Rockville Dental Arts



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TMJ / TMD Treatment for TMJ Pain


TMJ / TMDSuffering with a bad TMJ?  If you open and close your mouth, you will notice that your lower jaw works like a hinge. In fact, when you place your hand on the side of your face, you will feel that hinge working. It’s located just in front of your ear, and its technical name is the temporomandibular joint. This joint is responsible for allowing you to move your jaw up and down as well as side to side so that you can chew foods, talk, yawn, chew gum, etc. There are problems that can arise with this hinge, and they are referred to as temporomandibular disorders or TMD.


Some people refer to it as TMJ, but that is the name of the jaw, not the condition itself. There are a number of different reasons why patients in the Rockville area may develop TMD and subsequent jaw pain, including:

  • Grinding the teeth or clinching the jaw puts pressure on this joint and that can lead to damage.
  • The disc located between the ball and socket of the joint (which works as a cushion) could move and lead to disorders.
  • Some people may develop arthritis in the joint.
  • Finally, stress, which causes tightened facial and jaw muscles, can lead to issues as well.


People with TMJ who develop TMD will experience temporary or long-lasting pain that can be very severe. It could affect only one side or both sides of the jaw. Other symptoms include:

  • Tenderness in the face, neck, and shoulders.
  • Inability to open the mouth wide.
  • The jaw getting stuck or locked in one position.
  • Experiencing clicking or popping or grating sounds when opening and closing the jaw.
  • Problems with chewing and bites that are uncomfortable and painful.
  • Swelling in the face.


Some people even experience earaches and dizziness due to TMD. As you can see, this is not something you should have to continue living with. When you talk to a dentist at Rockville Dental Arts, they can offer you solutions. When you visit us, our dentist will likely discuss something called TMJ splints as a solution for your disorder.



Regular signs and indications of TMJ include:

  • Jaw soreness and strain particularly toward the beginning of the day
  • Jaw joint popping and clicking
  • Constrained opening and scope of movement of jaw joints
  • Clenching or Grinding
  • Chronic Pain
  • Tension Headaches
  • Teeth wear, tear, splitting. history of past root trenches, tooth inserts, crowns and fillings by the gum line
  • Gum subsidence
  • Loose teeth
  • Ear completion, feeling of liquid in the ear or it needs to pop and some of the time loss of hearing
  • Flimsy tooth position. Consistent requirement for retainers, teeth that are continually moving
  • Rested sleep apnea
  • Tied Tongue or Tied Lip
  • Cerebral pains, potentially headaches, particularly in the Temporal region and up around and behind the eyes
  • Sinus Pressure or feeling of having a Sinus Infection
  • Neck and shoulder pressure, upper back agony
  • Shivering in the fingers and limits



TMJ Splints


TMJ / TMDSplint therapy involves using a plastic plate that fits in the mouth. You may have heard this kind of splint referred to as an orthotic, a mouth guard, a night guard or a mouthpiece. The purpose of this splint is to either stabilize the jaw, realign it, or prevent grinding of the teeth. Depending on why you have developed TMD, your Rockville Maryland dentist, Dr. Norkiewicz, will determine the best splint for you.

In some cases, wearing the splint for just a short period of time can be enough to resolve the TMD too. However, this is something you will need to discuss with your dentist as well.




Contact Rockville Dental Arts, your TMJ Specialist


If you have any of the symptoms of TMD or you think you may have one of the disorders, then it’s time to contact Rockville Dental Arts 301-424-2030 and schedule an appointment. You may also fill out our contact form and we will be glad to arrange time to discuss your condition in our Rockville office  or our DC office and determine if you need treatment. Then, our dentist will go over dental splints and how they can help you. Don’t continue living in pain. Instead, contact us today.


What is the Temporomandibular Joint?

The temporomandibular joint is the joint that actually interfaces the jawbone to the head. The Jaw bone is the mandible and the head comprises of a few bones including the fleeting bone. tmj is an acronym for temporomandibular joint. The joint pivots and slides down and forward in its vacant position. It is the main joint in the body fit for 3D development. The jaw joint assumes a key part in general stance and directs how the head sits on the vertebral segment.

Incomprehensibly, while the dialog is “tmj-tmd”, the issue or side effects we call tmj regularly are caused by brokenness in regions encompassing the joint. That is, the jaw-joint itself is once in a while the real issue or the genuine source/reason for torment. Treatment and treatment to all the life structures and capacity encompassing the jaw joint is the way to treatment and each case isn’t the same. The way to deal with treatment will once in a while be the same starting with one individual then onto the next who has this jaw issue. The greater part of the agony manifestations originate from poor jaw position and tooth gripping, yet the million dollar question is “the reason do individuals chench their teeth” and “how might we rectify the reason for tooth grasping” and how might we make rest, space and solace about this head and neck pressure?


How are TMJ Disorders Diagnosed?

More often than not, the patient can analyze themselves, yet the condition is affirmed by an exceptionally prepared tmj dental practitioner. The TMJ specialist will typically take a gander at the

relationship of the upper and lower jaws:

  • how the teeth fit start to finish to decide whether the occlusion is off
  • tongue position
  • general stance
  • muscle designs identifying with biting, head-neck developments, walk and breathing examples
  • assessment of the jaw joint to check whether there is any popping, clicking or lopsided developments
  • scope of movement of key joints including jaw joints, neck, shoulder, ribs and hips


How are TMJ Disorders Treated?

Treated with non-intrusive treatment, chomp machines, aviation route opening apparatuses. We regularly utilize the DNA Appliance which does these things. Here and there the utilization of a Gelb machine and nibble braces is vital in extraordinary cases. We by and large attempt to make it our objective to analyze the underlying driver of tmj side effects and perform tmd medicines that are remedial and restorative. We would like to restore the anatomic and physiologic positions and capacities where the patient will be better, stable and not ever have issues later on.

What would it be advisable for you to do in the event that you think you have TMD?

Call us or send us an email to plan a TMJ Consultation. We will perform and assessment and decide whether you have a tmj-tmd finding. In view of your circumstance, we will assemble a treatment plan intended to improve.  Treatment options include muscle relaxors, botox injections, home remedies and night guard/splint fabrication.


Is there a connection amongst TMJ and Sleep Apnea?

Truly. 77% of individuals who have Sleep Apnea have TMD-TMJ and agony. The main driver of TMD side effects is identified with aviation route issues and shameful breathing capacity during the evening. At the point when there is evening time aviation route issues, it starts the grasp reflex and here in lies the reason for every one of our issues. 80% of individuals who “hold their teeth” don’t know since they are sleeping. The grasp reflex for the most part does not wake the individual up the distance but instead into a lighter rest where the tongue and other “hindrances” recapture strong tone and the aviation route turns out to be completely patent once more. This is an exceptionally complex disorder yet the general idea is straightforward: Bad aviation route causes grasping and huge amounts of neuro-strong strain, pose issues and dental harm.


TMJ Pain is regularly MisDiagnosed and Treated disgracefully as incessant idiopathic torment with Drugs

TMJ disorder (TMS) is regularly misdiagnosed as different things, for example, ear or sinus Infection. Others have headache cerebral pains and think they are simply ceaseless headache migraine sufferers. Usually for individuals to “endure” Jaw pressure, tooth holding and trust they are “excessively worried” or “work excessively at a PC or work area.”

TMS patients have frequently observed numerous experts including neurologists, chiropractors, physical specialists and ENT specialists. Ordinarily the conclusion is missed or the patient gets headache drugs for cerebral pains from the neurologist. TMS indications can be dealt with and cured by a legitimately prepared and experienced authority. At Rockville Dental Arts, we treat temporomandibular disorder with an attention on a particular tms analysis and custom treatment design.


Night Guard for TMJ, Mouth Guard for TMJ?

There is no supernatural occurrence gadget for tmj-tmd. To show signs of improvement, a particular finding and treatment design is important on the off chance that you need to show signs of improvement. On the off chance that somebody doesn’t have room schedule-wise or cash to do restorative treatment, an evening time machine might be a decent brief answer for help with excruciating side effects.


Why is it important to treat TMJ-TMD. What happens on the off chance that I don’t treat the issue?

The upper teeth sit in the base of the human skull and specifically before the passageway of the spinal rope into the cerebrum depression and straightforwardly underneath the Pituitary Gland. The longterm outcomes of TMJ-Oral Facial Disease is Dental Breakdown, Airway Failure including Sleep Apnea and Full-body postural disappointment including strong and skeletal brokenness and breakdown particularly in the head, neck shoulders, back and hips, expanded pressure, hormonal brokenness and metabolic issues. Progressively TMJ patients with facial agony are observed to be casualties or poor pediatric facial improvement as well as inadequate/troublesome orthodontics including tooth extractions, withdrawal and additionally forceful Palatal Expansion.

In some more serious instances of TMJ there might be joint breakdown. In these cases a Joint Vibration Analysis and CBCT Cone Beam Scan of the joints is demonstrated. Not very many cases will require medical procedure, however some of the time medical procedure might be fundamental if the TM joints are harmed and don’t work appropriately.


Contact Rockville Dental Arts at 301-424-2030 and schedule an appointment.


TMJ Treatment in Aspen Hill, North Bethesda, & Rockville, Maryland

Learn More about TMJ Treatment:

Find Out if You Are a Candidate for TMJ

Learn the Benefits of TMJ Treatment

Learn the Common Misconceptions About TMJ Treatment

Read our TMJ Facts



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