TMJ

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TMJ 101

I'm in pain.

You aren't sure when it started and you aren't sure what's causing it. What you do know is you are living in pain! And you have been for far too long. Another thing you might not know, is you could be living with  Temporomandibular Joint Disorder, also known as TMJ or TMD. Can you relate to any of these associated TMJ symptoms:

  • horrible migraine-like headaches
  • dizziness
  • jaw ache
  • clicking in your jaw
  • ringing or plugged ears
  • grinding and clenching of teeth
  • stabbing pain behind yoru eyes
  • sore shoulders
  • tight and sore neck muscles
  • facial pain
  • tingling or numbness in your arms, hands or fingers
  • problems with your posture

If any of this rings true, you may be a victim of TMD and the good news is, it can be treated by TMJ dentist, Dr. Khullar, with what's called neuromuscular dentistry.

Why do I hurt?

Your TMJ (Temporomandibular Joint) is the jaw joint, in front of your ears, where the lower jaw connects to the skull. When your TMJ becomes misaligned or is not working properly, the lower and upper teeth meet incorrectly in what is called a “bad bite”. As a result of this bad bite, the muscles of your neck, head and jaws work extra-hard to do the job they were meant to do which means, even at rest, stress is put on them because of the misaligned joint.

Inflammation starts to builds up over time. This inflammation puts pressure on the nerves leading to your neck, head, shoulders and back, resulting in pain in whatever area the nerve branch is running to. Your over-worked muscles as a result from an unbalanced bite result in pain that will materialize in the form of migraines, headaches, ear-aches, muscles tenderness, facial discomfort, a sore jaw and a ton of other symptoms.

I'm looking older than I feel.

When it comes to guessing your age based solely on your face, nothing is more telling than your smile. If you have a "bad bite" on top of it, the wear and tear on your teeth is significantly more pronounced and that dramatically impacts the appearance of your face. A misaligned jaw creates corrosion of your teeth, causing them to chip and look worn. All of a sudden you start to see your lips change shape. Creases and wrinkles form and become deeper on the sides of your mouth and around your nose. Your lower lip will begin to roll out and this brings along the appearance of jowls. In some cases you might start to see areas of gum recession and your bottom front teeth might start to shift and look crooked.

My posture is off.

A misaligned jaw contributes to a number of physical changes, in addition to the obvious ones that affect your teeth and your face. When you suffer from a "bad bite", the muscle tension and muscle activity is unbalanced and this can work itself down and start to affect your entire posture. It starts with a ‘tug’ on your head, which ‘tugs' at your posture, resulting in a slouching appearance. You look like you aren't standing or sitting straight as there's a slight roundness in your neck, shoulders and back. The domino effect begins cascading down your entire body and can manipulate the positioning of your shoulder and your hips. In a lot of cases its so severe, one shoulder or hip is visibly higher than the other.

All of this combines to age you. You face looks haggard and worn, with creases and jowls showing up where you previously had none. Your posture and silhouette come off as slouching and slagging, again, prematurely aging you. All of this because your teeth and jaws don't align the way they are supposed to.

My mouth isn't working right.

Has this happened to you? You are visiting with friends or meeting with colleagues over a business lunch when you go to order your meal and your jaw cracks so loudly someone comments. When your food arrives, you start to eat when, suddenly, you can't open you mouth. It feels as though your mouth is hinged closed and you are left sitting there, embarrassed and wondering what to do next.

If you suffer from TMD, your ability to fully and widely open your mouth might be limited. That's because your jaw muscles become stiff and tender and can begin to spasm, stopping you from fully opening your mouth. In the most likely scenario, the disc located in your jaw gets ‘stuck’ in a position that prevents your jaw joint from properly and adequately functioning. Regardless, a mouth that is restricted in its movement is obviously going to affect you physically, socially, emotionally and let’s not forget being passed up for the next dinner party.

So, a dentist can help?

YES, a neuromuscular dentist like Dr. Khullar can help!

When you are in pain, it can feel as though you are all alone. Family and friends don’t understand and might even doubt the severity of your pain. Please do NOT doubt what YOU feel. Your symptoms are real. You can get back to those days of living pain-free; days filled with laughter and joy instead of irritation and anxiety. Pain and discomfort that can be eliminated by visiting Dentalways.

With so many basic, everyday functions requiring a healthy TMJ - chewing, swallowing, breathing, talking, drinking - you owe it to yourself to get checked by Dr. Khullar, if you are experiencing any problems. Cracking, popping, limited movement or overall functionality problems with your jaw are all signs something isn't working right and treatment shouldn't be delayed. If taken care of early on, it can prevent significant problems down the road.

It's all connected.

When you have a bad bite or a misaligned jaw, it can sometimes affect a specific part of your body. And sometimes, it can affect your entire body. Even a slight imbalance in your TMJ (jaw joints) can leave you suffering from headaches, nausea, dizziness, poor body posture, premature wearing of your teeth, decreased strength and flexibility, compromised breathing airways, muscles soreness and tenderness and many more symptoms.

Finding the best position for your jaw is crucial for the rest of your body to work as it should. It all begins with a properly aligned bite and it's all part of what TMJ dentist, Dr. Khullar refers to as the Neuromuscular Sextad.

Connecting all the dots

When your jaw joint is unbalanced, it manipulates and influences your spine, your bite, your airway, your nerves and your muscles. The basic principles of neuromuscular (TMJ) dentistry, which is what Dr. Khullar practices, state that a “good” bite happens when the muscles of the jaw, face and neck are allowed to be in their most efficient state, which is a restful state.

As soon as that happens there's an instant improvement in your posture, your resting muscle activity, your airway and your range of motion, flexibility, strength and balance. You can exert more power, increase your stamina, improve your concentration and mental awareness and overall, feel healthier, more exuberant and alive.

Q: What’s the most used joint in your body?

A: Wrong. It’s not your knee. It’s not your ankle. It’s your TMJ.

Think about that answer for a moment. Think about how much your jaw joint is being engaged. Every time you talk, chew, swallow, sing, yawn – you are using your TMJ. While it's probably the least recognized joint in your body, its certainly one of the most important ones. Breathing, eating, drinking - all of them impossible without healthy and properly functioning jaws.

So, when you hear clicking, popping and cracking in your jaw joint, it's one of the most common indicators of TMD. When your jaw joint cracks or clicks, you may experience pain too. In some cases, the cracking is so loud, it is heard by others when you chew or talk.

The sound you (and others) hear is caused by a displaced disc located in your jaw. A healthy and normal TMJ is quiet when you chew or talk. Clicking, popping and cracking indicate your jaw joint is unstable, and it's a signal these symptoms should be checked by Dr. Khullar.

Negative ripple effect transcends your entire body.

AIRWAYS
Your tongue is attached to your lower jaw and it act as a pillow. It cushions the jaw and helps it to relax. A bad bite affects the size of your mouth and the new size of your mouth no longer accommodates your tongue. Your tongue can’t sit where it should. If your tongue rests too far back in your mouth, it will block the air getting to your lungs.

BITE / TEETH
An unaligned jaw joint will begin to show wear and tear on your teeth and your bite. By moving to where the jaw muscles are more balanced, your teeth are basically ‘in the way’. They then begin to grind down against one another and you end up with shortened teeth, gum recession and/or a collapsed lower third of your face.

MUSCLES
An improper bite leads to muscle imbalance. When your teeth are misaligned, they cannot provide enough muscle support in your face required for swallowing and chewing. Your muscles are then forced into a stressed and strained position which means you'll experience discomfort throughout the face, arms, head, back and shoulders. 
The over-worked muscles can result in muscles soreness and stiffness that will show up in the form of migraines, headaches, earaches, muscles tenderness, facial discomfort, a sore jaw and a multitude of other symptoms.

NERVES
The muscles and the nerves in the jaw and face are extremely complex and intricately connected. So it goes to reason, when your bite is unaligned, the nerves and muscles are also affected. This unalignment results in the muscles throughout your face, neck, jaw and shoulders going into spasms. The spasms then pinch the nerves that lead down your arms. The result of all of this? A feeling of numbness and tingling in your fingers, arms and hands.

SPINE / POSTURE
There is a close relationship between your bite, the posture of your head and that of your entire body. If you have a bad bite or if your jaws don’t close properly, there's an immediate and direct effect on your head posture, causing neck strain and postural issues. If you are missing teeth, this postural strain becomes an even greater issue. Then, the muscles of your back and your neck – which in effect are your spine and its alignment – are impacted and greatly affected by an unbalanced jaw.

Improve your bite, improve your overall health

So as you can see, every part and every function of the human body is intimately associated with one another. When one aspect isn’t performing properly, it impacts all the rest. A poorly aligned jaw can cause a number of physical and cosmetic changes to your teeth, your face and your posture. The body depends on all of its parts to interact in unison. And it all starts at the top. Your jaw joint alignment is critical to your overall health and wellness. If you are experiencing problems, TMJ dentist, Dr. Khullar, can help.

 

WHAT OUR CLIENTS ARE SAYING

I feel like I get my questions answered with respect and sincerity.

Dr. Khullar I just wanted to let you know that I really enjoy coming to your office for my dental care. Everyone is so nice and welcoming. From Jeannie at the front desk, to Lauren while she is cleaning my teeth. I also enjoy that you are very friendly and down to earth. I never feel intimidated as most do with any physicians.

I always give you and your office a recommendation when someone asks for a dentist. Thank you so much for providing me with excellent care that I don't dread when its time to go. Thank you!

Heather S.

I'd easily tell my friends and family about Dentalways.

Dr. Khullar and his team are friendly, knowledgeable, and thorough. I am thrilled with the dental work done for me by Dr. Khullar and his team. I highly recommend them to anyone who is not happy with his or her smile.

Etta H.

I never had any doubts or concerns.

Dr. Khullar and his team are very approachable and extremely professional. I have tremendous confidence in the final outcome of this work. They are very friendly, informative, and professional. They explain procedures as the process moves forward in a way that I understand, including financial issues! TOP NOTCH is my expectation and to date am not disappointed!

Dr. Joe B

I always felt like I was in charge.

I liked the suggestions and patience shown in doing the entire process. I felt relaxed during the procedure and they were prompt to answer my questions and check with me to make sure everything was ok. I am very satisfied with my new crowns!

Eva H.

They really do make you feel like family.

I like Dr. Khullar and his team's care and interest in keeping me comfortable and the cleanliness of the treatment rooms. They are very caring about you as a person. They are cheerful and take time to visit. You feel more like a friend rather than just a customer. I love my new smile and get compliments all the time.

Dee O.

I have my swagger back!

My old teeth got worn and flaky. One of my teeth was so fragile, it broke while I was eating pretzels! My new LVI teeth are not only very comfortable they look great. Thanks to Dr. Khullar and his team I have a new smile that not only looks good, but makes me feel confident, assured, and about 10 years younger! Every morning when I look in the mirror I wonder why I didn't do this sooner!

Dr. G.K.

I was always hiding my smile.

When I first came to Dr. Khullar I did not want to smile, my teeth were worn out and I could not chew properly. But Dr. Khullar took care of all my dental problems and now I have the smile I've always wanted and can chew like never before!

Margie M.

They kept working until I was 100% satisfied.

I love the fact that Dr. Khullar and his team were persistent with my work until it was perfect and I was totally satisfied. His team is kind, caring, and friendly. I have regained my confidence with the great smile Dr. Khullar has given me. Dr. Khullar truly gave me a Hollywood smile!

Barbara R

Dental work is...dare I say, fun!

The best part of Dr. Khullar's office is the team is always friendly and smiling, they make me feel good about coming in. I have had a couple of crowns now and an inlay. I am 36 and had never taken the nitrous gas. Dr. K always asked if I would like some, but I was nervous about it. I will never have a crown without it again.

I love that because of Dr. K I can joke and have fun while having dental work done! Not to mention my crowns were perfect! I recommend Dr. Khullar to everyone I know.

Lydia H.

The technology used is leading edge.

I was pleasantly surprised when I first walked into Dr. Khullar's office. He uses the latest high tech dental equipment, and he is fully staffed with qualified and friendly people.

On the day Dr. K told me it would take two hours sitting in the dental chair for the first phase of my tooth implant, I told him, no way! But he and his nurse worked in such an expert and gentle manner that I made it through the procedure just fine. The cost was less too. Dr. Khullar has done extensive work on my teeth the past couple of years, and from my point of view, he is among the best dentists to be found anywhere!

Jackie M.

Customer care is their priority.

Dr. Khullar and his team are always very cooperative and helpful in answering my questions. Everyone in his office is always cheerful and friendly. They always remember me from visit to visit!

Janice D.

Friendly, fun staff...

What I like most is their friendly and professional assistance and the manner in which they care for their patients. Most of my visits required lengthy work. Dr. Khullar and his team made me feel very comfortable and at ease and all of my dental work was done with little or no pain or discomfort.

He and his staff are the friendliest and most enjoyable people anyone could be around and this so important in a medical setting.

Rebecca L.

They worked with our insurance company...

Dr. Khullar and his team are friendly and take excellent care of my family's teeth. The office is equipped with the technology needed to stay current with new advances in dentistry. They are local and schedule around our busy lifestyle with a family seven.

Dr. K and his team are very helpful with scheduling what needs to be taken care of first. They have worked hard with us to figure out what insurance would pay and help us figure out payment options. Thank you guys for all your help, our family is pain free and have healthy teeth because of your hard work.

Tonya D.

They accommodated MY schedule.

Dr. Khullar and his team including Lauren , Jeannie and Lori were exceptionally friendly and efficient, which is hard to find these days in doctor offices. During my recent visit they accommodated their schedule to get all my procedures on the same day. Dr. Khullar and his team spends time talking to you and explaining the procedures in detail. I would highly recommend this clinic to all my friends, family and physician peers. Keep up the great work!!

Senthil R. MD, MPH - Little Rock, AR

I could relax during my treatment.

Dr. Khullar and his team are so polite and fun to be around, it makes my visit enjoyable and relaxing. My mouth has done a 180 degree turn thanks to Dr. Khullar. He made me feel that every visit and every dollar was worth my wonderful new smile.

My life is much better without the pain of cavities. I feel free from the stress of bad teeth and bad gums. Dr. Khullar is one of my hero's, and his team is so nice and caring!

Jason D.

The team expressed genuine concern.

My last procedure was a root canal and two crowns. I was given plenty of time to relax, and because of the expertise and gentle care from Dr. Khullar and his team I actually slept through the entire procedure! Dr. Khullar stayed after hours to ensure that I was comfortable and answered all my concerns.

I travel an hour round trip to see Dr. Khullar and would encourage anyone else to do the same. His team, especially Jessica and Trish, make everything from insurance to payments to assisting in my dental care a surprisingly pleasant experience.

Theresa C. - Conway, AR

I cannot stop smiling!

My teeth have always been small which made my gums cover about 70% of my smile. For this reason, I have always been self-conscious when smiling. But because of Dr. Khullar’s generosity, kindness, and concern for my feelings he made the “total procedure” possible for me! Dr. Khullar and his team were as concerned and excited about the final outcome of my procedure as I was!

Now everyone tells me what a total difference it has made in my appearance. I cannot thank him and his team enough! He’s a wonderful person and an outstanding dentist. Because of them I cannot stop smiling!

Linda B. - Conway, AR