Arthritis TMJ: prevention and diagnosis of the disease
Arthritis TMJ (temporomandibular joint) is an inflammatory disease that affects the joint connecting the lower jaw with the temporal part of the skull. This is determined by the disease classification of ICD 10. TMJ takes an active part in the process of speaking, chewing food. The disease is acute or chronic, unilateral and bilateral. The inflammatory process in the joint has an infectious or traumatic nature.
The reasons for the development of the disease
TMJ pathology may be associated with the penetration of infection into the joint cavity. This happens as a result of constant sore throats, undertreated in childhood otitis, purulent inflammation of the parotid gland and other similar diseases. Together with the blood or lymph of bacteria penetrate into the joint cavity, and there occurs the inflammation. This disease of the temporomandibular joint can have specific and nonspecific form.
Possible damage to the TMJ as the result of any injury. The disease may be the result of not only high mechanical stress, but sudden opening of the mouth. And infectious, and traumatic arthritis of temporomandibular joint can occur in acute and chronic forms.
The acute phase of the disease begins with pain in the lower jaw, inability to completely or partially open mouth. Swelling, redness of the skin closer to the ear — the main symptoms of TMJ. Palpation of the inflamed area occur pain and discomfort.
The characteristics started in the temporomandibular joint inflammation are crunching and clicking when opening the mouth. Arthritis of the temporomandibular joint occurs, asymmetry of the face in the direction of a sore jaw, which makes the patient feel uncomfortable because of how he looks. In addition, the discomfort is accompanied by intermittent or near constant aching pain. These symptoms are characteristic for the acute course of the disease. You may experience slight dizziness, feeling of stuffiness in the ears, feeling of heaviness in the head.
The insidiousness of acute inflammation of the temporomandibular joint that many of the symptoms of this disease are similar to inflammation of the trigeminal nerve. However, the latter disease is characterized by throbbing pain. When arthritis of the temporomandibular joint becomes chronic, visual changes in the form of swelling and hyperemia are not observed. Saved only pain on palpation of the joint and chin.
Arthritis infectious type are divided into tuberculous and syphilitic. This disease TMJ is a chronic and increases with worsening of the underlying disease. Infectious arthritis contributes to the formation of sinus tracts, which causes more infection of the joint.
Often arthritis infectious type becomes an extension of the rheumatoid form of the disease, which affects other joints, and even led to their deformation. The development of the disease is observed in 17% of cases in the diagnosis of rheumatoid arthritis.
Diagnosis and treatment of disease
If you suspect arthritis of the temporomandibular joint is necessary to consult a maxillofacial surgeon. First, the doctor will try to find out what the reason for the inflammation, infection or trauma. This will depend on the treatment. Known cases, when the temporomandibular joint is inflamed and then remission. This continued for several years, and the patient at this time did not receive proper treatment because the doctor could not make an accurate diagnosis.
To diagnose pathology and determine whether the patient suffers from arthritis of the temporomandibular joint, also conduct x-rays, an MRI or a CT scan. In addition, analysis of blood in identifying the erythrocyte sedimentation rate, C-reactive protein. If the doctor finds that the disease has become purulent, it may be decided to drain the joint capsule. When this binding is antibacterial therapy. The symptoms of this disease — fever, sharp deterioration of health.
If the arthritis is not septic manifestations or they are eliminated, the surgeon assigns physiotherapy. It can be electrophoresis, and laser therapy. The doctor often prescribes analgesics to relieve pain, drugs to dissolve blood trapped in the joint.
Paraffin and mud treatment — effective techniques to relieve pain in arthritis of the temporomandibular joint. If they prove ineffective, apply the currents Bernard (2-3 sessions).
Prevention of disease at home
Patient suffering from arthritis of the temporomandibular joint, it is recommended to perform their own gymnastics. It’s simple: you must press the fist to the chin and try to open your mouth. Improvement can occur if you perform the exercise for at least two months in a row.
At home, you can apply compresses with bee venom (if no Allergy), bandage with decoction of chamomile, to make a mesh of iodine. Such procedures warm and soothe the aching joint. In the first phase of TMJ treatment is applied cold compresses, but this is done only under the supervision of a physician in the clinic.
The important point in the treatment of arthritis of the temporomandibular joint is to control the state of the oral cavity. Often, problems with the TMJ are associated with malformed bite, after the change of milk teeth permanent grow properly. In such a situation, oral and maxillofacial surgeon works in conjunction with the orthodontist, who corrects malocclusion. Sometimes it takes a prosthesis of the lost teeth. This helps avoid worsening of the patient’s condition and even allows you to stop the development of inflammation of the temporomandibular joint. You also need to monitor the health of teeth — time to treat the patients to prevent the spread of bacteria and their penetration into the joint from surrounding tissue.
In acute course of the disease may need to immobilize the joint. To do this, the doctor places a special pressure bandage, which the patient wears for 1-2 days. In this period it is recommended to use crushed or liquid food.
Improper treatment or failure to comply with the requirements of the physician in the acute stage of the disease can lead to the transition of the disease into a chronic form. An irreversible consequence of arthritis of the temporomandibular joint is osteoarthritis, which causes cartilage destruction. The cartilage covering the head of the joint, become dystrophic, and in some places disappears altogether. This in turn can lead to narrowing of the joint space, ankylosis, and osteoporosis. In this case, the treatment of the inflamed joint will require surgery.
It should say that arthritis jaw joint — a disease quite rare. That is why professionals who know how to treat it, currently, is not enough. However, to delay going to the doctor is not worth the consequences could be dire.