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 240 TMJ reviews.

Our Latest Patient Testimonial

I used to have terrible headaches and sleep disruption. The device has fixed both, halved my daily required caffeine intake, and allowed me the focus to write a 200+ page book in a two month timeframe. I wish I had learned about this sooner.

- Will

5 out of 5 stars on

Our Latest Patient Testimonial

Six years ago I was involved in a bad car accident. Since then, I have had terrible headaches, dizziness and neck pain. Other doctors always told me it was a lasting side effect. Not long ago my jaw began locking and snapping. My dentist referred to me to Dr. Urbanek who recommended the splint for my jaw joint problem. After wearing the splint for three weeks all of my symptoms are nearly gone. No constant headaches, neck or shoulder pain or snapping in my jaw. The splint truly has changed my life!!!!

- Harley L

5 out of 5 stars on

Our Latest Patient Testimonial

Wearing this device has relieved a lot of my pain and I can eat things that I couldn’t before. I am so grateful it exists.

- Hetty W

4 out of 5 stars on

Our Latest Patient Testimonial

Since seeing Dr Urbanek ,I have noticed a major reduction in my tinnitus and TMJ. Extremely satisfied with his medical advice. Would highly recommend him to anyone. Thank You,Tom O

- Tom O

5 out of 5 stars on

Our Latest Patient Testimonial

Best decision I ever made. ENT referred me to Dr Urbanek and so glad I followed his advice. My overall health has dramatically changed for the better. No longer have daily jaw and neck pain. My sleeping has improved tremendously! I recommend the device to any individual who suffers from TMJ. Dr Urbanek has changed my life. So grateful and appreciative for the doctor and his staff!

- Beverly J

5 out of 5 stars on

Our Latest Patient Testimonial

I came in not being able to open my jaw all the way, which is a big problem for a singer! After using the splint I can open my jaw and my other symptoms are gone as well! I can now sing fully and healthily and have no more jaw pain. This splint really works!

- Allie C

5 out of 5 stars on

Our Latest Patient Testimonial

I’ve suffered with TMJ symptoms for 30 years. So many doctor appointments for headaches, sinus pain, jaw pain, nighttime clenching, broken crowns, tinnitus, dizziness and neck pain. Not once did I connect all these symptoms to one cause, but after my dizziness became debilitating I was desperate. After several internet searches I saw other dizziness sufferers had gotten relief from TMJ treatment. Luckily for me I was referred to Dr. Urbanek. After starting treatment with my splint I began noticing my headaches disappeared. After 8 weeks I am 95% symptom free and with continued use I expect to be 100%. The Urbanek Splint is easy to use and the relief it delivers is amazing. I am beyond thrilled with my results.

- Cynthia L

5 out of 5 stars on

Our Latest Patient Testimonial

I came in with severe jaw pain that began 37 years ago and was to the point where I could not eat regular foods or open my mouth very far. After finding out I clench my jaw when I am sleeping and when stressed, Dr. Urbanek fit me with my device and within the first few weeks I was over 50% better. At 6 months I am nearly problem free. I could not be happier with the results!

- Kelly W

5 out of 5 stars on

Our Latest Patient Testimonial

I was at wits end when I was referred to Dr. Urbanek. My right jaw had popped out and I was miserable. I was hoping for an easy fix, like pop it back in. No simple fix here. I learned that all of my symptoms ongoing for decades of excruciating jaw pain, ringing in the ears, headaches, etc. were from TMJD. I tried anti inflammatory medication, mouth guards, chin straps, etc. Nothing worked. I was in so much pain and not a fan of pain meds, so I committed to try the mouthpiece from Dr. Urbanek. After 2 months I can honestly say that I have hope. My jaw pain is occasional now. The ringing is far from gone, but there are times now when it gets lower, so I have hope. Dr. Urbanek told me in the beginning this would be the last symptom to resolve. I cannot say enough how this has changed my life for the better. I wish I could make people happy like Dr. Urbanek does! I think I am disappointed in all of my medical providers over he years that didn’t recognize what was going on before my right jaw was destroyed. I am a nurse and didn’t figure it out either. I didn’t realize that I was grinding until it was almost too late. My husband never noticed me grinding at night. I wish I had known about this 20 years ago!

- Natalie C

5 out of 5 stars on

Our Latest Patient Testimonial

Happy to finally find relief, the splint works! Dr. Urbanek and his staff are great.

- Marcie B

5 out of 5 stars on

Our Latest Patient Testimonial

After going to several different oral surgeons and trying different shots and medications I thought I would keep searching because there had to be someone out there who could fix my problem and with that I found Dr. Urbanek he is very great at what he does by asking questions and going into depth with everything so with that we found out I had both kinds on TMJ the locking of the jaw and the headaches ear and neck pain he suggested the device and after a month of wearing it I saw a huge difference no more headaches or ear pain but I still had the locking so with that he suggested surgery and that was the best thing I could have done my jaw is better then I could remember I highly recommend you go to him and the staff is so great after 8 long years of this but Dr. Urbanek has fixed it and I am truly grateful for him and his staff!

- Taylor A

5 out of 5 stars on

Our Latest Patient Testimonial

I dealt with persistent jaw pain and pressure for over 10 years. I used to not want to eat certain foods, only sleep on one side of my pillow, and would come home tired and frustrated after clinching all day. Dr. Urbanek's simple device and plan have alleviated all of my nagging symptoms, left me free of pain and with complete range of motion. This is the best and most simple way to fight and beat persistent jaw pain.

- Chase B

5 out of 5 stars on

Our Latest Patient Testimonial

Before I came came here, I had had headaches all my life and continuous jaw pain for about 6 months. After A few days of receiving my mouthpiece, I have not had one headache and absolutely no jaw pain at all.

- Edwin H

5 out of 5 stars on

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