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 304 TMJ reviews.

Our Latest Patient Testimonial

I have never had issues with my TMJ in past. Well at least I thought that I hadn’t until I found Dr. Urbanek via internet. I started have dizziness issues in October 2017 so I visited my local ENT doctor. I was prescribed medication for my sinus but continued to have dizziness. Shortly the dizziness turned into vertigo and I would be spinning dizzy anytime I would lay down. I then began having major headaches in my joint area along with neck stiffness and jaw pain. I went to my regular doctor who suggested I may have TMD. Searching for a specialist who could resolve my issues I found Dr Urbanek and boy am I grateful I did! He did X-rays on my jaws and quickly discovered I grind my teeth while sleeping. After we discussed my options, I decided to invest in his device, because at this point I was desperate to stop the dizziness. I have to admit that I was a little skeptical at first but I’m glad I gave it a chance. I’ve been wearing the device for two months now and my symptoms are about 85% resolved. So I only have to wear it at night now. I am confident that as long as I keep following Dr Urbanek’s protocol that I will 100%. I have already recommended several people to Dr Urbanek and will continue to recommend because many people are unaware that the symptoms they are experiencing could be related to issues with their TMJ. He is a very thorough, professional,and experienced TMJ Specialist. He is also a very nice and caring person.

- RaeShandra F

5 out of 5 stars on

Our Latest Patient Testimonial

I was on the verge of becoming addicted to painkillers before finding Dr. Urbanek. I had a couple of startling events that served to get my attention. I was on my way to work one morning and did not remember getting ready or leaving home. I was taking so much pain medicine that I had no business driving. Since they were prescriptions, it never occurred to me that I could be that “high”. The other event that concerned me was realizing that I would come home after a bad day and take a pain pill. To be fair, the pain was pretty constant but it was the reasoning I used when medicating. This had to stop! I needed help! I began tracking my headaches - when it hurt, where it hurt, etc. I did research on my own. I needed answers - not pills. I found Dr. Urbanek’s website on a Thursday night. I was so excited that I may have found an answer that I couldn’t sleep! I called but they were not open on Fridays. I was so excited the whole weekend! When I finally came in and Dr. Urbanek told me he could help me I cried! I had hope! Now, I’m pain free and grateful every day.

- Carolne H

5 out of 5 stars on

Our Latest Patient Testimonial

I had tons of pain in my neck, shoulders, ears, and head and kept seeing different doctors and trying different medicine and could not get any relief. After seeing Dr.urbanek and using a TMJ mouth splint for just a month or so, all my symptoms are 100% better. I have no more pain at all finally after 6 years! Very happy with my splint and Dr. Urbanek.

- Samantha O

5 out of 5 stars on

Our Latest Patient Testimonial

I’m very pleased with the results I’ve gotten from the TMJ Splint.

- Eric B

5 out of 5 stars on

Our Latest Patient Testimonial

Before I met Dr. Urbanek, I had periodic headaches and sharp jaw pain along with limited range of motion. My jaw hurt every time I ate something. I was finally given a TMJ Splint and that made so much of a difference. I can eat food with no jaw pain and there are no more headaches. Dr. Urbanek, you are the man.

- Julius W

5 out of 5 stars on

Our Latest Patient Testimonial

I have suffered with migraines, vertigo, and jaw pain for years. I went to several doctors. They treated my symptoms, but nothing worked long term. Finally my PCP told me aboutDr. Urbanek. I finally am getting relief. If you are suffering from the same symptoms give Dr. Urbanek a try. You won’t regret it.

- Kathy E

5 out of 5 stars on

Our Latest Patient Testimonial

I have suffered with migraines, vertigo, and jaw pain for years. I went to several doctors. They treated my symptoms, but nothing worked long term. Finally my PCP told me aboutDr. Urbanek. I finally am getting relief. If you are suffering from the same symptoms give Dr. Urbanek a try. You won’t regret it.

- Kathy E

5 out of 5 stars on

Our Latest Patient Testimonial

I found out 7 years ago that I had been grinding my teeth at a regular dentist appointment. I was prescribed a mouth guard and told that I had a TMJ problem. At this point, I wore my mouth guard to protect my teeth and moved on. Over the years, I noticed my jaw becoming more sore and my bite changing. I changed dentists because my current dentist had no more treatment for me.He only recommended the mouth guard. I switched and my dentist referred me to Dr. Urbanek. At my first appointment, Dr. Urbanek named the symptoms of TMJ and I had most of them. I had daily headaches and shoulder/neck tightness with pain.my headaches started 15 years ago. The morning after I wore my TMJ Splint, my shoulder/neck symptoms were gone and I have not had a headache since wearing the TMJ Splint!

- Katie V

5 out of 5 stars on

Our Latest Patient Testimonial

I experience facial pain all my late teen and adult life. I have been to many doctors without results and put on many medications. I was referred to Dr Urbanek by another MD and was skeptical. What a difference. This device has given back my sanity and I recommend anyone suffering from TMJ to believe this process.

- Eve S

5 out of 5 stars on

Our Latest Patient Testimonial

I began the have jaw pain after weeks, I almost couldn’t and the pain was constant in my jaw. It took several months to slowly become pain free. During this time Dr. Urbanek’s office saw me routinely, documenting my return to normal. I am so appreciative of their fine care!

- Judy S

5 out of 5 stars on

Our Latest Patient Testimonial

I’ve been suffering from TMJ pain since I was a child — easily for 25 years. I’ve seen dentists, GPS, and orthodontists to try to fix it, but nothing ever made much of a difference. After I broke a tooth from nighttime clenching, my doctor recommended Dr. Urbanek, so I made an appointment and then almost cancelled it; I had very little confidence that this would be any different. I’m so glad I didn’t cancel! I’ve been wearing Dr. Urbanek’s appliance for 3 weeks and it’s a game changer. My jaw doesn’t hurt, my fingers don’t tingle, and I’m sleeping so much better. The differnence is huge and we just got started. Everyone in the office is so nice, and the treatment works. I high,y recommend it!

- Erin L

5 out of 5 stars on

Our Latest Patient Testimonial

I came in to see Dr. Urbanek after 10+ years of headaches, ear fullness and ringing, and more recently jaw popping and locking. He fitted me for a device and within 3 weeks of receiving it my symptoms were 98% gone. I’m so thankful and wish I would have found him sooner. If you are having any of the above symptoms I would definitely recommend a trip to Dr. Urbanek’s office. His staff has been very friendly and helpful as well.

- Natalie A

5 out of 5 stars on

Our Latest Patient Testimonial

I dealt with TMJ related issues for over 5 years that included ringing in ears, dizziness, severe tension headaches, neck/shoulder pain, and pain radiating pain down my arm. By the time I came for my appointment it was to the point where I was only eating soft foods. Who would’ve thought that a small device like a splint would be the solution to all the pain and discomfort I was experiencing . Although I agreed to the splint was not confident that it would work. Now after only two months I’m off my soft foods diet, I have my smile back, and the tension headaches are almost completely gone. I’m 85% better than I was at my initial appointment and I feel like I’m quickly getting my life back thanks to Dr. Urbanek and this device. Just a note of advice for anyone who decides to go this route when the doctor instructs you to place the splint in the case whenever it’s not in your mouth please do so! I actually stepped on mine but thankfully he was able to make it functional. This device was worth every penny.

- Neitra S

5 out of 5 stars on

Our Latest Patient Testimonial

I had TMJ with jaw pain, headaches, shoulder pain, and dizziness. I am so greatful for all the help I received and I am now pain free.

- Sarah A

5 out of 5 stars on

Our Latest Patient Testimonial

I came in with severe jaw pain and difficulty opening my mouth wide. I would also have ear pain. After wearing the splint as directed I feel so much better. When I open my mouth wide I feel no discomfort. Thank you Dr. Urbanek.

- Carol W

5 out of 5 stars on

Our Latest Patient Testimonial

After finally being diagnosed with TMJ by Dr. Urbanek, he recommended the mouth piece. It was amazing how my symptoms started decreasing. I did have jaw surgery, which was a big success. I am now 100% free of all my original symptoms. Dr. Urbanek and his staff have been wonderful! BL

- Buffi L

5 out of 5 stars on

Our Latest Patient Testimonial

I had no hope, after being left with no options from three other oral surgeons; Dr. Urbanek listened to my symptoms and concerns. He assured me, I was not alone and that there was hope for me. Dr. Urbanek’s TMJ Splint gave me my life back; I can talk, chew, and sleep with little to no pain, locking, popping, or clicking in my jaw. Dr. Urbanek and his whole staff are wonderful, I’ve never had a better experience at any other dental or oral surgery practice.

- Sam K

5 out of 5 stars on

Our Latest Patient Testimonial

I had experienced a great deal of pain from TMJ and grinding my teeth at night as have most of my family. Since I have been being treated with Dr. Urbanek’s Splint I have stopped grinding my teeth and the pain has gone away. I thank God for the talented staff at TMJ . I also have other issues with ear that have subsided to a bad memory.

- Ronald A

4 out of 5 stars on

Our Latest Patient Testimonial

I suffered for over 20 years with migraines, jaw pain, numbness in my arm, neck pain, and ringing ears. I have seen multiple doctors over the years with multiple testing. I never got relief. When I woke up one morning, my jaw was hurting so bad I couldn’t open it. That’s what led me to Dr Urbanek and the diagnosis of TMJ disorder. I had a mouth splint made specifically for me, and the rest is history! My migraines are pretty much non existent. No neck pain. No arm numbness. No ringing ears. And my jaw feels fabulous!! Thank you, Dr Urbanek for helping me gain the quality of life I have now! No more missed time with my husband and children because of nasty migraines.

- Kristen O

5 out of 5 stars on

Our Latest Patient Testimonial

I’ve had problems with my TMJ for a very long time. I had TMJ surgery many, many years ago, which helped a great deal, but didn’t wear the mouth guard the way I was supposed to, so it got steadily worse. I grit my teeth, don’t grind them. I came back to Dr. Urbanek. My surgery site still looked good. Dr Urbaneck recommended a new mouth guard. It has helped a great deal.

- Gayle F

5 out of 5 stars on