What causes the dysfunction?
To diagnose the dysfunction of the TMJ all of the various factors need to be evaluated. In some cases it can be straightforward, trauma such as whiplash or a blow to the head. However, the trauma experienced is usually just the beginning of downward spiral. Other times it is triggered by opening the mouth too wide or for too long. A mis-bite, malocclusion, or simply chewing on one side can lead to the muscles on one side becoming chronically tight and spasmed. Stress especially accumulated over a period of time can contribute to an enormous amount of muscle tension. If your brain decides that it wants to store that tension in the mandible or temporal muscles then your chances of developing TMJ are very good. People who alleviate that stress by grinding their teeth at night or clenching them together during the day have a great chance of developing TMJ. Poor nutrition can cause the muscle to become tight as can lack of fluids. Systemic diseases can cause or aggravate TMJ problems. Immun
