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 201 TMJ reviews.

Our Latest Patient Testimonial

I have delt with headaches and ringing in my ears for 15 years. Using the jaw splint has really helped lessen my headaches and the ringing in my ears is completely gone!

- Diana F

5 out of 5 stars on

Our Latest Patient Testimonial

I came in with some dizziness and crackling in my ear. I was really skeptical about the device. I have worn it for 3 weeks and I do not have crackling or dizziness. I am thrilled that this device really works.

- Michelle S

5 out of 5 stars on

Our Latest Patient Testimonial

I have had jaw neck and shoulder pain for about as long as I can remember. After 3 months of treatment for TMJ with Dr. Urbanek my pain has been almost completely eliminated. Glad to have finally received treatment for this issue from Dr. Urbanek!

- Terry C

5 out of 5 stars on

Our Latest Patient Testimonial

When I found myself reaching for a protein drink, V8, milk or other liquid substance because I could barely open my mouth, I decided I would do whatever I needed to get my jaw pain under control. Even if it meant at 55 I would have to get braces. My regular dentist recommend I make an appointment with Dr. Urbanek, so I was expecting to drop about ten grand on braces. When he checked my jaw and told me I was not going to require braces, but rather a MUCH less expensive splint to wear for a couple of months, I was greatly relieved. At the beginning, he asked me a list of questions about some typical symptoms. Dealing with a high pressure job and spending hours at a time on the computer, I was confident my neck and shoulder pain was all about stress. You can imagine my surprise when, once I began wearing the splint, I noticed my neck and shoulders no longer ached. AT. ALL. I would recommend anyone to try this route. In the grand scheme of things, wearing an appliance in my mouth for 8 weeks felt like such a minor inconvenience it was truly just a blip. It worked wonderfully for me.

- DiAnne S

5 out of 5 stars on

Our Latest Patient Testimonial

After having headaches, ear and jaw pain, ear fullness, and a mystery shoulder pain for years I was finally referred to Dr. Urbanek. After using the splint as directed, all of those symptoms were relieved within two months. I’m very thankful for Dr. Urbanek and the splint. They’ve changed my life.

- Joel L

5 out of 5 stars on

Our Latest Patient Testimonial

I have been suffering for at least 3 years with severe jaw pain, ear aches, vertigo and the list goes on. I had such severe pain in my ears that I went back to ENT and he told me that Ihad severe TMJ! I was referred to Dr. Urbanek. The staff was awesome. I was scheduled for the same week. After a through discussion with Dr. Urbanek, he explained That even the symptoms I didn’t realize were related to the TMJ. After 3 weeks,I feel at least 97% better. Only occasionally ringing in ears and that was explained to me in our discussion. I feel so thankful that I found Dr. Urbanek and this wonderful retainer! If you have these symptoms, don’t suffer anymore! Go see Dr. Urbanek!

- Traci B

5 out of 5 stars on

Our Latest Patient Testimonial

After trying ice and heat and every other treatment online and nothing working, Dr. Urbanek Solved my problems. I started seeing a drastic change in my pain almost instantly and my symptoms were gone in no time. I would definitely recommend him if you are experiencing TMJ pain.

- Brandon J

5 out of 5 stars on

Our Latest Patient Testimonial

When I first came to See Dr, Urbanek, I was having tingling and numbness down my neck and arms,pains in my jaw,ringing in my ears and I could hardly eat for all the pain. I had headaches and now after 3 weeks of wearing the IMJ device All of my symptoms have improved.

- Lydia W

5 out of 5 stars on

Our Latest Patient Testimonial

After a long history of headaches, jaw pain, and fullness in my ears, I started having a catch in my left jaw with extreme pain. I came to Dr Urbanek. Almost immediately the severe pain went away and after two months over 90% of my symptoms have disappeared.

- John M

5 out of 5 stars on

Our Latest Patient Testimonial

I suffered from TMJ inflammation for 7 years without even knowing that was the cause of my headaches, neck aches, and jaw pain. Those symptoms would come and go varying in severity and I always thought that it was something that I just had to deal with and find home remedies to relieve those symptoms. Once I found out I could ultimately be healed of those ailments, I sought care originally from someone who was looking to charge me well over what I was able to afford. I am so grateful to have found out about Dr. Urbanek and his process of treating my TMJ. After just 3 weeks of using his TMJ splint, 85% of my symptoms are gone!!! I am so glad that I found this care and am able to feel more like myself and say goodbye to the daily pain caused by my TMJ!

- Abby W

5 out of 5 stars on

Our Latest Patient Testimonial

I was a sceptic that this small simple device could actually take away my headaches that I’ve had for 20 years. It really works! Dr. Urbanek has given me a much happier life.

- Lisa H

5 out of 5 stars on

Our Latest Patient Testimonial

Initially I was very skeptical due to 20+ yrs of TMJ issues. After 5 months of severe hearing loss and jaw pain, my ENT referred me to Dr Urbanek. I researched his website and still thought I was a lost cause, due to Rheumatoid auto immune disease. I am always in pain. So after my first appt I realized Dr. Urbanek was my last chance for help. I was fitted for my mouth splint and after 2 days of wearing it, my hearing improved so much my husband noticed it. And after one month the severe inflammation improved. It was exactly what I needed. Now after a few months I am pain free and so very grateful. Thank you to his entire staff for helping me!

- Lora N

5 out of 5 stars on

Our Latest Patient Testimonial

I have tried everything under the sun for my TMJ including Botox injections every few months just for relief, but nothing has been able to make my symptoms completely go away other then this custom splint by Dr. Urbanek. His staff is amazing and the best part is that he truly cares about making you feel better in the long run! I 100% recommend coming to see Dr. Urbanek if you have TMJ it will change your life!!!!

- Thip N

5 out of 5 stars on

Our Latest Patient Testimonial

I was miserable with pain headaches,neck,jaw,ear.Dr Urbanek has made me feel like a new person.The staff are wonderful!

- Shelia B

5 out of 5 stars on

Our Latest Patient Testimonial

I suffered from severe headaches and migraines for over 13 years before I came here. I had a traumatic injury that obviously didn’t help but I was a bad teeth grinder as well. My regular dentist told me that he suspected I had TMJ and sent me to Dr. Urbanek and he literally changed my life. I went from having debilitating headaches 5 to 6 times a week ( and with 3 small kids time doesn’t stop) to maybe two a month (that are totally not TMJ related- probably related to 3 small kids ) . I would highly recommend the splint to any and everyone with TMJ issues. It changed my life for the better!!

- Kate B

5 out of 5 stars on

Our Latest Patient Testimonial

So pleased with the results after months of pain. No more biting of mouth inside making my jaw sore Wearing the device has not been too uncomfortable. Happy I have made enough progress that I now wear it at night. The staff has been great and pleased to have Doctor’s expertise. A very positive experience.

- Helen U

5 out of 5 stars on

Our Latest Patient Testimonial

After 30 years of headaches, neck pain, dizziness, arm and hand pain...the symptoms are going away! 3 weeks with the splint and I am already 80% better. Finally someone has figured it out. Dr Urbanek knows his stuff and has changed the quality of my life. His simple solution is so easy to follow and gets real results. I can’t wait to see what the future holds. NO MORE PAIN!!! Thank you, Dr Urbanek.

- Cheri K

5 out of 5 stars on

Our Latest Patient Testimonial

For years I lived with what I thought were no options except surgery. The Splint has given me symptom relief and the hope of no further joint damage. I wish I had known earlier.

- Connie C

5 out of 5 stars on

Our Latest Patient Testimonial

Came in with lots of symptoms, headaches earaches etc...and in three to four weeks I’m amazed to have had almost no headaches. This does work*

- Natalie B

5 out of 5 stars on

Our Latest Patient Testimonial

After just 6 weeks no pain at all after having TMD for over 8 months.

- Debbra C

5 out of 5 stars on