TMJ Dysfunction

TMJ care is available across all six Smile Collective locations in Mount Eliza, Mornington, Oakleigh, Mooroolbark, Greensborough and Strathmore.

TMJ Dysfunction, patient image, Bruxism (teeth grinding), The Smile Collective

TMJ dysfunction, also known as temporomandibular joint disorder or TMD, refers to a range of conditions that affect the jaw joint and surrounding muscles. This joint connects the lower jaw (mandible) to the base of the skull and enables speaking, chewing, swallowing, and yawning.

When the joint or its supporting muscles become strained or unbalanced, it can lead to discomfort, restricted movement, or clicking sounds during jaw motion. The condition can vary from mild and temporary to more persistent cases that affect daily function and comfort.

Understanding the Temporomandibular Joint

The temporomandibular joint is one of the most active and complex joints in the body. It functions as both a hinge and a sliding joint, allowing the jaw to open, close, and move from side to side. A small disc of cartilage within the joint acts as a cushion, ensuring smooth movement and absorbing pressure during chewing.

When the joint’s components — including the disc, muscles, ligaments, and teeth — are not functioning in harmony, stress and inflammation can occur. This imbalance can lead to pain, stiffness, or difficulty in jaw movement.

Common Symptoms of TMJ Dysfunction

TMJ dysfunction can present in different ways, and symptoms can range from mild discomfort to noticeable pain or difficulty with jaw movement. Common symptoms include:

  • Jaw joint pain or tenderness on one or both sides
  • Clicking, popping, or grinding noises when opening or closing the mouth
  • Difficulty opening the mouth fully or a sensation of locking
  • Pain when chewing or speaking
  • Headaches, particularly near the temples
  • Pain radiating to the ears, neck, or shoulders
  • A feeling of pressure or fullness near the ears
  • Teeth that no longer seem to meet evenly when biting

Some people may notice jaw or facial tension that comes and goes, while others feel it more often.

Possible Causes of TMJ Dysfunction

There is rarely a single cause of TMJ dysfunction. It often results from a combination of physical, muscular, or behavioural factors.


Clenching and Grinding (Bruxism)
Repeated clenching or grinding, often during sleep or stressful periods, places constant pressure on the muscles and joints, leading to strain and inflammation.

Injury or Trauma
A blow to the face or jaw, even from years earlier, can alter the way the joint functions and contribute to later discomfort.

Bite Misalignment
When teeth do not meet evenly, the jaw may shift slightly to compensate, increasing muscle strain and joint stress.

Muscle Tension and Stress
Tightening of facial or neck muscles due to stress can aggravate TMJ symptoms. This is one of the most common contributing factors.

Joint Conditions
Arthritis or other joint changes can affect the cartilage and bone within the TMJ, leading to reduced cushioning or mobility.

Posture and Habits
Poor posture, such as leaning forward at a desk or resting the chin on the hand, can cause tension in the neck and jaw muscles. Habits like nail-biting or excessive gum chewing may also contribute.

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Diagnosis and Assessment

Accurate diagnosis is essential for managing TMJ dysfunction effectively. Assessment usually begins with a detailed discussion about symptoms, daily habits, and general health.

The dentist will examine how the jaw moves, listen for joint noises, and feel for areas of tenderness. The bite is checked to identify any imbalance or irregular contact between teeth.

In some cases, diagnostic imaging such as X-rays, CT scans, or MRI may be used to assess the joint structure, cartilage, and surrounding tissues. This information helps identify whether the condition is muscular, joint-related, or a combination of both.

Managing TMJ Dysfunction

Care for temporomandibular joint (TMJ) concerns focuses on easing discomfort, reducing strain, and supporting normal jaw movement.

Rest and Lifestyle Tips

  • Try to avoid opening the mouth too wide, such as when yawning or biting large foods.
  • Choose softer foods if the jaw feels sore.
  • Avoid habits like chewing gum or biting on hard objects.
  • Keep the jaw relaxed when possible — lips together, teeth slightly apart.

Jaw Exercises and Physiotherapy
Gentle exercises may help support movement and reduce muscle tension. A physiotherapist or myotherapist can provide guidance with stretching, massage, or posture correction to help reduce jaw strain.

Splints or Night Guards
A custom dental appliance, often worn at night, can help limit grinding and clenching. This can take pressure off the jaw joints and muscles.

Stress Awareness and Management
Stress can cause people to clench or tighten their jaw muscles. Relaxation strategies, such as breathing exercises or mindfulness, may help. Becoming aware of daytime clenching and learning to relax the jaw can also make a difference.

Medication Support
Short-term use of pain relief or anti-inflammatory medication may be suggested by a healthcare professional if needed. These are usually used only for a short period and alongside other care strategies.

Bite and Alignment Review
If the bite places uneven pressure on the jaw, minor adjustments or orthodontic care may be considered. This is discussed only if it relates directly to the cause of discomfort.

In uncommon situations where there is significant joint damage or arthritis, a specialist review may be recommended for further assessment.

Preventing TMJ Dysfunction

Preventive care focuses on maintaining good habits that support joint health and reduce muscle tension. Some helpful measures include:

  • Avoid excessive or prolonged gum chewing.
  • Maintain an upright posture, especially during desk or computer work.
  • Be aware of clenching or jaw tightening during concentration.
  • Take short breaks to relax the facial muscles during long tasks.
  • Manage stress with relaxation or stretching exercises.
  • Use a protective appliance if you know you grind your teeth at night.

Regular dental check-ups are important to detect early signs of wear, muscle tightness, or bite imbalance before they progress.

Possible Risks and Complications

When untreated, TMJ dysfunction can contribute to chronic pain or further strain on muscles and joints. Some possible long-term complications include:

  • Ongoing discomfort or fatigue in facial and neck muscles
  • Difficulty opening or closing the mouth comfortably
  • Tooth wear from grinding or clenching
  • Frequent tension headaches
  • Progression of arthritis or degenerative changes in the joint

Some TMJ-related conditions may be managed with early, conservative care. Identifying and addressing factors that contribute to jaw strain can help lower the risk of ongoing discomfort or other complications.

The Role of Team-Based Care

TMJ concerns may be managed through a team-based approach. Dentists can work together with physiotherapists, myotherapists, or general practitioners to address different factors that affect the jaw and surrounding muscles.

This type of care looks at muscle activity, bite function, posture, and daily habits to create a plan that supports comfort and healthy movement of the jaw over time.

TMJ Care at The Smile Collective

TMJ care is available at all six Smile Collective clinics in Mount Eliza, Mornington, Oakleigh, Mooroolbark, Greensborough, and Strathmore.

The dental team assesses each patient’s symptoms, explores possible causes, and develops care plans suited to individual needs. The approach focuses on supporting comfort and function through safe, conservative, and evidence-based methods.
If you notice jaw clicking, tightness, or discomfort, you can contact your nearest Smile Collective clinic to arrange a consultation.