{"id":11229,"date":"2019-09-17T09:03:09","date_gmt":"2019-09-17T07:03:09","guid":{"rendered":"http:\/\/madsen.joergjoedecke.de\/?page_id=11229"},"modified":"2026-02-13T12:53:08","modified_gmt":"2026-02-13T11:53:08","slug":"clicking-of-the-jaw-is-not-an-illness","status":"publish","type":"page","link":"https:\/\/www.madsen.de\/en\/kiefergelenk\/clicking-of-the-jaw-is-not-an-illness\/","title":{"rendered":"Clicking of the Jaw is not an Illness"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"11229\" class=\"elementor elementor-11229 elementor-10335\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4630b74 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4630b74\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1d8227a\" data-id=\"1d8227a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f55dbf4 elementor-widget elementor-widget-heading\" data-id=\"f55dbf4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Clicking of the Jaw is not an Illness<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-03b6abb elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"03b6abb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-32ce4b3\" data-id=\"32ce4b3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cdc4a58 elementor-widget elementor-widget-text-editor\" data-id=\"cdc4a58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>What is colloquially referred to as &#8220;jaw cracking&#8221; is actually a noise produced by the <a title=\"Temporomandibular Joint (Jaw Joint)\" href=\"https:\/\/www.madsen.de\/en\/kiefergelenk\/temporomandibular-joint-jaw-joint\/\">temporomandibular joint<\/a>. Like many other joints in the human body, the temporomandibular joints can develop noises. The most common is a cracking sound when the jaw opens.<\/p><p>Cracking of the temporomandibular joints is almost always due to an anterior position of the joint disc &#8211; in technical language: the discus. The discus of the temporomandibular joint is ideally located between the head of the temporomandibular joint and the articular surface of the skull. The joint capsule and the ligaments connect and stabilize the discus with the joint head and the base of the skull.<\/p><p>In many people, the joint capsule and posterior ligaments of the temporomandibular joint stretch somewhat over the course of life. As a result, the discus shifts forward and then lies fully or partially in front of the articular head. When the jaw opens, the discus slides back onto the head of the temporomandibular joint, which may cause <strong>a cracking sound<\/strong>.<\/p><p>When the jaw closes, the discus usually slides back down from the condyle without making a noise. This also makes it clear that it is actually not the jaw itself that cracks here, but its joint.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3c9673d\" data-id=\"3c9673d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f64b07e elementor-toc--minimized-on-mobile elementor-widget elementor-widget-table-of-contents\" data-id=\"f64b07e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h1&quot;,&quot;h2&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;minimized_on&quot;:&quot;mobile&quot;,&quot;marker_view&quot;:&quot;numbers&quot;,&quot;minimize_box&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<div class=\"elementor-toc__header-title\">\n\t\t\t\tTable of contents\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__f64b07e\" aria-expanded=\"true\" aria-label=\"Open table of contents\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-down\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><\/div>\n\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__f64b07e\" aria-expanded=\"true\" aria-label=\"Close table of contents\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-up\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__f64b07e\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<svg class=\"elementor-toc__spinner eicon-animation-spin e-font-icon-svg e-eicon-loading\" aria-hidden=\"true\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b6f482f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b6f482f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-c91cc42\" data-id=\"c91cc42\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8c62d55 elementor-widget elementor-widget-text-editor\" data-id=\"8c62d55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Earlier View: Cracking is an Alarm Signal<\/h2><p>In the past, it was assumed in dentistry that <strong>&#8220;jaw cracking&#8221;<\/strong> was a disease. It was assumed that in the long term, cracking would always lead to arthritis and eventually to osteoarthritis of the temporomandibular joints.<\/p><p>Due to this assumption of a steady downward development with a fatal end, often complex diagnostics and very expensive and invasive therapies were offered for prevention. To this day, the occurrence of a clicking in the temporomandibular joint represents an unresistible temptation for many physicians to bring elaborate diagnostic and therapeutic procedures to their patients.<\/p><p>For this reason, most of the information that can be found on the websites of doctors and other health professionals about &#8220;jaw cracking&#8221; should only be taken with great caution. The tendency is always that the in itself <strong>harmless jaw clicking<\/strong> is dramatized and declared a disease, i.e. pathologized.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9873e0f\" data-id=\"9873e0f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-30e1e51 elementor-widget elementor-widget-image\" data-id=\"30e1e51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.madsen.de\/wp-content\/uploads\/2021\/12\/kieferknacken.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-description=\"\u201eKieferknacken\u201c entsteht im Kiefergelenk vor allem bei der Kiefer\u00f6ffnung: in der Ruheposition befindet sich der Diskus (gr\u00fcn) vor dem Gelenkkopf (1). Beim \u00d6ffnen schiebt der Gelenkkopf den Diskus vor sich her (2), bis der Diskus unter Spannung auf den Gelenkkopf aufspringt (3) \u2013 das Knackger\u00e4usch ist als roter Stern markiert. Beim Schlie\u00dfen (4-6) gleitet der Diskus meistens ger\u00e4uschlos vom Gelenkkopf herunter, ein Knackger\u00e4usch kann aber auch dabei entstehen.\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTUyNjgsInVybCI6Imh0dHBzOlwvXC93d3cubWFkc2VuLmRlXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIxXC8xMlwva2llZmVya25hY2tlbi5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"654\" src=\"https:\/\/www.madsen.de\/wp-content\/uploads\/2021\/12\/kieferknacken-1024x837.jpg\" class=\"attachment-large size-large wp-image-15268\" alt=\"kieferknacken\" srcset=\"https:\/\/www.madsen.de\/wp-content\/uploads\/2021\/12\/kieferknacken-1024x837.jpg 1024w, https:\/\/www.madsen.de\/wp-content\/uploads\/2021\/12\/kieferknacken-300x245.jpg 300w, https:\/\/www.madsen.de\/wp-content\/uploads\/2021\/12\/kieferknacken-768x627.jpg 768w, https:\/\/www.madsen.de\/wp-content\/uploads\/2021\/12\/kieferknacken.jpg 1224w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">The \"jaw cracking\" sound occurs in the temporomandibular joint primarily during jaw opening: In the rest position, the discus (green) is located in front of the condyle (1). During opening, the condyle pushes the discus in front of it (2) until the discus springs up onto the condyle under tension (3) - the cracking sound is marked as a red star. When closing (4-6), the disc usually slides noiselessly off the condyle, but a cracking sound may also occur.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3eafadf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3eafadf\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8a44934\" data-id=\"8a44934\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-414d27f elementor-widget elementor-widget-text-editor\" data-id=\"414d27f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Current Opinion: Cracking is harmless<\/h2><p>The current scientific consensus is that jaw cracking is not a disease, but merely a harmless diagnostic sign of anterior disc displacement. Anterior disc displacement is found in around one third of the adult population in magnetic resonance imaging (MRI) examinations.<\/p><p>This does not necessarily result in cracking noises. This high number alone is proof of the harmlessness of anterior disc displacement and jaw cracking\u2014if these occur so frequently, but severe temporomandibular joint disorders are very rare, there can hardly be any risk.<\/p><p>The vast majority of those affected experience no further discomfort from the clicking. Anterior disc displacement and the jaw clicking often associated with it are therefore very common and normal findings that are more like peaceful house guests than threatening intruders.<\/p><p>In fact, many of the other 300 or so joints in the human body can also produce noises such as clicking, without anyone taking any notice. The temporomandibular joint simply has the misfortune of being located close to the inner ear, so that those affected hear the clicking noises of this joint very loudly via bone conduction.<\/p><p>This also explains why almost 100% of entries on joint cracking in search engines such as Google relate to the temporomandibular joint. This overrepresentation alone makes it clear that jaw cracking receives more attention than is appropriate.<\/p><p>Affected patients are often very worried because of the clearly perceptible noise. We can tell them with certain knowledge that the cracking of the &#8220;jaw&#8221; can simply be ignored and does not usually result in any secondary diseases.<\/p><p>The cracking usually changes in the course of time, it can become louder or quieter, often disappears completely. In no case should such changes in the cracking sound be a cause for concern.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-93aaea7\" data-id=\"93aaea7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-54b8428 elementor-widget elementor-widget-image\" data-id=\"54b8428\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.madsen.de\/wp-content\/uploads\/2023\/06\/kieferorthopaede-madsen-mannheim-0097.jpg\" data-elementor-open-lightbox=\"yes\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTc1MjIsInVybCI6Imh0dHBzOlwvXC93d3cubWFkc2VuLmRlXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIzXC8wNlwva2llZmVyb3J0aG9wYWVkZS1tYWRzZW4tbWFubmhlaW0tMDA5Ny5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/www.madsen.de\/wp-content\/uploads\/2023\/06\/kieferorthopaede-madsen-mannheim-0097-1024x682.jpg\" class=\"attachment-large size-large wp-image-17522\" alt=\"Palpation der Kaumuskulatur\" srcset=\"https:\/\/www.madsen.de\/wp-content\/uploads\/2023\/06\/kieferorthopaede-madsen-mannheim-0097-1024x682.jpg 1024w, https:\/\/www.madsen.de\/wp-content\/uploads\/2023\/06\/kieferorthopaede-madsen-mannheim-0097-300x200.jpg 300w, https:\/\/www.madsen.de\/wp-content\/uploads\/2023\/06\/kieferorthopaede-madsen-mannheim-0097-768x512.jpg 768w, https:\/\/www.madsen.de\/wp-content\/uploads\/2023\/06\/kieferorthopaede-madsen-mannheim-0097-1536x1024.jpg 1536w, https:\/\/www.madsen.de\/wp-content\/uploads\/2023\/06\/kieferorthopaede-madsen-mannheim-0097.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Manual examination of the jaw joint: usually sufficient to diagnose \u201cjaw clicking\u201d \u2013 this does not require computer-controlled jaw measurement or magnetic resonance imaging.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa755bb elementor-widget elementor-widget-text-editor\" data-id=\"fa755bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Diagnostics of Jaw Clicking<\/h2><p>Jaw clicking can be diagnosed with a high degree of certainty manually, i.e., with the hands. The examiner&#8217;s hand placed on the angle of the jaw feels the clicking. Experienced examiners can feel how the disc moves up onto the joint head and back down again.<\/p><p>The ultimate proof of an anterior disc position can be provided by magnetic resonance imaging, but this imaging is usually unnecessary because it has no therapeutic consequences. Other imaging techniques such as X-rays are of no help because they only show bones, not soft tissue. This also applies to digital volume tomography (DVT) and especially to computer-controlled jaw measurements \u2013 these are all unnecessary measures!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-615ceb8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"615ceb8\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-cb5b635\" data-id=\"cb5b635\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-04f7a4c elementor-widget elementor-widget-image\" data-id=\"04f7a4c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.madsen.de\/wp-content\/uploads\/elementor\/thumbs\/mrt-kiefergelenk-qq9i59icvddwbuqnqt28wmhf9zxr6ume9uytyue3nk.png\" title=\"mrt-kiefergelenk\" alt=\"MRT des Kiefergelenks (Ausschnitt): bei \u201eKieferknacken\u201c als einzigem Symptom \u00fcberfl\u00fcssig!\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">MRI of the temporomandibular joint (detail): unnecessary if \"jaw clicking\" is the only symptom.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-878f20d\" data-id=\"878f20d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b15e1f elementor-widget elementor-widget-image\" data-id=\"2b15e1f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.madsen.de\/wp-content\/uploads\/elementor\/thumbs\/panoramaroentgen-kiefergelenk-qq9i56ouava1d0ur79ud7571hubnjrb79h0dj0ia68.png\" title=\"panoramaroentgen-kiefergelenk\" alt=\"Panoramar\u00f6ntgen des Kiefergelenks (Ausschnitt): zeigt nur grobe kn\u00f6cherne Ver\u00e4nderungen und hat meist wenig Nutzen zur Gelenksdiagnostik\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Panoramic X-ray of the temporomandibular joint (detail): only shows rough bone changes and is usually of little use for joint diagnostics.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a935682 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a935682\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-0992061\" data-id=\"0992061\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4fa7f79 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"4fa7f79\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Therapy for Cracking is Superfluous<\/h2><p>Unfortunately, many doctors exploit the existence of a harmless &#8220;jaw cracking&#8221; to frighten patients with gloomy prognoses and at the same time offer expensive and pointless &#8220;therapies&#8221; for the supposed illness. This approach is simply the invention of diseases as a business model, known as &#8220;disease mongering&#8221;.<\/p><p>The superfluous therapies range from complex splint therapies, which are charged at several \u20ac1,000, to the prosthetic treatment of complete dental arches with crowns or &#8220;tabletops&#8221;, where \u20ac30,000 is charged per jaw. In terms of cost, there are adventurous orthodontic &#8220;repositioning therapies&#8221; in between, which are intended to restore the ideal relationship between the temporomandibular joint head and the discus.<\/p><p>Unfortunately, even surgical repositioning of the disc (known as discopexy) is still occasionally offered today, despite the high risks involved, such as damage to the facial nerve (N. facialis). What all these therapies have in common is that they are highly invasive, stressful, and expensive, but have no proven benefits.<\/p><p>On the contrary, a targeted therapeutic influence on &#8220;jaw popping&#8221; is not even possible. In the rare cases in which the clicking is so loud that it is disruptive in social life, a minimally invasive surgical procedure on the temporomandibular joint (arthroscopy or arthrocentesis) can bring improvement under favourable circumstances, although success cannot be guaranteed.<\/p><p>While most &#8220;cracking therapies&#8221; are as superfluous as they are pointless, therapeutic help for pain and restricted movement that may exist at the same time is of course useful. The principles of non-invasive, reversible and cost-effective apply here &#8211; or in short: keep your head down.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5f66f13 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5f66f13\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-43d31bd\" data-id=\"43d31bd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3e766f7 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"3e766f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Radiological reports following MRIs of cracking temporomandibular joints often contain dramatic-sounding findings such as \u2018subchondral resorption lacunae\u2019, \u2018joint space on the right narrowed by 0.4 mm\u2019 or \u2018arthrotic remodelling of the temporomandibular joint heads\u2019. Such findings are all to be understood as variations of the normal rather than as signs of disease. The term \u2018internal derangement\u2019 of the temporomandibular joints, followed by a grading from I to V, sounds particularly frightening. This simply describes how far the discus deviates forward from its ideal position &#8211; however, this does not mean that there is a disease or that the prognosis is poor. \u2018Internal derangement grade IV\u2019 is therefore by no means a threatening finding, as the temporomandibular joint usually continues to function without complaint even with a total disc displacement. Those affected with a \u2018cracking jaw\u2019 should therefore not be impressed by such reports.<\/p><p>Unfortunately, certain radiological practices with a large catchment area are making a name for themselves here. In this respect, a large radiological practice in Frankfurt am Main, which willingly provides gloomy-sounding diagnostic reports and thus gives referring doctors a pretext for unnecessary treatment &#8211; it seems to be a lucrative barter deal for both sides.<br \/>The greatest scepticism should also be shown towards the many medical statements on the internet about jaw cracking, whereby the recurring basic pattern is the creation of a threatening backdrop in connection with questionable therapy offers.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0f40e16\" data-id=\"0f40e16\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-12b9fa6 elementor-widget elementor-widget-image\" data-id=\"12b9fa6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.madsen.de\/wp-content\/uploads\/2025\/08\/madsen-kiefergelenk.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-description=\"Darauf l\u00e4uft es beim \u201eKieferknacken\u201c meist hinaus, wenn es fair zugeht: Aufkl\u00e4rung \u00fcber die Harmlosigkeit, vielleicht ein paar Tips zum Umgang \u2013 aber keine weitere Diagnostik oder gar Therapie \" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTkyNDIsInVybCI6Imh0dHBzOlwvXC93d3cubWFkc2VuLmRlXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDI1XC8wOFwvbWFkc2VuLWtpZWZlcmdlbGVuay5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"682\" height=\"1024\" src=\"https:\/\/www.madsen.de\/wp-content\/uploads\/2025\/08\/madsen-kiefergelenk-682x1024.jpg\" class=\"attachment-large size-large wp-image-19242\" alt=\"Darauf l\u00e4uft es beim \u201eKieferknacken\u201c meist hinaus, wenn es fair zugeht: Aufkl\u00e4rung \u00fcber die Harmlosigkeit, vielleicht ein paar Tips zum Umgang \u2013 aber keine weitere Diagnostik oder gar Therapie\" srcset=\"https:\/\/www.madsen.de\/wp-content\/uploads\/2025\/08\/madsen-kiefergelenk-682x1024.jpg 682w, https:\/\/www.madsen.de\/wp-content\/uploads\/2025\/08\/madsen-kiefergelenk-200x300.jpg 200w, https:\/\/www.madsen.de\/wp-content\/uploads\/2025\/08\/madsen-kiefergelenk-768x1152.jpg 768w, https:\/\/www.madsen.de\/wp-content\/uploads\/2025\/08\/madsen-kiefergelenk-1024x1536.jpg 1024w, https:\/\/www.madsen.de\/wp-content\/uploads\/2025\/08\/madsen-kiefergelenk.jpg 1333w\" sizes=\"(max-width: 682px) 100vw, 682px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">That's what \u201cjaw cracking\u201d usually boils down to when it's done fairly: information about its harmlessness, perhaps a few tips on how to deal with it\u2014but no further diagnosis or even therapy.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-6eb9007 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"6eb9007\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Beware of Misinformation!<\/h2><p>Unfortunately, the internet is full of misleading information about \u2018jaw cracking\u2019. This starts with speculative statements about the causes of the clicking or the anterior disc position. In fact, these are generally unknown and, incidentally, completely irrelevant for further treatment.<br \/>All statements about the danger and need for treatment of cracking should not be taken seriously. All therapy offers for cracking are fundamentally questionable, as there are no possibilities at all to specifically influence cracking. Statements such as \u2018Get rid of jaw popping &#8211; once and for all!\u2019 and \u2018Jaw popping &#8211; a treatable disorder\u2019, which give the impression that great masters of the trade can reverse the anterior discus position, are therefore also <strong>dubious<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-96c8def elementor-widget elementor-widget-text-editor\" data-id=\"96c8def\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Tip for People with Temporomandibular Joint Clicking<\/h2><p>Above all, resist the whispers of enterprising doctors and under no circumstances have expensive and invasive therapies performed because of a trivial &#8220;jaw clicking&#8221;! Computer measurements should be avoided, as well as MRI examinations, both of which are basically not useful in the case of a jaw clicking as the only finding.<\/p><p>Justifiable indications for an MRI are severe pain in the temporomandibular joint that does not respond to usual therapy or the planning of an operation. However, both of these occur extremely rare.<\/p><p>In the case of a simple &#8220;jaw crack&#8221; without pain and movement restrictions, neither in-depth <a title=\"Diagnostics\" href=\"https:\/\/www.madsen.de\/en\/diagnostics\/\">diagnostics<\/a> nor any therapy is required &#8211; <strong>do nothing and let it crack is the best strategy!<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Clicking of the Jaw is not an Illness What is colloquially referred to as &#8220;jaw cracking&#8221; is actually a noise produced by the temporomandibular joint. Like many other joints in the human body, the temporomandibular joints can develop noises. The most common is a cracking sound when the jaw opens. Cracking of the temporomandibular joints [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18003,"parent":11111,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-11229","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/pages\/11229","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/comments?post=11229"}],"version-history":[{"count":95,"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/pages\/11229\/revisions"}],"predecessor-version":[{"id":19662,"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/pages\/11229\/revisions\/19662"}],"up":[{"embeddable":true,"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/pages\/11111"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/media\/18003"}],"wp:attachment":[{"href":"https:\/\/www.madsen.de\/en\/wp-json\/wp\/v2\/media?parent=11229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}