TMJ arthritis is an inflammatory (infectious or non-infectious) disease of the joint connecting the lower jaw to the temporal bone of the skull. In the acute stage, TMJ arthritis proceeds with sharp pain in the affected joint, extending to the ear and temple; swelling and flushing of the skin over the joint; the impossibility of complete closure of the dentition and the restriction of opening the mouth; general temperature reaction. Diagnosis of arthritis includes the analysis of medical history, palpation of the joint area, radiography and CT of the TMJ. In the treatment of TMJ arthritis, jaw immobilization, antibiotics, NSAIDs, chondroprotectors, intraarticular injections of corticosteroids, physiotherapy, myogymnastics are used.
- TMJ Arthritis Classification
- Causes of TMJ Arthritis
- Symptoms of TMJ Arthritis
- Diagnosis of TMJ Arthritis
- TMJ Arthritis Treatment
- Forecast and prevention of TMJ arthritis
- Arthritis of the jaw: symptoms and treatment
- Arthritis of the lower jaw what is it?
- Causes and signs of jaw arthritis
- Arthritis of the jaw, treatment
- How much does a jaw arthritis treatment cost?
- Brodsky Sergey Evgenievich
- Salatsky Dmitry Nikolaevich
- Shirinyan Sarkis Kimovich
- Skranzhevskaya Svetlana Vladimirovna
- Seredin Evgeny Vasilievich
- Malanova Olga Andreevna
- Makarov Danila Vladislavovich
- Molodtsov Dmitry Evgenievich
- Artemyeva Oksana Aleksandrovna
- What treatment is prescribed for arthritis of the jaw: drugs, physiotherapy, special exercises
- Factors that a doctor considers when prescribing treatment
- Medical treatment of the disease
- Special physical education for the jaw
- Surgical intervention
- Forecast and preventive measures
- TMJ Arthritis
- TMJ Arthritis Classification
- Forecast and prevention of TMJ arthritis
- Causes of TMJ Arthritis
- Hematogenous pathway
- Contact path
- Symptoms of TMJ Arthritis
- Symptoms of purulent arthritis of the TMJ
- Symptoms of chronic arthritis of TMJ
- Symptoms of Traumatic Arthritis
- Diagnosis of TMJ Arthritis
- TMJ Arthritis Treatment
- Treating Traumatic Arthritis
- Purulent Arthritis Treatment
- Treatment of rheumatoid and reactive arthritis
- Arthritis of the maxillofacial joint, 7 symptoms requiring immediate treatment
- Arthritis of the maxillofacial joint, symptoms and treatment: what we feel
- What to do in addition to prescribed by your doctor
- Word – Traditional Medicine
- Ins >
- Second anti-inflammatory collection:
- Arthritis of the jaw joint, what is it and how to treat it
- Features of the disease
- Types of violation
- Characteristic symptomatology
- Causes of the disease
- What complications is a pathology dangerous?
- Conducting diagnostics
- When surgery is needed
- How to prevent the disease – preventive measures
TMJ arthritis is an acute or chronic inflammation of the structural elements of the temporomandibular joint, accompanied by a violation of its function. In the general structure of TMJ diseases, arthritis is 6-18% and is statistically more common in young and middle-aged people. Given the etiology and course of TMJ arthritis, its treatment may fall within the purview of dentistry, traumatology, rheumatology.
TMJ is a paired joint formed by the temporal and mandibular bones and providing movement of the lower jaw. The main elements of the temporomandibular joint include the articular head of the mandible, the mandibular fossa of the temporal bone, articular disc, articular tubercle, articular capsule and ligamentous apparatus. In the initial stage, inflammation captures the joint capsule and periarticular tissues. In the future, the inflammatory process extends to the synovial membrane, articular surfaces and areas of bone tissue, accompanied by razvolnenie and melting of the cartilage, the formation of connective tissue in the joint cavity. Arthritis of the temporomandibular joint can result in muscle contracture, deforming arthrosis, fibrous or bone ankylosis of TMJ.
TMJ Arthritis Classification
Considering the underlying causes of the inflammatory process, infectious and non-infectious TMJ arthritis are distinguished. In turn, TMJ infectious arthritis is divided into non-specific and specific (tuberculosis, syphilitic, gonorrhea, actinomycotic, etc.). Arthritis of TMJ of non-infectious origin can be traumatic, rheumatoid, reactive in origin.
TMJ arthritis may have an acute or chronic course; while the acute stage may be accompanied by serous or purulent inflammation.
Causes of TMJ Arthritis
In infectious arthritis, pathogens can enter the TMJ cavity by hematogenous, contact or direct route. Hematogenous infection in the joint tissue is possible with scarlet fever, measles, tonsillitis, diphtheria, typhoid, salmonellosis, brucellosis, gonorrhea, tuberculosis, syphilis, actinomycosis, etc.
Contact infection of the TMJ can occur with purulent mumps, otitis media, mastoiditis, osteomyelitis of the lower jaw or temporal bone, a boil of the external auditory canal, an abscess and phlegmon of the parotid chewing area. Direct infection is most often associated with a TMJ puncture, a fracture of the lower jaw, a gunshot wound, etc.
TMJ reactive arthritis is aseptic in nature (there are no pathogens in the affected joint), but have a direct pathogenetic relationship with the infection. TMJ reactive arthritis can develop against the background of chlamydia, ureaplasmosis, rubella, viral hepatitis, enteritis, meningococcal infection, etc.
In rheumatoid arthritis, a TMJ lesion occurs simultaneously with other joints (knee, hip, shoulder, small joints of the hands and feet, etc.) or shortly after them. Acute traumatic arthritis of the TMJ can be associated with mechanical damage to the joint with a bruise, a blow to the jaw, and excessive opening of the mouth; often combined with hemarthrosis. In infectious and traumatic lesions, as a rule, inflammation of the TMJ is one-sided; with rheumatism – bilateral.
Symptoms of TMJ Arthritis
The leading symptom in the clinic for acute arthritis of the TMJ is a sharp pain in the joint area, which intensifies when you try to open your mouth or move your jaw. As a rule, the pain is local, pulsating in nature, but it can often radiate to the tongue, ear, nape, temple. With arthritis of the TMJ, the patient can open his mouth no more than 5-10 mm; when you try to open your mouth, the lower jaw moves to the sick side. In the projection of the affected temporomandibular joint, hyperemia of the skin, soft tissue edema, and pain on palpation are determined. With the accumulation of serous exudate in the joint cavity, patients complain of a feeling of fullness in the jaw, the inability to close teeth tightly.
Purulent arthritis of the TMJ occurs with symptoms of fever, the formation of a dense infiltrate in the joint area, hyperesthesia and hyperemia of the skin. Patients complain of acute local pain, hearing loss, dizziness. On examination, a narrowing of the external auditory canal is revealed. Perhaps the formation of abscesses opening in the parotid region or external auditory canal.
In chronic arthritis of the TMJ, pain is manifested to a lesser extent; leading complaints are joint stiffness of varying severity, a feeling of stiffness in the joint, glossalgia, tinnitus. The amplitude of the opening of the mouth is 2-2,5 cm; with movements of the jaw, a crackling and clicking in the joint is noted. Deformation of the articular head and cortical plate of the cavity during chronic inflammation can lead to subluxation and dislocation of the lower jaw.
TMJ rheumatoid arthritis occurs with multiple arthralgia, polyarthritis, and fever; at the same time, acquired heart defects can be detected in patients. A laboratory examination reveals positive rheumatic tests (CRP, sialic, diphenylamine, etc.).
In case of traumatic arthritis of the TMJ, the moment of injury is accompanied by sharp pain in the joint, followed by trismus and restriction of passive and active movements of the lower jaw. Often with traumatic injuries, a rupture of the ligamentous apparatus, hemorrhage in the joint occurs, which further leads to ankylosis of the temporomandibular joint.
Arthritis of TMJ of a specific etiology has a chronic course. So, with tuberculous arthritis of the TMJ, fistulous passages often develop, a secondary bacterial infection joins. Diagnosis is facilitated by a history of contact with a TB patient, positive tuberculin tests, characteristic changes in the lungs.
The course of gonorrheal arthritis of the TMJ is acute, with pain and infiltration in the joint, subfebrile condition, intoxication. TMJ syphilitic arthritis is characterized by the formation of gum in the periarticular tissues, the formation of contracture of the lower jaw. With actinomycotic arthritis of the TMJ, periodic exacerbations of the chronic process also lead to the development of pronounced contractures of the masticatory muscles.
Diagnosis of TMJ Arthritis
The main method for verifying the diagnosis is radiography, computed tomography of the TMJ or CBCT of the temporomandibular joint. The defining radiological sign of acute TMJ arthritis is the expansion of the joint space; chronic arthritis – narrowing of the joint space, the appearance of marginal usuras of the joint head and articular tubercle.
Acute TMJ arthritis requires differentiation with trigeminal neuralgia, acute otitis media, pericoronaritis, and other diseases associated with arthropathies (gout, dermatomyositis, Behcet’s disease, ankylosing spondylitis, etc.). In determining the etiology of specific TMJ arthritis, the decisive role belongs to PCR and ELISA.
TMJ Arthritis Treatment
Treatment of any type of TMJ arthritis begins with the immobilization of the jaw and rest of the affected joint for 2-3 days. This is achieved by applying a sling bandage to the lower jaw or splint and the interdental plate to separate the bite, prescribing a semi-liquid diet.
With traumatic arthritis of the TMJ in the first 2-3 days, the formulation of cold compresses, the administration of analgesics are shown; in the future – physiotherapeutic treatment (UHF, electrophoresis, mud therapy, diadynamic currents), myogymnastics and massage of the masticatory muscles are performed.
Therapy of acute TMJ acute arthritis is carried out by prescribing NSAIDs, antibiotics, intra-articular injections of corticosteroids, chondroprotectors, physiotherapy (laser therapy, magnetotherapy, ultraphonophoresis, mud therapy, paraffin therapy, ozokerite therapy), acupuncture. With purulent arthritis of the TMJ, an emergency opening and drainage of the joint cavity through an external incision is performed.
In chronic arthritis of the TMJ, it is important to conduct courses of massage, physiotherapy, physiotherapy, sanitation of the nasopharynx and oral cavity, and rational prosthetics. The treatment of specific and rheumatic arthritis of the TMJ is carried out by appropriate specialists, taking into account the underlying disease.
Forecast and prevention of TMJ arthritis
TMJ arthritis is a serious disease that requires immediate medical attention. The outcome of acute infectious and traumatic arthritis is usually favorable; chronic inflammation of the TMJ often results in the formation of bone ankylosis, requiring complex surgical treatment.
The prevention of TMJ arthritis involves the timely rehabilitation of chronic purulent foci and the treatment of acute infectious diseases, the prevention of joint injury, the prevention and elimination of specific infections.
Arthritis of the jaw: symptoms and treatment
Acute or chronic arthritis of the lower jaw (TMJ), in other words the jaw joint, is considered a complex and rare disease of the maxillofacial region. This disease affects up to 2-4% of patients with dentists. Symptoms and methods of treating jaw arthritis depend on the severity and causes of inflammation in the TMJ.
Arthritis of the lower jaw what is it?
In the broadest sense, jaw arthritis is an inflammation of the elements of the jaw joint, in particular capsules, discs, ligaments, and cartilage coating of articular surfaces. The inflammatory process in the joint of the TMJ has several main reasons:
- Rheumatism and other collagenoses (SLE, ankylosing spondylitis, etc.)
- Hormonal imbalances
- Syphilis, tuberculosis, mycoses
- Ear injuries and bumps
- Complications from chronic diseases of the ENT organs: tonsillitis, otitis media, sinusitis, etc.
- Oncological diseases
In almost all of the above cases, the source of inflammation in the jaw joints is a bacterial infection that has penetrated the joint cavity. The types of microorganisms that cause these diseases can be different, for example, beta-hemolytic streptococcus, gonococcus, pale trepanema and others.
Accordingly, the correct and effective treatment of arthritis of the temporomandibular joint with conservative methods necessarily takes into account the microflora of the joint spaces of the TMJ.
Causes and signs of jaw arthritis
Manifestations and signs (symptoms) of articular arthritis of the lower jaw in acute and chronic form vary. This is due to the different course of the inflammatory process, the presence or absence of exudate, the destruction of the cartilage coating of the articular head of the lower jaw and some other features.
In the acute course of arthritis of the jaw joint, a history of trauma and strong blows in the left and right TMJs, as well as complications of diseases such as inflammation of the parotid gland and purulent otitis, predominate. There is an acute and very severe pain, even with small movements of the lower jaw. Redness of the skin and moderate edema, painful when touched, occur anterior to the ear. The oral mucosa in the affected organ can be swollen and painful.
Chronic specific arthritis of the mandibular joints develops in diseases such as tuberculosis, syphilis and AIDS, if not properly treated. Its manifestations are less painful, but the degree of damage and destruction of all elements of the joint leads to progressive paralysis and spasm of the masticatory muscles and destruction of the articular head of the lower jaw. As a result, articular ankylosis of the lower jaw occurs with a complete cessation of its movement.
Arthritis of the jaw, treatment
Many patients are interested in: “If a preliminary diagnosis is made – jaw arthritis, which doctor should I go to?” The question is instant and simple and complex. In fact, if the causes of jaw arthritis are bruxism, hypertonicity of the masticatory muscles or clicking of the jaw, then the gnatologist treats it. If it turns out that the reason is a specific infection (actinomycosis, tuberculosis, syphilis), for the treatment of jaw arthritis, you must first deal with the main systemic disease of the body and you will need an appropriate specialist in this.
Accordingly, the treatment tactics will be different. But still, the place where you should start the diagnosis and primary treatment of arthritis of the lower jaw is dentistry, and a specialist gnatologist at a consultation will definitely recommend blood tests for concomitant diseases. The clinical protocol and treatment regimen for arthrosis arthritis of the jaw joint are different and correspond to the underlying cause of the disease. Nevertheless, there are general methods for treating this disease, which we will now discuss.
- Chewing muscle electromyography
- Using a sling bandage or other means, restrict movement in the inflamed joint of the lower jaw in all directions, up-down, left-right, front-forward
- A sparing diet for arthritis of the jaw is prescribed, in particular, all foods of a soft consistency, in the form of mashed potatoes, soft pastes, thick soups
- Depending on the main cause of jaw arthritis, drug therapy, antibiotics, corticostero >
How much does a jaw arthritis treatment cost?
The cost of treating jaw joint arthritis depends on several factors:
- complexity and stage of the disease
- treatment regimens
- drugs and medicines
The cost of diagnosing jaw arthritis in Moscow and other major cities of Russia starts at 5000 rubles and can reach 20000-30000 rubles. Prices for the treatment of arthritis of the lower jaw start from 25000 rubles and can reach 250000 rubles or more.
Brodsky Sergey Evgenievich
Deputy Chief Physician, Candidate of Medical Sciences in the field of: Dentistry and Medical Microbiology
Work experience: since 1999
Salatsky Dmitry Nikolaevich
Chief physician, orthopedic dentist, gnatologist, maxillofacial prosthetist
Work experience: since 1988
Shirinyan Sarkis Kimovich
Dentist, implant surgeon, orthopedist, general practitioner
Work experience: since 2000
Skranzhevskaya Svetlana Vladimirovna
Work experience: since 1994
Seredin Evgeny Vasilievich
Work experience: since 2004
Malanova Olga Andreevna
Dentist, orthodontist, therapist
Work experience: since 2016
Makarov Danila Vladislavovich
Work experience: since 2013
Molodtsov Dmitry Evgenievich
Work experience: since 1998
Artemyeva Oksana Aleksandrovna
orthopedic dentist, general practitioner
Work experience: since 2001
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What treatment is prescribed for arthritis of the jaw: drugs, physiotherapy, special exercises
In modern medical practice, arthritis of the jaw joint is not so common, however, this pathology requires special attention, since it can lead to negative consequences and complications up to disability. The treatment of jaw arthritis is a long, laborious process, requiring an integrated approach, sometimes up to surgery. This is what we will consider in this article.
Factors that a doctor considers when prescribing treatment
Never be treated on your own. This is fraught with serious complications. What doctor to go to? First of all, you need to run to the rheumatologist. Depending on the causes of the pathology, you may need the help of a TB doctor, traumatologist, neurologist, infectious disease specialist. In some situations, you need to contact the dentist to eliminate bite defects.
The doctor will carefully study the clinical picture of the disease, conduct a diagnosis, on the basis of which he will prescribe an effective therapy based on:
- degree and neglect of pathology;
- reasons for the development of the problem;
- age of the patient;
- sensitivity of the patient to drugs;
- the presence of complications.
An acute manifestation of arthritis of the jaw needs immediate treatment, which is primarily aimed at eliminating the focus of inflammation, reducing pain, as well as restoring health. Folk remedies are not only powerless, but also dangerous, since they can lead to a worsening of the patient’s condition, therefore, at the first signs of inflammation, you should definitely go to the doctor.
Medical treatment of the disease
How to treat jaw arthritis? Therapy must be comprehensive. It includes:
- The application of a sling band for at least three days, which fixes the lower jaw for maximum peace of mind.
- The use of anti-inflammatory drugs (NSA >
This treatment is based on the following procedures:
- Magnetotherapy. It is able to improve blood circulation in the jaw joint, normalize metabolic processes.
- Mud treatment. To do this, take the healing mud, heat it to 40 degrees, and then apply it to the inflamed joint (at least 3 cm). Cover the problem area with polyethylene and warm material. Hold the compress for half an hour, and then wash off. The treatment course should last at least 10 days.
- Cryotherapy, which will relieve swelling, pain, redness of the skin, and also improve the patient’s condition.
- Ultrasound. It has a biochemical, thermal effect on the affected area. Also, using this procedure, you can relieve stagnation, inflammation, spasms of the masticatory muscles.
- Laser treatment, thanks to which inflammatory processes are easily eliminated.
- Acupuncture. This procedure is able to eliminate muscle spasm, as a result of which recovery processes are activated in the joint.
- High-quality therapeutic massage that improves blood circulation.
- Paraffin therapy.
Important. All of the above procedures should not be performed with acute jaw arthritis. In exceptional cases, some of them are prescribed by a doctor.
Special physical education for the jaw
It is important to perform special exercises to restore joint mobility. Here is one of these exercises for maxillary arthritis:
- With your fist, block the movement of the lower jaw.
- You open your mouth exclusively with the upper part.
- An exercise is done for 2 minutes up to 3 times a day.
- In order to avoid pain during its execution, smear the joint with healing ointment or camphor oil before occupation.
If purulent arthritis is found in the patient, then in this case it is necessary to urgently open the joint cavity and install drainage through the external incision. This cannot be done at home, but only in a hospital setting.
In case of a jaw injury, due to which arthritis arose, it is necessary to apply a cold compress to the affected joint for several days, as well as take analgesics and supplement everything with physiotherapy. It is imperative to provide the joint with complete peace. During this period, a sparing diet should be followed – you need to eat liquid and puree food.
Forecast and preventive measures
Maxillary arthritis is a very serious pathology that requires urgent medical attention. The prognosis of the disease is favorable. However, bone ankylosis is possible, which can only be treated by surgery.
With infectious arthritis, there is a risk of sepsis. And since the jaw is located close to the brain, an untreated disease can lead to the death of the patient.
To prevent such complications, do the following:
- Treat all acute and chronic infections to the end.
- Timely eliminate purulent foci.
- Prosthetics only in trusted clinics.
- In the chronic form of arthritis of the jaw, qualitatively treat nasopharyngeal diseases.
- Avo >
Despite the fact that the entire treatment of the pathology is most often carried out at home, the doctor must always monitor the condition of the affected joint. Self-medication is strictly prohibited – remember this. Only in this case you will avoid unpleasant consequences for your health.
Arthritis of the TMJ (temporomandibular joint) is an inflammatory disease that affects the joint connecting the temporal bone of the skull with the lower jaw. This disease can affect both one side and both temporomandibular joints. The acute period of the disease is characterized by manifestations in the form of sharp pains localized in the affected joint, as well as their irradiation into the temple, ear, etc.
In addition to pain, TMJ arthritis can occur:
- swelling and redness of the skin over the joint;
- increase in the patient’s total body temperature;
- limitation of the opening of the mouth and the inability to completely close the teeth.
Diagnosis of inflammatory processes affecting the TMJ consists in the analysis of the patient’s medical history, palpation examination of the area of the joint, as well as the results of radiography and CT of the affected joint. Therapeutic tactics aimed at eliminating this disease involves the use of jaw immobilization, complex antibacterial therapy, chondroprotectors, physiotherapeutic procedures, intraarticular injections of corticosteroids, as well as muscle gymnastics.
This disease is represented by an acute and chronic form of the course, any of the forms is accompanied by dysfunctional TMJ disorders. Among all diseases of the temporomandibular joint, inflammatory lesions occupy about 18%. The category of the population most often suffering from this disease is young and middle-aged people. Based on the etiological factors contributing to the development of this disease, rheumatologists, dentists and traumatologists can deal with it.
Anatomically, the TMJ is represented by the paired joint of the mandibular and temporal bone, its main function is to ensure mobility of the lower jaw. The joint itself consists of the head of the joint of the mandible, articular tubercle, mandibular fossa of the temporal bone, articular disc, ligamentous apparatus and joint capsule. At the beginning of the disease, periarthricular tissues and the joint capsule undergo a pathological process. In the process of gradation of the disease, inflammation spreads to the surface of the joint, synovial membrane and areas of bone structures, accompanied by deformation of the cartilage and the appearance of connective tissue in the joint cavity. This disease can be complicated by deforming arthrosis, muscle contractures or bone ankylosis of the temporomandibular joint.
TMJ Arthritis Classification
The nature of the course of arthritis implies the presence of an acute and chronic form. The acute form of this disease is characterized by a serous and purulent course. There is also a classification of TMJ arthritis, depending on the etiological origin:
- traumatic arthritis;
- infectious arthritis (non-specific and specific);
- rheumatoid arthritis;
- other rare forms (reactive arthritis and others).
Specific infectious inflammations of the TMJ include: syphilitic, tuberculosis, actinomycotic, gonorrhea, etc.
Forecast and prevention of TMJ arthritis
This disease requires immediate medical attention, since the further prognosis for cure depends on it. Timely treatment of acute TMJ arthritis allows avoiding complications in the form of joint deformation, suppuration, fistula and other changes that often develop in chronic inflammatory processes of this localization.
In order to prevent this disease, it is necessary to minimize the risks of joint injury, do not open your mouth too wide while eating, yawning, etc., timely repair the foci of chronic infection located next to the temporomandibular joint, treat acute infectious diseases, and prevent and treat specific infections. If you suspect an TMJ arthritis, you should immediately seek qualified medical help. It is also worth attentive and careful about your health and regularly undergo professional examinations.
Causes of TMJ Arthritis
The etiology of TMJ arthritis covers a fairly large number of factors contributing to the development of this disease. In an infectious form of inflammation of the TMJ, the pathogenic pathogen enters the joint cavity through a direct, hematogenous or contact path.
The penetration of the infectious agent through the hematogenous pathway occurs if the patient has common infectious diseases (measles, gonorrhea, scarlet fever, tonsillitis, diphtheria, brucellosis, typhoid, etc.).
The contact pathway for infection is diagnosed with purulent periodontitis, otitis media, mastoiditis, osteomyelitis of the lower jaw or temporal bone, furunculosis of the external auditory canal, abscess or phlegmon of the chewing-parotid region. Also, infection can occur as a result of an open fracture of the lower jaw, violation of antiseptic rules during TMJ puncture, a gunshot wound, or other injury.
The development of TMJ reactive arthritis is possible in the case of ureoplasmosis, chlamydia, viral hepatitis, meningococcal infection, enteritis, etc. With this form of the disease, the infectious agent does not penetrate directly into the joint, but there is a connection with the infection.
Rheumatoid arthritis is characterized by the simultaneous damage of not only the TMJ, but also of other joints (hip, shoulder, ankle, etc.), the causes of its occurrence are at the research stage, but it is known that it is based on autoimmune reactions.
The cause of acute traumatic inflammation of the TMJ will be a mechanical effect. The most common causes of the development of this form of TMJ arthritis are a bruise, a direct blow to the lower jaw, an excessive opening of the mouth, etc.
The cause of chronic TMJ arthritis is usually the lack of timely therapeutic measures in relation to the acute form of TMJ inflammation.
Symptoms of TMJ Arthritis
A characteristic symptom of acute TMJ arthritis is a pronounced pain sensation in the affected joint. In most cases, patients notice pain directly in the area of the inflamed joint, but sometimes it radiates to the back of the head, temple, ear, tongue.
The patient has difficulty trying to open his mouth; in the process of opening the mouth, the patient’s jaw moves toward the inflamed joint. Also, there is redness of the skin in the area of inflamed TMJ, swelling of the soft tissues, increased pain during palpation. Sometimes serous contents accumulate in the joint cavity, the clinical manifestation of this process may be the inability to close the teeth and a feeling of fullness in the jaw.
In addition to the above general symptoms of this disease, there are a number of signs, the presence of which is characteristic of specific forms of arthritis of the temporomandibular joint.
Symptoms of purulent arthritis of the TMJ
For example, with a purulent form of TMJ arthritis, disturbances in the general condition of the patient occur, which are expressed in fever, malaise, as well as local manifestations – hyperemia, hyperesthesia of the skin and the presence of dense infiltrate in the area of the focus of inflammation. The patient may have reduced hearing and occasional dizziness. Abscesses may form that open into the external auditory meatus or parotid region.
Symptoms of chronic arthritis of TMJ
For a chronic inflammatory process in the TMJ, less pronounced symptoms are characteristic, in particular less intense pain. The main complaints with this form of the disease are:
- stiffness in the affected joint and its stiffness;
- noise in ears;
- clicking sounds when opening the mouth.
Joint deformation as a result of chronic inflammation can be complicated by dislocation of the jaw.
Symptoms of Traumatic Arthritis
Traumatic arthritis is accompanied by sharp pain at the time of the injury, after which there is a trismus and difficulties during movement of the jaw. Sometimes the injury is more severe and complicated by hemorrhage in the joint cavity or rupture of ligaments, as a result of which ankylosis of the TMJ can develop.
Specific inflammations of the temporomandibular joint are represented by a chronic course. They can be complicated by the formation of fistulas and the attachment of a secondary infection.
Diagnosis of TMJ Arthritis
This diagnosis is made on the basis of the analysis of the data obtained during the medical history collection, examination of the patient, joint palpation, laboratory tests and additional research methods (X-ray of the TMJ, CT).
Important points in making a correct diagnosis is differential diagnosis, the purpose of which is to exclude other pathologies with similar symptoms (acute otitis media, trigeminal neuralgia, pericoronitis, etc.).
Laboratory diagnosis allows you to identify the inflammatory process (by performing a clinical blood test) and clarify the diagnosis of rheumatoid arthritis (based on the results of a rheumatic test).
TMJ Arthritis Treatment
The first thing that treatment for any type of TMJ arthritis begins with is to rest the inflamed joint by immobilizing the lower jaw. The period of immobilization takes about three days, all this time the patient needs to eat exclusively liquid food. In some cases, along with immobilization, sanitation of the oral cavity and correction of the bite are carried out. Further treatment tactics depend on the form of inflammation of the TMJ.
Treating Traumatic Arthritis
In the inflammatory process of traumatic etiology, the range of therapeutic measures includes the use of painkillers, a local decrease in temperature in the focus of inflammation (ice on the injured area) for 2-3 days. During the rehabilitation period, physiotherapeutic procedures are recommended.
Purulent Arthritis Treatment
The presence of purulent inflammation in the temporomandibular joint is a mandatory indication for surgery (opening a purulent focus and staging drainage), as well as subsequent antibiotic therapy. At the end of drug therapy, a physiotherapy course is indicated: dry heat, UHF, electrophoresis, diathermy.
Treatment of rheumatoid and reactive arthritis
With rheumatoid and reactive arthritis, treatment is carried out with the help of medications (non-steroidal anti-inflammatory drugs, chondroprotectors, antibiotics, antihistamines). To treat these forms of TMJ arthritis, it is necessary to involve a specialist in the field of rheumatology.
Arthritis of the maxillofacial joint, 7 symptoms requiring immediate treatment
As you know, if a person does not hurt any organ, then he does not think about it at all. What to think about him? That’s when he gets sick – then all thoughts begin! Today we consider the arthritis of the maxillofacial joint, the symptoms and treatment of this ailment. It often affects young and middle-aged people.
Hello my dear readers! I’m Svetlana Morozova. The temporomandibular joint (TMJ) is the only movable joint of the skull and is located in the maxillofacial region, and therefore sometimes the name “maxillofacial joint” can be found. He does not attract our attention until he is seized by an ailment.
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And then all thoughts focus on him, because it’s simply impossible to eat, drink, or even speak.
Arthritis of the maxillofacial joint, symptoms and treatment: what we feel
- Severe pain when trying to open your mouth. That is where it usually starts. Pain can torment and at rest, it is so severe that it is impossible to sleep at night. It can be given to the neck, ear, nape, or temporal region. Unlike trigeminal neuralgia, TMJ arthritis causes local pain (in front of the ear) and throbbing, while the affected trigeminal nerve gives an unbearable pain covering the entire face and looks like an electric shock, and it lasts only a few seconds.
- Restriction of the movement of the jaw: it is impossible to open the mouth w />
- Redness in the affected joint.
- Hearing impairment, dizziness (when inflammation has affected the inner ear). Congestion of both ears, even if the inflammation is unilateral.
- If the process has become chronic, the above symptoms become dull, but others are added: clicking and crunching in the joint during its movement (the so-called “joint noise”), stiffness in the morning, dull, aching pains, sometimes there is constant noise in the ears.
In any case, even if it does not seem very difficult for you, you need to see a doctor. Otherwise, inflammation can drag on and become chronic or spread to neighboring tissues and organs.
Untreated chronic arthritis often turns into TMJ arthrosis: degeneration of articular cartilage, which is almost impossible to cure!
What to do in addition to prescribed by your doctor
Pain medication to relieve pain and nerves to rest.
Provide rest to the diseased organ. For this, a sling bandage is applied (see photo). From the name it’s clear what it is: a strip of fabric, longitudinally incised at both ends. It is advised to use not even a bandage for it, but a denser fabric, for example, cotton. The middle of the “sling” is superimposed from below on the lower jaw, and the ends are tied on the head. The dressing must be kept for several days.
If the TMJ lesion occurs due to an injury (shock or bruise), the first day you need to apply cold to the joint to relieve swelling and reduce hemorrhage, if any. In the future, but not earlier than on the third day, warming dressings should be applied to absorb the exudate.
If the general temperature of the body suddenly rises, warming compresses cannot be used: perhaps a purulent process is going on in the joint. It is necessary to immediately consult a doctor, or better, call him at home!
If the inflammation of the TMJ is secondary and occurs after otitis media, tonsillitis, rheumatism or infectious diseases (influenza, tonsillitis, tuberculosis, etc.), the first disease should be cured by first contacting an ENT specialist, rheumatologist or dentist for help.
It is possible the doctor will prescribe antibiotics that you should not neglect in order not to get an even worse complication.
Hospitalization and surgery are sometimes required, but in most cases you can do without it.
To support our body, it is necessary to take vitamin preparations, especially vitamin C. Food should be liquid or rubbed on a blender so that there is no need to actively work with the jaws. The diet should contain everything necessary for correction: proteins, fats and carbohydrates. Eat (or rather, drink liquid food) you need more often and in small portions.
Well restores mobility medical gymnastics. It should be dealt with when the main treatment is already completed. For the jaw it is this: you need to close and open your mouth overcoming resistance.
Word – Traditional Medicine
It in no case can replace the main treatment that your doctor will prescribe, but it can significantly help recovery.
Mix everything in equal parts, brew 1 tablespoon of the collection in a glass of boiling water, leave for 20-25 minutes, strain and drink 3 tablespoons 2 times a day before meals.
Second anti-inflammatory collection:
- calendula flowers;
- chamomile flowers;
- yarrow grass;
- rosemary leaf.
Brew and accept as well as the previous collection.
Outwardly, apple cider vinegar with turpentine in a ratio of 1: 1 can be rubbed into the affected area. After applying a light warming compress.
A traditionally used vodka compress: per 100 ml of vodka, black radish juice (one medium-sized root crop). Rub better at night, followed by a warming compress.
We help many people with ointment with bee venom (if there is no allergy) or fir oil with a warming compress for the night.
My dear friends! Be attentive to yourself and your health, do not dismiss, expecting that everything will “pass” by itself. We ourselves and our loved ones are the most precious thing we have in this world!
On this, I finish the article: “Arthritis of the maxillofacial joint, symptoms and treatment”. I wish you all good health!
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Arthritis of the jaw joint, what is it and how to treat it
A pathology known as jaw arthritis is considered quite rare. The disease can provoke dangerous complications, and should be subjected to high-quality therapy at the initial stage of its development.
Features of the disease
Jaw arthritis with equal frequency affects patients of both sexes. It is more often diagnosed in middle-aged men and women who are prone to disorders of the musculoskeletal system. Sometimes pathology is found in children or adolescents.
The disease always provokes the development of inflammation. At the initial stage, the joint bag and surrounding soft tissues become inflamed. Progressing, the disease covers articular surfaces, cartilage, causes cartilage degeneration, the formation of connective tissue foci.
After some time, the pathology tends to acquire an aggressive course. In this case, dystrophic changes occur in the affected area. Frequent phenomena are contractures (limited movement), ankyloses (insufficient joint mobility). In severe forms of the disease, muscle tissue is deformed and affected.
Types of violation
The main variants of the disease are arthritis of the maxillary, temporomandibular joint. Pathology can have a different nature (infectious, non-infectious), be acute or chronic.
Basically, the violation takes on a unilateral course. Extremely rare pathology covers both sides of the jaw.
Common symptoms of a maxillary form of the disease are:
- soreness caused by the development of a degenerative process, prone to morning worsening;
- stiffness of movements, manifested by moderate discomfort or complete inability to open the mouth;
- swelling of the mucous membrane of the cheeks, observed upon the transition of the disease into a purulent form;
- discomfort that occurs when feeling the problem area.
In addition to the symptoms mentioned, jaw arthritis is sometimes accompanied by a change in the normal color of the skin. If the pathology is gouty, the epidermis becomes plum. In infectious arthritis, pineal seals often form near the problem joint.
Maxillary arthritis tends to proceed for a long time without severe symptoms, and manifest itself by characteristic signs only at a late stage. In acute violation, the symptoms are pronounced. Often they are accompanied by a headache, a feeling of fullness, a rise in body t, and a deterioration in auditory perception. If the disease has become chronic, the jaw may crack and click. At the same time, the patient suffers from aching pain, experiences increased fatigue.
Bone structures are often deformed at the first stage of the development of pathology and are detected due to x-rays. If the disease is started, the displacement of the jaw becomes obvious, becomes noticeable from the side.
Causes of the disease
If jaw arthritis is disturbing, the causes of the pathology are often associated with an infectious lesion of the joint tissue. The disease is often caused by a certain variety of harmful microbes. Sometimes – several types of pathogenic microorganisms at once.
The development of pathology can be associated with the following factors:
- damage to the jaw resulting from a stroke or an unsuccessful opening of the mouth;
- poor-quality treatment of diseases of a viral or bacterial nature (influenza, osteomyelitis, chlamydial infection);
- fractures of the jaw joint;
- the presence of “heavy” carious teeth in the mouth;
- chronic pathologies of the musculoskeletal system;
- significant hypothermia of the body.
In some cases, jaw arthritis is associated with impaired metabolism, systemic lupus erythematosus, gout, rheumatoid arthritis, osteoporosis. Cases are known when the violation manifested itself after a diagnostic or therapeutic puncture of the joint cavity.
The following pattern exists. Jaw arthritis of an infectious or traumatic nature predominantly has a one-sided character. If the disease is associated with rheumatism, its course is often bilateral.
What complications is a pathology dangerous?
When arthritis of the jaw joint occurs, the consequences do not develop in all patients. At an early stage, the disease goes away without dangerous complications, and can be safely treated thanks to timely medical intervention. If the patient has a running disorder, the consequences can take the form of:
- ankylosis, characterized by proliferation of bone, connective and fibrous tissue;
- meningitis, which causes inflammation of the meninges;
- destructive processes in the joint;
- complete immobilization of the jaw.
In severe cases, the risk of developing sepsis is increased – a general infection of the blood and the whole body, requiring doctors to seriously fight for the patient’s life.
A diagnosis of jaw arthritis requires consultation with several specialists. Before confirming the presence of pathology, the patient is examined by a dentist, rheumatologist, traumatologist, otolaryngologist, orthopedist, surgeon. Consultation with a TB specialist and an infectious disease specialist is also needed.
An important role in the diagnosis is given to laboratory blood tests. The presence of pathology is indicated by elevated ESR, rheumatoid factor.
To determine the degree of joint damage and the characteristics of the course of the disease, hardware diagnostics are prescribed. The main procedures are:
- X-ray, revealing dystrophic processes in the bone;
- Ultrasound, which helps to detect fluid in the joint field;
- CT scan, giving maximum information about the condition of the diseased organ, allowing visualization of the affected areas of the soft tissues;
- MRI that accurately determines the stage of the disease, the presence of synovial fluid.
In order to conduct differential diagnosis, ELISA and PCR are used. These methods make it possible to distinguish jaw pathology from inflammation of the trigeminal nerve, acute otitis media, arthropathy.
Patients with a diagnosis of “jaw arthritis” treatment is prescribed after clarifying the causes of damage to bone structures. The choice of drugs depends on the factor that provoked the pathological condition:
- In case of infection, antibiotics, antifungals (Tetracycline, Amoxicillin, Fluconazole) are required.
- Upon receipt of jaw injuries, non-steroidal and pain medications are prescribed (Nimesil, Diclofenac, Morphine, Paracetamol).
- Against the background of rheumatic diseases, there is a need for steroids, cytostatics (Prednisolone, Methotrexate, Cyclophosphamide).
The best results for jaw arthritis medications are provided for acute pathology. If the disease has become chronic, the main task of the doctor is to alleviate the condition of the patient and prevent further aggravation of symptoms. When chronic violations of the patient needs regular medical examinations, physiotherapy, exercise therapy. By agreement with the attending physician, folk remedies for jaw arthritis can be used.
When surgery is needed
If the disease is accompanied by purulent processes, the patient is prescribed surgery. Also, the operation is necessary in the following situations:
- with insufficient effectiveness of drug therapy;
- with a significant limitation of joint mobility;
- in case of severe pain that cannot be eliminated by conventional means.
The main methods of operation are discectomy, reconstructing, arthroscopy. Sometimes there is a need for total arthroplasty. Surgery may be performed under local or general anesthesia.
How to prevent the disease – preventive measures
Prevention of jaw arthritis includes:
- high-quality treatment of chronic purulent foci;
- regular oral hygiene;
- prevention of jaw injuries;
- refusal to eat too hard food;
- safe dental prosthetics;
- periodic intake of special complexes to strengthen bone tissue.
It is possible to prevent jaw joint disease due to the complete elimination of specific infections (chlamydia, gonorrhea), and prevention of severe hypothermia. It is important to undergo examinations at the dentist 1-2 times a year, to completely correct malocclusion.
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