Temporomandibular Joint Disorder (TMD) affects the temporomandibular joint (TMJ), which connects your jaw to your skull. This can lead to pain, stiffness, and difficulty chewing. For those with TMD, certain foods can exacerbate symptoms. When you have TMD, it is important to avoid hard foods. Items that are difficult to bite into or chew can put extra strain on the jaw, which can lead to increased pain and discomfort. Simple adjustments to your diet can greatly reduce jaw pain and help prevent flare-ups.
Understanding TMJ Disorder and the Role of Diet
A TMJ disorder is an issue with the joints that are used to move your jaw. Overworking said joints can potentially worsen your pain. Temporomandibular Joint (TMJ) disorder refers to any condition that causes pain and dysfunction in the jaw joint and muscles that control the jaw. According to the National Institutes of Health, over 10 million Americans are estimated to be affected by TMJ disorders.
Helping us chew and eat food is one of the most important roles of the temporomandibular joints. Chewing also happens to be one of the activities that exerts the most pressure on those joints, and TMJ flare-ups typically occur when strain or pressure causes inflammation around the temporomandibular joints. To that end, avoiding foods that put too much strain on your jaw may reduce the frequency and severity of flare-ups.
TMJ disorder can cause quite a few problems in your everyday life, and one of the biggest is that the pain in your jaw can make eating quite uncomfortable. As such, it’s important to carefully consider your diet; some foods can make your TMJ problems worse while others will not.
Foods to Avoid with TMJ Disorder
Avoiding certain food groups is arguably one of the best lifestyle changes to make when trying to limit TMJ flare-ups. Let's take a look at the foods that put the most strain on your jaw and exacerbate TMJ symptoms. In general, you should avoid foods that are chewy, tough, crunchy, or oversized. These items require extra chewing or overextending your jaw and can aggravate your TMJ pain. It's best to avoid anything chewy, tough, crunchy, or too large that requires you to overextend your jaw.
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Hard Foods
Hard foods require more pressure to break down while chewing. When you experience TMD pain, the goal is to avoid overworking your jaw. Crunchy and hard foods are often the biggest culprits, making it harder for your muscles to relax.
- Nuts: Even small handfuls of almonds or peanuts can be hard to chew, putting stress on the joints.
- Raw Vegetables: While raw carrots, celery, and broccoli are great for health, their crunchy texture can overwork your jaw. Cooking hard vegetables can soften them, making them easier to chew and digest. A common concern we hear about cutting down on raw produce is that cooking vegetables can lead to nutritional loss.
- Popcorn: This light snack can be problematic, especially if you bite into an unpopped kernel.
- Apples, carrots, and other hard fruits and vegetables
Chewy and Sticky Foods
Chewing sticky and tough foods can cause a lot of strain on your TMJ. Of course, avoiding hard foods is essential, but chewy foods can also make things worse.
- Chewing Gum: One of the worst offenders for TMD patients. Gum forces continuous movement of the jaw, creating tension.
- Caramel and Taffy: Sticky candies not only stick to your teeth but also force your jaw to work overtime.
- Tough Meats: Cuts like steak or pork chops can take a huge efforts to chew. Stay away from chewy or tough meat, like steak. Red meats such as beef and pork are fibrous and chewy.
- Bagels, crusty bread, and other chewy baked goods. Many dough-based foods are chewy, especially if they are dense. Cookies can be crispy or chewy, and bagels, pizza crusts, certain rice noodles, and even pancakes require more chewing than you realize. Watch out for soft bread or pastries that tend to stick to the roof of your mouth and thus require excess jaw movement.
Foods Requiring Wide Mouth Opening
Some foods aren’t necessarily hard or sticky, but they require you to open your mouth wide, which can be painful for someone with TMD.
- Big Burgers: A large burger may look delicious, but it can be a struggle for those with TMD.
- Large Sandwiches: Similarly, hoagies or subs can cause discomfort.
- Apples and Corn on the Cob: While healthy, these foods force you to open your mouth wide and bite down with pressure.
- Ice: (put it in your drinks, use it in a cold compress for swelling, but don’t bite into it!)
Beverages
You might not think of drinks when considering foods to avoid, but caffeine and alcohol can actually impact TMD symptoms.
- Caffeine: Found in coffee, tea, and many sodas, caffeine can tighten muscles and heighten your body’s stress response. Reducing or eliminating caffeine can help your muscles relax, which is important for TMD management.
- Alcohol: While alcohol might help you relax initially, it can actually lead to increased muscle tension and clenching later on. These beverages may seem harmless, but they can make the pain related to TMD worse by increasing muscle tension.
Inflammatory Foods
The diet we recommend reflects this. Patients with TMJ disorder should eat:
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- A limited amount of foods that promote inflammation. Some of the worst inflammatory foods include sugar, refined carbohydrates, fried foods, and trans-fats like margarine. This doesn’t mean these foods are completely off-limits, but they should be eaten in moderation. When you do eat them, pay close attention to how your body reacts.
- Processed food, fried food, red meat, and food with added sugar all increase inflammation.
Key Nutrients That Help Alleviate TMJ Pain
- Omega-3 Fatty Acids: Omega-3s, found in fish like salmon and chia seeds, are known for their anti-inflammatory properties. These fatty acids help reduce inflammation around the temporomandibular joint, easing pain and improving movement. Research shows that omega-3 fatty acids can have an anti-inflammatory effect, which may reduce mild to moderate TMJ pain.
- Magnesium: Magnesium, found in spinach, almonds, and avocados, plays a crucial role in muscle relaxation and bone health. Adequate magnesium intake helps relax the muscles around the jaw, reducing cramps and spasms that contribute to TMJ pain.
- Vitamin D: Vitamin D helps improve calcium absorption, which is essential for bone health. Foods rich in vitamin D include fortified dairy products, eggs, and mushrooms. Ensuring you receive enough vitamin D can aid in strengthening the bones in and around the temporomandibular joint.
- Antioxidants: Foods high in antioxidants, like berries, leafy greens, and nuts, help to combat oxidative stress and inflammation. These foods can help reduce the overall inflammation that affects the TMJ. Fresh fruits and several vegetables are packed with antioxidants. Try including spinach, potatoes, avocados, sweet potatoes, and squash in your regular diet.
- Calcium: Calcium strengthens your jawbone and teeth. Dairy products like milk, cheese, and yogurt, as well as green leafy vegetables, provide essential calcium that can support the health of the temporomandibular joint.
- Spices: Spices like ginger and turmeric also help fight inflammation. You can add lemon ginger tea to your morning routine. Turmeric and ginger are also powerful anti-inflammatory foods.
Soft Foods for TMJ Relief
Fortunately, there are plenty of softer foods that can help you manage TMD pain without missing out on tasty meals. This is a pretty safe category, so enjoy plenty of cheese, yogurt, cottage cheese, ice cream, pudding, kefir and dairy alternatives.
- Soups and Stews: These are great TMD-friendly options because they require minimal chewing. Make creamy squash or potato soup, or enjoy a bowl of smooth, chilled gazpacho. Consider making a vegetable soup with soft-cooked ingredients like carrots, potatoes, and leafy greens. Adding bone broth can enhance the nutritional value and offer anti-inflammatory benefits.
- Smoothies: Full of fruits, vegetables, and even protein powders, smoothies are easy to make and easy on the jaw. Blend delicious smoothies that contain whole fruits and vegetables. Make a smoothie and add protein powder. Try blending spinach, bananas, and almond milk for a nutrient-dense smoothie that’s gentle on your jaw. Fruit-and-greens smoothie (try frozen mango, a handful of spinach, your favorite milk, and a generous pinch of turmeric)
- Fruits: Ripe melons, soft pears, bananas, applesauce, and canned fruits in 100% fruit juice are good choices. Blend delicious smoothies that contain whole fruits and vegetables. Enjoy stewed tomatoes, marinara sauce over pasta, and tomato juice if the acidity doesn’t bother you.
- Vegetables: Remove any skins that are tough or chewy. Try cooked winter squash, asparagus, and carrots or pureed soups such as squash, potato, and tomato. Grill peeled summer squash and zucchini slices or strips until they are soft. Vegetable skins can sometimes be tough, so peeling them can often making chewing a lot easier on your jaw. Don’t eat hard, crunchy, raw vegetables. Cook them until soft or puree them instead.
- Dairy: Cottage cheese, yogurt, kefir, and soft cheese are easy on your TMJs and offer a source of protein. Dairy alternatives such as soy, almond, flax, rice, and oat milk are also good choices.
- Starches and grains: There's no shortage of options here: mashed potatoes, pasta, couscous, polenta, oatmeal, muffins and lots more. In addition to mashed potatoes and pasta, add couscous, oatmeal, mashed sweet potatoes, and polenta to your diet.
- Protein: Instead, choose eggs, tofu, fish, and legumes. If you’re craving meat, eat soft-cooked chicken with gravy, or try a moist turkey meatloaf recipe with grated versus chopped onions. Red meats like steak and pork chops are too chewy.
- Baked sweet potatoes, baked salmon, and scrambled eggs
Meal and Snack Ideas for TMJ Disorder Patients
Here are some ideas for what to eat when you’re experiencing a TMJ flare-up:
- Breakfast:
- Scrambled eggs or egg substitutes are an obvious choice. Try adding some ricotta cheese and chives to liven them up. Scrambled eggs with spinach, along with a pinch of turmeric and black pepper
- Enjoy cooked cereals such as oatmeal and Cream of Wheat, or how about a tofu scramble with hummus? Oatmeal swirled with fruit puree and a dash of ginger and cinnamon
- Lunch:
- Make creamy squash or potato soup, or enjoy a bowl of smooth, chilled gazpacho. Soup-almost any variety will do!
- Make a smoothie and add protein powder. Tuna salad
- Meal prep burrito bowl with brown rice, black beans, roasted chicken, and your favorite toppings
- Dinner:
- Try moist turkey meatloaf, mashed potatoes, and cooked carrots.
- Or how about semolina pasta cooked just a bit beyond al dente tossed in marinara and served with peeled, sauteed zucchini coins. Whole grain pasta with sheet-pan roasted chicken, vegetables, and pesto
- Enjoy poached salmon served with soft-cooked asparagus and lemony orzo. A baked sweet potato topped with your favorite chili
- Curry served over brown rice (curry powder is an excellent source of turmeric)
- Snacks:
- Satisfy a snack attack with cottage cheese with canned fruit, smoothies, or applesauce with a dash of cinnamon. Cottage cheese with canned fruit
- Low- or no-sugar yogurt
- Cucumbers and hummus
- String cheese
- Watermelon or other soft fruits
- Banana and almond butter with a pinch of cinnamon
- Dessert:
- Feel free to eat puddings, custards, Jell-O, ice cream, frozen yogurt, gelato, and sorbet. Or try peeled poached pears or peaches.
How to Eat a TMJ Diet
The first thing to note is that your food should be chewed deliberately and evenly on both sides. “We all tend to favor one side or the other when we eat. The medical term for this is ‘masticatory laterality’. Another aspect of how to eat a TMJ diet concerns food preparation. You want to prepare your food into morsels, rather than large chunks. As described above, a good TMJ diet strategy will aim to avoid overloading the joint. Finally, try to develop the practice of being mindful when you eat. Mindful eating means paying attention to the eating process, eating slowly, savoring the taste and texture of the food, being deliberate about chewing, and being in the moment when you’re eating.
Additional Tips for Managing TMJ Pain
In addition to eating the right foods, there are other ways you can be mindful of your jaw in daily life to prevent painful flare-ups.
- Check in with yourself regularly to make sure you aren't clenching your jaw or grinding your teeth. If you find that your jaw aches when you wake up in the morning, you might be doing in it your sleep and need a special mouthguard from your dentist.
- When your jaw starts aching, there are a few quick things you can do to lessen the pain. Give yourself a facial massage of the jaw, cheeks and temples to relieve tension. Using ice or heat can also be useful. Cold helps reduce swelling and pain while heat helps relax muscles.
- One of the most essential ways to care for your TMJ and your oral health overall is to talk with your dentist about what's working for you and what isn't.
- It’s also best to cut portions into small, bite-sized pieces.
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