TMJ

TMJ informationTMJ (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.

Do You Have Jaw Pain You Think May be TMJ?

Schedule a TMJ evaluation with Dr. Urbanek.


Brentwood Office Phone Number 615-771-1983 Book 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 524 TMJ reviews.

Our Latest Patient Testimonial

Before I came to Dr. Urbanek, I was always told that I had a bad inner ear infection. I never know that I had TMJ. I have had bad headaches and neck pain. I had to wear my device for about 3 months all day long. I didn’t think it was going to work. I had a hard time with it but I made it work. When I tell you I could tell a difference around the 3 month, I so glad that I came and got my device. Now I’m wearing it only at night time but I find myself might having to put it in something doing the day. I want to Thank Dr. Urbanek for listening and helping me with my problem.

- Janice L

5 out of 5 stars on

Our Latest Patient Testimonial

I had been suffering with headaches, nausea, jaw pains, and what we thought were ear infections for a long period of time. After severe ear pains my doctor decided that I should see the ear nose throat specialist. All test came back great and they felt it could be TMJ so they sent me to see Dr. Urbanek. I didn’t know what to expect but Dr. Urbanek assured me that he would do everything he could to provide me the relief that I deserved. He listened to all my complaints and was so very caring and assuring that he could help me. I felt his genuine concern for my well being. Since receiving my device I have experienced a complete change in my life. I no longer wake up in pain and I’m able to enjoy life and my family without constant pain. I’m truly grateful that God placed Dr. Urbanek and this treatment into my life. I feel like I have life again.

- LeQuita H

5 out of 5 stars on

Our Latest Patient Testimonial

I was having problems with excruciating pain in my right jaw with headaches, and ear aches. My dentist referred me to Dr Urbanek and he diagnosed TMJ. I have been wearing my retainer for less than 3 weeks and I have had no pain since. It is simply amazing.

- Pamela C

5 out of 5 stars on

Our Latest Patient Testimonial

I was experiencing pain and inflammation in my left temple and jaw. I learned I was bitting down at night when I was sleeping. I traveled 3 hours to get here to have my TMJ addressed because it was pretty bad. I am at my 6 or 7 week marker and I feel much more relaxed and my inflammation has reduced at least 85 to 90 percent. The pain is almost completely gone. Thank you for helping me overcome my TMJ! You guys Rock!!!

- JoAnn K

5 out of 5 stars on

Our Latest Patient Testimonial

I was referred to Dr Urbina when my night guard was not resolving my grinding problems and 2 rounds of pain medication and muscle relaxers would not get my temporal mandibular joint pain to subside. I was grinding so hard that I was grinding though my night guard material. After 2 night guards in 3 years and 3 cracked molars from extensive grinding it was time for a new approach. The TMJ splint has helped me to rest easier and carry on with every day life. Whenever I do feel a bit of jaw pain (due to monthly hormonal changes) I simply wear my TMJ splint longer during the day and the symptoms subside.

- Cristina A

5 out of 5 stars on

Our Latest Patient Testimonial

I was having horrible headaches, jaw pain, neck pain, vertigo, and shoulder pain. My dentist Dr. Nelson Wilson sent me to Dr. Urbanek and on the first visit I explained all my symptoms and got fitted for a mouth piece to wear 24/7. It’s amazing! I wear it everyday and at night and all my symptoms are gone. The worst was the headaches and jaw pain. So thankful for Dr. Urbanek!

- Donna M

5 out of 5 stars on

Our Latest Patient Testimonial

I questioned wether this device would help or not but I’m glad I gave it a shot as I saw pain relief in just a few weeks. I recommend this device to anyone with TMJ.

- Alec P

5 out of 5 stars on

Our Latest Patient Testimonial

I was suffering with a consent ear aches and jaw pain for months. I tried heating pads, Advil and massage with nothing but temporary relief. After a consultation with Dr. Urbina he identified my TMJ and the cause. After wearing the device for about 6 weeks I saw 85-90% reduction of pain and symptoms. I only wish I had seen him sooner.

- David Baker E

5 out of 5 stars on

Our Latest Patient Testimonial

I awoke one morning a year ago unable to open my mouth more than around 25% of the normal amount. Trying to open it any wider resulted in pretty severe pain. I scheduled an appointment with Doctor Urbanek and was treated with a small mouth appliance, much like a retainer, that I wore constantly for a few months, and then only while sleeping. Gradually it freed up my jaws and allowed full opening of my mouth. The pain also subsided fairly quickly. I would recommend this to anyone suffering with TMJ. Now I am back to normal! Thanks Doctor Urbanek

- Jerry B

5 out of 5 stars on

Our Latest Patient Testimonial

My TMJ was first diagnosed in 2010; with the help of an upper appliance that Dr. Urbanek had specifically made for me, I do not have the terrible headaches and I am actually able to fully lay down to sleep without headaches. I would highly recommend that you seek the help of Dr. Urbanek in treating your TMJ.

- Glenda H

5 out of 5 stars on

Our Latest Patient Testimonial

Before I started using this device I had a lot of pain that was concentrated mostly on the right side of my face. All the way from my head to the middle of my shoulders. It was a lot and I was just constantly in pain. I ended up coming and getting this device that was said to help with my symptoms. It worked very well even within the first few weeks. I saw great improvement after just the first week. Finally, I was not in pain all the time. It was one of the best decisions I’ve ever made and I would do it again if given the choice.

- Olivia S

5 out of 5 stars on

Our Latest Patient Testimonial

This gave me my life back.

- Amber C

5 out of 5 stars on

Our Latest Patient Testimonial

The TMJ splint has helped my morning headaches and other symptoms associated with TMJ. I recommend getting the splint 110%!!

- Paige J

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Urbina has been so helpful to me during my journey of relieving the jaw pain that I have been experiencing. When I first visited the office, I was somewhat uncertain about how successful the Urbanek splint would be. I wore it as directed, and with much relief it has been very effective at helping my jaw pain. I would recommend anyone experiencing similar symptoms to me to give the Urbanek device a chance!

- Lauren B

5 out of 5 stars on

Our Latest Patient Testimonial

I have had ear, jaw and neck pains for above thirty years and have been to several doctors and dentists and non of them diagnosis my problem! On my first visit to Dr. Urbanek, he told me I had TMJ and fitted me with an appliance. After wearing the appliance for about two months, twenty-four hours a day, my pains are seventy- five percent gone! Thank you Dr Urbanek!

- Ola M

5 out of 5 stars on

Our Latest Patient Testimonial

I had started to notice many headaches. We went in to look into TMJ and that listed so many other symptoms I had no idea were being caused. Fast forward 5 months and almost all of my symptoms have gone down or gone fully away.

- Anna S

5 out of 5 stars on

Our Latest Patient Testimonial

I was diagnosed over 30 years ago with TMJ and basically was told I would have to live with it which I did until Dr. Urbanek. He has taken away my headaches, jaw pain and overall jaw discomfort! Thank you Dr. Urbanek

- Cheryl H

5 out of 5 stars on

Our Latest Patient Testimonial

I am very pleased with the results of wearing the splint, I used to wake up screaming at night and not getting very much rest but since I’ve started wearing my splint I sleep sound and my life has changed for the better.

- Anonymous

5 out of 5 stars on

Our Latest Patient Testimonial

I My TMJ symptoms of constant ear and jaw pressure are almost non existent—and in two months time! Praise the Lord!

- Betty H

5 out of 5 stars on

Our Latest Patient Testimonial

The only symptom I had was locking of my jaw and i could barely open my mouth but with the help of Dr.Urbanek and his device I can now open my mouth more and I can eat anything I want.

- Abbi G

5 out of 5 stars on