TMJ

TMJ (temporomandibular joint) disorders are a family of problems related to your jaw joint. If you have had symptoms like pain or a “clicking” sound, you’ll be glad to know that these problems are more easily diagnosed and treated than they were in the past. These symptoms occur when the joints of the jaw and the chewing muscles do not work together correctly. TMJ stands for temporomandibular joint, which is the name for each joint (right and left) that connects your jaw to your skull. Since some types of TMJ problems can lead to more serious conditions, early detection and treatment are important.

No one treatment can resolve TMJ disorders completely and treatment takes time to become effective. Dr. Urbanek can help you have a healthier, more comfortable jaw.

Trouble with your jaw?

TMJ disorders develop for many reasons. You might clench or grind your teeth, tightening your jaw muscles and stressing your TM joint. You may have a damaged jaw joint due to injury or disease. Injuries and arthritis can damage the joint directly or stretch or tear the muscle ligaments. As a result, the disk, which is made of cartilage and functions as the “cushion” of the jaw joint, can slip out of position. Whatever the cause, the results may include a misaligned bite, pain, clicking, or grating noise when you open your mouth, or trouble opening your mouth wide.

Ready to schedule a consultation with Dr. Urbanek?

Call our office at Brentwood Office Phone Number 615-771-1983 or request an appointment online.

Do You Have a TMJ Disorder?

  • Are you aware of grinding or clenching your teeth?
  • Do you wake up with sore, stiff muscles around your jaws?
  • Do you have frequent headaches or neck aches?
  • Does the pain get worse when you clench your teeth?
  • Does stress make your clenching and pain worse?
  • Does your jaw click, pop, grate, catch, or lock when you open your mouth?
  • Is it difficult or painful to open your mouth, eat, or yawn?
  • Have you ever injured your neck, head, or jaws?
  • Have you had problems (such as arthritis) with other joints?
  • Do you have teeth that no longer touch when you bite?
  • Do your teeth meet differently from time to time?
  • Is it hard to use your front teeth to bite or tear food?
  • Are your teeth sensitive, loose, broken or worn?

The more times you answered “yes”, the more likely it is that you have a TMJ disorder. Understanding TMJ disorders will also help you understand how they are treated.

TMJ Treatment

There are various treatment options for TMJ that Dr. Urbanek can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, Dr. Urbanek will determine the proper course of treatment. It is important to note that treatment always works best with a team approach of self-care combined with professional care.

The initial goals are to relieve the muscle spasms and joint pain. This is usually accomplished with a pain reliever, anti-inflammatory, or muscle relaxant. Steroids can be injected directly into the joints to reduce pain and inflammation. Self-care treatments can often be effective as well and include:

  • Resting your jaw
  • Keeping your teeth apart when you are not swallowing or eating
  • Eating soft foods
  • Applying ice and heat
  • Exercising your jaw
  • Practicing good posture

Stress management techniques such as biofeedback or physical therapy may also be recommended, as well as a temporary, clear plastic appliance known as a splint. A splint (or nightguard) fits over your top or bottom teeth and helps keep your teeth apart, thereby relaxing the muscles and reducing pain. There are different types of appliances used for different purposes. A nightguard helps you stop clenching or grinding your teeth and reduces muscle tension at night. It also helps to protect the cartilage and joint surfaces. An anterior positioning appliance moves your jaw forward, relieves pressure on parts of your jaw, and aids in disk repositioning. It may be worn 24 hours/day to help your jaw heal. An orthotic stabilization appliance is worn 24 hours/day, or just at night, to move your jaw into proper position. Appliances also help protect tooth wear.

What about bite correction or surgery?

If your TMJ disorder has caused problems with how your teeth fit together you may need treatment such as bite adjustment (equilibration), orthodontics with or without jaw reconstruction, or restorative dental work. Surgical options, such as arthroscopy and open joint repair restructuring, are sometimes needed, but are reserved for severe cases. Dr. Urbanek does not consider TMJ surgery unless the jaw can’t open, is dislocated and non-reducible, has severe degeneration, or the patient has undergone appliance treatment unsuccessfully.

Ready to schedule a consultation with Dr. Urbanek?

Call our office at Brentwood Office Phone Number 615-771-1983 or request an appointment online.

Anthony P. Urbanek, DDS, MS, MD

5 out of 5 stars based on 286 TMJ reviews.

Our Latest Patient Testimonial

I was diagnosed with TMJ at 10 years old and over the years have been through multiple plastic mouth night guards. I was sent to Dr. Urbanek early this year to try and help with my TMJ. When I started my treatment with Dr. Urbanek I was miserable. I had a headache almost daily, shoulder pain, neck pain, ringing in my ears, jaw pain so bad that I couldn’t eat some days and tingling in my fingers. After wearing my splint As directed, I now have no headaches in the mornings and my neck and shoulder pain along with the ringing in my ears is almost completely gone! The tingling is better and I can eat what I want without hurting! I highly recommend Dr. Urbanek and his device for TMJ .

- Brandy R

5 out of 5 stars on

Our Latest Patient Testimonial

Great results! Pain free after years of torment. Very caring staff great to work with. I would recommend Dr Urbanek!

- Tanya H

5 out of 5 stars on

Our Latest Patient Testimonial

I came in with dizziness and ringing in my ears. I had been told back in 2009 by another doctor that there’s no cure, that they could not do anything for the ringing in my ears it’s just getting older. I was sent to Dr. Urbanek by my ENT for TMJ. I needed a new mouthpiece. I came in April 2019 and I learned about the Urbanek device. I have improved each time I came in for my checkups. My experience with Dr. Urbanek and his staff has been wonderful. I’m getting better each day. The ringing in my ears is slowly disappearing. My headaches have gone. It’s great! Thank you to all at Dr. Urbanek’s office.

- Brenda N

5 out of 5 stars on

Our Latest Patient Testimonial

Dr Urbanek’s device is amazing! I have struggled with TMJ pain for 30 years or more. Four months of using the appliance and I am pain free. No more pain when chewing and I can eat what I want, apples, corn on the cob etc, . But best of all is no more jaw pain. It is definitely worth the effort. My sister recommended Dr. Urbanek. She had the same great results.

- Deana C

5 out of 5 stars on

Our Latest Patient Testimonial

I have suffered with jaw pain on and off for 20 years, with a significant increase in pain which brought me to Dr. Urbanek. I was provided a TMJ Splint and within 3 weeks I feel so much better. My pain has improved by 80 percent. The office staff is friendly and helpful. Dr. Urbanek is detailed and concise. Would 100% recommend

- Jennifer G

5 out of 5 stars on

Our Latest Patient Testimonial

I have been having jaw problems for about 4 years. It started off with just pain when I opened my mouth, then it got to where it was hard to get my mouth opened all the way. Eventually it got to the point where I couldn’t open my mouth all the way at all, only half way. I came to Dr. Urbanek and he gave me the splint, and after wearing it for just a week I was able to open my mouth all the way. 4 months later and 100% of the pain is gone.

- Sophie G

5 out of 5 stars on

Our Latest Patient Testimonial

An inflamed jaw joint added to the stress of life. Even 10 years after TMJ surgery, the pain was only increasing. The Urbanek device has helped me accomplish my goal: pain management. I know there is a long road ahead and more to do, but the Urbanek device has been the biggest stepping stone, my biggest win in my journey yet. Thanks, Dr. Tony for your help, sense of humor, and helping me reach my goals.

- Rachel M

5 out of 5 stars on

Our Latest Patient Testimonial

For years I’ve had an array of symptoms ranging from headaches to stiffness in my neck and shoulders to pain in my jaw and more. I thought there might be the chance I was experiencing some jaw issues, but after speaking with Dr. Urbanek he confirmed it. He noticed my jaw joint was inflamed and recommended I purchase a mouth guard. The device is definitely not cheap, but it’s been the best long term investment I’ve made in a long time. After just a few months of wearing the device, my symptoms have almost all disappeared. I’m completely satisfied and so excited to simply live my life without all these issues literally on my jaw joint.

- Toni B

5 out of 5 stars on

Our Latest Patient Testimonial

I dealt with symptoms for over 12 years including headaches, pain, dizziness, jaw locking, tingling fingers and more. Doctor after Doctor misdiagnosed me and placed me on medication, physical therapy and test after test. After mentioning my struggle in passing to my Dentist she referred me to Dr Urbanek and he discovered my jaw growth problem that causes these symptoms. After using the device for just two months I already noticed a significant reduction in my pain and symptoms have decreased. Thanks Dr Urbanek!

- Scot R

5 out of 5 stars on

Our Latest Patient Testimonial

When I first came to see Dr.Urbanek I had horrible pain in my left ear area. I was also having popping and my jaw would feel out of line. I had headaches and neck/shoulder pain. After I had my device within a week the pain started going away. I am now 2 months out and have no pain at all. I am so thankful my dentist recommended I see Dr. Urbanek.

- Brooke P

5 out of 5 stars on

Our Latest Patient Testimonial

Throughout my life, I’ve had bad migraines and, recently, I have developed significant jaw pain, ear fullness, and neck pain. This splint changed my life! It helped me tremendously with my pain and now, my symptoms are almost gone! If you are considering getting this splint, I highly recommend you do!

- Katie S

5 out of 5 stars on

Our Latest Patient Testimonial

I came to Dr. Urbanek after suffering with ear and jaw issues for over a year. I could barely hear out of one ear, it stayed “full” feeling, and nothing seemed to help. I also have had jaw issues for at least 10 years, audible popping when eating, pain, locking up, etc. The most recent issue was that I could not open my mouth fully. I also had numerous symptoms that I did not know were related to my jaw, including waking up with my right hand completely numb a lot of morning and having issues sleeping at night. Once I received the device, the first thing I noticed was a decrease in the fullness in my right ear and my ability to hear plainly out of it. The next was the ability to open my mouth more widely. I’ve been wearing the device for several months now, over this time span I have only woke up with numb hands twice (which is a tremendous decrease), my jaw only pops/locks if I yawn widely (and not every time), my jaw pain is basically nonexistent, and my ear issues are probably 85% better. This device has definitely been worth every last penny, and the almost 2 hour drive to see Dr. Urbanek!

- Shawna R

5 out of 5 stars on

Our Latest Patient Testimonial

I was in terrible pain before I came to Dr. Urbanek,he has helped me tremendously with the device he prescribed me .

- Sydney S

5 out of 5 stars on

Our Latest Patient Testimonial

About 6 years ago, I started experiencing headaches, pain in neck, fullness in ears, constant sinus infections, and some jaw discomfort. I had been to doctor after doctor, but could not find any answers as to why these issues were not going away. I had taken all the antibiotics and steroids known to man, but they only helped temporarily. I was then referred to Dr. Urbanek. After consulting with Dr. Urbanek, we came to the conclusion that my issues had stemmed from a car wreck. No one (including me) had even thought that these issues could have came from an accident. Now after 6 weeks of treatment, I am feeling so much better. I am not experiencing any of the symptoms that I was feeling before. Thank you Dr. Urbanek for what you do!

- Leisa A

5 out of 5 stars on

Our Latest Patient Testimonial

I started with my right side jaw hurting when I chew. It also hurt when I yawn. I came to see Dr. Urbanek He done a fitting for my mouth and I had to wear a guard for twenty four seven for two months. It has really helped my jaw as for eating and yawning also sleeping I didn’t have the pain anymore. It was a little different with this guard in my mouth as for talking but I gradually got used to it. Thanks

- Judith C

5 out of 5 stars on

Our Latest Patient Testimonial

Had jaw pain for 6 years and never realized it could be cured! I had always assumed it was just a part of life and everyone had to deal with it. Boy was I wrong! Dr. Urbanek and his device really changed my life and my symptoms have gone away full fold! Forever grateful for him and his staff.

- Abbie M

5 out of 5 stars on

Our Latest Patient Testimonial

During my entire adult life, I constantly suffered from headaches, neck pain, and back aches. I thought it was just part of life and took ibuprofen daily. Today, I am 100% better. I have no pain, no headaches, and I don’t depend on ibuprofen to get through the day. I never would have thought all these symptoms were a result of my TMJ issues. I thought in order to fix my TMJ problems I would have to get surgery. Dr. Urbanek’s device has changed my life for the better and I can’t be more thankful. This pain is no longer a part of my daily life and this has greatly improved my quality of life. This was the best money I’ve ever spent.

- Cassandra M

5 out of 5 stars on

Our Latest Patient Testimonial

A couple months ago I had jaw locking, neck pain, headaches, arm numbness, and muc more. I didn’t know what was causing it. My parents researched around and thought it might be TMJ (my grandma also has it). We came to Dr. Urbanek and he told me that it was indeed TMJ. I got the device which totally cleared most of not all of my symptoms in just a little over a month.

- Ella G

5 out of 5 stars on

Our Latest Patient Testimonial

Was having sever earaches and headaches.For several months and many Dr visits,I was recommended to go to Dr.Urbanek. He has treated me for TMJ .Within 2 month I was 95 % better. This has been the best option for Me.Yes I recommend this treatment for anybody that is suffering from TMJ.

- James W

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Urbanek has changed my life. My jaw constantly popped and hurt and I thought it would be something I’d have live with forever. I’m so ecstatic to say my TMJ is gone. If you want God to heal you, well he’s using Dr. Urbanek. Lisa S.

- Lisa S

5 out of 5 stars on