Dangers and treatment of temporomandibular joint disorder

       Temporomandibular joint disorder is a general term for a group of diseases with the same or similar clinical symptoms whose etiology is not yet completely clear, and is one of the common diseases of the oral and maxillofacial region.  The causative factors of this disease mainly include psychosocial factors, dental factors, joint factors, etc. Therefore, people with the following conditions are more likely to suffer from this disease: 1, life, work pressure, often have anxious, irritable, nervous, easily agitated and insomnia and other mental symptoms; 2, suffering from dental caries, grinding teeth, etc.; 3, like to eat nuts and other hard food; 4, usually chew food Prefer to chew food unilaterally; 5. Prefer to eat cold drinks, poor facial warmth; 6. Support jaw unilaterally when ambulating for a long time.  The typical manifestations of patients with this disease include: 1. abnormal jaw movement, including small opening, with skewed or distorted opening, and joint locking when opening and closing the mouth. 2.  Pain is mainly manifested in the joint area or peri-articular muscles during opening and chewing movements, usually without spontaneous pain. In some patients with prolonged disease, there is often sinking and soreness in the joint area, masticatory muscles are easily fatigued, and chronic pain or abnormal sensation can be associated with the cheek, temporal area and occipital area.  3, popping and murmurs There are often abnormal sounds when opening and closing the mouth, including popping sounds, crushing sounds, and friction sounds.  4.Other symptoms It can be accompanied by various ear syndromes, such as tinnitus; various eye syndromes, such as eyelid twitching; and dizziness, swallowing difficulty, speech difficulty, chronic general fatigue, etc.  The development of the disease can have three stages: the functional disorder stage; the structural disorder stage; and the organic joint destruction stage, which generally show the early, middle and late stages of the disease. The disease generally has a long duration, which can be years or decades, and is often recurrent. Most patients generally do not have joint ankylosis and have a good prognosis; however, if some patients cannot receive proper and effective treatment for a long time and the causative factors persist, the disease is likely to persist and lead to continuous wear and tear of the joints and eventually organic destruction of the joints, then surgery is required and the prognosis is poor.  Common conservative treatment methods In the early and middle stages of the disease, conservative treatment is generally the main treatment, using a combination of symptomatic treatment and elimination or reduction of curative factors. Commonly used methods include: physiotherapy (the most widely used conservative treatment method, which has a certain therapeutic effect on the disease), massage therapy (with the effect of unblocking the meridians, moving qi and blood, adjusting the internal organs, managing tendons and spreading knots, and repositioning the bones, which is painless, non-invasive, non-side effects, and satisfactory results), as well as hot compress and acupuncture treatment.