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Temporomandibular Joint Disease TMJ Torrance, CA

Temporomandibular Joint Disease TMJ

The temporomandibular joint (TMJ), is responsible for the articulation of the jaw. When there is discomfort, popping, clicking or other dysfunction of the joint, it is called temporo mandibular disease or TMD. Many etiologies exist, which cause dysfunction of the joint ranging from myofacial pain to arthritis, trauma, and pathology.

The TMJ is a special joint as it is the only joint in the body that has both a hinge and sliding function. It is also known as a ginglymo-arthrodial joint. The TMJ anatomy includes the temporal bone composing the glenoid fossa, articulating disk, and the condyle.

When a patient develops pathology in the joint or surrounding muscles, the patient has temporomandibular disease. A majority of the disease is associated with myofascial pain—the muscles of mastication are involved.

During a patient’s consultation, one needs to discern the details of the individual’s symptoms. A thorough and succinct method of obtaining the history of present illness is by using an acronym OLDCART. This will reveal the onset, location, duration, characteristics, aggravating & alleviating factors, radiation, and timing of their disease.

During the physical exam, one needs a focused exam of the joints. Several areas should be palpated for tenderness including: the temporalis muscle, masseter muscle, TMJ, and medial pterygoid muscle. In addition one should inspect for popping and or clicking. Intra orally, one should determine the maximal incisal opening (MIO)—which is normally 2 ½ – 3 fingerbreadths. The occlusal cusps should be examined for wear, which would indicate grinding and/or clenching.

Multiple imaging modalities are available to view the TMJ. The initial modality would be the panoramic x-ray to inspect for osteophytes, irregular bone contour, decreased joint space and other pathology. For greater detail of the bony anatomy, a dental cone beam will yield greater information. However, for evaluation of the soft tissue, including the disc, surrounding muscles and retrodiscal tissue, an MRI in the open and closed position is desired.

Initial management of TMD includes medical management. It is directed towards decreasing the inflammatory environment of the joint and surrounding structures. Treatments include anti-inflammatory medications, soft diet, warm compress, and a short course of steroid treatment as well as muscle relaxants.

At times when the myofascial pain is a source of the TMD, it can be resistant to medical management. An Additional source of relief is Botox. Botox injection into the masseter as well as temporalis muscle for the correct patient will considerably improve their symptoms. Botox will allow to diminish the force an individual will use to grind and clench, decreasing the force to the joints. However, with administration of Botox, one does not need to be concerned with a patient’s masticatory ability.

For an evaluation of your patient and their joint symptoms, have Dr. Benjamin Yagoubian evaluate and treat their discomfort by calling (310) 373-0667 for an appointment.

Posted on behalf of Torrance Oral Surgery Center

23451 Madison St #120
Torrance, CA 90505

Phone: (310) 373-0667

Email:

Monday 8AM - 5PM
Tuesday 8AM - 5PM
Wednesday 8AM - 5PM
Thursday 8AM - 5PM
Friday 8AM - 5PM

Address:

23451 Madison St #120
Torrance, CA 90505

Phone:

(310) 373-0667

Office Hours:

Monday 8AM - 5PM
Tuesday 8AM - 5PM
Wednesday 8AM - 5PM
Thursday 8AM - 5PM
Friday 8AM - 5PM

Torrance Oral Surgery Center

Our Client Reviews

5.0/ 5.0

Based on 174 reviews

Paul M.

A positive experience from start to end. I got a sense that this was going to go well and it did. Two extractions, two implants, bone graft and removal of four part bridge. Leaving part of the bridge on one tooth. If there were 10stars they would be for Torrance oral surgery group and Dr. Alicia Wolf / Blanco Demtal Group for recommending Ben.

Mindy W.

This is a very welcoming center. Everyone seemed very competent and helpful. I had an oral biopsy today. No waiting. The staff were ready for me and all was in place. Dr. Yagoubian was warm , cheerful and I felt in extremely capable hands. I am so grateful I was referred to him. Sincerely, Mindy W.

Jessica Z.

The staff here are super friendly and always show genuine concern. I got my wisdom teeth pulled about a year ago and Dr. Yagoubian and his staff made me feel less anxious about the procedure. When I was done, they were thorough with their instructions on how to take care of myself while my wounds healed. They even gave me an ice pack to wrap around my head for the swelling (super useful). Dr. Yagoubian even called to check in on me after the surgery. So when I needed more extractions done this year for orthodontic treatment, I made an appointment here and once again I was well taken care of. Every single person in this office was friendly. During the procedure, they made me feel less anxious even though I was super shaky about getting local anesthesia. They gave me detailed instructions on how to care for my wounds, always gave me an opportunity to ask questions. And once again, Dr. Yagoubian called after the procedure to make sure I was doing well. Now, anytime someone mentions they need their wisdom teeth removed, I tell them Dr. Yagoubian is the man!!

D. W.

What a nice and knowledgeable Doctor! Dr. Ben took the time to answer all our questions about the removal of all four wisdom teeth. He explained in detailed what was going to happen and the reason why he does the procedure. It’s obvious that he loves what he does. His staff is very welcoming and friendly. The nice lady in charge of the billing explained very clearly everything. Dr. Ben even called us the evening after the surgery to check if everything was ok. We highly recommend Dr. Yagoubian!

Chahab S.

Dr Yagoubian is an excellent oral surgeon, supported by a very professional staff. They made the experience as stress-free as possible. Highly recommended.

Dr.Lou T.

Very professional and always available. My patients have always had good experiences with the office.

JOHNNY P.

Dr. Benjamin is awesome I highly recommend him to everyone he is highly efficient and fast he knows how to comply with patient needs and overall is an amazing guy ! Check him out he is awesome!!!

Raj G.

Dr. Yagoubian is excellent. I was in state for business when my wisdom tooth broke. I was lucky enough to find Dr. Yagoubian's office. Everyone there was professional and courteous. The procedure went smoothly. Dr. Y is highly skilled, meticulous, and a very personable health care provider (a rarity in the field, in my opinion). If you need an oral surgeon, I highly recommend him.