The temporomandibular joint is the joint that exists between the temporal bone and the mandible.

It is actually two joints, one on each side of the head, which function synchronously. It is one of the only mobile joints in the head, together with the atlantooccipital joint and the joint between the hyoid and the temporal.

The articular bone surfaces are covered by fibrocartilage with an interposed articular meniscus that makes them compatible and thus facilitates the three basic movements of the mandible (opening and closing, lateralizations and protrusion and retrusion).

To diagnose the existence and degree of importance of the TMJ dysfunction, the patient’s history is studied and different clinical studies (occlusal analysis, etc.) and other complementary tests (X-rays, MRI, etc.) are performed to finally recommend the appropriate therapy.

In this diagnosis, different techniques and specialties come together, being the coordinator of the specialty the one who is in charge of consulting the different specialists in clinical session, with the intention that the patient receives the best care with the least concern.

What do we treat in the TMJ Unit?

In the dysfunctional pathology of the TMJ, six main groups of clinical pictures can be considered. These can be diagnosed thanks to the following signs and symptoms

Pictures of biomechanical dysfunctions

Occlusal-muscular pictures

Meniscus-condylar alterations

Acute or chronic inflammatory conditions

Chronic mandibular hypomobility

Growth and development disorders

Biomechanical dysfunctions. Protective co-contraction. Myositis. Non-inflammatory myalgia. Fibromyalgia. Myospasm. Patient with myofascial pain, headaches, joint pain, dental abrasions (bruxism), limited mouth opening, etc.

Occlusal-muscular conditions. Mandibular claudication.

Meniscus-condylar alterations. Displacement of the meniscus. Meniscal dislocation with or without reduction. Condylar subluxation. Meniscal adhesions. Patients with pain and articular noises, limitation of mandibular movements, deviation of the mandible in the mouth opening, arthralgia, articular block, etc.

Acute or chronic inflammatory conditions. Synovitis. Capsulitis. Retrodyscitis. Osteoarthritis. Osteoarthrosis. Patients with arthralgias, joint cramps, fibrocartilaginous, meniscus-condylar and bone degenerative lesions, etc.

Chronic mandibular hypomobility. Myostatic or myofibrotic contractures. Capsular fibrosis. Articular ankylosis. Patients with limitations of mandibular movements, with organic pathology of the muscles, capsule, meniscus and bone tissues.

Growth and development disorders. Joint agenesis. Joint hypoplasia and joint hyperplasia. Muscular hyperplasia and muscular hypertrophy. Articular neoplasms and muscular neoplasms. Patients with facial asymmetry, joint swelling, joint pain, functional impotence, etc.

Treatments we provide:

REVERSIBLE

Occlusal biomechanical analysis

Physiotherapy

Cranio-mandibular Osteopathy

Pharmacological treatment

Orthopedic Treatment

Electrotherapy (TENS, EPTE..)

Psychological Treatment

IRREVERSIBLE

Occlusal rehabilitation (prostheses, dental implants, etc.)

Orthodontic Treatment

Surgical Treatment