The causes of "TMJD" are numerous and varied. Most of the causes have created changes in the orthopedic relationship in the joint(s). These imbalances and misalignments cause stresses on the joint apparatus, leading to breakdown and pain. It is important to realize that there could be damage to the joint system, long before pain appears. The pain mechanism is not always from the acute situation. Repetitive damage will ultimately lead to pain, in most cases, but not all.

1. Whiplash from a traumatic event, such as an auto accident or fall

2. Osteoarthritis, rheumatoid arthritis, infectious arthritis

3. Chronic long term tooth clenching or grinding

4. Structural discrepancies in the skeleton leading to postural difficulties

5. Missing posterior teeth

6. Biting on paper clips, fingernails, pencils, pens, etc.

This is referred to as chronic "micro trauma"

7. Head posture, such as sitting in front of a computer

screen for long periods

8. Osteochondrosys.

9. Heredity

10. Parasites and microbes.

This is not an exclusive list, nor is it meant to be. Certainly factors, such as the possibility of tumors, nutritional deficiency, and allergy should be considered. We believe that usually a multitude of factors causes TMJD. The astute diagnostician will analyze all possibilities carefully before creating a cause and effect scenario. Then and only then can treatment begin.

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