There are many causes of TMJ disorders including traumatic injury to the chin, jaw, or TMJ itself, missing back teeth, and/or poor alignment of the jaws, poor alignment of the teeth, arthritis, stressful situations, normal tooth wear over time, or poor dental treatment that adversely affected the bite to a more open or closed position than normal. These disorders often lead to clenching of the teeth during the day and grinding of the teeth while sleeping (bruxism), which in turn causes a great deal of damage to the teeth and the TMJ itself. Failure to treat TMJ dysfunction early on can lead to serious damage of the joint and possible need for surgical intervention.