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Understanding Mouthguards: How The Wrong Type Can Worsen TMJ Symptoms

November 20th, 2024 | 4 min read

By NYC Smile Design

Mouthgard

When dealing with Temporomandibular Joint (TMJ) disorders, finding effective relief is crucial. 

At NYC Smile Design, we often recommend mouthguards as part of a comprehensive treatment plan. However, it's vital to understand both the potential benefits and the drawbacks of using mouthguards for TMJ. This blog aims to provide a balanced view, drawing from our extensive experience, to help those suffering from TMJ make informed decisions about their care options. 

If you're considering a mouthguard, we encourage you to consult with a dental professional to determine the best approach tailored to your specific needs.

Understanding TMJ and Mouthguards

Temporomandibular Joint Disorders (TMJ) are complex conditions that involve the jaw joint and the muscles responsible for jaw movement. Those suffering from TMJ disorders may experience a range of symptoms, including persistent jaw pain, difficulty chewing, and audible clicking or popping sounds when moving the mouth. These symptoms can significantly impact daily life, making even simple tasks like talking and eating uncomfortable.

Mouth pain

Role of Mouthguards in TMJ Management

Mouthguards play a critical role in managing TMJ symptoms. They are specifically designed to alleviate pressure on the jaw by creating a physical barrier between the upper and lower teeth. This barrier helps prevent teeth grinding (bruxism) and clenching, which are common involuntary actions, especially during sleep, that contribute to TMJ disorders. By keeping the teeth apart, mouthguards reduce the strain and stress transmitted to the jaw joints and surrounding muscles, which can help alleviate pain and prevent further joint damage.

Additionally, mouthguards can aid in the repositioning of the jaw, depending on their design and the specific TMJ issues being addressed. For some patients, a properly adjusted mouthguard can help maintain an optimal jaw position, promoting muscle relaxation and reducing the tension that exacerbates TMJ symptoms. This protective and corrective functionality makes mouthguards a valuable tool in the comprehensive management of TMJ disorders, offering both immediate relief and long-term benefits by mitigating the factors that trigger jaw discomfort.

Possible Drawbacks and Concerns of Using Mouth Guards for TMJ

Mouthguards, while beneficial for many, come with potential drawbacks and concerns that need careful consideration to avoid exacerbating TMJ symptoms or creating new issues:

Risks Associated with Improper Fit 

A well-fitting mouthguard is essential for its effectiveness. However, not all mouthguards provide the same level of fit or comfort, and those that are poorly fitted can be counterproductive. An ill-fitting mouthguard might not only fail to relieve TMJ symptoms but could actually exacerbate them by improperly distributing bite force, increasing stress on the jaw joints, and potentially causing misalignment of teeth and changes in your bite. This can lead to a worsening of pain and other TMJ-related symptoms.

Concerns Over Dependency and Incorrect Usage 

Another concern is the potential dependency on mouthguards or using them incorrectly. Relying too heavily on a mouthguard can mask underlying issues that require treatment, delaying necessary dental intervention. Incorrect use, such as wearing a mouthguard for more hours than recommended or using a non-custom guard without professional guidance, can also lead to complications, including dental misalignment and changes in the bite that might further strain the TMJ. Therefore, it is vital to follow the specific recommendations provided by dental professionals regarding the use and care of mouthguards.

Chewing on the Mouthguard 

Some individuals may find themselves chewing on their mouthguard, either due to its rubbery texture or as a continuation of grinding habits during sleep due to the hard plastic placed in between back teeth. Such actions can strain the temporomandibular joint rather than protect it, negating the benefits of the mouthguard and potentially intensifying TMJ symptoms. This can also inadvertently alter the fit of the mouthguard over time, reducing its effectiveness and potentially leading to uneven force distribution across the jaw. It's crucial to monitor this behavior and consult with a dental professional if the mouthguard shows signs of deformation or if chewing habits persist and to consult if a different type of mouthguard is needed.

Potential Benefits of Using Mouth Guards for TMJ

Mouthguards can be an effective tool in the management of TMJ disorders, particularly for those who suffer from nocturnal teeth grinding. Here’s a closer look at how mouthguards can contribute to symptom relief and provide crucial protection during sleep:

Symptom Relief Through Reduced Jaw Tension 

For many individuals dealing with TMJ disorders, mouthguards offer substantial relief. These devices are particularly effective at night when unconscious clenching and grinding—commonly known as bruxism—can exacerbate jaw pain. By preventing the teeth from coming into contact, mouthguards minimize muscle strain and reduce the overall stress on the jaw joints, thereby alleviating discomfort and lessening the frequency of TMJ symptoms.

Protection During Sleep to Mitigate Damage 

Wearing a mouthguard while sleeping serves as a preventative measure against the wear and tear that teeth grinding can cause. It not only protects the enamel of the teeth from grinding down but also helps distribute the force of the bite more evenly across the jaw, which can prevent long-term damage to both the muscles and the joint itself. This protection is crucial for maintaining both dental health and jaw function, making mouthguards a key component of TMJ management strategies for many patients.

Choosing the Right Mouthguard

Choosing the right mouthguard is crucial for ensuring effective treatment of TMJ disorders without introducing new complications:

Variety in Mouth Guard Types 

Mouthguards come in several forms, ranging from readily available over-the-counter models to those custom-fitted by dental professionals. Over-the-counter mouthguards are convenient and cost-effective but often lack the precise fit necessary for optimal TMJ relief. Their texture, fit, and positioning can even lead to an increase in clenching, grinding, and changes in bite and should be monitored carefully for effectiveness. On the other hand, custom-made mouth guards are designed specifically for your mouth, providing a superior fit and bite position that not only offers better protection but also significantly enhances comfort and effectiveness in treating TMJ symptoms.

Mouthgard

The Importance of Professional Consultation 

To maximize the benefits of using a mouth guard and minimize potential risks, consulting with a dental or TMJ specialist is essential. A specialist can assess your specific condition and create a mouth guard that aligns with the unique contours of your teeth and jaw. This personalized approach helps ensure that the mouth guard functions correctly to relieve TMJ symptoms by properly distributing bite force and reducing stress on the jaw, all while fitting comfortably and securely in your mouth. This consultation is a critical step in integrating a mouth guard into a broader TMJ treatment plan tailored to your individual needs.

Making an Informed Decision

Choosing the right mouthguard is a crucial step in managing TMJ symptoms effectively. If you're experiencing discomfort related to TMJ disorders, it's important to consult with a TMJ specialist or dentist to discuss whether a mouth guard is right for you and how to select the best type for your specific needs. Taking proactive steps can lead to significant improvements in your quality of life and long-term oral health. 

Don't hesitate to schedule a consultation at NYC Smile Design to ensure you receive tailored advice and care for your TMJ concerns.

Topics:

TMJ