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 387 TMJ reviews.

Our Latest Patient Testimonial

I presented with a locked jaw and terrible unrelenting neck pain. I started the therapy with the appliance Dr. Urbanek made for me and within 2 months I was able to report that my jaw was unlocked and the neck pain relieved by 95%! I am so grateful to be feeling better!

- Martha A

5 out of 5 stars on

Our Latest Patient Testimonial

I was struggling with jaw pain for years. It would get “stuck” all the time and only sometimes come unstuck. I could only eat soft things. Not to mention all the clicking and popping. I went to Vanderbilt and tried many things. Finally I had enough of the pain. My co-worker let me know about this place that has a splint and required no surgery. It was then that I realized that I might have some hope to living and eating normal. Finally I saw Dr. Urbanek and now I can’t move my jaw very well and most the pain is gone. I feel like I can now live a normal life. Thank you so much. I will be sure to let everyone know how great you guys are.

- Danial M

5 out of 5 stars on

Our Latest Patient Testimonial

I awoke with so much jaw pain on a Monday and immediately made an appointment with my dentist who then referred me to Dr. Urbanek as we knew it was most likely TMJ from past experience. I had surgery on the opposite jaw with another doctor. It was an ordeal. Dr. Urbanek was able to see me on Wednesday and listened to all my symptoms then set forth a plan. I received the splint and keep it in 24/7 except to eat. It has been amazing that within a 3 week period my pain is gone, all other symptoms gone. I will continue to follow his plan as this is such a wonderful solution compared to surgery.

- Lynn E

5 out of 5 stars on

Our Latest Patient Testimonial

After years of jaw clicking, severe neck pain, frequent headaches, and even a cracked tooth from grinding at night, I started asking around for advice on how to resolve my problem/pain. Both my chiropractor and my dentist referred me to Dr. Urbanek. Within 24 hours of using his device, my jaw stopped clicking/locking after sleep and with meals. My neck pain has subsided tremendously. I’m beyond thankful for his device/treatment, as my symptoms were impacting my daily life. If I could offer others advice, it would be to take care of your body and listen to your gut. If something is wrong, be proactive and don’t allow yourself to suffer from years of pain before seeking help.

- Alison C

5 out of 5 stars on

Our Latest Patient Testimonial

I looked for TMJ help for years, but everything I found was extremely expensive, too invasive, or came with no guarantee of helping. Dr. Urbanek was easy to understand and diagnosed my problem right away. His device was way easier to live with than I anticipated, and eventually I didn’t even notice it was there. After two months, my symptoms are 95% better. I didn’t think this kind of change was possible, and I’m very grateful.

- Whitney R

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Urbanek’s treatment device has relieved me of the jaw popping, neck pain and shoulder pain and numerous other symptoms that I would have never associated with TMJ.

- Kim D

5 out of 5 stars on

Our Latest Patient Testimonial

Wow! I cannot believe the relief I have experienced after seeing Dr Urbanek. My symtoms have dissapaited 65% I thought after 30 years of pain was something that I would just have to live with. I am so blessed to have found him,

- Elaine C

5 out of 5 stars on

Our Latest Patient Testimonial

I had jaw pain and locking for years, and dizziness for over 6 months. No one knew how to fix the dizziness or what caused it. Dr. Urbanek knew exactly what it was and was able to get my symptoms under control in just a few weeks.

- Rachael I

5 out of 5 stars on

Our Latest Patient Testimonial

For nearly 25 years I suffered with bad headaches, neck and shoulder pain, jaw pain, and frequent dizziness. My primary doctor referred me to Dr. Urbanek because he thought my problem was due to TMJ. So I made my appointment and am very happy I did. I started a couple months ago wearing Dr. Urbanek’s dental splint and to my surprise, it worked! All my symptoms are 95% gone. I never thought it was possible to have so many problems from the TMJ but it does cause all sorts of issues. I couldn’t be more pleased, and highly recommend Dr. Urbanek and his TMJ dental splint!

- Cathryn F

5 out of 5 stars on

Our Latest Patient Testimonial

My jaw hurt so much that I could not chew. After seeing Dr Urbanek and receiving my custom splint my pain started to decrease. After several weeks, I can eat pain fee!

- Jeff R

5 out of 5 stars on

Our Latest Patient Testimonial

I’ve had problems with ringing in my ears, vertigo, and neck pain. I even felt some swelling in my left ear at times. My ENT. Referred me to Dr. Urbanek, suspecting there was a jaw issue. Turned out I had a jaw bone problem. Dr. Urbanek recommended and fitted a retainer for me. Since wearing it for several months, all my symptoms have either decreased or disappeared. I can’t believe the difference. Trust me, I dont forget to insert that retainer at night. Dr. Urbanek did a great fit for me.

- Frances S

5 out of 5 stars on

Our Latest Patient Testimonial

I have suffered from migraines and jaw issues for over 25 years. It finally reached a point that my jaw slipped out to the extent I could not close it and trying to pop back in place extremely painful. I was referred to Dr. Urbanek by my dentist and told how many people he has helped with noninvasive procedures. I made an appointment that very day and was fitted with the Urbanek mouth splint. I cannot begin to tell you how much this helped my jaw, but other issues I have suffered from not realizing it was due to my jaw. I strongly reccommend this splint if you have any of these issues or worse. Dr. Urbanek and his device have been a true blessing,

- Marlo G

5 out of 5 stars on

Our Latest Patient Testimonial

When I first came to Dr. Urbanek, I was experiencing jaw pain,clicking sound in my jaw, headaches, ringing in my ears, and other symptoms as well. After wearing my splint for several weeks, almost all of my symptoms are gone! The splint is not uncomfortable to wear at all. The staff was friendly and great to work with. Good overall experience.

- Mary P

5 out of 5 stars on

Our Latest Patient Testimonial

I have had headaches body aches ringing and jaws hurting,,these have eighty per cent cleared up so this treatment does help

- Clarissa T

5 out of 5 stars on

Our Latest Patient Testimonial

Upon finding out that my symptoms were related to my TMJ, I was referred to Dr. Urbanek. I have been using the Urbanek splint since October 2018, and am very pleased with the results.

- Michelle P

5 out of 5 stars on

Our Latest Patient Testimonial

Came to him after a car wreck after the referral from my ear doctor. Really was skeptical about his procedure, but did comply. Oh my gosh after 1 week of wearing the device I noticed that my numbness in my figures were gone , my neck pain was vanishing (and I had been going to a chiropractor for whiplash) and my chiropractor was also amazed. I had to apologize to Dr Urbanek when I came back. Who knew that this device could help you so much? Dr Urbanek DID! Thanks

- Gloria B

5 out of 5 stars on

Our Latest Patient Testimonial

I cannot express how grateful I am for Dr. Urbanek’s expertise and dedication to finding a solution for my TMJ problem. I lived in a constant state of extreme pain and suffered from debilitating migraines along with a myriad of other problems. His device is amazing and though I was one of the rare ones with a surgical issue, he worked tirelessly to exhaust every possibility before trying surgery. I will be forever thankful to him for helping me!!!!

- Laura M

5 out of 5 stars on

Our Latest Patient Testimonial

I am so happy! I want people to know that if they are having TMJ problems, earaches or headaches they need to see Dr. Urbanek ASAP. I was fitted with an oral device by him hoping to relieve my TMJ pain. It did to a point I went from a 10 In pain with headaches and earaches to a 2. Then he prescribed braces. I’ve been in braces for 15 months and have a much better bite and absolutely no pain!!!! I would highly recommend seeing Dr. Urbanek. You will not be disappointed! And his staff is wonderful, too!!!

- Jolene W

5 out of 5 stars on

Our Latest Patient Testimonial

If you are having jaw pain, neck pain, headaches, jaw locking, neck pain, CALL Dr. Anthony Urbanek and he can help you resolve these issues. Do not stay in pain, get relief!!!

- Cheryl W

5 out of 5 stars on

Our Latest Patient Testimonial

I came to Dr. Urbanek originally for wisdom teeth removal. I was experiencing intense jaw pain at the time. After I recovered from the surgery, the pain hadn’t gone away. It turned out I had TMJ Disorder. The process of getting the splint was very easy and only took a few weeks before it was ready. Keeping it in is no trouble and I can barely tell when it’s in. After a couple months, my symptoms are almost completely gone — including my headaches, which have always been severe until now. It seems like a miracle and I’m so thankful. Highly recommend!!

- Corinne B

5 out of 5 stars on