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

After many years of grinding and clinching my teeth which developed into jaw pain, vertigo and neck pain. I had been sent to a eye ears and nose specialist for the vertigo. I went through physical therapy,which symptoms got better but didn’t go away. The nurse told me of her experience with TMJ and thought I needed to look into a TMJ specialist.. so glad I did. Most of my symptoms are gone. I would advise anyone with these symptoms to seek Dr. Urbanek help.

- Melissa D

5 out of 5 stars on

Our Latest Patient Testimonial

My story started in 1963 when I was in a severe car accident, which left me with whip lash and a broken chin which caused me to have migraines. As time went on I began to have other symptoms, tingling in the arms and fingers, ear, shoulder and neck pain. I went to a Dentist for help and he recommended some dental work which did not help. I them went to a MD and then a ENT who said I was imagining things. One Saturday I noticed an knot behind my ear and went to another ENT and she recommended me to see Dr. Urbanek. Dr. Urbanek recommended his device and I began treatment: I have been wearing the device for 2 months now and my symptoms have improved drastically.

- Patricia F

5 out of 5 stars on

Our Latest Patient Testimonial

After many years of migraines in college and clenching/grinding my teeth at night I began having ear pain. I tried oral steroids, botox and a grinding retainer every night too. Finally my ENT doctor suggested Dr Urbanek and his device. I had improvement within in 10 days of wearing the device. I quickly learned how to talk with it in my mouth too. Within 2 weeks I was pain free. By 8 weeks I was 95% better ,no more pain, the fullness in my ears subsided and my jaw stopped locking open. The quality of life returned that I missed. I highly recommend this device for any person suffering from TMJ.

- Brandy B

5 out of 5 stars on

Our Latest Patient Testimonial

I am a migraine sufferer for over 20 years with no relief along with TMJ issues. Dr Urbanek’s mouthpiece device has relieved my pain by 80% in the first three weeks of wearing the device. I highly recommend Dr. Urbanek to anyone suffering with headaches, neck pain, jaw locking, teeth clinching or grinding.

- Jan C

5 out of 5 stars on

Our Latest Patient Testimonial

I am so happy that the pain in my neck is gone and also my sleeping has improved 100% since I started wearing the device.

- Ruth R

5 out of 5 stars on

Our Latest Patient Testimonial

The pain is gone! After three weeks! No more earaches and jaw pain.What a great feeling! Thanks Dr Urbanek.

- Virginia S

5 out of 5 stars on

Our Latest Patient Testimonial

The headaches and soreness were gone within 2-3 weeks! The ringing in the ears has not stopped yet but I will NEVER stop wearing my “little miracle” mouthpiece. I will always be grateful to Dr. Urbanic!

- Denise H

5 out of 5 stars on

Our Latest Patient Testimonial

When I came in I had severe jaw and ear pain. This had been going on for 10 plus years. With the splint I can honestly say I am 98% better. After only 2 months, sleeping is so much better! I do not have the pain like before! If you have ever experienced this pain you definitely need to give them a call! Thank you so much to Dr. Urbanek and his staff!

- Kaila D

5 out of 5 stars on

Our Latest Patient Testimonial

I have struggled with jaw pain and popping for as long as I can remember. I have also had recurring headaches and ringing in my ears. I was referred to Dr. Urbanek by my dentist, and he was very knowledgeable in my symptoms and helpful in explaining the device to me. I have been wearing the device for about two months now, and am experiencing little-to-no pain anymore. I am very thankful for the relief!

- Cara E

5 out of 5 stars on

Our Latest Patient Testimonial

I have suffered with chronic migraines and assorted other symptoms from jaw pain and other things I didn’t associate with TMJ for over 30 years. After only 3 weeks of treatment I have experienced around a 95% decrease in my symptoms and am much happier. Looking forward to an even further diminishment of pain and symptoms.

- Laura K

5 out of 5 stars on

Our Latest Patient Testimonial

If anyone is having TMJ issues I highly recommend Dr. Anthony Urbanek. He took care of my problems, he is the best. You will certainly be glad you gave him a call.

- Linda W

5 out of 5 stars on

Our Latest Patient Testimonial

Joint pain improved tremendously in just 3 weeks.

- Robbin N

5 out of 5 stars on

Our Latest Patient Testimonial

I came do Dr. Urbanek in April 2018 with locking the of the jaw, headaches, shoulder pain, neck pain, tingling in fingers for over 20 years. One day I had some much pain where it put me in tears. I talked to my dentist and he referred me to Dr. Urbanek because he it was a possibility that I had TMJ. Dr. Urbanek made a device to fit me to help with the symptoms. After wearing the device 24/7 for three weeks my symptoms decreased by 50%. Still wearing the device 24/7 it Is July 2nd and my symptoms have decreased 95%. I have graduated to just wearing my device at night and my jaw is feeling much better. If you have any the symptoms that I mentioned do ignore them because it could become a bigger problem. Thank Dr. Urbanek for helping me.

- Sherri K

5 out of 5 stars on

Our Latest Patient Testimonial

After having jaw pain, along with many symptoms of TMJ, I finally decided to have everything looked at. Many people suggested Dr. Urbanek, and his device. After I had received the device I noticed most of my symptoms go away, and only a short few weeks later, it was almost as if I never had TMJ issues at all. I highly recommend Dr. Urbanek and his amazing staff to anyone struggling with TMJ or jaw problems.

- Alexis B

5 out of 5 stars on

Our Latest Patient Testimonial

Gets to the root cause quickly and helped resolve severe jaw pain

- Michael J

4 out of 5 stars on

Our Latest Patient Testimonial

I feel like a new person after treatment for my TMJ. I experienced pain relief within a couple days of beginning my treatment and continued to improve throughout the process. Treatment itself was simple and pain free. So pleased with my results!

- Sue S

5 out of 5 stars on

Our Latest Patient Testimonial

I have experienced pain for at least 12 years or more. I had headaches and shoulder and neck pain everyday. I sought medical help when the ringing in my ears became unbearable. I was referred to Dr. Urbanek. He fitted me with the Urbanek splint. After 1-2 weeks my shoulder pain was gone and I was headache free. I had no idea I was clenching my teeth or that it was the source of so many issues for me. I didn’t realize how much pain it was causing. At 6 weeks my ear ringing is still there but has gotten less and less. I feel confident that’s it will go away in time as well. This treatmeant really works and has been a life changer for me. Ing

- Rebecca A

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Urbanek is excellent at treating TMJ. When I first came to see him I could not even open my jaw completely. His splint device corrected the problem within a month or two and now I only have to wear at night. Highly recommend if you’re having the same issues

- Betty W

5 out of 5 stars on

Our Latest Patient Testimonial

I came to see Dr Urbanek because of jaw pain. I had previously had jaw surgery which helped for a few years but then the pain returned. Dr. Urbanek fit me with a retainer and told me no surgery would be needed and by wearing this device the pain would lessen and eventually go away. And he was right. So thankful for the relief.

- Judith

5 out of 5 stars on

Our Latest Patient Testimonial

I was having headaches and earaches that were worsening over the last 12 years. I’m just 2 months in now and no earaches and rarely have a headache from time to time. I’m so thankful for the experience and knowledge of Dr. Urbanek and his office. Looking forward to continuous improvement over the coming months.

- Nick M

5 out of 5 stars on