TMJ Disorders

TMJ (temporomandibular joint) disorders are a family of problems related to your complex 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 (muscles of mastication) 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. Drs. Morales, Shaikh, Alicea, Antonos, and Moore can help you have a healthier and 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 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.

Treatment

There are various treatment options that Drs. Morales, Shaikh, Alicea, Antonos, and Moore can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, Drs. Morales, Shaikh, Alicea, Antonos, and Moore will determine the proper course of treatment. It is important to note that treatment always works best with a team approach of self-care joined with professional care.

The initial goals are to relieve the muscle spasm 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 and helps to protect the cartilage and joint surfaces. An anterior positioning appliance moves your jaw forward, relives 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 to protect from 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. Morales, Shaikh, Alicea, Antonos, and Moore do not consider TMJ surgery unless the jaw cant open, is dislocated and nonreducible, has severe degeneration, or the patient has undergone appliance treatment unsuccessfully.

Orofacial & Dental Implant Surgery

5 out of 5 stars based on 18 TMJ Disorders reviews.

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OFDIS is the only doctor's office where I had no wait and everything was on time. Dr Moore and his entire staff provided excellent service with courtesy and detailed explanation of my symptons, cause and solution. Highly recommend OFDIS.

- Mezdi B

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After more than a year of constant tests, appointments with specialists, and treatment trials for my daily migraines I finally found Dr. Moore, and I feel more hopeful than I have in months. I thought this was just another trial of something (TMJ), but Dr. Moore looks at the whole picture to see what's really going on, and he seems to genuinely want to find the cause of the headaches and treat the source, rather than just another temporary fix. The office staff are very friendly and helpful and the office itself pleasant and comfortable.

- Linda K

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Lauren was very kind and helpful to me....she took time and explained everything over with me and I appreciate that. Definitely glad I went with this staff and doctor.

- Rebekah S

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Lauren and everyone else I came in contact with was amazing. Great customer service. Great doctor. Little to no wait time in my 3 visits. Could not be happier.

- Melissa W

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I wish I could send all my friends & family for an evaluation.

- Alison R

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This rating is for Nancy. I am doing one for each person that was in contact with us, since they gave mom such a special attention and I want to do the same with each one of them. In the middle of my mother's emergency, it was a great pleasure and experience to come to this doctor's office. All staff was more than excellent. Thank you all for making your job a place where people can come and be taken care with such detail, courtesy and kindness.

- Leslie V

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In the middle of the bad experience of what a jaw dislocation is, it would be a pleasure to come to this office since you are treated with so much respect and attention since you call, while in the office and the doctor is more than excellent. Thank you, you should be used as the example of the kind of attention that should be given to patients in all doctor's offices.

- Leslie V

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Lauren's service was excellent. Thank you, Lauren for going out of your way to provide excellent service and our visit to your office a very pleasant experience.

- Leslie V

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Lauren has been such great help and I enjoy having her as my go to when I have questions. She's very patient and understanding and works soooo hard!!!

- Amber L

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Dr. Moore was fantastic! So much so that I wish he was my primary care doctor.

- Rick M

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From the beginning on registration to the end with Lauren, they made me feel very pleasant, I was very happy with the staff and the doctor answered all my questions, he took his time to explain everything to me. It was a very good experience.

- Francisco D

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lovely friendly staff felt very relaxed keep up the good work see you again in May

- Josephine W

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I had a great experience

- Ivelisse M

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I had a great experience. service and professionalism was super.

- Ivelisse M

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Dr. Moore is the most caring and involved doctor I have ever seen. He is easy to talk to about anything and seems to truly care about me being at optimal health. I've never experienced that before and I feel spoiled and well cared for. He is always available to answer my questions and is very quick too. I am thankful to have him as my doctor. Lauren is also extremely helpful as my designated office staff. She is so friendly and warm and I feel at ease talking with her. She is professional and always helpful when I call and have questions (which has been frequent at times). Estephania (sp?) Is also very sweet and easy to talk to. She has a good sense of humor. She is Dr. Moore's assistant. The best staff! Thank you for making me feel so comfortable and nurtured. That has made a huge difference in my healing journey. I'm very optimistic that your team and Dr. Moore are going to lead me to full restoration of my health. I really don't know what I would do without your office helping me through this challenging time. Thanks to everyone.

- Stephanie S

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Nice, clean office. I have been to see Dr. Moore twice thus far and I am more than pleased with the time and depth he takes in explaining and examining me. All of the staff that I have dealt with thus far which includes Lauren and Stephanie have been sweet, kind and knowledgeable. Looking forward to Dr. Moore's expertise and experience in helping me with TMJ issues and 24/7 heartbeat sounds in right ear. I just got fitted for a night time mouth guard to help with alignment and teeth grinding...and already getting a better nights sleep with prescribed medicine. The scheduling of appointments has you waiting a very little amount of time.

- Karin L

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Dr. Moore is very knowledgeable,professional,and nice. He and his assistant, Estefania are very comfortable to be around and make the visit very pleasant. I would recommend them highly

- Tina O

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Absolutely loved all of the atmosphere of the office. I actually wish I needed to visit more often because of how amazing everyone was. Genuine staff.

- Jacqueline G

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