
Treating jaw pain, clicking, limited opening and night-time grinding (bruxism) with night guards, physiotherapy and advanced methods where needed.
- Duration
- Night guard made in 2 visits
- Anaesthesia
- Not needed
- Relief
- Symptoms ease in 2 to 6 weeks
- Approach
- Conservative, reversible methods first
What is a jaw joint disorder?
The joint connecting the lower jaw to the skull and the chewing muscles around it can become painful and stop working properly when overloaded. This is called temporomandibular joint (TMJ) disorder. The most common cause is stress and night-time clenching or grinding (bruxism).
Symptoms
- Pain in front of the ear or in the jaw, a tired jaw in the morning
- Clicking when opening and closing the mouth
- Limited opening or locking
- Headaches and neck pain
- Worn teeth, broken fillings, sensitivity to cold
Treatment
Night guard (occlusal splint)
A hard or soft splint made to fit your teeth protects them from clenching damage and relaxes the muscles. Worn at night, it noticeably reduces muscle pain within a few weeks.
Muscle relaxation
Botulinum toxin injections into the chewing muscles reduce over-contraction, easing pain and tooth wear. The effect lasts four to six months.
Physiotherapy and exercises
Jaw exercises, warm compresses, a soft diet and stress management are the foundation of treatment.
Advanced options
Joint lavage (arthrocentesis) or joint surgery is considered in the Oral and Maxillofacial Surgery department for cases that do not respond.
Bite and prosthesis
Missing teeth, high fillings or ill-fitting dentures can strain the joint. The assessment is therefore carried out jointly by the Prosthodontics and Oral Surgery departments.
Frequently Asked Questions
Do I have to wear the night guard every night?
Yes. Regular use protects the teeth and lets the muscles settle. A worn splint is replaced.
My jaw clicks. Is that dangerous?
Painless clicking alone does not need treatment. If pain, locking or limited opening accompanies it, an examination is needed.
Does grinding go away on its own?
It may come and go with stress, but because it causes permanent wear a protective splint is recommended.
Prof. Dr. Mustafa Cenk DURMUŞLAROral & Maxillofacial Surgery

