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?
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 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

When I came to Dr Urbanek, I had many symptoms including muscle pain in my face, ringing in my ears and tingling in my arms and hands. So far the splint device has been amazing at reducing many of my symptoms . I was relieved that surgery would not be necessary. I would recommend this procedure for anyone with TMJ issues.

- Laurie C

5 out of 5 stars on

Our Latest Patient Testimonial

I came in with extreme jaw pain and jaw locking and I had no idea what TMJ was. I was diagnosed with it and the doctor helped me to understand my symptoms and how to use the device. I feel like my symptoms overall have gotten way better and my jaw pain has gone away for the most part. The doctor did a great job is helping me through this.

- Ambar H

5 out of 5 stars on

Our Latest Patient Testimonial

I had jaw pain, headaches, neck pain, and ear aches for years until I car to Dr. Urbanek. I USED THE device he recommended, and after two months my pain has decreased by 90%.

- Lexi D

5 out of 5 stars on

Our Latest Patient Testimonial

I have struggled with headaches and neck pain for over 30 years. I just assumed that I was a person who would always struggle with these issues. About 4 months ago, I began having tooth sensitivity, jaw pain, and ear pain. I was taking Motrin several times a day just to provide some relief from the pain. I saw my dentist and my PCP and had a CT scan done in an attempt to diagnose my problem, but to no avail. I was told my symptoms were not indicative of TMJ disease. My PCP referred me to Dr. Urbanek because we were at a complete loss for a definitive diagnosis. I found out rather quickly during my initial consultation with Dr. Urbanek that I did indeed have TMJ disease. I have now been wearing the TMJ splint for 3 weeks and have experienced complete resolution of all of my symptoms. The hardest part of this whole process has been finding the provider who could correctly diagnose and treat my symptoms. Thanks much to Dr. Urbanek for his wisdom in diagnosing, treating, and educating people on TMJ.

- Sherri E

5 out of 5 stars on

Our Latest Patient Testimonial

This has really helped me a lot , haven’t had any problems with my jaw or my ears hurting since I have been using the device. Thanks!

- John t S

5 out of 5 stars on

Our Latest Patient Testimonial

When I came here for my first appointment I was very impressed, the amount of knowledge Doctor Urbina had about TMJ and the way he explained what was happening was very helpful. When i first came in I could hardly open my mouth to take a bite of food, or even sometimes just talk without it locking or popping. Using this device was something I definitely had to get used to. I talked with a bad lisp for the first couple of weeks, but it only took a short time for my mouth to adjust. Before using the device I did not understand the extent of my symptoms until I caught myself not wearing it for a few days. I could feel the pressure I used to clench my teeth together and the soreness it caused. I am close to coming up on the year mark of having it and it has helped my jaw tremendously. I can finally eat whatever I want and talk just fine without it affecting me. I also tried seeing a chiropractor who said he could get the popping and clicking to go away, however after a few months of trying that I stopped my appointments because they were doing no good and just relied on the device itself. I believe that was definitely the best decision. I would recommend this to anyone who is having jaw pain, it has definitely helped in the best way!

- Hannah G

5 out of 5 stars on

Our Latest Patient Testimonial

For 10 years I experienced jaw pain, headaches, shoulder and neck pain due to TMJ and I could find no relief for it. After using this splint for 2 months, I am pain free! Thanks to the doctors at Urbanek’s office.

- Jana B

5 out of 5 stars on

Our Latest Patient Testimonial

I came in about 9 months ago after trying so much to fix my TMD even chiropractic adjustments. The device was definitely worth every penny and I highly recommend getting it if you have any TMD symptoms. My jaw pain has reduced no almost no pain at all along with all the side effects including headaches, ear pain, ringing in the ears among other issues.

- Jessica M

5 out of 5 stars on

Our Latest Patient Testimonial

I spent 20+ year fighting with doctors to get help for horrific blinding headaches that medication, shots, and chiropractic didn`t help. Just as many years trying to get my ears fixed. They were full feeling, ringing, achy and either sharp or dull pain. I went to ENT after ENT with no help. Till 2022 I finally landed at an ENT doctors office that referred me to Dr. Urbanek who finally diagnosed me with a jaw joint problem (TMJ). Within a month of wearing the splint he created the headaches, sleepless nights, hearing problems and ear pain all started to go away. The shocking part was my jaw joints started to feel strong. I had no idea it was so weak. I now live my days headache free, hearing better and pain free in my ears as well as jaw joint. I am grateful to have landed in Dr. Urbaniks care.

- Nichole H

5 out of 5 stars on

Our Latest Patient Testimonial

I had experienced excruciating pain in my jaw and had difficulty attempting to eat any type of food along with other painful symptoms (headaches, dizziness, shoulder and neck pain, earache) prior to treatment with the Urbanek Device. This device is life changing! I encourage anyone with TMJ issues to be evaluated for use of this device.

- Debra D

5 out of 5 stars on

Our Latest Patient Testimonial

I have experienced debilitating neck, shoulder, and jaw pain for several years. I did several things to alleviate the pain but didn’t see any improvements. Finally I researched TMJ concerns and suspected that this could’ve been the source of my pain. My dentist referred me to Dr. Urbanek and after the first consultation, Dr. Urbanek confirmed the diagnosis. Since I started wearing the device, I have felt greater relief of my jaw and neck. Thanks for your help!

- Flori J

5 out of 5 stars on

Our Latest Patient Testimonial

One of my symptoms I have had for over 10 years and Dr. Urbanek was able to minimize that symptom significantly. He has also been able to minimize all my other terrible symptoms I have been experiencing for such a long time now. He was able to figure out the root cause of my problem and is helping me work toward eliminating my symptoms completely!

- Lily W

5 out of 5 stars on

Our Latest Patient Testimonial

I developed jaw pain symptoms over about a year, that started to interfere with my work as a musician. Wearing Dr. Urbanek’s device for six months has allowed me to wake up without headaches, go through my day without pain, and not worry about whether I could continue playing my instrument or not in the future. I’m very grateful for the care I’ve received. Thank you!

- Michael A

5 out of 5 stars on

Our Latest Patient Testimonial

I’ve had issues with headaches, my jaw locking and aching. I didn’t realize that it was TMJ issues. I got recommended to see Dr. Urbanek from my dentist when I told her about the problems I was having. I’m happy I did because a lot of the pain and headaches I had have went away with the help of the mouth splint.

- Brianna A

5 out of 5 stars on

Our Latest Patient Testimonial

I highly recommend the device. Dr.Urbina has been wonderful help. When I first came in I was experiencing horrible migraines, jaw pain, and pain in my temples. Since the device I see 80-90% difference. My migraines are gone and no more pain in my temples or jaws when I wake up everyday. I can now enjoy my everyday life without a migraine, thanks to the device and the wonderful drs here.

- Brandy P

5 out of 5 stars on

Our Latest Patient Testimonial

I came to Dr. Urbanek experiencing sharp jaw pain in my left jaw. It got to the point where I couldn’t close my mouth. Wearing the device corrects this issue to the point where I live basically symptom free. I don’t experience pain and my jaw doesn’t feel like it falls out of place.

- James C

5 out of 5 stars on

Our Latest Patient Testimonial

Hi I’m Zabrina and I have been living with jaw pain half my life. One day I spoke to my Dentist about the pain and symptoms I was having and sent in a ref to Dr. Urbanek office. When after my exam I was explained what the problem was with my jaw. They recommended a dental device…I thought to myself what’s this gonna do. Once I got my device and started wearing it as recommended my symptoms and my were almost gone, I can’t believe this device works and has helped me so much! I recommend for anyone one with jaw pain to come over and see these wonderful Dr’s, they can help relieve ur pain as they have done for me!

- Zabrina N

5 out of 5 stars on

Our Latest Patient Testimonial

I am someone who ignores symptoms when they are first starting. My jaw started popping normal sounds with no pain. My hearing is not good at all so I wear hearing aid device to help me with my hearing. I have a ringing in my ears really loud and distracts me when I’m not in noisy areas. When my jaw started popping loud enough for others to tell me that must hurt I realized it was time to see my doctor. He advised me to see Dr Urbanek so I made appointment to see if he could help me. When I told him my symptoms he said I had TMJ. He explained to me what caused TMJ and I said that I did the things to cause it. He said he could help with a dental device if I would do exactly what he said to do or it would not help. I am free from my jaw popping and other symptoms as well after 6 months of instructions. The ringing will take longer but I’m confident it will get better with time. Thank you for your help. Terry Potts

- Terry P

5 out of 5 stars on

Our Latest Patient Testimonial

I first saw Dr. Urbanek with a locking jaw. I was fitted with his splint and within two weeks the locking jaw was gone. After an extended period of time of pain and inconvenience before seeing the doctor, I was amazed at the prompt relief. I am looking forward to my complete recovery that I know will be soon in coming.

- Mary W

5 out of 5 stars on

Our Latest Patient Testimonial

Experiencing greater quality of life after two months. Pain level minor. After very Long time Suffering severe headache, shoulder and neck pain with numbness and tingling down arm. Ear problems and pain. The best part of my experience with Dr Urbanek he listens. I’ve told friends about feeling so much better to question their Dr and dentist about seeing Dr Urbanek. Only wish was years sooner.

- Diane G

5 out of 5 stars on