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.

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 402 TMJ reviews.

Our Latest Patient Testimonial

Within 3 weeks my symptoms have improved tremendously. My headaches, jaw pain, and neck pain are gone. I have had these symptoms for years and had never been able to find a solution until now. I am so grateful I found Dr. Urbanek.

- Katie S

5 out of 5 stars on

Our Latest Patient Testimonial

I had locked my jaw and had dealt with the pain for months. I saw Dr. Urbanek and he told me it was a simple but effective procedure. I have followed his instructions and today I am pain free! I am so happy to not have jaw pain! I recommend Dr. Urbanek and his procedure!

- Debbie G

5 out of 5 stars on

Our Latest Patient Testimonial

All the the TMJ symptoms I had are gone. I highly recommend trying the Device if you are in pain.

- Judy Z

5 out of 5 stars on

Our Latest Patient Testimonial

I have personally suffered with headaches for 70 years, having vertigo, diagnosed with vestibular migraines, mastoiditis and chronic sinusitis. Additionally, having severe ear aches without an ear infection, have excruciating pressure in my sinus cavities without infections, feeling lightheaded and suffering with a constant sore neck; consequently, after wearing THE DEVICE for 3 weeks all my symptoms are 100% gone, The Urbanek Device is without a doubt life changing,

- Roland W

5 out of 5 stars on

Our Latest Patient Testimonial

If Dr. Urbanek can’t fix it, it probably can’t be done. I did everything he told me to do, and gradually became almost 100% free of my previous symptoms. I would recommend Dr Urbanek very highly. What a nice guy and he certainly knows what he’s doing.

- Bucky B

5 out of 5 stars on

Our Latest Patient Testimonial

I’ve now had my TMJ stint for 11 years and it has been life changing. My migraines are gone, no more ear ringing, or lockjaw. I live across the United States and always make sure to come for a checkup because my stint is so vital.

- Hali P

5 out of 5 stars on

Our Latest Patient Testimonial

I’m so thankful for finding Dr. Urbanek. I have had symptoms for years. When I came into his office I had all of the symptoms but one. My jaws were locked at 40%. After 2 months of wearing my device for 24/7 and at night thereafter I am pleased to say my symptoms have disappeared!

- Meredith L

5 out of 5 stars on

Our Latest Patient Testimonial

I am a 66 year old very healthy and active woman. However due to several accidents/ injuries and trauma throughout my years of life that I experienced to my face, neck and jaws, then learning through my treatment with Dr. Tony Urbanek, I have an under development of my jaw since childhood. Needless to say I have spent a tremendous amount of energy trying to get relief from all the symptoms that come along with TMJ. Yes, I believe I marked off neverly every box on the list of symptoms Dr. Urbanek asked me about. I was in the worst condition I had ever been in when I was referred to Dr. Urbanek, September, 2019. Today is 9 months later and I can honestly say, I feel like a new person. We agreed in my follow up visit today I am 95% free of all symptoms I had on my first visit! I am a rule follower, so I % stay focused on my treatment plan and made mental notes of small successes along the way. I was open and totally honest as well with Dr. Urbanek about how I felt along the way and asked the questions only he could answer. We became a Team. I am honored and proud to say I was successfully treated for my 40+ years of jaw, neck, and head pain. I will continue indefinitely to wear my night spilt and be grateful everyday for the relief and freedom from TMJ discomfort! DO not wait to take care of yourself and get the help you need! Thank you Dr. Urbanek and your lovely staff, Amy, Anna and Julie.

- Kathryn M

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Urbanek has changed my life. For 6 years I dealt with headaches, jaw pain, grinding my teeth in my sleep and even my jaw locking. The device changed my life. Dr. Urbanek let my know I had issues and explained them to me in real words that I could understand. I got fitted for my device and when they called me to come in to get it I was super nervous, but it fit perfectly because it was custom fitted for me. After putting in the device it was like instant relief. I feel better and more confident knowing that I can sleep better and simply talk without being in pain. Dr. Urbanek the device literally changed my life and I am grateful for you daily,

- Cherish S

5 out of 5 stars on

Our Latest Patient Testimonial

For over 40 years combined, I have had headaches, ear pain, neck and shoulder pain severely. I had xrays, physical therapy, but nothing worked. Finally I went back to my regular doctor and said I need help. I cannot live this way any longer. My husband and I had prayed that morning that we would get an answer today . My doctor said it’s TMJ! I am sending you to a specialist on Franklin. So I can to see Dr. Urbanek and my life changed. I have had the device for 3 weeks and over 95% of my symptoms are gone . No headaches, neck or shoulder pain at all! Praise the Lord I found out about this. Everything has changed tremendously . Now I can enjoy life again.

- Melanie H

5 out of 5 stars on

Our Latest Patient Testimonial

I had suffered with jaw, neck, and shoulder pain . Three months after wearing the appliance, there are no words to describe how I feel. I can open my mouth, bite down, and I have no pain. It has flared up twice, but I increase my daily time wearing Dr. Urbanek’s miracle and in a few days all is well. THANK YOU DR URBANEK

- Fredia S

5 out of 5 stars on

Our Latest Patient Testimonial

Exceptional service and visits. This procedure took away my arm pain, neck and jaw pain including headaches. I would recommend this procedure to anyone who needs this service. Dr Urbanek was wonderful and explained everything to a T. Thank you for reducing all of my discomfort.

- Bonnie W

5 out of 5 stars on

Our Latest Patient Testimonial

I have battled with TMJ for over 20 years. I’ve had other mouthpieces to try to help with my symptoms but to no relief my symptoms only worsened. I was referred to Dr. Urbanek’s by my family dentist and thankfully I am 3 months in and all of my symptoms have subsided. I am so grateful to have been lead here and will be happy to share with others

- Angie S

5 out of 5 stars on

Our Latest Patient Testimonial

I had jaw surgery many years ago and had recently started having constant popping and locking that was painful. I was afraid that I would have to have surgery again. Dr. Urbanek was recommended by my dentist. I came here and was pleasantly surprised that he had developed a splint that could resolve those symptoms as well as many others. The other symptoms including headache, shoulder pain, jaw pain, and dizziness along with some others were 80% relieved after only 4months. I am happy with those results but with time even more symptoms could be relieved. I would highly recommend this treatment that Dr. Urbanek developed.

- Ruth M

5 out of 5 stars on

Our Latest Patient Testimonial

When I came to Dr Urbanek, I was having severe jaw pain, headaches, ear pain, and tingling in my fingers. Since I started using the Urbanek device, my symptoms have decreased by 90%. I am so thankful for the changes the device has made in my life.

- Marilyn W

5 out of 5 stars on

Our Latest Patient Testimonial

I have been suffering for years with headaches, neck pain, jaw pain, numbness and tingling, and my headaches had become so severe that I even lost my job behind it. I was referred to Dr Urbanek and got my Urbanek splint and I have had it for a little over 2 months and now all I can say is THANK GOD THERE IS A SOLUTION FINALLY!!! Since I’ve been wearing my Urbanek splint I rarely have a headache and everything else is no longer an issue and as of last week I was even able to go back to work!!!! Thank you so much Dr Urbanek and Team for taking the time to help me get all of this finally figured out I thank you all very much but most importantly my 6 year old daughter said THANK YOU SO MUCH because she finally got her mommie back!!! ️️️

- Marqueter A

5 out of 5 stars on

Our Latest Patient Testimonial

I never knew I could feel so good! I have had jaw, ear and neck pain for years. Headaches were an everyday occurrence. Since wearing this mouthpiece for around 3 months, I can truly say, this works! Thank goodness for Dr. Urbanek! I wish I would have known about this treatment years ago. I’m so glad my dentist referred Dr. Urbanek. Now I am pain free and very glad I went with his plan for me! THANK YOU SO MUCH!

- Sheila H

5 out of 5 stars on

Our Latest Patient Testimonial

After struggling for two decades with ear, shoulder, and neck pain that lead to migraines on a regular basis I came to see Dr. Urbanek. Mere weeks after wearing my splint my migraines haven’t returned, my shoulder and neck pain have subsided, and my ears no longer ring.

- Casey G

5 out of 5 stars on

Our Latest Patient Testimonial

I came in from the recommendation of a friend. My pain had become unbearable, with ear pain, terrible headaches, neck pain, and general misery. I have a history of Bruxism and would destroy night guards. After speaking to my friend, I asked my dentist if I needed more than the typical mouth guard and he sent me next door to Dr. Urbanek for a consultation. The new mouth piece has been great, I’m much more aware of how often I had been subconsciously clenching my jaw. It has been the only relief to pain for a long time, I highly recommend giving it a chance!

- Sarah N

5 out of 5 stars on

Our Latest Patient Testimonial

I have had TMJ for 20 years. I had so many symptoms and pain until I came to see Dr. Urbanek. Within five days I was feeling better! I absolutely could not believe it! It has been two months and I am improved by 85%! This device is remarkable and I would highly recommend it! Dr. Urbanek has changed my life!

- Angie T

5 out of 5 stars on