Internal Joint Derangement

You Don’t Have to Live With Jaw Pain

If you struggle with chronic jaw pain, you know how debilitating it can be. However, there are various treatment options for those with temporomandibular joint disorders. If you suspect you’re living with a TMJ disorder (TMD), contact our dentist today. We’ll evaluate your health and recommend the best course of action.

Get started today by contacting our Vero Beach dental office at (772) 778-5550.

older couple holding each other on the couch smiling

What Is Internal Joint Derangement?

Internal joint derangement (IJD) is a TMJ condition where the structures within a joint, such as ligaments, tendons, cartilage, or menisci, are damaged or displaced. It’s caused by injury, overuse, or degenerative changes in the joint.

Types of Internal Joint Derangement

There are two types of internal joint derangement: 

  1. Disc Displacement With Reduction: This type of IJD occurs when the disc in the TMJ shifts out of its normal position but returns to its proper place when the jaw is closed or opened. It’s often associated with clicking or popping sounds in the jaw joint and may cause mild pain or discomfort.
  2. Disc Displacement Without Reduction: This type of IJD occurs when the disc in the TMJ shifts out of its normal position and doesn’t return to its proper place. It’s often associated with significant pain and discomfort. It may also cause restricted jaw movement, locking of the jaw joint, and difficulty with chewing and speaking.

Causes of Internal Joint Derangement

Various factors can cause IJD, including:

Internal Joint Derangement Symptoms

Symptoms of internal joint derangement can vary depending on the severity of the condition. Some common symptoms include:

If you suspect you have IJD or a similar type of TMJ disorder, don’t wait to seek treatment. Call our dental office at (772) 778-5550 today to schedule a consultation with our Vero Beach dentist.

Treatments for Internal Joint Derangement

Treatment for IJD will depend on the severity of the condition and the underlying cause. In mild cases, conservative treatments such as pain management, physical therapy, and lifestyle modifications may be effective in relieving symptoms.

Pain management options can include:

Physical therapy may include exercises to improve jaw strength and flexibility and techniques to help reduce muscle tension and promote relaxation. Lifestyle modifications can include changes to the diet, as well as avoiding behaviors that can aggravate the condition.

In more severe cases, surgery may be necessary to correct the underlying problem. Surgery can involve repairing or removing the displaced disc, realigning the jaw joint, or replacing the joint entirely with an artificial joint.

Who Develops Internal Joint Derangement?

Internal joint derangement can occur in anyone, regardless of age or gender. However, certain factors can increase the risk of developing the condition, such as:

young woman at the dentist holding her mouth in pain

Frequently Asked Questions

How is internal joint derangement diagnosed?

Diagnosis of internal joint derangement typically involves a comprehensive medical history review, physical examination, and imaging tests such as X-rays, MRI, or CT scans. The doctor may also perform a joint aspiration, which involves inserting a needle into the joint to remove and analyze fluid.

Can internal joint derangement affect other parts of the body?

While internal joint derangement primarily affects the temporomandibular joint, it can also cause referred pain in other areas of the head and neck, such as the ears, cheeks, and temples. In some cases, it can also lead to headaches, neck pain, and facial muscle spasms.

How common is internal joint derangement?

Internal joint derangement is a relatively common condition, mostly seen in people between the ages of 20 and 50, and is more frequent in women than men. However, it can affect individuals of all ages, including children. The incidence of internal joint derangement may be increasing due to factors such as stress, poor diet, and lack of physical activity.

Can internal joint derangement be prevented?

Preventing internal joint derangement can be challenging, but some measures can reduce the risk of developing the condition. These include practicing good posture, avoiding chewing gum and other hard or chewy foods, and reducing stress. It’s also wise to seek prompt treatment for jaw or facial injuries.

Find Relief for Internal Joint Derangement Symptoms

If you’re experiencing symptoms of internal joint derangement, such as jaw pain, clicking or popping sounds, or difficulty opening or closing your mouth, it’s best to seek medical attention from a qualified healthcare professional. They can examine your jaw and recommend appropriate treatment options to alleviate your symptoms and improve your quality of life.

Don’t wait until your symptoms worsen. Schedule an appointment today by calling our Vero Beach dental office at (772) 778-5550.

Patient Reviews

What People Are Saying

Dr. Royal explains every procedure from start to finish

“Dr. Royal is a very experienced dentist. I found him by accident and glad I did. He explains every procedure from start to finish. I had very little discomfort. His staff is so friendly. I am impressed at how they work together so in sync. Again, I am so pleased to be able to give this feedback and I urge others who are seeking a great dental office to consider Vero Beach Dental Spa!”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

Dr. Royal is by far the gentlest dentist I ever had!

“I have had horrific experiences with dentists in the past but Dr. Royal and Vero Dental Spa are the best. When it comes to numbing shots, Dr. Royal is by far the most gentle I have ever had. I hate needles and he made it easy and virtually painless! I highly recommend Vero Dental Spa, you won't be disappointed!!!”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

Vero Dental Spa is the absolute best!!!

“I’ve always been afraid to go to the dentist but now, since my first time going I’m completely relaxed and the staff is incredible! ”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

The front desk was welcoming.

“Had a cleaning at Vero Dental Spa today. The front desk was welcoming. As usual in less than 5 minutes I was in the chair. Marlene the hygienist deserves a special mention; she was polite, professional, thorough and gentle. Check out was a breeze. This is a well run office.”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

Dr. Royal and the entire staff are welcoming

“Dr. Royal and the entire staff are welcoming, professional, and accommodating. Throw in genuine care and good humor. It all adds up to very positive experiences from beginning to end. Highly recommended!”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

Dr Royal was so pleasant and professional.

“The entire experience was wonderful. From reception to checkout with Kelly, Elizabeth and Lindsay… Everyone, including Dr Royal was so pleasant and professional. Truly refreshing !”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

Dr. Royal is very knowledgeable and a perfectionist

“I've been going here now about 2 years now. Dr. Royal is very knowledgeable and a perfectionist. He's very good at what he does nothing really more to say about it he's also very funny. I don't mind going to the dentist anymore!”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

Dr. Royal is by far the gentlest dentist I ever had!

“I have had horrific experiences with dentists in the past but Dr. Royal and Vero Dental Spa are the best. When it comes to numbing shots, Dr. Royal is by far the most gentle I have ever had. I hate needles and he made it easy and virtually painless! I highly recommend Vero Dental Spa, you won't be disappointed!!!”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

I highly recommend Vero Dental

“This office and its amazing staff has helped me work through treatment I have been putting off for years - I highly recommend Vero Dental and would not choose any other office.”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

Dr. Royal and the staff were amazing

“My first visit today, Dr. Royal and the staff were amazing friendly, professional and efficient!! I was welcomed warmly by everyone and felt like I have always been a patient there! Thank you to the team at Vero Dental Spa! See you soon!!”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

Everyone one was so nice and helpful

“Made my first visit to the Vero Dental Spa today and I was extremely satisfied. I was made to feel at ease. Everyone one was so nice and helpful. Going back tomorrow for a cleaning”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

Dr, Royal & all of his staff are truly amazing.

“From the moment you walk in the door you are put at ease, They take the time to explain everything to you, They go out of their way to make sure you are comfortable and happy with the work they are doing. They truly are all artists that take pride in the work they do & the smiles they create. They are all wonderfully talented and incredibly passionate about what they do. Do your teeth the best favor you can ever do for them & make an appointment to see Dr Royal & the most awesome staff ever at Vero Dental Spa. Give yourself a reason to smile.”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

They work hard, and are a great office

“Great, Great, Great! The staff makes the office. Period. Kind staff, doctors are efficient and understanding. They work hard, and are a great office. The new electronic system helps keep things running even more smoothly too. Throughout the last ten years, they have come through shining.”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review

I have finally found my favorite dentist!

“I have never had such a wonderful experience at the dentist! The staff was so friendly and sweet! Dr. Royal has a great sense of humor and put me at ease even in a dental emergency! I have found my favorite dentist, finally!! Thank you to the staff at Vero Dental Spa, look forward to seeing you again soon!”

  • reviews tar1
  • reviews tar2
  • reviews star3
  • reviews star4
  • reviews tar5
google review
Read More of Our 470+ 5 Star Reviews
consultation Image

Get Your Complimentary
Consultation or 2nd Opinion

  • Exam
  • Full mouth X-ray
  • Private Consultation with Doctor ($350 value)

Working hours

  • Monday: 8am - 5pm
  • Tuesday: 8am - 5pm
  • Wednesday: 8am - 5pm
  • Thursday: 8am - 5pm
  • Friday: 8am - 1pm
  • Saturday & Sunday: Closed