it is important to consult a dentist who can accurately diagnose your TMJ symptoms. A complete dental check-up that is done using X-rays, CT scans and MRI ensures an accurate diagnosis which is essential to creating an effective treatment plan. If you encounter any of the signs or symptoms mentioned above, it is best to visit a dentist for an early diagnosis and timely TMJ treatment. Poor posture, lack of sleep, and hard foods can worsen your existing TMJ disorder. Visiting a dentist will help you determine the root cause of your problem and you will also be given certain corrective measures to alleviate the pain and discomfort.

Diet modification also plays a major role in providing faster relief so if you follow these dietary guidelines, you will experience better outcomes:

1. Foods to Avoid

If you are suffering from TMJ disorder, the top 5 foods that you should avoid in your daily diet include:

• Chewy foods that can make your jaw work harder like candy, nuts, bread, bagels, and steak.
• Inflammatory foods that can aggravate your joint pain like alcohol, tobacco, salt, sugar, processed foods, corn oil and carbohydrates.
• Foods rich in salicylates like juices, hot peppers, dairy, and olives that can worsen TMJ disorder in those who are allergic to salicylates.  

2. Food to Include in Your Diet for Reduced Pain

If you are suffering from TMJ disorder, your daily diet needs to be rich in anti-inflammatory foods like fish such as mackerel and salmon, plant foods like broccoli, berries and leafy greens. You also need to increase your intake of foods that positively impact joint health and are rich in vitamin C, vitamin E, magnesium and selenium.

3. How to Eat When the Pain Flares Up

In order to reduce the pain radiating from your TMJ, you should increase your intake of fluids like soups, stews and smoothies. When you are eating solid foods, you must take small bites to limit the opening of the jaw, chew slowly, use sauces or gravies to soften the food, peel the skin of fruits and vegetables before consuming them and chop whole foods into bite-size pieces.  

4. Eating Soft Foods for Pain Relief

Consuming a soft diet that contains scrambled eggs, yogurt, fruits, quinoa, and well-cooked vegetables will improve nutrition and offer relief from TMJ pain. You can also consume soft-cooked foods like fish sticks, meatballs, chicken, tuna, green beans, legumes, kale, squash and spinach. While this cannot be a permanent fix, following a soft food diet will help relax the jaw muscles and accelerate the healing process.

5. Eating Right for Enhanced Jaw Health

While a soft food diet works to heal your TMJ disorder, you can consider adding a few foods that are proven to enhance the health of your temporomandibular joint. These foods include fatty fish, ginger, eggplant, berries, grapes, bone broth and vegetable soup. Adding olive oil wherever you can and consuming dietary Vitamin D will work to reduce the pain and joint inflammation.

Finally, avoid stress because it has a negative impact on your temporomandibular joint and contributes to pain and discomfort. The key to an effective TMJ treatment and lasting relief is an early diagnosis that determines the root cause of the problem and helps confirm the next best treatment approach.

At Joshua Hong DDS, patients can be confident of receiving the right TMJ treatment in Goodyear AZ. Contact us today to experience a dramatic improvement in your painful condition and get treated by the best dentist in Goodyear.

Temporomandibular joint disorder, also known simply as TMJ or TMD, is a condition that affects the hinge or joint connecting the upper and lower jaw. Chronic pain and other issues are common when this joint is not working as it should. People who suffer from this disorder often face depression, anxiety and stress as well.

Here’s what the research says about TMJ anxiety:

• A 2002 study by the National University of Singapore found that people with myofascial joint pain had higher levels of depression than those with only disk displacements.
• An International Journal of Prosthodontics study from 2006 found that patients with TMD had higher levels of depression, and psychological factors play a role.
• According to a Journal of Pain article from 2013 (based on a German research study), there is a moderate to strong link between depression and TMJ disorder.

What is the relation between stress and TMJ?

Severe teeth grinding or Bruxism can cause chronic pain which can lead to chemical changes in the brain whihch is why TMJ pain often turns to TMJ stress and TMJ depression. It’s harder for people dealing with chronic pain to handle changes in their environment, daily tasks and more. This can lead to TMJ anxiety or depression, even if there’s no direct cause-and-effect relationship linking these conditions.

How do TMJ symptoms cause or increase anxiety?

1. Dizziness– TMJ affects blood vessels and nerves that go through the back of your jaw, and this can lead to neurological symptoms such as dizziness. This often happens suddenly and with no warning, causing significant amounts of anxiety or stress.
2. Headaches– TMJ can cause morning headaches in many cases, which affects the way you start your day. In addition to the discomfort caused by TMJ or TMD headaches, studies suggest that starting your day on the wrong note raises anxiety levels as well.
3. Chronic Pain– A common symptom of TMJ disorder is frequent and consistent pain in the jaw, temples or other parts of the face. Research shows that chronic pain, caused by your body’s attempt to deal with constant stress, could be a trigger for anxiety.
4. Clicking Jaw– Temporomandibular joint disorder often causes a popping or clicking sensation in the jaw, which can lead to emotional distress if you don’t know what it is. You may also be blinking too often, which can be disturbing and even frightening.
5. Tinnitus– Most people tune out the “ringing” sound in their ear, but this becomes more difficult to do if it’s loud or constant. Tinnitus caused by TMJ can lead to loss of sleep, distraction and anxiety, even though we don’t yet understand why this happens.
6. Other TMJ Symptoms– Since TMD disorder affects nerves, it can lead to various other neurological symptoms linked to anxiety. Examples include involuntary muscle movements, numbness in limbs, tingling in extremities, and even impaired thinking.

TMJ can make existing symptoms of these conditions worse. Chronic pain and inflammation have been known to trigger anxiety-like symptoms in many cases, and other TMJ symptoms may also lead to increased stress, depression and anxiety.

How reducing stress can help you ease your TMJ symptoms?

When you are stressed, your muscles including those in your temporomandibular joint or TMJ get tight and sore. Your muscles stay overworked and cause pain and stiffness. Similarly, if you are experiencing TMJ symptoms, it affects your routine activities and can induce stress. This creates a cycle between TMJ and stress.

The key here is to make efforts to reduce stress or completely eliminate it. Consult a TMJ specialist to learn about what type of TMJ pain treatment techniques can help your case. Similarly, if you are grinding your teeth or are experiencing other symptoms of TMJ, consult a TMJ specialist who can help you relax your muscles, protect your teeth and address other TMJ symptoms.

How to relieve TMJ pain due to stress?

Here are a few effective ways to ease or relieve TMJ pain due to stress:

• Exercise, meditation, laughing out loud, getting some fresh air, etc., can help you handle stress effectively.
• Simple, quick stress relief practices such as breathing exercises, calming aroma therapy, relaxing your jaw if you notice yourself clenching it etc., can help you ease TMJ pain.
• Get a massage therapist to massage your jaw muscles. The advantage of this treatment is that it can prove beneficial in addressing both physical and physiological aspects of the pain.
• Ask a TMJ specialist to fit you with a mouthguard since it hinders teeth grinding and protects the teeth.

 If you’re suffering from temporomandibular disorder and anxiety, stress or depression, it’s a good idea to seek treatment. Controlling your TMJ symptoms can help reduce other secondary symptoms as well. Even if the disorder isn’t actually the main cause of your anxiety or depression, it can make these issues worse.
You may need to seek medical advice for severe anxiety or depression, but an experienced dentist can help you with TMJ treatment. If you think TMD is causing stress or making existing issues worse, visit Dr. Joshua Hong’s clinic in Goodyear AZ for evaluation and treatment today!

Did you know that about 90% of the ten million reported cases of people affected by TMJ are made by women in their child-baring years? In fact, studies revealed that women are about three times more likely than men to seek treatment for temporomandibular disorders and the ratio of the number of women seeking help for severe TMJ symptoms as compared to men is 9 to 1. These ratios only get higher as the severity of the disorder increases, thus indicating that women are more susceptible to the malfunctioning of the temporomandibular joint as opposed to men.

Why are Women More Susceptible to TMJ Disorders?
Pain can affect men and women differently. The main reason for such a disparity is the difference in the level of hormones between men and women. These hormones essentially function as chemical messengers within the body and can have a lot of side effects when the levels fluctuate. Women of childbearing age are especially susceptible to such hormonal imbalances and tend to have pronounced fluctuations in their levels of estrogen and progesterone, thereby putting them at the highest risk of developing TMD.

Apart from hormonal fluctuations, stress is also a leading cause of female TMD. Stress is one of the main predisposing factors for TMD and chronic anxiety and stress are known to affect more women than men.

Are Hormones the Only Cause of TMJ Disorders in Women?
Stress is another key factor that may contribute to more TMJ problems in women as women handle stress very differently from men. Research has linked chronic stress and anxiety with TMJ. For example, many TMJ sufferers clench or grind their teeth at night. This stress-related subconscious action can interfere with the working of the TMJ.

While the various studies conducted on the matter have provided us with promising results, further research is required to better understand the complexity of the disorder and why women are largely affected by it.

What Can Women Do To Reduce Their Risk?
TMD sufferers usually experience the following symptoms:

• Jaw pain
• Dizziness
• Tinnitus, or ringing in the ears
• Headaches
• Neck aches or stiff neck
• Earaches
• Radiating pain in the face
• Inability to open jaw wide
• Pain when chewing
• Popping and clicking of the jaw

If you are facing any of the symptoms mentioned above, you must visit your dentist immediately and get your jaw checked. Discuss your symptoms with your dentist to understand if the cause of such discomfort is related to your TMJ or is an indicator of another health issue. Depending on the severity of the disorder, your dentist will then provide you with solutions to help alleviate the pain, which can range from simple self-care solutions or jaw exercises to facilitate the movement of your jaw bone and joint.

In some case cases, such pain or discomfort may be caused due to stress and will require you to take additional care of your jaw. Your dentist will be able to provide you with jaw exercises and a well-balanced diet to help avoid the chances of agitating the jaw bone and retaining its function.

You can also perform a period assessment to keep a check on your jaw function. Apart from checking for pain while chewing, swallowing and talking, you should be able to fit at least 3 fingers between your jaws when opening wide, while being able to your lower jaw side to side without pain. If you can perform these activities without any discomfort or pain, you can rest assured that your TMJ is working fine. However, if you feel any limitation in terms of movement or hear loud joint noises, you must get your jaw checked immediately.

If you need more information on TMD or the TMJ treatment plans and preventative measures, make an appointment with Joshua Hong DDS, an experienced dental clinic in Goodyear, AZ and receive expert guidance today!

Did you know that like adults, even children are at a risk of developing TMJ disorders? The American Academy of Pediatric Dentistry (AAPD) has found cases of TMJ pain in children as young as infants. While it is extremely rare, there are instances of TMD development in young children and teens. One study has reported that 4.2% of adolescents aged 12-19 years reported TMD pain while another epidemiological study found 25% of 4,724 children ages 5-17 suffered of TMJ disorder symptoms.

How to Tell If Your Child Is Struggling with TMD?

TMJ or Temporomandibular Joint Disorder typically involves problems and pains associated with the muscles and joints that connect the jaw to the skull. If you child has been complaining about jaw or facial pain, you must watch out for the following signs and symptoms:

• pain in the facial muscles, jaw joints, or around the ear
• discomfort while talking, chewing, or yawning
• headaches, dizziness, ear pain, hearing loss, and ringing in the ears
• jaw locking—either locking open or locking closed
• uncomfortable sounds when your child opens or closes his or her mouth (popping, grating, or grinding)
• difficulty while chewing or biting
• facial spasms
• neck pain or stiffness

While the symptoms mentioned above are common to those suffering from TMD, when it comes to kids, you must also watch out for sudden behavioral changes. Instances of your child biting on his/her nails or constant chewing of pens and pencils may also be an indication of improper functioning of the TMJ. Sometimes, incessant teeth grinding while sleeping may also be reflective of a TMJ disorder.

What Should I Do If My Child Has These Symptoms?

If your child displays any of the symptoms mentioned above, it is best to contact your family physician or a pediatric dentist to ensure they get help as soon as possible. The earlier your child is diagnosed, the easier it is to implement corrective measures to avoid the situation from escalating.

What Treatment Will My Child Need?
The nature and duration of the treatment form TMJ majorly depends on the severity of the disorder as well as the age of the individual suffering from it. For instance, some cases might require corrective exercises to manipulate the jaw back into place, while for others the dentist may simply suggest a bite plate or guard to wear at night. In extreme cases, bite correction might also be required for children who suffer from TMD.

If your child has been displaying signs of jaw-locking or constantly complains about headaches and backaches, make an appointment with the Smile Team at Joshua Hongs DDS in Goodyear AZ today and we will make sure relief if on its way.