A Voice Teacher’s Guide to Temporomandibular Disorders

Have you or your singing students ever experienced jaw pain or tension during or after singing? This class is for you!

Temporomandibular Disorders are characterized by pain and functional limitations affecting the temporomandibular joints and surrounding structures. While this group of disorders is prevalent, conversations with voice teachers, voice pedagogy literature, and social media all suggest an incomplete understanding of TMDs among voice teachers and singers.

The purpose of this class is to outline a practical, science-based guide to Temporomandibular Disorders that would be relevant to singing and applicable for the voice teaching studio.

The class will begin with an overview of the anatomy and pathophysiology of the TMJ from the perspective of the biopsychosocial medical model and a summary of the literature describing the relationship between TMDs and the voice. How do TMDs affect the voice? What causes TMDs in singers? Does singing make TMDs worse? How can the singer mitigate the impact of TMDs?

We will then continue the discussion from the perspective of what to do as a voice teacher if you suspect your student may have a TMD. Topics include how to screen for a TMD, the voice teacher's role in diagnosis and management of TMDs, considerations for voice teacher response, and recommendations for adaptations in the voice studio.

The lecture portion of the class will conclude with a summary of major takeaways for voice teachers and a discussion of possible areas for future research.

There will also be a hands-on portion of the class, during which we will learn and practice an array of possible functional and vocal exercises that the voice teacher may offer for management of TMDs in singing. 10 minutes at the end of class will be reserved for question and answer.