Facial Asymmetry and TMJ

Facial Asymmetry and TMJ: The Connection

Facial symmetry has long been associated with beauty and attractiveness. However, not everyone is blessed with perfectly symmetrical features. Facial asymmetry is a common occurrence, and for some, it goes beyond mere aesthetic concerns. In some cases, facial asymmetry may be linked to temporomandibular joint (TMJ) disorders, shedding light on the intricate relationship between facial structure and jaw function.

Before and After

Understanding Facial Asymmetry:

Facial asymmetry refers to the lack of perfect symmetry between the two sides of the face. It can manifest in various ways, such as uneven eyes, a misaligned jaw, or a slightly crooked smile. While minor asymmetry is normal and often imperceptible, pronounced imbalances may lead to functional issues and impact an individual's self-esteem.

The Role of the Temporomandibular Joint (TMJ):

The temporomandibular joint, or TMJ, is a complex hinge connecting the jawbone to the skull. This joint plays a crucial role in basic functions like chewing, talking, and yawning. When the TMJ is not functioning correctly, it can lead to a variety of issues collectively known as temporomandibular joint disorders (TMD or TMJD). One of the consequences of TMJ dysfunction is facial asymmetry.

Facial asymmetry and TMJ disorders are often interconnected. The relationship between the two can be explained by the impact of TMJ dysfunction on the muscles, nerves, and bones involved in facial movement. Here's how:

1. Muscle Imbalances: TMJ disorders can result in muscle imbalances, affecting the muscles responsible for facial expressions and jaw movement. As a result, one side of the face may appear more developed or active than the other, contributing to facial asymmetry.

2. Jaw Misalignment: TMJ disorders are frequently associated with jaw misalignment. When the jaw is not properly aligned, it can affect the positioning of the teeth, leading to an uneven bite. This misalignment can, in turn, influence the overall symmetry of the face.

3. Nerve Impingement: TMJ dysfunction can cause nerve impingement, affecting the nerves that control facial muscles. This can result in asymmetrical muscle movement and contribute to facial asymmetry.

Impact on Quality of Life:

Beyond the cosmetic concerns, the connection between facial asymmetry and TMJ disorders can have a significant impact on an individual's quality of life. Symptoms of TMJ disorders may include jaw pain, headaches, difficulty chewing, and even hearing issues. These symptoms can be not only physically uncomfortable but also emotionally distressing.

Treatment Options:

Addressing facial asymmetry related to TMJ disorders involves a multifaceted approach. Treatment options may include:

1. Physical Therapy: Physical therapy can help in restoring proper jaw function and alleviating muscle imbalances that contribute to facial asymmetry.

2. Orthodontic Interventions: Orthodontic treatments, such as braces or Invisalign, can be beneficial in correcting bite misalignments and improving facial symmetry.

3. Stress Management: Stress is a known contributor to TMJ disorders. Stress management techniques, such as meditation and relaxation exercises, can play a crucial role in managing symptoms.

4. Medical Interventions: In severe cases, medical interventions such as medications or surgical procedures may be considered to address TMJ disorders and associated facial asymmetry.

Facial asymmetry and TMJ disorders are interconnected issues that highlight the intricate relationship between the structure and function of the face. Understanding this connection is crucial for developing effective treatment strategies that not only address cosmetic concerns but also improve the overall well-being of individuals affected by these conditions. Seeking professional advice and exploring a personalized treatment plan can pave the way for a more balanced and harmonious facial appearance, contributing to both physical comfort and enhanced self-confidence.

Think you might have TMJ?

Call us now at (02) 9558 8988

Or email us at info@painfreedentistsydney.com.au

Do you have geographic tongue? Are there risks such as cancer or infections?

What is geographic tongue?

Geographic tongue, also called benign migratory glossitis or annulus migrans, is a harmless condition on the surface of the tongue where some patches of the tongue are missing papillae (small pinkish-white bumps that are almost hair-like).

geographic tongue

Symptoms of geographic tongue can include:

• Smooth red patches that may change size and location

• Pain on tongue when eating salty or spicy food

• Sometimes does not have any discomfort other than visual changes on the tongue surface

What causes geographic tongue?

Causes of geographic tongue are mostly unknown as it can occur spontaneously since early childhood and is fairly common. However, some research shows it can be due to several pathological factors such as:

• Infections

• Allergies

• Nutritional deficiency

• Mouth injuries

• Autoimmune conditions

• Psoriasis

Is geographic tongue something to worry about?

Geographic tongue, depending on the severity, may cause some discomfort when patients eat spicy, salty food or drink alcohol. Nonetheless, it does not cause significant health issues.

Can geographic tongue be a symptom of something else such as cancer?

Geographic tongue is a non-cancerous disorder and will not cause cancer, or any other serious infections if you know how to maintain your teeth.

A cancer on the tongue may be more localised to a single area and is often more prominent and easy to see.

A side area of the tongue where cancer is localised mostly, shown as two wide patches and signs of ulceration. the cancer lump may bleed if bitten or touched.

Several tests are required to diagnose tongue cancer. This includes a tongue biopsy to confirm cancer cells. The doctor may order additional tests such as PET Scan, X-rays of mouth and throat such as CT Scan (a type of X-ray showing thin sections or slides of the concerned areas).

Tongue cancer is more common in patients over 40 years old. Treatment of tongue cancer usually involves radiation therapy, chemotherapy, or a combination of both. Surgery may also be advised by the treating doctor if found necessary.

What is candidiasis, glossitis, and oral thrush? How is it related to geographic tongue?

Oral thrush, also called candidiasis, is a mouth infection caused by a yeast fungus. The infection may spread to the tongue, causing a white, fuzzy-like appearance at the inner base. This may resemble geographic tongue physically. However, oral thrush may present with different clinical symptoms.

Many people have candida present in their mouth without experiencing any problems. Causes of oral thrush may include:

• Poor dental hygiene

• Diabetes

• Chronic illness

• Using immunosuppressants or are immunosuppressed (HIV/AIDS, organ transplant)

• Cancer and undergoing radiotherapy or chemotherapy

• Antibiotic use

• Systemic steroid use

• Habitual/excessive lip licking

Healthy tongue (left) and oral candidiasis (right)

What are the symptoms of oral thrush?

• Redness or soreness

• Cotton-like or fuzzy feeling in the mouth

• Loss of taste and appetite

• Pain while eating and swallowing

• White fuzzy appearance on the surface of the tongue, roof of the mouth and even throat

When to see a doctor?

Because most people with geographic tongues do not have symptoms, they do not need to see a doctor. If you show any symptoms or discomfort, it is usually a sign of flare-ups or oral tongue infection. You would need to book an appointment with your local GP, or your dentist because it may be related to poor dental hygiene.

Numbing gels, local anaesthetics and antibiotics may be prescribed to alleviate the symptoms.

Give us a call at (02) 9558 8988 or via email at info@painfreedentistsydney.com.au if you have any concerns or questions.

When do I need a tooth extraction?

Reasons for Tooth Extractions

Tooth extraction is a dental procedure in which a tooth is removed from its socket in the jawbone. This procedure is typically performed by a dentist or oral surgeon. There are various reasons why a tooth may need to be extracted, including:

1. Severe Tooth Decay or Damage: If a tooth is extensively decayed or damaged and cannot be restored with a dental filling, crown, or other dental treatment, extraction may be necessary.

2. Gum Disease: Advanced gum disease (periodontal disease) can lead to the loosening of teeth, and in some cases, extraction is required to prevent the spread of infection or further damage to surrounding tissues.

3. Impacted Wisdom Teeth: Wisdom teeth, also known as third molars, often emerge in late adolescence or early adulthood. If these teeth do not have enough space to properly emerge or if they are causing pain, infection, or other dental problems, they may need to be extracted.

4. Orthodontic Reasons: In some cases, tooth extraction may be part of an orthodontic treatment plan to create space for proper teeth alignment.

5. Crowded Teeth: Extraction may be recommended if there is overcrowding of teeth, and removal of one or more teeth can help create space for the remaining teeth to align properly.

6. Infection or Abscess: If a tooth becomes infected or if there is an abscess (a pocket of pus) around the tooth, extraction may be necessary to prevent the spread of infection.

The extraction process involves numbing the area around the tooth with a local anesthetic to ensure that the patient does not feel pain during the procedure. In some cases, especially for impacted wisdom teeth or complex extractions, sedation may be used to help the patient relax. Anxious patients can request Penthrox at Pain-Free Dentist Sydney to help manage dental anxiety before the procedure.

After the extraction, patients are usually given post-operative instructions to promote healing and prevent complications. This may include recommendations for pain management, proper oral hygiene, and dietary restrictions. In some cases, a dentist may recommend replacing the extracted tooth with a dental implant, bridge, or denture to restore function and aesthetics.

How do I arrange for a tooth extraction?

To book an extraction appointment or a consultation to see if you need extraction, call us at 02 9558 8988 or email info@painfreedentistsydney.com.au to book an appointment today.