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 480 TMJ reviews.

Our Latest Patient Testimonial

Dr. Urbanek exceeded all of my expectations in such a short amount of time. I had a locking jaw, ear pain, and headaches all associated with my jaw joints. The device has reduced my symptoms in just 3 months by 90%! Dr. Urbanek and his entire staff is phenomenal.

- Nikki D

5 out of 5 stars on

Our Latest Patient Testimonial

I have been suffering from TMJ symptoms going back 30 plus years. I have had multiple surgeries and devices but did not have much improvement. After only six months of wearing the Urbanek splint I have had drastic improvement in all of my TMJ symptoms. Dr. Urbanek and his team have been very professional and amazing.

- Michelle T

5 out of 5 stars on

Our Latest Patient Testimonial

As a young kid, I grinded my teeth horribly at night. As I got older my jaw problems got worse and my law even locked one night and I couldn’t open it for a few hours. I got headaches, jaw aches all the symptoms in the book. After visiting Dr.Urbanek office and discuss the symptoms I had it was the perfect match. He discussed thus new device that will slowly be able to change my jaw problems, and I’ve got to say it’s only been 3 weeks into it and it has truly been life changing. I’m currently 24 and have confidence I’m getting the best care at Dr. Urbanek’s office.

- Banning C

5 out of 5 stars on

Our Latest Patient Testimonial

I was suffering with ringing and popping in my ears along with shoulder and neck pain for about two years. I became A patient of Dr Urbanek in Sept 2020. Four months later most of my symptoms are gone.I no longer have the ringing of the ears which was the worst.

- Andrea S

5 out of 5 stars on

Our Latest Patient Testimonial

Such an amazing experience! As someone with EDS whose jaw used to pop and hurt constantly this has been life changing. My jaw used to pop out and lock, now I have not had that problem for 2 months! I highly recommend the device and doctors, especially as someone who has dealt with chronic illness and knows how important doctor/ patient relationships are.

- Julianna S

5 out of 5 stars on

Our Latest Patient Testimonial

I had been dealing with TMJ for years but didn’t realize it could cause the symptoms I was having. I had an overseas trip planned but was afraid to fly because I always felt I was under water. I thought my ears wouldn’t pop and it affected my hearing. My doctor had prescribed meds but they weren’t helping. Finally I went to have my hearing tested and she suggested Dr. Urbanek. I have been wearing the appliance as directed for 6 months now and the difference is amazing. I can hear better in a crowd and my jaw doesn’t hurt.

- Sharon S

5 out of 5 stars on

Our Latest Patient Testimonial

My name is Kenneth I have been having migraines headaches for a couple of years when I was recommended here and he told me that my headaches would disappear the only thing that came to my mind was that it doesn’t matter how much it cost let’s get it done and now thirty days later no more headaches and also I can open my mouth back open again this dentist knows what he is talking about

- Kenneth C

5 out of 5 stars on

Our Latest Patient Testimonial

Best device in the WORLD. I am completely (100%) satisfied patient. I would strongly recommend the URbanek device for anyone with TMJ problems,

- Roland W

5 out of 5 stars on

Our Latest Patient Testimonial

Quit frankly, I’m stunned. I have only been Dr Urbanek’s patient for just over 2 months and I am amazed at how much better I feel. I have been grinding my teeth in my sleep for over 10 years, but I had no clue how much damage it was doing to my overall health. Pain, neck pain, jaw pain, poor sleep and wicked tension headaches. I have had 3 different oral appliances make by 3 different Dentists and received no relief from my pain. Since wearing the device I have not had any headaches at all! The stress and tension that I though were a normal part of life are gone. No pain, my teeth, my jaw, my neck and shoulders are all pain free! BONUS, I am sleeping through the night for the first time in years! I never believed it was possible. THANK YOU, Dr Urbanek

- Micheal H

5 out of 5 stars on

Our Latest Patient Testimonial

I found out that I had TMJ and was referred to Dr Urbanek’s office by my dentist. She said he was the best at TMJ and finding a solution. I had been in pain for almost a month at this time, and was very skeptical about it at first. I tried everything to make my pain go away. I came to see him and not only did he and his staff help me figure out my problem, it’s been only about 2 months and my mouth feels great. I’d say 100% better and all thanks to the TMJ device I was given. I thought I would never open my mouth open far again without surgery, but they proved me wrong. Thanks for helping me and I would recommend that anyone with this type of pain or discomfort come here and see them. I know I’ll be back if it happens again.

- Tony C

5 out of 5 stars on

Our Latest Patient Testimonial

In Feb of this year I started having earaches and jaw pain. My Doctor referred me to Dr. Urbanek for TMJ . I got the device the Dr. Urbanek recommended and within hours my earaches were gone and within a few months I can now chew food again without pain and i only wear it at night. I thank you for this alternative over surgery.

- Jenna A

5 out of 5 stars on

Our Latest Patient Testimonial

To start out my TMJ experience, as a child I grinded my teeth viscously, in Feb 2018 I had an accident which progressed and aggravated my jaw joint. Symptoms included: locked jaw, pain when ate or spoke, and true headaches and few migraines, and a lot of shoulder pain. I did try chiropractic treatment which shortly pacified the symptoms. My dentist recommended Dr. Urbanek because I came to her to figure out was going on. He explained everything in detail what TMJ is and recommended to me an unintrusive way to fix the my TMJ problems. I have been incredibly changed by the device!

- Lauren C

5 out of 5 stars on

Our Latest Patient Testimonial

After almost 30 years of searching for relief I finally found it. Headaches, neck pain and ear pain have almost all gone after only 3 weeks. It’s been amazing.

- Rochelle R

5 out of 5 stars on

Our Latest Patient Testimonial

When I walked into the doors of Dr Urbanek’s office 2 months ago, I had a migraine, my neck and shoulders hurt so badly, my jaw felt like it was popping in and out of socket with terrible pain and my teeth just hurt. I was at the end of my rope. I really had given up hope to ever feel better without a crazy surgery and getting my jaw wired together. I was pleasantly surprised when Dr U told me about this appliance that he was having major success with. As I said, he was my last and only hope. I wore the appliance 24/7 for 2 months and I can’t describe in words how much better I feel. I am so super happy with the results of wearing this appliance. Please give it two months. You will be as happy as I am right now. 🙂

- Kelley H

5 out of 5 stars on

Our Latest Patient Testimonial

I have had neck pain headaches,shoulder pain, jaw pain for30 plus years. It all started after a car wreck in my thirties. I suffered with migraines for many years until my dentist referred me to Dr. Urbanek. I am so grateful to him. Since I got my mouth splint my sleep has improved I rarely have a headache and my shoulder and neck pain are minimal. I would highly recommend this as a solution to a very painful and debilitating problem. Dr. Urbanek and his staff are the greatest.

- Josie E

5 out of 5 stars on

Our Latest Patient Testimonial

I had very bad headaches, and my jaw hurt from locking up. I went to my dentist and they reccomended Dr. Urbanek. We came here and he was really nice and helpful. He gave me the Urbanek device that you wear 24 hours unless you eat. I noticed over the month that it started to make my headaches and jaw pain go away. I 100% recommended him and his device he has in store for you.

- Nathan L

5 out of 5 stars on

Our Latest Patient Testimonial

It’s so great to not have headaches, jaw and neck pain anymore after having them frequently for years! I’m impressed with how quickly my symptoms improved and how easy the whole process has been. Very greatful!

- Nora M

4 out of 5 stars on

Our Latest Patient Testimonial

My jaw had began to lock up every once in a while and it would only be for a couple minutes then it would go back to normal, but then as time passed, my jaw stayed locked. I could barely open my mouth, and I thought it was going to stay like that forever until I was sent to Dr. Urbanek, where in only 6 months, using the device he gave me, my jaw is finally back to normal.

- Vannessa M

5 out of 5 stars on

Our Latest Patient Testimonial

I’ve been dealing with pain from my jaw for ~25 years. This has been a game changer for me. After the first week I had began to feel relief from a lot of my symptoms. Two months in and most have gone away.

- Anonymous

5 out of 5 stars on

Our Latest Patient Testimonial

From the first day, Dr. Urbanek and his staff have made me feel safe and comfortable. Their quiet professionalism is so appreciated. In just a few weeks, the TMJ device has given me 90 percent relief from pain and ringing in my ears, headaches, and even pain in my hands. The device really does work!

- Linda B

5 out of 5 stars on