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Temporomandibular joint and muscle disorders (TMJ disorders) are medical disorders that involve the chewing muscles and joints that connect the lower jaw to the skull.
Temporomandibular joint disorders involve the jaw joint.
The jaw joint is sited just in front of the ear and it connects the jaw bone (mandible) to the skull near to the temple.
This particular jaw joint is known as the temporomandibular joint (TMJ).
Medical conditions affecting this joint are typically called TMJ disorders.
Causes
The two temporomandibular joints are similar and sited just in front of the ears
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Produktbeschreibung
Temporomandibular joint and muscle disorders (TMJ disorders) are medical disorders that involve the chewing muscles and joints that connect the lower jaw to the skull.
Temporomandibular joint disorders involve the jaw joint.
The jaw joint is sited just in front of the ear and it connects the jaw bone (mandible) to the skull near to the temple.
This particular jaw joint is known as the temporomandibular joint (TMJ).
Medical conditions affecting this joint are typically called TMJ disorders.
Causes
The two temporomandibular joints are similar and sited just in front of the ears on each side of the head.
The results of physical stress on the structures around the joint are TMJ-related symptoms.
These structures include:
1. Cartilage disk at the joint
2. Muscles of the jaw, face, and neck
3. Nearby blood vessels, ligaments and nerves
4. Teeth
TMJ disorders are believed to have multiple causes which mean that there are typically a number of risk factors contributing to the cause.
These factors can be categorized into two forms:
1. Problems linked to the muscles working the joint,
2. Problems inside the joint itself
The muscle problems are the most frequent form, especially for younger people.
Conditions related to the muscles are:
1. Over-activity of the jaw muscles
Some rare kinds of movement disorders (called orofacial dystonias) can cause excessive jaw clenching.
2. Increased sensitivity to pain.
A higher sensitivity to pain can be related to mental stress or other process which involves pain sensitivity.
3. Wear and tear to the inside of the joint
Wear and tear to the cartilage is due to a form of arthritis called osteoarthritis.
4. Certain types of arthritis.
Arthritis is the inflammation which occurs in a joint.
5. Injury to the TMJ or to its cartilage disc can cause TMJ pain.
6. Idiopathic TMJ cause: The cause in many people with temporomandibular joint disorders is unknown.
Possible causes:
1. A bad bite or orthodontic braces
2. Stress and tooth grinding.
The stress related to this disorder may be caused by the pain as opposed to being the cause of the problem.
3. Poor posture can also be an important factor in TMJ symptoms.
Symptoms of TMJ disorders:
1. Jaw pain or tenderness of the jaw
2. Dull, aching pain in the face
3. Headache
4. Biting or chewing difficulty or discomfort
5. Difficulty opening or closing the mouth
6. Locking of the jaw
7. Clicking, popping, or grating sound when opening or closing the mouth
Diagnosis:
The diagnosis has been made based on the symptoms and a doctor's physical examination.
A thorough examination will be required that involve:
1. A dental exam to show if you have poor bite alignment
2. Feeling the joint and muscles for tenderness
3. Pressing around the head to locate areas that are sensitive or painful
4. Sliding the teeth from side to side
5. Watching, feeling, and listening to the jaw open and shut
An MRI scans which can be used to give a detailed picture of the joint.
Arthroscopy of TMJ joint
Treatment
1. Simple, gentle therapies are recommended first.
Physiotherapy methods such as how to gently stretch, relax, or massage muscles around the jaw are taught.
2. Resting the joint
3. Pain killers such as ibuprofen or codeine or paracetamol can relieve pain.
Muscle relaxant also help to loosen the jaw muscles
4. Moist heat or cold packs can be applied on the face.
5. Stress-reducing techniques can be learned.
6. Exercising several times each week may help you improve the ability to handle pain.
Mouth splints or bite guards have been utilized to treat TMJ disorders.
An injection of a steroid into the joint can reduce inflammation in the joint or botox
Surgical repair of the joint may be needed.

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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...