Jaw / TMJ

About Jaw / TMJ at Kayakriti

The temporomandibular joint sits on each side of the face, just in front of the ears, connecting the lower jaw (mandible) to the temporal bone of the skull. Unlike most joints, the TMJ both slides and rotates, supporting chewing and speech. Because the right and left joints share a single mandible, they cannot work independently; jaw alignment treatment has to consider both sides together for a balanced, stable result.

Normal full mouth opening measures roughly 4 to 5 cm between the upper and lower front teeth. Movement is generated by four key muscles: the masseter, temporalis, medial pterygoid, and lateral pterygoid. Inside the joint, an articular disc separates the bony surfaces into two compartments and allows smooth gliding. Dysfunction of disc, muscles, or bone is at the root of most temporomandibular joint treatment cases.

Patients reach Kayakriti with a wide range of complaints: dull jaw ache, painful chewing, clicking or popping, locked jaw, headaches around the temples, ear fullness, and reduced mouth opening. Triggers include habitual clenching, bruxism, malocclusion, trauma, arthritis, and prior dental work. A careful clinical assessment, with imaging where indicated, is what separates simple muscular tmj pain treatment from genuine intra-articular disease.

Most patients respond well to a structured non-surgical pathway, including jaw rest, soft diet, anti-inflammatory medication where safe, splints to control clenching, physiotherapy, and stress management. When clicking turns into locking, when pain stops responding, or when imaging reveals significant disc or bony pathology, we discuss surgical options. Surgery is offered selectively, after honest non-operative effort, never as a first reflex.

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