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Temporomandibular joint disorders Treatment

 

Routine treatment of Temporomandibular joint disorders involves the use of analgesics, usually NSAIDs, to reduce the pain and swelling that occurs as a result of this condition.  Individuals with myofascial pain syndrome may be prescribed a sedative to limit the amount of clenching and grinding of the teeth at night.  All of the disorders are usually treated with some type of mouth or bite guard that limits the pressure and use of the Temporomandibular joint.  In severe cases, surgery can help repair damage to the joint structure. [4]

Alternative treatment of Temporomandibular joint disorders should focus on treating the underlying cause.  In many cases, the underlying cause is structural.  Therefore, therapy should be supportive to the tissues and designed for promoting healing.

 

 

Supplements helpful for Temporomandibular joint disorders

Glucosamine sulfate
Glucosamine is responsible for the gel like cushion of cartilage, and is nutritive to the articular disk in between the bones of the Temporomandibular joint.  Often with arthritis of a joint, as in the case of Temporomandibular joint disorders, the cartilage will become hard and absorb less shock from excessive use. This can result in symptoms of pain, clicking, popping, and decreased mouth opening.

In a study of 50 patients with osteoarthritis of the Temporomandibular joint, significant improvement occurred with supplementation of glucosamine sulfate.  Glucosamine caused a decrease in the noises, pain, and swelling in the joint. [
5]

SAM-e (S-adenosylmethionine)
SAM-e is formed from the amino acid methionine, and ATP, our body's primary source of energy.  It is necessary for the proper formation of cartilage components. SAM-e  may be especially protective of cartilage. SAM-e has also exhibited mild analgesic and anti-inflammatory properties, which make it a relevant treatment option for those suffering from Temporomandibular joint disorders.

In a study that compared SAM-e to Celebrex, a popularly prescribed NSAID, supplementation resulted in the improvement of overall symptoms.  It was found to be as effective as Celebrex, though its onset of action was slower. [
6]  Another study also found that supplementation with SAM-e can cause a reduction in pain.  It also showed an improvement in joint function and a decrease in joint limitation. SAM-e has not been proven to have any side effects. [7]

Vitamin E
Vitamin E is anti-inflammatory and potent anti-oxidant. It helps to maintain cell membranes.  Vitamin E stimulates healthy cartilage production. [
8] The dietary supplementation of Vitamin E would be beneficial for any of the disorders of the Temporomandibular joint.  In fact, one study showed that supplementation with Vitamin E resulted in a 52% reduction in pain compared to only a 10% reduction with placebo. [9]  In another study, Vitamin E was equally successful in increasing joint mobility, reduce swelling around the joint, and increasing walking times. [10]


Vitamin C
Vitamin C supports connective tissue metabolism.  It is believed to be protective for cartilage.  It not only aids in the repair of cartilage, but also helps to incorporate cellular components that help cartilage hold water.  Vitamin C is also considered a potent anti-oxidant. [
11]
 

Boswellia serrata
Boswellia is anti-inflammatory, analgesic, and anti-arthritic agent.  It can be used for internal joint derangement, myofascial pain syndrome, and arthritis of the Temporomandibular joint.  It prevents the age related decline in cartilage production and improves blood supply to joints.  In one particular study, supplementation with boswellia decreased pain and increased range of motion of affected joints.  There were also marked decreases in the amount of swelling around the affected joint. [
12]

Piper methysticum (Kava)
Kava is a useful treatment for myofascial pain syndrome.  It is an effective sedative, anxiolytic, and skeletal muscle relaxant. It has been proven in clinical trials to decrease anxiety and to relieve nervous tension that results in muscle spasm. [
13]

 

 

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