TMJ Videos

TMJ – 104 Closed Lock

There are several symptoms of TMJ disorder such as discomfort in the jaw joint, a clicking as well as standing out jaw, frustrations, face discomfort, ringing of the ears, neck discomfort, and also back pain.

While there are many feasible reasons, one the key reasons is an unbalanced bite. This is the 4th of a collection of videos checking out the bite and how it affects the TemporoMandibular Joints (TMJ). signs and symptoms.

TMJ – 104 goes over the most severe dysfunction of the jaw joint, the dreaded closed lock. If you have restricted opening of your mouth, you need to see this video clip.

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32 Comments

32 Comments

  1. Boca Nejra

    February 24, 2014 at 1:38 am

    Hello Gregory and thanks for such a great video, I just understood what’s
    been happening to me for the last few months. I’ve been going both to the
    dentist and to a chiropractor but they don’t seem to be paying a lot ot
    attention to this problem (lack of experience I guess). The chiropractor
    only focuses on massaging and forcing my jaws (I get relief but only
    temporary right after the treatment) but after watching your video I think
    they should first recapture my disk, right? Otherwise we are forcing the
    disk all the time and maybe smashing it. I’m a little bit worried by this
    and the possible consequences. Any advice will be much appreciated. Thanks.

    • Gregory Pucel

      June 3, 2014 at 2:51 pm

      If you are off the disk that is correct. i would suggest consulting with a
      dentist that treats TMJ problems.

  2. ESSBrew

    June 15, 2014 at 5:59 pm

    Is it possible to be in a closed lock and not even realize it? I can barley
    fit two fingers in my open mouth, but I dont have pain or anything. Its
    been like this for years and I do have an overbite.

    • Gregory Pucel

      June 16, 2014 at 2:28 pm

      More than possible. Probable.

  3. Evan Brindisi

    June 16, 2014 at 6:21 pm

    Hey Gregory, what type of splint do you recommend? 

  4. Kaushik Sundarajayaraman Venkat

    August 6, 2014 at 6:15 pm

    Hello doctor. Thanks for all your videos. I controlled my yawn several
    times and have been altering my sleep cycles erratically for last 4 months
    (night driving sometimes), sometimes staying awake for around 30 hrs.
    Could this be the reason for the clicking noise? I’m just curios to know.

  5. kimyc0623

    August 24, 2014 at 8:25 pm

    Hi! Currently I can only open my jaw to 2 fingers and it hurts when I open
    it more than that. I’ve been taking muscle relaxants and it has been about
    a week since my jaw wouldn’t open. I really don’t know what to do and I
    hope that it isnt severe 🙁 I’m only 16. Please help!!! 

    • Gregory Pucel

      August 24, 2014 at 9:05 pm

      You need to consult with a dentist that treats TMJ/facial pain.

  6. Cameron C

    October 19, 2014 at 4:47 am

    Ok, so I am 14 years of age and I seem to have this problem. This has been
    going on for the past eight or so days. When I attempt to warn my parents
    if the consequences of this, they think that I am over reacting. How do I
    explain the effects and dangers of this condition? Also, this primarily
    happens while I sleep, is there any kind of pillow or device that would
    temporarily prevent this from happening?

  7. Cameron C

    October 19, 2014 at 4:53 am

    Also, every time I get a locked jaw, I go to my bed, elevate my head, and
    wait for about 10-30 minutes and it just unlocks itself. Why is this?

  8. Cameron C

    October 19, 2014 at 4:55 am

    I’m sorry for the copious amounts of comments, but it also doesn’t hurt
    near my tmj or in it. It also doesn’t hurt when my jaw gets locked.

  9. wchan

    November 20, 2014 at 11:02 am

    Dr Pucel,
    I’ve had a locked jaw for a few months and I’m seeking treatment now — but
    if the disc has already been damaged beyond recapture, does that mean I’m
    stuck with the locked jaw forever because my jaw can’t translate?
    Thanks

  10. Mayugecat

    December 21, 2014 at 8:37 am

    Hi there, thank you so much for the informative video. I especially love
    that jaw model; it’s so easy to understand the jaw functions through it.

    I now understand tension should not be forced upon the disc or the jaw so
    does that mean the “locked jaw exercises” that people recommend, are in
    actuality aggravating and worsening the issue? (ie wearing down the disc)
    These exercises include pushing each jaw inward (once at a time) while
    applying jaw pressure in the opposite direction, and also opening the mouth
    while adding pressure upward.
    I’m afraid of continuing these exercises….my mouth does slightly open
    more after I do them, but I feel like it only stretches and forces the
    “translation” process, adds lot of tension to the disc and doesn’t trigger
    the source of the problem?
    Please correct me if I am wrong, thank you!

  11. Brandon Streiff

    February 26, 2015 at 3:36 am

    Great video! Thank you. Do you have a video on “Open Lock” which might
    discusses the position of the disc and how to diagnosis which side is the
    problematic side?

    • Gregory Pucel

      February 26, 2015 at 8:46 pm

    • Brandon Streiff

      March 9, 2015 at 6:46 am

      +Gregory Pucel That is a great video as well, but I was hoping for one that
      addresses specifically “open lock” where the condyle slips beyond the
      eminence and locks the patient in an open position. Disc is said to be
      anterior to the eminence but its location to the condyle seems to be
      debated.

  12. Lily .x2_

    March 9, 2015 at 5:56 am

    I am 13 years old and this happens to me at least 2 or 3 days a month and I
    am only able to fit 2 fingers in. What do you think I should do?

  13. Chandra Salas

    July 17, 2015 at 11:00 pm

    Thank you so much for the info! It helped with out scaring me half to death
    lol. I Just got a night guard when i believe i need a splint. Could that
    help at all for the problem in the video? I hear popping on one side also.

    • Gregory Pucel

      July 21, 2015 at 9:57 pm

      +Chandra Salas – yes

  14. Emily Roebuck

    August 5, 2015 at 4:43 am

    I’m pregnant with closed lock. My dentist says there isn’t anything he can
    do until baby is born. I have had closed lock for a week. Should I get a
    second opinion? Is this common in pregnancy due to hormones?

    • Gregory Pucel

      August 13, 2015 at 9:24 pm

      +Emily Roebuck Get a second opinion. the only restriction that i know of
      would be to imaging the joint. Treatment should not be effected by or
      effect your pregnancy.

  15. Kristina Haydocy

    August 29, 2015 at 6:12 pm

    this is the third day my jaw has been locked only on the right side. i woke
    up like this. i can about my mouth just about enough to fit almost 2
    fingers just like in this video. my ear also kinda hurts on the ride side.
    my problem is i have no dental insurance. im hoping that i can just be seen
    and get billed because i cant eat or do anything… ive been taking
    ibprofen and that hasnt helped im just very scared and want to go back to
    normal :(

  16. Kristina Haydocy

    August 29, 2015 at 6:13 pm

    my mouth also doesnt go straight down when i try and open it it goes to an
    angle. this is the most awful thing!!!! any suggestions?

  17. Goku G

    September 13, 2015 at 6:41 am

    I m facing very same problem as u mentioned in the video…I m not having
    any pain from day 1…..I had consulted two dentist…they told me to do
    exercise( such as eating apple,gauva) so tht it would open the lock
    automatically but its been 15days,its annoying me…according to video my
    jaw might be crushed or damaged if I continue like dis….plz suggest me
    sir….

  18. Medlynne Cuyugan

    December 13, 2015 at 4:00 pm

    Hi doc, I have braces and it’s almost a year and my dentist just pull out
    my upper right second to the last molar of my teeth this month ago and it’s
    start locking of my jaw but it has no pain. 2nd time my right jaw close
    locked. Any advice please is it normal or what 🙁 i’m scared.

    • Gregory Pucel

      December 30, 2015 at 3:11 pm

      +Medlynne Cuyugan : Unfortunately, I cannot give you a diagnosis for this
      issue without an evaluation of the all of the parameters. My advise is to
      consult with a dentist that does TMJ treatments to get the appropriate
      treatment.

  19. Rebecca

    December 25, 2015 at 2:59 pm

    Is surgery the only option after the closed lock has occurred for around 3
    months?

    • Gregory Pucel

      December 30, 2015 at 3:07 pm

      +Tris Prior : I don’t believe so. to me three months is still a relatively
      acute problem and can potential be rectified with the APPROPRIATE bite
      appliance.

    • Rebecca

      December 30, 2015 at 7:05 pm

      +Gregory Pucel thank you for the response. Do you have any advice on the
      correct bite appliance?

    • Gregory Pucel

      December 30, 2015 at 8:22 pm

      +Tris Prior : for a closed lock, the appliance that typical use has height
      in the back so that only the molars touch on both sides, But I wouldn’t
      presume to design an appliance without all the data, an MRi AND a visual
      examination. Each Doc will have his own preferences.

  20. Darien Keay

    May 31, 2016 at 11:02 pm

    Any advice for someone that can’t close their mouth all the way? I’ve
    always had popping as I open and close my mouth but the past couple days my
    right jaw has been in pain. This morning I woke up and haven’t been able to
    bite down all the way (my back right molars can’t touch) and when I try to,
    there’s pretty severe pain. I understand you cannot diagnose me and I am
    going to visit my dentist as soon as I can but I just can’t find any videos
    about the jaw not closing. Thank you.

  21. Pingback: TMJ – 104 Closed Lock – Ronnie L. Kenny's Blog

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