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 314 TMJ reviews.

Our Latest Patient Testimonial

I am able My pain has improved 95% and my jaw is feeling much better so glad I came for my 1st visit and continue to come for better quality of life I

- Theresa H

5 out of 5 stars on

Our Latest Patient Testimonial

After going to many dentists, and oral surgeons without relief, I decided to see Dr. Urbanek at the recommendation of a friend. I was hesitant, but decided I had nothing left to lose. I had suffered for years with headaches, neck pain, and had started having earaches and occasional dizziness. The popping of my jaw was becoming louder and so embarrassing anytime I ate. Dr. Urbanek recommended using the splint as I was a prime candidate. I must admit it was slow going, but after 3-4 months my relief was so much better. I can now say that I am so very happy to have made the decision to see Dr. Urbanek. I rarely have the popping in my jaw, and all my symptoms are just improving more each day. I just can’t say thank you enough.

- Heather R

5 out of 5 stars on

Our Latest Patient Testimonial

Before I tried Dr. Urbanek’s TMJ Splint, I experienced frequent headaches/migraines, neck pain, some jaw pain, and nausea for years. In just a few weeks of wearing the splint, my symptoms have decreased and I no longer have to dread the symptoms anymore! I no longer have to worry about when I am going to “be sick” and have a much better quality of life!

- Allison B

5 out of 5 stars on

Our Latest Patient Testimonial

I have had ringing in both ears for many, many years. When the shooting pain started about three years ago it was time to do something about it. After several visits to other “TMJ” specialists, with no results, I made an appointment with Dr. Urbanek. That was in May 2019. In June I received my appliance. It made a HUGE difference in just a few weeks. I highly recommend Dr. Urbanek. I’m certain you’ll wonder why you waited so long.

- Cathy D

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Urbanek has really helped me over the last eight months. I had every symptom under the sun with TMJ and the pain and irritation was heavily affecting my everyday life. He fit my for a splint and after some trial and error it’s working perfectly! For the first time in many many years I’m 75% symptom free. No headaches, pain, chewing issues, neck pain, ear aches or swelling. Yes they still come and go but not as horrible. The splint was difficult at first but now that I’ve used it every night and got it to fit perfectly, it’s been a life saver! I’m very grateful for the progress I have made with this device and for Dr. Urbanek’s help.

- Kacy P

5 out of 5 stars on

Our Latest Patient Testimonial

Dr Urbanek and his office staff have been a blessing! With 25+ years of ear pain and headaches from my teeth clenching , I have finally found relief. I’m so grateful to Dr Urbanek and will recommend him to everyone with these issues!

- Glenda T

5 out of 5 stars on

Our Latest Patient Testimonial

I had TMJ for 16 months and visited multiple doctors who were unable to even diagnose me. I finally visited Dr. Urbanek who not only diagnosed me but helped me understand that my symptoms are normal and treatable. He provided me with the stint and ever since then my symptoms have decreased rapidly and my jaw is back to normal. Dr. Urbanek and all of the clinic staff are extremely friendly and always willing to help.

- Brenda K

5 out of 5 stars on

Our Latest Patient Testimonial

Fantastic experience! I am a sophomore at Auburn University and a very stressed out person. Just before my freshman finals I started to feel pain in my jaw, ears, locking, more than normal. Before I could handle it with aleve and be fine. I ended up around finals taking four aleve a day and still barely having relief. I would take the aleve and only eat soft foods for a month before I went to the doctor. I went to multiple doctors and got minor procedures done and many mouth guards but nothing was working. Finally, I got to the point where the next step was a condylotomy which no one was a fan of due to the procedure and recovery while at college. I decided to find a second opinion and Dr. Urbanek come highly recommended so I made an appointment. He was very kind and knowledgeable. The next thing I knew there was a way to fix my jaw through the simple device. No major surgeries. 6 weeks after wearing the device 24/7, 95% of my symptoms were gone! Highly recommend.

- Caroline H

5 out of 5 stars on

Our Latest Patient Testimonial

So thankful to have found relief from so many different issues and symptoms related to my jaw joint problem! The clogged ears, headaches, neck and shoulder pain etc has diminished greatly. Thanks to Dr Urbanek for this splint that ultimately has led to relief!

- Shelly W

5 out of 5 stars on

Our Latest Patient Testimonial

I started having issues with TMJ and made an appointment with Dr. Urbanek. The splint works as it should and my pain has gone away completely. I’m very happy with the results and highly recommend and encourage anyone having pain with TMJ to make the call.

- Tim S

5 out of 5 stars on

Our Latest Patient Testimonial

At first I was sceptical that such a device would actually solve my TMJ issues. I had horrible headaches and thought they were migraines, I ground my teeth horribly when I slept and I had 10 year history of jaw locking on a daily basis. After about 2 months I began to see significant improvements and almost total improvement after 4 months. Trust the process- it works!

- Andrea W

5 out of 5 stars on

Our Latest Patient Testimonial

For many years I have suffered with severe pain due to TMJ. I didn’t know what was going on until recently when visiting my dentist. His office referred me to Dr Urbanek and it has truly been a relief getting help with the pain. My pain dissipated within a two week period and continues to heals. I am glad I was introduced to to this treatment because it has made life so much better. I would recommend this treatment to anyone suffering with mouth pain due to TMJ.

- Donna L

5 out of 5 stars on

Our Latest Patient Testimonial

I have suffered with TMJ for 20 years. I had TMJ surgery in 2012 by another doctor. My mouth was wired shut for 30 days . The symptoms came back after 9 months. Dr. Urbanek treatment fixed my symptoms in 4 months without surgery and painful rehabilitation. I recommend his approach to anyone suffering with jaw pain. I wish I knew about his approach 20 years ago. Thanks Dr. Urbanek

- Undra M

5 out of 5 stars on

Our Latest Patient Testimonial

I came to Dr Urbanek with severe pain under my right ear , cracking sounds, unable to open my mouth wide enough to eat properly. I could not yawn or sneeze without pain. My lower jaw was out of joint. With the appliance that I received, I now manage my TMJ quite well. I watch what I eat..limit chewing and open my mouth carefully. I am having very little pain.

- Obera C

5 out of 5 stars on

Our Latest Patient Testimonial

Very good doctor and staff highly recommended

- Shannon Jones M

5 out of 5 stars on

Our Latest Patient Testimonial

I’ve suffered migraines and intense jaw pain for 15 years. I lost my left side molar from grinding my teeth. That lead to the cracking of the tooth and an abscess and painful extraction. Dr. Urbanek cleared up my symptoms in 3 weeks.

- Jacqualine W

5 out of 5 stars on

Our Latest Patient Testimonial

The Urbanek splint has provided relieved to my TMJ problems. I would grind my teeth at night without realizing it and over the last 2 years it had gotten worse. I had jaw pain, popping and neck stiffness. I tried everything. A night guard from my dentist , chiropractor, massage therapist and even Botox. While some relief occurred and the Botox made me look younger nothing took away the symptoms and pain like the Urbanek device. I highly recommend you give this a try. The doctor and his staff are second to none.

- Matthew L

5 out of 5 stars on

Our Latest Patient Testimonial

I suffered from jaw pain, headaches, neck issues for 4 years. It got to the point where if was affecting me every day. I did all kinds of stretches, yoga, relaxation and it wasn’t helping. Someone told me about Dr Urbanek and I researched him in his website. There were so many people with symptoms just like mine that I made an appointment immediately. After receiving my mouth piece I have had zero headaches and jaw pain. I can’t express how relieved I am. Thank you Dr. Urbanek!

- Carrie H

5 out of 5 stars on

Our Latest Patient Testimonial

5 years of unbelievable pressure and pain and I’ve finally gotten relief. Dr Urbanek and this mouth piece have changed my life.

- Haley A

5 out of 5 stars on

Our Latest Patient Testimonial

In just 3 weeks 90% of my symptoms are gone. I feel so much better and my day to day activities go so much better without the constant headaches and dizziness. I’m just thankful I didn’t delay getting this treated.

- Megan H

5 out of 5 stars on