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Exercise to Prevent Clicking
of the Jaw Joint
This exercise should be carried out sitting in an erect posture in
front of a mirror.

It should be done at least twice daily in this position until the art
of contracting the muscle beneath the chin has been completely
mastered.

1. Clasp both hands behind the nape of the neck to provide a
`headrest'.

2. With the mouth closed and the teeth lightly touching, contract
the muscle beneath the chin; attempting to pull the chin back into
the neck without opening the mouth.

By observing the chin and neck in the mirror, it is possible to see
the actual contractions of these
suprahyoid muscles.
3. It is essential not to move the jaw or teeth when doing the exercise.  Once the
art of muscle contraction is learned it should be done for 3 - 5 minutes each hour,
not necessarily sitting or in front of a mirror.

4. With practice, a definite sensation of tension will be noted in the
suprahyoid
muscles
and in the region of the jaw joints.

5. Once the essential exercise has been learned, it can be done with small mouth
opening movements, learning to open the jaw with a backward pull and avoiding the
`click'.  Day by day, the extent of the mouth opening is increased, always with the
jaw positively retruded.

6. Gradually increase the extent of mouth opening until it can be opened to the full
normal extent without producing a `click'.  Always keep the
suprahyoid muscles
retracted.



If you keep practising this exercise for at least 2 - 3 weeks, it will become second
nature and the click will not return.
Last Updated 3rd December 2013
Treatment Algorithm for 'Clicking' TMJ's


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