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 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?
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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 TMJ Device. A TMJ Device (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 TMJ Services Phone Number 615-771-1983 or request an appointment online.

TMJ Services

5 out of 5 stars based on 632 TMJ reviews.

Our Latest Patient Testimonial

I started having migraines consistently after having my daughter in 2019. The intensity of the migraines led to neck and lower back pain. 2 months ago I started having severe jaw pain. I could not bare touching it without crying. My dentist tried giving me a normal “night guard” that made it worse and finally referred me to Dr Urbanek. The next day, they got me in and less than 2 weeks late my customized mouth piece came in. Less than 3 weeks after using my piece consistently, l have no more neck pain, back pain, earaches, jaw pain, and my migraines have decreased significantly. I never thought I would finally figure out what was causing all my issues. Being 21 years of age, I’m glad my I finally have my life back.

- Markayla S

5 out of 5 stars on

Our Latest Patient Testimonial

My experience with headaches, earaches, shoulder pain has been greatly diminished by my treatment with Dr Urbanek’s device. I was very skeptical at first but now I have to say the treatment is a success. The treatment was a little longer than anticipated but I am very glad we kept with it. Dr Urbanek has been so kind and patient.

- Rhonda J

5 out of 5 stars on

Our Latest Patient Testimonial

My story one morning I woke up unable to open my mouth due to jaw pain. I went to doctor . I was lucky because he knew what was wrong right away. It was TMJ . I could barely open. He referred me to a specialist and I found out a lot I did not know. There are other symptoms that go along with this that you may not be aware of like me.some of the symptoms I had experienced is headaches for long time and more resent jaw pain. Like most people I ignored it thinking that it would go away they don’t. If you have these problems ask your doctor if these symptoms could be caused by TMJ. It helps to know there is help out there. I got lucky and now the pain is almost completely gone. Don’t be afraid to ask and please don’t ignore the problem. That’s my story about how I found out about TMJ and got help.

- Judy S

5 out of 5 stars on

Our Latest Patient Testimonial

I've had lifelong TMJ issues that I overlooked and did treat until my jaw locked and I couldn't open my mouth very wide. The device has eliminated the pain, tension and other symptoms that I had along with allowing my jaw to unlock. I highly recommend the Urbanek device.

- Lisa B

5 out of 5 stars on

Our Latest Patient Testimonial

I have had jowl problems for years due to grinding my teeth. Over the years headaches, ringing in ear, and other symptoms that I have told my dentist and family physician about. Until about 4 months ago my jowls staring locking. I was referred to Dr Urbanek. I am at 3 months wearing his mouth piece and have an 80% improvement. I would highly recommend people with the same problems to see before your jowls lock.

- Raymona D

5 out of 5 stars on

Our Latest Patient Testimonial

After many years of clenching my teeth, jaw pain and the ominous clicking while eating I found relief. I’ve worn my appliance for 11 months now. The pain, clicking and facial swelling has gone away. This is such a great relief. I’m hopeful that the healing process will continue in the months ahead. Regardless my TMJ issues are already 95% improved and due to this I recommend others try this.

- Patricia M

5 out of 5 stars on

Our Latest Patient Testimonial

I was having tons of ear aches and swimmers ear and jaw problems locking,popping also shoulder pain, neck pain but it was not the problem of get old or just my ear I have TMD which causes migraines and other symptoms .now I don’t have to take anymore headache medication for it at all 99% better now than before I came to Dr Urbanek

- Mona W

5 out of 5 stars on

Our Latest Patient Testimonial

Since wearing the device my jaws are not popping, the ear aches I was having have improved significantly (almost non existent). My jaws are not sore when I wake up of a morning and I have not had a headache in the past few weeks. I wish I had been told about this device when it first came out.

- Sherrie M

5 out of 5 stars on

Our Latest Patient Testimonial

At my first appointment with Dr Urbanek, I was experiencing migraines and ear pain to the point that I was tired of dealing with it. Barely able to function some days. Since getting the mouth splint, I have had minimal headaches and am able to live again without the severe pain. Thank you for helping me get my life back!

- Amanda C

5 out of 5 stars on

Our Latest Patient Testimonial

I came in with symptom of jaw pain,ear pain and more so I came to see what they could do and they gave me a TMJ retainer/split to help my symptoms and over time my symptoms have went away.

- Brittany N

5 out of 5 stars on

Our Latest Patient Testimonial

I was dealing with unexplained and persistent headaches and stiffness, once I saw Dr. Urbanek and received my device all it took was a short 3 weeks before my worst symptoms were alleviated.

- Brendan K

5 out of 5 stars on

Our Latest Patient Testimonial

I have suffered with pain in my left jaw for over 20 years now. I have had a couple of dentists make me a retainer because they said I would grind my teeth when I was sleeping. It barely helped at all. In 2022 the pain became so bad. When I would open my jaw would lock up and it was so painful to open my mouth. Then I had pain run down my left shoulder into my hand. I would drop anything I touched. I went to physical therapy and it barely helped. It was time consuming and costly. Finally I went to the dentist and told him I could not deal with it anymore. He referred me to a TMJ. He made me a special device and it changed everything. I just wear it when I sleep and the pain has been reduced dramatically . Please refer patients with jaw pain to a specialist so they don’t have to continue to suffer.

- Lauren M

5 out of 5 stars on

Our Latest Patient Testimonial

I was referred by my dentist due to TMJ and having followed Dr. Urbina’s recommended treatment procedure my pain level has all but disappeared.

- Dan L

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Urbanek is fabulous! Not only did he make me a devise to help me sleep without clenching the device is with every penny and more. It has changed my pain levels as well as he fear of sleeping without pain in the morning and he was abut was kind and considerate during my treatment. He his a “dentist “ I never mind going to. If you are having any TMJ problems he is your man.

- Bonni L

5 out of 5 stars on

Our Latest Patient Testimonial

The TMJ device has made a huge difference in my jaw pain and ear pain!

- Patricia E

5 out of 5 stars on

Our Latest Patient Testimonial

I came for help with my jaw pain and headaches. Through consistent use of the device, I have experienced about a 75 percent reduction in overall symptoms. I am very happy with my results.

- Dustin A

5 out of 5 stars on

Our Latest Patient Testimonial

As a singer it was challenging to struggle for years with headaches, neck pain, jaw fatigue, upper back pain, locked jaw, ringing in my ears, trouble opening my jaw wide enough to sing, arm numbness, along with a whole list of other symptoms. It was even a challenge with work to wear headphones or even glasses because they would push on my jaw joints and I’d have dizzy spells and severe pain. I took different medications and saw different doctors according to my symptoms but nothing was diagnosed. It wasn’t until my dentist recommended Dr.Urbaneck that real change happened. He showed me how all those symptoms over the last 25 plus years were due to TMJ and with his devise I could find relief. In the process he also had my see Dr. Rice to correct my jaw alignment with braces. He knew exactly how to help and provided everything I needed to recover. I went from being on Aleve several times a week and massive medical issues as well as medical bills to now 95% of my symptoms are gone. I can sing and record for hours with no difficulty. It’s a life changer for me as a recording artist! I wish everyone knew about this issue and the Urbanek device so they could get the proper care the first time and save thousands of dollars on testing that is unnecessary.

- Stacie P

5 out of 5 stars on

Our Latest Patient Testimonial

When I came to see Dr. Urbina, I had been having migraines for 40 years. I had been going to a pain clinic for 9 years and had been having the nerves in my neck burned yearly. In March 2022, the pain Doctor sent me to Dr Urbina. I decided to try the mouth piece, which I wore 24/7 for 3 months. After that amount of time, I wear only at night. My migraines have greatly improved, I get a headache every now and then, but have not had a migraine.

- Lori S

5 out of 5 stars on

Our Latest Patient Testimonial

Very pleased with the outcome since wearing my device. All around positive experience after suffering from TMJ symptoms for a very long period of time. Highly recommend!

- David Knolton L

5 out of 5 stars on

Our Latest Patient Testimonial

I came to Dr Urbanek to address horrible TMJ issues in my jaw including headaches and constant grinding. Dr Urbanek is very knowledgeable and assertive with his instructions on treating TMJ. As soon as I began to trust the process and Dr Urbanek, my symptoms began to diminish. I can’t give a 5 star rating because I still have the clicking, but the headaches have subsided. I will always be a grinder but I’m thankful for my mouth guard, and being made aware of how I constantly worked my mouth and jaw.

- Teresa G

4 out of 5 stars on