Craniomandibular Dysfunction: Tooth-Related Causes

Occlusal dysfunction

Occlusal disorders are disturbances in the way the teeth of the upper and lower jaws contact each other. There are numerous problems that can lead to occlusion disorders and thus trigger CMD or promote its development:

  • Tooth malocclusions
  • Unfavorable anterior tooth position
  • Tooth loss
  • Tooth migration
  • Tooth loosening
  • Early contacts
  • Interference contacts

All these problems prevent a trouble-free occlusion and thus lead to incorrect loads.

Toothache

Toothache, triggered by caries or periodontitis, can lead to the painful area being spared, for example, a one-sided chewing behavior develops. This behavior is unnatural and puts strain on the musculature.

If this condition persists over a long period of time, pain may result.

In most cases, the pain can be eliminated by simply removing the original problem, i.e. the caries or periodontitis. The tooth that was previously specially spared no longer hurts, natural chewing can be resumed, and muscular pain also subsides.

Dentures, fillings

Dentures or fillings that are too high cause early contacts or so-called sliding obstacles.

This is often not noticed until weeks or months later.

Pain occurs in the teeth or the temporomandibular joint for which there is initially no apparent cause. In such cases, it is always important to check the restorations. If the restoration has not been in place for too long, the pain is usually eliminated by removing the source of the interference.

When treating pain, it is always important to keep in mind that the site of pain perception is not always identical to the site of pain causation!