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Temporomandibular Joint Disorder (TMJ)

Written by Skin Renewal Medical Board
Located on both sides of the head at the point where the jawbone meets the skull, the Temperomandibular joint is used during talking, eating, swallowing, and other everyday activities. If this joint becomes displaced or is overworked through excessive teeth grinding, a person may suffer severe tension headaches, as well as sharp pain in the jaw.
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frequently asked
questions

Are TMJ Treatments available at all Skin Renewal branches ?
What causes TMJ pain?

TMJ pain is caused by Bruxism which is characterised by the grinding of the teeth and is typically accompanied by the clenching of the jaw leading to jaw pain, migraines and headaches.

No exact figures on the frequency of bruxism are available as over 80% of all bruxers may be unaware of the habit and the diagnosis is usually made when the teeth are examined by a dental surgeon.

For these reasons, estimates of the prevalence of bruxism range from 5% to 20%. In most people, bruxism is mild enough not to be a health problem. While bruxism may occur during the day or night activity, it is bruxism during sleep that causes the majority of health issues and can even occur during short naps. Bruxism is one of the most common sleep disorders. Some bruxism activity is rhythmic (like chewing), and some is sustained (clenching). Researchers classify bruxism as "a habitual behaviour, and a sleep disorder.

How is Bruxism which causes TMJ pain diagnosed?

Most bruxers are not aware of their bruxism, and only 5% go on to develop symptoms, such as jaw pain, migraine and headaches, which will require treatments. In many cases, a sleeping partner or parent will notice the bruxism before the person experiencing the problem becomes aware of it.

How do injectable treatments for treating TMJ pain work?

At Skin Renewal we offer a novel treatment for this condition is to weaken the masseter muscles of the jaw with strategically placed botulinum injections which weaken the muscle enough to reduce the effects of grinding and clenching and thus reduce TMJ pain, but not so much as to prevent proper use of the muscle.

The procedure involves about five or six relatively painless injections and patients start feeling the effects the following day with migraines usually dissipating by the end of the first week. Injections must be repeated every six months but the habit is usually broken after the second or third treatment.

In addition, the treatment can help safeguard dental health, since excessive grinding can result in worn teeth and damaged gums that may require costly treatment.

The symptoms that may be improved by injections include:

  • Migraines triggered by clenching
  • Grinding and clenching
  • Morning jaw soreness
  • Muscle tension throughout the day
  • Neck pain and stiffness triggered by clenching
Why is it important to recognize the symptoms and signs of Bruxism?

Bruxism is the leading cause of dental damage and a significant cause of tooth loss and gum recession. It may take years for the first visible signs of worn teeth to appear and the dental bills that follow are usually exorbitant. By treating and recognising Bruxism earlier on, Injections can help prevent future dental bills by breaking this habit and the avoidance of future dental bills is possible. Usually two treatment 4 months apart are enough to break the habit.

Frequently asked questions

Are TMJ Treatments available at all Skin Renewal branches ?
What causes TMJ pain?

TMJ pain is caused by Bruxism which is characterised by the grinding of the teeth and is typically accompanied by the clenching of the jaw leading to jaw pain, migraines and headaches.

No exact figures on the frequency of bruxism are available as over 80% of all bruxers may be unaware of the habit and the diagnosis is usually made when the teeth are examined by a dental surgeon.

For these reasons, estimates of the prevalence of bruxism range from 5% to 20%. In most people, bruxism is mild enough not to be a health problem. While bruxism may occur during the day or night activity, it is bruxism during sleep that causes the majority of health issues and can even occur during short naps. Bruxism is one of the most common sleep disorders. Some bruxism activity is rhythmic (like chewing), and some is sustained (clenching). Researchers classify bruxism as "a habitual behaviour, and a sleep disorder.

How is Bruxism which causes TMJ pain diagnosed?

Most bruxers are not aware of their bruxism, and only 5% go on to develop symptoms, such as jaw pain, migraine and headaches, which will require treatments. In many cases, a sleeping partner or parent will notice the bruxism before the person experiencing the problem becomes aware of it.

How do injectable treatments for treating TMJ pain work?

At Skin Renewal we offer a novel treatment for this condition is to weaken the masseter muscles of the jaw with strategically placed botulinum injections which weaken the muscle enough to reduce the effects of grinding and clenching and thus reduce TMJ pain, but not so much as to prevent proper use of the muscle.

The procedure involves about five or six relatively painless injections and patients start feeling the effects the following day with migraines usually dissipating by the end of the first week. Injections must be repeated every six months but the habit is usually broken after the second or third treatment.

In addition, the treatment can help safeguard dental health, since excessive grinding can result in worn teeth and damaged gums that may require costly treatment.

The symptoms that may be improved by injections include:

  • Migraines triggered by clenching
  • Grinding and clenching
  • Morning jaw soreness
  • Muscle tension throughout the day
  • Neck pain and stiffness triggered by clenching
Why is it important to recognize the symptoms and signs of Bruxism?

Bruxism is the leading cause of dental damage and a significant cause of tooth loss and gum recession. It may take years for the first visible signs of worn teeth to appear and the dental bills that follow are usually exorbitant. By treating and recognising Bruxism earlier on, Injections can help prevent future dental bills by breaking this habit and the avoidance of future dental bills is possible. Usually two treatment 4 months apart are enough to break the habit.

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Thank you so much; I recently had a Botox treatment for Bruxism and am so happy with the result already. Even after one day, I felt relieved, and Dr Nikki was so kind and explained everything in such detail.

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Fantastic service!! Everyone was so welcoming and the service was amazing as always. Highly recommend Dr.Marilyn.

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The Century City team are exceptionally lovely - attentive, going the extra mile, always delivering exceptional and high-quality service. One of the best branches with wonderful team, and of course Kayla is truly magical and wonderful - a true asset and wonderful ambassador!

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Excellent, high quality service across the board. Expert medical consultation and well trained and knowledgeable skin therapists. Thank you for helping me on this skin journey!

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Absolutely love Skin Renewal! The staff are always so warm, welcoming and helpful. I live in Stellies so the Stellenbosch branch is a 5 minute drive away from my home/work - super convenient. I couldn’t recommend my doctor enough - Dr Helenka Fourie. She is professional, approachable, incredibly knowledgable and trustworthy. She has helped me tremendously with my skin concerns and will always make sure I understand the process 100%. I’ll be back again and again and again.

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The reception staff really make you feel welcome and they are super helpful! Dr Lilly takes pride in her work

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Bruxism Botulinum Toxin Front Before and After
Bruxism Botulinum Toxin Right View Before and After
Bruxism Botulinum Toxin Right Before and After
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