TMJ

TMJ informationTMJ (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 and Dr. Urbina 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 Today

Call us: 615-771-1983

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 Drs. Urbanek and Urbina can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, Drs. Urbanek or Urbina 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. Drs. Urbanek and Urbina do 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 or Dr. Urbina?

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 538 TMJ reviews.

Our Latest Patient Testimonial

I have had headaches, jawpain, neckpain, popping jaw, locking jaw, and ear ringing for around five years now. I had no idea what was going on, and was constantly burdened by the symptoms going on. Dr. Urbanek took the time to explain what was going on and told me that all of the pain could go away. He explained to me what the TMJ Splint was, how it works, and I was fitted for the device the same day. After 6 weeks of using the device the symptoms dramatically reduced, almost completely, and Dr. Urbanek explained that they would only continue to go down as more time passed. I am very glad to have come to Dr. Urbanek, and will be forever grateful for his help in getting rid of the painful symptoms of TMJ.

- Mikayla T

5 out of 5 stars on

Our Latest Patient Testimonial

When I came to this office over two years ago I was having chronic headaches muscle pains in my neck jaw pain excruciating right ear pain that would wake me up at night if I was to sleep on it. I had been evaluated by ENT, dentists and neurologist until I was asked if I would mind getting evaluated by Dr Urbanek, I said sure why not. The first visit he gave me a diagnosis TMJ, talked about the TMJ Splint and went ahead with making the splint. It was great after just a couple months my pain was now almost completely gone

- Julie R

5 out of 5 stars on

Our Latest Patient Testimonial

Before coming to see Dr. Urbina, I was having severe migraines, jaw pain, & ear pain. Now after 6 weeks with my device, I have not had near as much pain. I am so grateful for him and his team.

- Molly H

5 out of 5 stars on

Our Latest Patient Testimonial

I had a terrible earache for four months and continuous migraines. My earche is gone and with this device and medication, my migraines have stopped. I also can open my mouth a lot more without pain since using this device. I can tolerate this device better than the generic over the counter ones. I do recommend this.

- Nancy P

5 out of 5 stars on

Our Latest Patient Testimonial

I’ve been plagued with symptoms of neck pain, headaches, and shoulder pain for a long time and just assumed these were from stress. When I developed more focal jaw ache and consulted Dr. Urbanek, he immediately recognized these symptoms as all related to a jaw joint problem. As a physician, I realized his explanation not only made since but was essentially the only way all these symptoms could be linked. In a couple of months of following his simple plan, I am finally free of these problems from which I have been suffering for years!

- Ted A

5 out of 5 stars on

Our Latest Patient Testimonial

Before being referred to Dr. Urbanek for my severe TMJ pain, earaches, and headaches, I was convinced I would have to deal with the pain for the rest of my life. When I was told there was hope for relief by using the TMJ Splint, I was so excited to get started on the process of getting it made. After wearing it for about a week, I could already tell a huge difference in the way my ears, jaws, and head felt. Dr. Urbanek and his device are a definite God send. Well worth every penny spent. I recommend him to everyone I speak with that has TMJ pain.

- Kimberly P

5 out of 5 stars on

Our Latest Patient Testimonial

I came to Dr. Urbanek’s office because I was showing symptoms of TMJ. I had the headaches, the jaw popping along with the jaw pain, the ringing in my ears & everything else. With only 3 follow up visits and the TMJ Splint, I no longer have the pain!

- Taylor B

5 out of 5 stars on

Our Latest Patient Testimonial

I have struggled with TMJ for over 20 years. A friend told me about Dr. Urbanek and how the treatment helped her TMJ issues. I followed his instructions and have had significant improvement. I am thankful to have found someone to help.

- Stacey A

5 out of 5 stars on

Our Latest Patient Testimonial

I was pleasantly surprised by the dramatic difference this made for me. It shocked me to be able to honestly say that my symptoms has decreased by 80% after only three weeks. I wasn’t even aware of how drastic the issues were until after feeling the improvements and relief the mouth guard provided me.

- Allison F

5 out of 5 stars on

Our Latest Patient Testimonial

Every year my jaw would pop and then I could no longer open it. Every time I swallowed, a piercing stabbing pain would shoot from my ear down my throat. It would last for 3-4 days and the pain was excruciating. After using my new TMJ device, my jaw no longer locks! It is the only thing that works. It has been amazing!

- Jenna

5 out of 5 stars on

Our Latest Patient Testimonial

Dr: Urbanek and his staff are extremely courteous and professional. I came to Dr Urbanek seeking help for TMJ symptoms. After fitting my mouth with the Urbanek splint; I began to find relief with the pain within a month. I am beginning to see improvement with sinuses issues after a couple of months. I highly recommended this practice and sincerely appreciate the kindness extended by all staff.

- Tammy P

5 out of 5 stars on

Our Latest Patient Testimonial

I have had TMJ symptoms for many years with headaches, jaw pain, and numbness. After seeing Dr. Urbanek and being fitted with his device, I feel much better and my overall quality of life has improved. All of the staff are very helpful and friendly, and I would highly recommend Dr. Urbanek.

- Lucy B

5 out of 5 stars on

Our Latest Patient Testimonial

Totally worth the cost to get the splint! My TMJ symptoms of pain, facial tiredness, and tinnunitus have been resolved. Everyone is wonderful and you are treated so well. Dr. Ubani works hard to make treatment plan work for you!

- Anita B

5 out of 5 stars on

Our Latest Patient Testimonial

I have had jaw pain and most of got all of the symptoms listed by Dr. Urbanek for three almost four years. I had seen surgeons and many doctors who had given me advice but when I found out about the TMJ splint and came to see Dr. Urbanek, my symptoms had almost disappeared. I'm so glad I discovered this device and had a great doctor who took the time to check in on me and my symptoms.

- Sage D

5 out of 5 stars on

Our Latest Patient Testimonial

I came to Dr. Urbina in the middle of a two-month-long season of severe jaw pain, stiffness, and swelling. The most severe I’d ever experienced. Dr. Urbina taught me all about the jaw joint and where exactly my pain was coming from. Within a matter of days, I was fitted for a special device that I now wear every single day. My pain is practically 100% gone, and I haven’t experienced a flair up in weeks. I’m so grateful for the ways Dr. Urbina and his team have helped me understand what was going on, how to resolve it, and have kept me pain-free ever since.

- Laurabeth W

5 out of 5 stars on

Our Latest Patient Testimonial

After a few months of wearing the TMJ device, I was surprised but very pleased with the results! No jaw, neck, or shoulder pain and it relieved the ringing in my ears. I’m very glad to have taken a chance and followed the TMJ program.

- Dakota M

5 out of 5 stars on

Our Latest Patient Testimonial

I have been suffering from headaches, earaches, and neck pain for 20 plus years. I have been receiving Botox for numerous years for this as well. Since seeing Dr. Urbanek and using his device, most of my symptoms have disappeared. I am a firm, believer his device!!! I am thankful that I found him and his device. I highly recommend trying this device.

- Jeanne J

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Urbanek’s device works, my headaches, ear aches, and jaw aches went away instantly. I was shocked... but now I can not sleep or leave without it. I know people with recommend mouthguards and I have tried them but with Dr. Urabnek device IT WORKS!! Worth every single cent. If you want instant relief!!! This device WORKS!!!

- Audrey J

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Urbanek exceeded all of my expectations in such a short amount of time. I had a locking jaw, ear pain, and headaches all associated with my jaw joints. The device has reduced my symptoms in just 3 months by 90%! Dr. Urbanek and his entire staff is phenomenal.

- Nikki D

5 out of 5 stars on

Our Latest Patient Testimonial

I have been suffering from TMJ symptoms going back 30 plus years. I have had multiple surgeries and devices but did not have much improvement. After only six months of wearing the Urbanek splint I have had drastic improvement in all of my TMJ symptoms. Dr. Urbanek and his team have been very professional and amazing.

- Michelle T

5 out of 5 stars on