How does arthritis affect the TMJ?

July 5, 2024

The TMJ No More™(The TMJ Solution) By Christian Goodman In this eBook the author has shared he has shared his experiences while treating his 12 years old chronic problems of severe tinnitus and TMJ disorders. He has enabled thousands of people all over the world, regardless of their gender, by teaching them how to get rid of their disorders related to TMJ faster than your expectations without using any drugs, mouth guards to splints or facing the risk of any surgery.


How does arthritis affect the TMJ?

Arthritis can significantly affect the temporomandibular joint (TMJ), leading to a range of symptoms and complications. Here’s a detailed explanation of how different types of arthritis impact the TMJ:

1. Osteoarthritis

Description:

  • Osteoarthritis (OA) is a degenerative joint disease characterized by the breakdown of cartilage and underlying bone.

Impact on TMJ:

  • Cartilage Degeneration: In the TMJ, OA leads to the gradual wearing away of the articular cartilage, causing bones to rub against each other. This results in pain, stiffness, and reduced joint function​ (NIDCR)​​ (AAFP)​.
  • Bone Changes: As the cartilage wears down, the body attempts to repair the damage, which can lead to the formation of bone spurs (osteophytes). These can further restrict joint movement and cause pain.
  • Symptoms: Common symptoms include joint pain, tenderness, stiffness, a grating sensation during jaw movement, and limited range of motion​ (NIDCR)​.

Sources:

2. Rheumatoid Arthritis

Description:

  • Rheumatoid arthritis (RA) is an autoimmune disorder where the immune system attacks the synovial membrane lining the joints, causing inflammation and joint damage.

Impact on TMJ:

  • Synovial Inflammation: RA causes inflammation of the synovial membrane in the TMJ, leading to pain, swelling, and stiffness​ (NIDCR)​​ (AAFP)​.
  • Joint Erosion: Chronic inflammation can erode the cartilage and bone within the TMJ, resulting in joint deformity and dysfunction.
  • Symptoms: Symptoms include persistent pain, swelling, limited movement, and sometimes a feeling of warmth in the joint. RA can affect both TMJs simultaneously, unlike OA which may affect one side more than the other​ (NIDCR)​.

Sources:

3. Psoriatic Arthritis

Description:

  • Psoriatic arthritis (PsA) is an inflammatory arthritis associated with psoriasis, a skin condition characterized by red, scaly patches.

Impact on TMJ:

  • Inflammation and Damage: PsA can cause inflammation in the TMJ, leading to pain, swelling, and progressive joint damage similar to RA​ (NIDCR)​.
  • Symptoms: Symptoms include jaw pain, stiffness, swelling, and reduced range of motion. PsA can also lead to asymmetrical joint involvement, affecting one side more than the other.

Sources:

4. Ankylosing Spondylitis

Description:

  • Ankylosing spondylitis (AS) is a type of arthritis that primarily affects the spine, but can also involve other joints, including the TMJ.

Impact on TMJ:

  • Joint Inflammation: AS causes chronic inflammation in the TMJ, leading to pain and stiffness. In severe cases, it can lead to ankylosis, where the joint fuses and loses mobility.
  • Symptoms: Symptoms include persistent jaw pain, reduced range of motion, and stiffness, particularly in the morning or after periods of inactivity​ (NIDCR)​.

Sources:

Diagnosis and Treatment

Diagnosis:

  • Diagnosis typically involves a combination of patient history, physical examination, and imaging studies such as X-rays, CT scans, or MRI to assess joint damage and inflammation.

Treatment:

  • Medications: NSAIDs, corticosteroids, and disease-modifying antirheumatic drugs (DMARDs) to reduce inflammation and pain.
  • Physical Therapy: Exercises to improve joint function and maintain range of motion.
  • Lifestyle Modifications: Stress management, diet changes, and avoiding activities that exacerbate symptoms.
  • Surgery: In severe cases, surgical intervention may be necessary to repair or replace the TMJ.

Conclusion

Arthritis significantly impacts the TMJ by causing pain, inflammation, and structural damage. Osteoarthritis leads to cartilage degeneration and bone changes, while rheumatoid arthritis and other inflammatory arthritides cause chronic inflammation and joint erosion. Understanding these impacts helps in the effective diagnosis and management of TMJ disorders associated with arthritis.

References

  1. National Institute of Dental and Craniofacial Research (NIDCR). TMJ Disorders
  2. Mayo Clinic. TMJ Disorders
  3. Cleveland Clinic. TMJ Disorders
  4. National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). Rheumatoid Arthritis
  5. Arthritis Foundation. Psoriatic Arthritis


The TMJ No More™(The TMJ Solution) By Christian Goodman In this eBook the author has shared he has shared his experiences while treating his 12 years old chronic problems of severe tinnitus and TMJ disorders. He has enabled thousands of people all over the world, regardless of their gender, by teaching them how to get rid of their disorders related to TMJ faster than your expectations without using any drugs, mouth guards to splints or facing the risk of any surgery.