Osteoarthritis of the jaw

Symptoms and treatment of arthrosis of the jaw joint

Maxillofacial, or as it is defined by the reference books of the anatomy, the temporomandibular joint, is a "two-storeyed" joint, and is formed by elements of the jaw and temporal bones. Interlayer between the bones serves as an articular disc, the strength of the entire joint is provided by the ligament. The work of the joint is regulated by chewing muscles - one of the most trained in the body. The jaw joint can make several variants of movements: shift the jaws in the horizontal direction to the right-left and back-to-back and in the vertical - up-down. Arthrosis of the jaw joint leads to violations of its functional abilities.

jaw joint structure

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What happens to the jaw joint with arthrosis?

Arthrosis is a group of joint diseases in which the gradual destruction of articular cartilage occurs. In the absence of proper treatment, the joints, joint and muscles forming the joint are involved in the pathological process. Therefore, arthrosis can lead to serious complications and disability.

Pathology develops as follows: first, the cartilage covering the head of the cartilage becomes thinner and then completely disappears. The body tries to compensate for its loss, but since the cartilage is not able to regenerate, it is replaced with bone tissue, resulting in the joint changing shape and can not work properly.

What causes can cause the disease?

The risk factors for the development of the disease can be both local pathologies occurring in the joint itself, and the causes associated with the general state of the body:

  • Age above 50 years, when the recovery ability of bone tissue falls.
  • Menopause in women, during which the hormonal background changes, which affects the quality of metabolism in the bone-cartilage system.
  • Genetic burden: in people whose relatives have had arthrosis of the jaw, the probability of developing the disease is higher.
  • Metabolic disorders that can cause malnutrition, poor ecology, endocrine pathologies, etc.
  • Prolonged inflammatory processes of general and local nature, for example, arthritis of the jaw joint, rheumatism.
  • Infectious diseases( SARS, influenza).
  • Jaw injuries or persistent heavy stress on the joint( eg, the habit of chewing too hard food).
  • Incorrect bite, lack of teeth or poorly matched dental implants and crowns, resulting in uneven load on the jaw.

Characteristic symptoms of pathology

Osteoarthritis of the jaw joint for a long time can develop imperceptibly, its symptoms manifest gradually. Over time, the patient notices the following symptoms that appear consistently:

  1. In the morning, it can be difficult to move the jaw, then it passes. In the future, stiffness is maintained throughout the day.

  2. In the joint at times there is a crunch, and in some position it can "click".

  3. Chewing food is accompanied by pain, usually one-sided, so a person tries to chew food on one side.

  4. The asymmetry of the face is becoming noticeable - the lower jaw is shifted to the right or left, the lips are sinking.

  5. The jaw muscles on the side of the affected joint are tense, although painless.

  6. It becomes difficult or impossible for a patient to fully open his mouth.

  7. Radiography shows changes that are characteristic of arthrosis: a decrease in the height of the joint head, its flattening and / or changing the shape to a hook-shaped, pointed or clavate, the appearance of bone growths( osteophytes).

Treatment methods

The treatment of arthrosis of any kind requires an integrated approach. Complex treatment of jaw arthrosis includes therapeutic methods( medications, physiotherapy procedures), diet, lifestyle correction( including getting rid of bad habits), and, if necessary, the use of orthopedic or surgical treatment.

Medications

From drugs use tablets, gels, ointments that have analgesic and anti-inflammatory effects: ibuprofen, ketoprofen, paracetamol, ketorol. To improve the condition of cartilage, ligaments and tendons, a doctor can prescribe chondroprotectors( glucosamine or chondroitin sulfate).

Physiotherapy

Physiotherapy treatment may include procedures for ultrasound, laser, microwave therapy, magnetotherapy, electrophoresis. Effective heating of medical bile diluted with dimexide.

Diet

The main task of nutrition correction is to reduce the load on the jaw joint and include in the diet products containing carbohydrates, proteins and B vitamins. Proteins and carbohydrates are needed for the construction of cartilaginous tissue, and vitamin B12 provides growth of bone tissue. To reduce the motor load on the jaw, you should at times give up solid food, and confine yourself to porridges, soups, juices and milk.

Orthopedic treatment

Orthopedic treatment of jaw arthrosis is to ensure a uniform load on the jaw joints. To correct the shape of the teeth and bite can be used kappas, palatine plates, crowns, clasp and bridge prosthesis. If necessary, mouth opening restraints and devices are designed to change the bite plane.

Surgical intervention

Osteoarthritis of the maxillofacial joint in severe form may require surgery to remove the affected joint disc or joint head of the jaw( without its replacement or with graft replacement).In order not to resort to radical measures, treatment of the disease should be started at its early stage.

Take care of yourself and stay healthy!

SustavZdorov.ru

Differences and similarities of symptoms of arthrosis and arthritis of the maxillofacial joint

Statistics show that about 30% of people in the world have a pathology of the osseous system and joints. And this is due to inadequate nutrition, insufficient physical exertion, poor environmental conditions, inattention to one's health. Often, the patient is concerned about arthrosis, arthritis of the maxillofacial joint, the symptoms of which are very similar.

The lower jaw with the help of the maxillofacial joint is connected to the temporal zone of the skull. This joint is produced by the sole joint of the facial zone, which provides articulatory and chewing movements of the lower jaw. These joints are paired, they are located one on each side of the face. This articulation in our body is special. This is the only case where two joints work simultaneously and synchronously.

These joints are supported by muscles, ligaments, tendons. They are responsible for the movement of the jaw. The fibrous cartilaginous tissue is located between the joint surfaces and divides each joint into two separate zones. Therefore, a person is able to perform movements of the lower jaw in various directions. But why the joint can bring us suffering and problems? The lower jaw and this joint are interrelated with the whole organism. There is a correlation between the incorrect position of the pelvic joints and the misposition of the lower jaw. A lot of people suffer from different symptoms of illness and pain.

Arthritis of the maxillofacial joint

Arthritis of the maxillofacial junction

Arthritis literally means "inflammation of the joint".Trauma, hypothermia, some infectious diseases often provoke the development of the inflammatory process in the cavity of this joint and its spread to the facial muscles, ligaments of the joint, neighboring soft tissues.

Often people believe that facial arthritis is a disease that affects only old people. But arthritis can affect a person at any age, including children. The incidence of arthritis increases with age, almost 3 out of 5 people fell ill with arthritis of the facial joint at the age of 65 years.

Symptoms of arthritis in the maxillofacial joint

  1. Joint stresses can lead to muscle spasms. They lead to the formation of muscle contracture and pain intensification so that it can be felt in the areas remote from the jaw: in the head and neck.
  2. The temperature rises.
  3. There is a pronounced pain syndrome in the movements of the lower jaw. The pain does not allow even a slightly open mouth.
  4. It can give to the parotid region, the lateral surface of the neck.
  5. The patient suffers from a severe headache.
  6. Speech and chewing functions are disrupted.
  7. The hearing is broken.
  8. If there is a chronic process, noise in the ear appears.
  9. If the ligamentous apparatus of the joint is involved in the inflammatory process, a crunch arises when the lower jaw moves.
  10. In the field of the inflammatory process, there is always tenderness with low pressure, swelling of the soft tissues.
  11. Sometimes, over the affected joint, the skin is hyperemic.

If the arthritis of this joint is not diagnosed and treated, it can lead to irreversible damage. It is important that this ailment be diagnosed at an early stage of the disease and appropriate treatment should be carried out.

Osteoarthritis of the maxillofacial joint

cartilage damage in arthrosis

Osteoarthritis is known as degenerative joint disease as a result of its wear and tear. In this case, the damage to the cartilage, which leads to a decrease in the functions of this joint. The development of jaw arthrosis occurs as a result of joint degeneration, when the tissues lack the necessary substances. Usually, if it occurs under the influence of various painful processes in the body, secondary arthrosis develops. This pathology is considered the primary arthrosis, when it was not possible to determine the causes of the development of the disease.

The last form of arthrosis always occurs, combined with the pathological process in other joints of the body. This disease develops in mature or old age. But there are rare cases of this disease in young people.

These factors are often caused by various factors. So, when there is not enough teeth on one side of the jaw, a person habitually consumes food on the other side. As two joints work simultaneously, gradually in the maxillofacial joints there are various changes. If the disc that separates these joints is shifting, people can not fully open or close their mouths. Over the years, this situation is deteriorating, but there are various ways to solve this problem.

The vast majority of cases of jaw arthrosis occur as a result of trauma to this joint and degenerative processes in it.

The most common causes of this ailment are:

  1. Chronic trauma due to gnashing of teeth, bite pathology, acute traumatic injuries in forced position for a long time, mechanical damage to the integrity of tissues.
  2. Chronic or acute arthritis of the facial joint.
  3. Disturbance of the functioning of nerves in the joint zone.

Symptoms and treatment depend on the identified causes of the pathology.

Characteristic manifestations of maxillofacial arthrosis

complaints of patients with temporomandibular joint disease

Almost in all cases, the development of this pathology occurs at a slow pace. There are no obvious symptoms at the onset of the disease.

  1. In the initial stages, the patient often feels a crunch that occurs in the area of ​​this joint during chewing, or if the patient tries to open the mouth widely( for example, when yawning).This often causes pain under the lower jaw.
  2. Over time, such sounds at the time of active changes in the position of the lower jaw can be heard at some distance from the patient.
  3. There is discomfort in the painful facial joint. The patient is worried about a dull pain with weak aching sensations.
  4. The pain intensifies after a sudden hypothermia, physical activity. Usually it becomes more intense by the evening. Often, the joint stiffness and pain appear in the morning, immediately after awakening. The intensity of pain and stiffness decrease after physical activity.

As the disease progresses, severe symptoms of maxillofacial deformity develop:

  1. Limited to its mobility, which at first is slightly noticeable, but then has a palpable character. It happens when you can not even open your teeth a bit.
  2. Asymmetric proportions of the face appear. It is visually noticeable that the lower jaw is inclined toward the painful articulation.
  3. For manual examination of the affected joint area, seals in the surrounding soft tissues are palpated.
  4. There appears numbness of the lips or cheeks, unreasonable toothaches, noises and soreness in the ear.

Arthritis, arthrosis of the maxillofacial joint symptoms are similar. But the treatment will be different. At the first signs of the disease of the maxillofacial joint, you should always consult a doctor who will put an accurate diagnosis and prescribe a treatment. Arthritis, arthrosis of the maxillofacial joint can be successfully treated. Treatment is necessary and systematic.

artrozmed.ru

Osteoarthritis of the jaw joint. Treatment and prevention

Temporomandibular joint is a paired joint on the facial part of the skull that connects the lower jaw and the base of the skull. Unique for this type of joint is the fact that there is a cartilaginous disc between the cartilage surfaces of the bones, which allows you to move in three directions - forward-backward, up-down and sideways.

With an incorrect distribution of the load on the upper and lower jaw very often develops a condition called arthrosis of the jaw joint. The development of arthrosis is facilitated by trauma and inflammation in the jaw joint, bite anomalies, dentition defects on the lower jaw. Under the influence of traumatic factors, the process of dystrophy, degeneration and gradual thinning of the articular surfaces occurs in it. As a result of pathological processes, when opening the mouth or chewing, soreness appears and, as a result, there is a restriction in the movement of the joint.

Causes of the disease

This disease often develops in people during hormonal changes in the body, when a metabolic disorder occurs. But nevertheless, the most common causes of arthrosis are dental problems and joint injuries. Osteoarthrosis of the jaw joint can develop with a one-stage injury, with damage to the articulating surfaces in the joint and further wrong fusion. Single-time injury often leads to arthritis, which, in the absence of treatment, goes into a neglected stage with the development of arthrosis.

Often, the development of arthrosis is promoted by defects in the dentition. In the absence of molars - the main chewing teeth, there is a significant decrease in the bite, as a result not only the ratio of the upper and lower halves of the facial skull is broken, but also the work of the mandibular joint.

Another common cause is stress and dental errors in the treatment of teeth or non-compliance by patients themselves with the recommendations of dentists. Improper setting of a seal on chewing teeth can lead to asymmetry in the work of the jaw joint, unilateral overload. So, the arthrosis of the temporo-mandibular joint can develop due to:

  • Micro- and macro-injuries of the joint
  • Prolonged forced position with an open mouth( for example, when visiting a dentist)
  • Loss of molars from one or both sides, and as a consequence, decrease of the bite
  • Incorrect occlusionas a result of anomalies and defects in the dentition
  • Bruxism
  • Excessive stress on the joint, for example, when playing sports

Symptoms of

When arthrosis of the jaw joint develops, symptoms may be absent for a long timeamb, but with the development of degenerative processes in the articular surfaces they start to disturb soreness beginning at heavy loads, and then with less significant, such as when talking or chewing soft food. The most common symptoms with this disease are:

  • Pain in chewing in one of the jaw joints
  • Asymmetry of the face
  • Difficulties with a wide and later with an average opening of the mouth
  • Impossibility to perform movements in the joint in full
  • Stiffness in the joints in the mornings
  • Strain in the masticatory muscles
  • Irradiation of eye pain,ear, jaw
  • In the cases that are neglected, there may be a decrease in hearing, headaches.

Treatment of arthrosis of the maxillofacial joint

Arthrosis of the maxillofacial joint has a long asymptomatic course, so patients turn to the doctor already in advanced stages, when extensive dystrophic processes occurred, in which the synovial joints of the joint are involved. Due to the fact that many doctors do not have enough information about arthrosis of the maxillofacial joint, treatment of this disease presents great difficulties. Among the measures aimed at normalizing the function of the joint are orthopedic, physiotherapeutic, medical and surgical methods of treatment. In addition, the essential components of therapy are diet and regimen.

  • After the arthrosis of the maxillofacial joint has been diagnosed, the treatment begins with the appointment of a gentle diet, which helps reduce the burden on the affected joint. It is recommended to eat soft food, which does not require much physical effort for chewing. It is advisable to eat food in grated or pureed form. During this period, you should eat juices, cereals, sour-milk products, you can eat meat in the form of souffle, parfait, cutlets, meatballs.
  • The patient's day regimen needs to be adjusted so that enough time is left for sleep and rest, to eliminate as far as possible factors that can cause stress or nervous overexertion. Also, for the period of arthrosis treatment of the jaw joint, chewing gums, long conversations should be discarded, try to control yourself and not clench your teeth with mental or nervous tension.
  • As physiotherapeutic procedures, ultrasound, laser, magnetic therapy, iontophoresis, galvanotherapy, as well as massage and special exercises for the muscles of the face are prescribed. These measures have a long positive therapeutic and prophylactic effect, can stop pain attacks and significantly improve nutrition and blood circulation in the joint.
  • In the diagnosis of arthrosis of the maxillofacial joint, treatment should be directed to the elimination of a provoking factor. All patients are obliged to undergo an examination at the dentist. When identifying defects in the dentition, not sanitized or missing teeth, dental, orthodontic or orthopedic treatment is necessary. The doctor can recommend prosthetics or corrective therapy in the form of caps, special bite plates, mouth-opening restrictors, braces.
  • In severe cases, a patient may be prescribed medication. It can be painkillers and anti-inflammatory ointments, tablets. Drugs containing chondroitin sulfate, glucosamine are also prescribed.
  • In the absence of the effect of conservative therapy and a significant deterioration of the patient's condition, it may be recommended to treat arthrosis of the maxillofacial joint operatively. This is such a radical treatment that it is used only in especially severe cases. So, as a surgical solution to the problem, you can use the removal of the cartilaginous disk, the removal of the head of the lower jaw with the subsequent installation of the transplant. The latter method is the most effective, because it can almost completely restore the normal function of the joint.

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7sustavov.ru

Arthrosis of the jaw joints - causes, symptoms and treatment Arthrosis of the jaw joints

Causes of jaw arthrosis

The cause of arthrosis of the jaw joints can be a jaw injury. But most often - an inflammatory process that occurs as a result of the spread of infection after diseases such as dental caries, otitis, parotitis, measles, scarlet fever. If the arthrosis does not begin to be treated on time, then the neglected disease can go on into a chronic form.

Symptoms of jaw arthrosis

If a person begins to feel a crunch and stiffness in the jaw joints, if there is swelling and pain when opening the mouth, which is sometimes given in the ears - all these are symptoms of beginning arthrosis.

Osteoarthritis of the jaw joints is difficult to treat. Therefore, in recent years more and more people are looking for help in traditional medicine. However, before using any advice or prescription - make sure that the diagnosis is correct.

Nutrition with maxillofacial arthrosis

To begin treatment of arthrosis of the jaw joints is necessary with proper nutrition. You should completely stop eating meat, fatty foods and salt. In order not to experience pain during chewing, eat soft food. Enter into your diet a variety of cereals, fish and dairy products. Do not forget to eat vegetables and fruits, pre-grinding them on a grater.

Dry warming with jaw arthrosis

You should remember that arthrosis of the jaw joints is very well helped by dry heating. To do this, you need to take sand or salt, warm well in the oven, then pour into a pre-sewn, oblong sac and put it to the sore spot before going to bed. Cover the top with a towel and keep this warming compress until completely cool.

Folk remedies for the treatment of jaw arthrosis

  • In folk medicine, there is one more, seemingly simple remedy, but with ease it defeats arthrosis of the jaw joints. For its preparation you need to twist the herb celandine in a meat grinder, squeeze the juice through the cheesecloth and mix it in a 1: 1 ratio with honey. If you got a tablespoon of juice, then you add exactly a tablespoon of honey, mix well and insist until the honey dissolves completely. Everything, your medicine is ready. Every evening, before going to bed, you take 1-2 drops in the pipette and drip one by one, into each nostril of the nose. I must admit that this procedure is not very pleasant, there is a burning sensation in the nose and throat for several minutes, but it is necessary to endure. Literally in a few days you will notice that your pain has noticeably subsided, but the treatment must be continued until complete cure.
  • +16 Add your comment:
  • And yet, I want to give you the last advice. Before going to bed, try lubricating the entire jaw and behind the ears with a raw egg white hen. In the beginning, you might think that the pain became worse from this procedure. Do not panic, in the morning you will get relief.
  • +9 Add your comment:
  • You can take a little time consuming, but just a unique folk recipe that will help you get rid of any joint pain. For its preparation, we need grasses: the roots of elecampane, burdock and horseradish;flowers and leaves of St. John's wort, mint, lemon balm, celandine and plantain;flower baskets of calendula;eucalyptus leaves and juniper fruits. Take 5 grams of each component, grind it in a coffee grinder, and pour very hot corn oil( 150-200 grams) so that the oil completely covers your herb collection. Insist in a warm, dark place for 40 days. After that, squeeze out in a dense kapron fabric, and in the resulting oil solution add 5 grams of flower pearl and crushed propolis, and again put in a warm place, now for 20 days. During this time, you will need to prepare the second part of our unique medicine in another container. To do this, take 100 g of turpentine turpentine and pour into it 15-20 g. Of rosin, which must first be slightly crushed. Hermetically close and put in heat until the dissolution of rosin. After that, mix the first oil solution with the second - turpentine, and your product is ready. Do yourself compresses from the medication received for the night and soon you will forget about your suffering.
  • +2 Add your comment:

The main thing - remember that you can not run this disease in any case. The earlier you start the treatment, the better. Watch your health.

medic.ymka.ru

Osteoarthritis of the temporomandibular joint: treatment, symptoms

Various painful manifestations in the junction of the lower jaw with the temporal bone can be caused both by the damage of the joint itself and by the pathology of the surrounding tissues. In this case, arthrosis of the temporomandibular joint, often a chronic process, increasing. There are violations of trophic cartilage surfaces of the joint, its bone leaving and surrounding formations. Perhaps the same damage to the mouth, salivary parotid gland, inflammation of the branches of the trigeminal nerve, other processes in the face and neck. If the arthrosis of the temporomandibular joint was confirmed, the treatment is complex and conducted after a detailed examination. The right approach helps to forget about this unpleasant state for a long time.

Provoking factors

It is generally believed that the background of arthrosis is metabolic disturbances, deterioration of innervation, endocrine disruptions, the role of a number of infections is possible. In addition, with the grinding of teeth, the absence of lateral teeth, an incorrect configuration of the dentition, the load on the joints of the jaw increases. Arthrosis of the mandibular joint begins to appear when the cartilage structures are already severely damaged, and the restoration processes poorly compensate for the destruction. As a result, the cartilage is very thin, there are deformations of the bone structures, and the chewing movements lose synchronicity.

Anatomy of the temporomandibular joint

The risk of developing arthrosis increases with age. However, due to the disproportional development of the skeleton in adolescence, there may also be osteoarthritis of the temporomandibular joint, often called juvenile or juvenile. Arthrosis-arthritis of the temporomandibular joint can occur after suffering angina, pneumonia or otitis, as well as against rheumatism or rheumatoid arthritis. Often arthritis occurs after trauma.

The most common complaints of

External signs and discomforting feelings depend on the type of lesion of the mandibular joints. Osteoarthritis of the temporomandibular joint is manifested by varying pains of varying intensity, a feeling of stiffness of movements, especially in the mornings. When chewing movements are possible sensations of crunching or clicking, in the ears - pathological noise. On the side of the lesion, chewing can become impossible, causing pain. During the examination, asymmetry of the opening of the mouth and dental problems are determined.

If there is swelling on the side of the lesion, increased pain and an increase in body temperature, it is possible to attach infection and the occurrence of acute inflammation in the joint from one or both sides. In this case, the arthrosis of the temporomandibular joint symptoms is the same, and the attachment of arthritis causes an exacerbation of pathological sensations. Arthritis arising on the background of arthrosis, characterized by the presence of bone growths and fragments of collapsing cartilage, which leads to the involvement of the inflammatory process of muscle tissue, nerve endings and aggravation of trophic disorders.

Methods of treatment

First of all, when pain occurs, various analgesics are used. With arthrosis-arthritis of the temporomandibular joint, antibacterial drugs, for example ceftriaxone, are needed. Amidopyrine and acetylsalicylic acid will help to remove the severity of the inflammatory process, and furosemide will remove excessive local puffiness. In the future, the use of electrophoresis with vasodilator drugs.

The solution of previous dental problems with temporomandibular joint arthrosis reduces excess load. Orthopedic measures are aimed at improving the ratio of dentition, restoring the integrity of the teeth, normalizing the correct movements of the jaws. Pelotherapy is aimed at the correct formation of fibrin, and ultraphono-phoresis potassium iodide contributes to the resorption of fibrotic changes. Thus, arthrosis of the mandibular joint treatment requires constant, with the combination of medications and physiotherapy.

Chondroitin sulfate is used to restore cartilaginous structures, angio protectors and vitamins, therapeutic exercises. At different stages of arthrosis of the temporomandibular joint, the treatment is indicated by vasodilating agents. Electrophoresis with solutions of dibazol, atropine, papaverine hydrochloride, benzohexonium or no-shpa is carried out with a current strength of up to 3 mA for 15 minutes. The course of 5 -7 procedures.

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7sustavov.ru

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