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How Sleep and TMJ/TMD Are Related

February 15, 2023

The Relationship Between Sleep and TMJ Pain Explained

Getting a good night’s sleep – approximately 7 to 8 hours for adults – is one of the keys to good health. Yet for millions of Americans suffering from the pain associated with TMJ/TMD, getting restful sleep can be a real challenge.


What is TMJ/TMD?

The letters TMJ stand for the temporomandibular joint that connects your jawbone to your skull, allowing your jaws to open and close. When the jaw muscles and joints making up this connection malfunction, this situation can lead to a chronic condition known as TMJ disorder, or simply TMD. 


The pain associated with TMJ/TMD can make many of your daily activities quite painful. These include chewing, swallowing, and yawning. This pain can also make it difficult to get a good night’s sleep. 


The Causes of TMJ/TMD

Determining the exact cause of TMJ/TMD can sometimes be difficult because it can be triggered by any number of things. These include trauma you may have suffered in the past or having an uneven bite. The misalignment of your neck and spine caused by the position in which you sleep can also be a contributing factor.


Still another possible cause is the condition known as bruxism – the habitual clenching of your jaws and grinding of your teeth that can occur during the day or while you are sleeping and totally unaware of the grinding that’s occurring..


Over time, the clenching and grinding associated with bruxism can damage both your teeth as well as any dental restorations you may have, leading to a misaligned bite. 


If, because of a misaligned bite, your upper and lower teeth are not closing and coming together properly, the muscles in your jaw may move the temporomandibular joints out of their proper position to force your teeth to come together. The end result can be the pain to the face and jaws associated with TMJ/TMD.


Sleep Apnea – A Possible Complicating Factor

 It’s estimated that approximately 22 million Americans suffer from sleep apnea. Briefly explained, this is a disorder that causes repeated interruptions in breathing from an obstruction in the upper airway, often caused by the collapse of the soft tissues at the back of the mouth.


Can sleep apnea cause facial pain? That certainly seems to be the case. According to recent research, about 43% of those with TMJ/TMD have sleep-related issues. 


Basically, when the airway collapses, the automatic response of the body is to push the jaw forward. And this constant back and forth motion can cause tension and stress on the jaw joints and pain.


Help is Available at Stephens Dentistry

The symptoms of bruxism and TMJ/TMD are very similar and include:

  • Pain or tenderness in the jaw or face
  • Frequent neck pain.
  • Frequent and severe headaches.
  • Pain in and around the ears.
  • Difficulty opening and closing your mouth. 


If you’re suffering these symptoms, bruxism could well be the root cause, and at Stephens Dentistry we can provide the help you need. 


To provide relief from bruxism and protection for your teeth, our doctors recommend a custom-designed NTI device.


NTI (nociceptive trigeminal inhibitor) is a type of mouth guard that prevents the clenching action associated with bruxism. No clenching, in turn, means not just less grinding of your teeth, but less tension on your jaws, less pain, and a more restful night’s sleep.


If you’re constantly suffering from the symptoms we have described, we urge you to schedule an appointment with us at Stephens Dentistry. Our dentists will be glad to explain the benefits of a custom-designed NTI device and help you determine if this is the right treatment option for you.

February 4, 2025
Preventative dental care is a proactive approach to maintaining oral health by preventing diseases and addressing potential issues before they become serious. It involves regular dental check-ups, cleanings, and other preventive measures that help keep teeth and gums healthy. This form of care is essential as it allows for early detection of dental problems, which can prevent more severe conditions such as gum disease and tooth decay. Regular check-ups can identify issues like cavities, misalignment, and oral cancer at an early stage, making them easier and less costly to treat. The economic benefits of preventative dental care are significant. By addressing issues early, patients can avoid expensive treatments in the future. A study published by the American Dental Association highlights that investing in preventative care can lead to substantial cost savings over time. Routine Cleanings: A Cornerstone of Oral Health Routine dental cleanings are vital for removing plaque and tartar buildup that cannot be eliminated by regular brushing and flossing alone. These cleanings play a crucial role in preventing gum disease and tooth decay. During a cleaning, dental hygienists use specialized tools to clean areas that are difficult to reach with a toothbrush, ensuring a thorough cleanse of the oral cavity. Dental professionals generally recommend that individuals have their teeth cleaned every six months, although this frequency may vary based on individual needs and risk factors. According to Dr. Marcos Montoya of Stephens Dentistry, "Regular cleanings are an essential part of maintaining oral health. They help prevent serious dental issues and keep your smile bright and healthy." The Role of Sealants and Fluoride Treatments Dental sealants and fluoride treatments are effective preventative measures that protect teeth from decay. Sealants are thin, protective coatings applied to the chewing surfaces of the back teeth, where decay often starts. They act as a barrier, preventing food particles and bacteria from settling into the grooves of the teeth. Fluoride treatments involve the application of fluoride to the teeth to strengthen enamel and make it more resistant to decay. These treatments are beneficial for both children and adults, particularly those with a higher risk of cavities. According to the Centers for Disease Control and Prevention , fluoride is highly effective in preventing cavities. Tips for Maintaining Oral Hygiene at Home Maintaining oral hygiene at home is crucial for overall dental health. Daily practices such as brushing twice a day and flossing once a day are fundamental. Using tools like electric toothbrushes and water flossers can enhance cleaning by reaching areas that traditional brushes might miss. A balanced diet also plays a significant role in supporting oral health. Foods rich in calcium and phosphorus, such as dairy products and leafy greens, help strengthen teeth. Conversely, limiting sugar intake and avoiding smoking can prevent decay and gum disease. Lifestyle habits have a profound impact on oral health. Smoking and excessive sugar consumption can lead to serious dental issues, including cavities and periodontal disease. By adopting healthy habits, individuals can significantly reduce their risk of dental problems. Common Misconceptions About Dental Prevention Several misconceptions surround dental prevention. One common myth is that only sugary foods cause cavities. While sugar is a major contributor, acidic foods and poor oral hygiene can also lead to decay. Another misconception is that dental visits are unnecessary if there is no pain or visible issue. Regular check-ups are essential for detecting hidden problems that may not yet cause discomfort. Some individuals believe that home remedies can replace professional treatments. While good home care is important, it cannot substitute for professional dental services. Personalized advice from dental professionals is crucial, as they can provide tailored recommendations based on individual needs. The Local Perspective: Dental Care in Evanston and Surrounding Areas In Evanston and surrounding areas like Skokie, Highland Park, Wilmette, and Winnetka, local dental practices emphasize the importance of preventative care . Stephens Dentistry , a prominent practice in the region, has been committed to patient-focused care since 1959, offering a range of services that prioritize prevention. Community initiatives and local programs often promote dental health awareness, encouraging residents to prioritize their oral health. Cultural attitudes towards dental care in these areas reflect a growing recognition of the importance of prevention, with many individuals actively seeking regular dental services. Access to dental care facilities in Evanston and its neighboring regions is generally good, with practices like Stephens Dentistry providing comprehensive services to ensure the community receives the care it needs. By focusing on prevention, these practices help residents maintain healthy smiles and avoid costly treatments in the future.
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