TMJ Treatment

in the DFW Metroplex | Temporomandibular Disorder

Trusted Relief From Jaw Pain

Jaw pain, clicking, headaches, and difficulty chewing are common symptoms of temporomandibular joint disorder (TMJ). At Northern Texas Facial & Oral Surgery, our oral surgeons provide safe, conservative TMJ care in the DFW Metroplex, focusing on long-term relief with or without Botox® injections.

TMJ Disorders Typically Fall into Three Categories

  • Muscle-Based TMJ – Responds well to splints, physical therapy, and muscle relaxation strategies.
  • TMJ Cartilage Displacement – A disc in the jaw joint that allows smooth movement; displacement can cause pain and clicking.
  • Joint Degeneration or Arthritis – May cause stiffness, inflammation, and chronic pain.

A thorough evaluation is essential to select the correct treatment pathway.

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Who Can Diagnose TMJ?

Oral and maxillofacial surgeons at Northern Texas Facial & Oral Surgery evaluate the jaw joint, muscles, and bite. Advanced imaging, like CBCT or MRI, may be used to determine whether symptoms are muscle-based, disc-related, or joint degeneration. Your surgeon will design a treatment plan tailored to your needs.

Who May Benefit From TMJ Treatment?

Patients may benefit if they experience:

  • Frequent jaw pain or stiffness
  • Clicking, popping, or locking of the jaw
  • Teeth grinding (bruxism), especially at night
  • Tension or migraine headaches
  • Facial pain or earaches without infection

Symptoms That May Require TMJ Evaluation

  • Chronic jaw pain or tenderness near ears or temples
  • Morning headaches or migraines
  • Clicking, popping, or grinding sounds when opening or closing the mouth
  • Difficulty or discomfort while chewing
  • Jaw locking or feeling stuck
  • Tightness or tension in jaw muscles
  • Facial pain or pressure around cheeks and temples
  • Earaches or ringing (tinnitus) without infection
  • Worn, cracked, or chipped teeth from grinding
  • Neck or shoulder pain related to jaw tension
  • Difficulty fully opening the mouth
  • Fatigue in jaw after talking or eating
  • Sensitivity in upper or lower jaw
  • Facial asymmetry or swelling

Conditions That May Require TMJ Treatment

  • Temporomandibular Joint Disorder (TMD)
  • Bruxism – Involuntary teeth grinding or clenching
  • Myofascial Pain Syndrome
  • Jaw Muscle Hypertrophy
  • Tension-Type Headaches
  • Facial Pain Syndrome
  • Post-Traumatic TMJ Pain
  • Occlusal Imbalance – Bite misalignment
  • Stress-Related Muscle Tension
  • Recurrent Jaw Dislocation or Lockjaw
  • Trismus – Limited mouth opening
  • Sleep Disorders With Jaw Involvement
  • Facial Asymmetry From Muscle Overuse
  • Orthodontic Relapse Due to Grinding
  • Chronic Ear Pain Without Infection

TMJ Treatment Options

After a comprehensive evaluation and discussion of your symptoms, medical history, and past treatments, we help you understand the full range of treatment options and determine the most appropriate path forward based on your goals and preferences. Depending on the cause and severity of the condition, TMJ management may include conservative therapies, lifestyle changes, medical treatments, or referral to other specialists when appropriate.

Conservative TMJ Therapy | Non-Surgical TMJ Treatment

  • Custom Oral Appliances / Night Guards – Protect your teeth, relieve jaw tension, and improve alignment while you sleep.
  • Bite Adjustment (Occlusal Equilibration) – Minor reshaping of teeth to balance your bite and reduce joint strain.
  • Medication – Various types of medications can be prescribed to reduce pain, decrease inflammation, relax the jaw muscles, and make jaw movement easier.
  • Physical Therapy Referral – Jaw exercises, posture guidance, and modalities like TENS or ultrasound relax muscles and improve function.
  • Trigger Point Therapy – Dry needling or anesthetic injections release tight jaw muscles and reduce discomfort.
  • Lifestyle & Behavioral Therapy – Soft diet, jaw relaxation, stress management, and avoiding gum chewing can minimize flare-ups.

Minimally Invasive Procedures & Injections

  • Botox® for TMJ – Temporarily relaxes overactive jaw muscles, reducing clenching, teeth grinding, and tension headaches.
  • TMJ Joint Injections – Corticosteroids or hyaluronic acid calm inflammation, improve lubrication, and restore smooth joint motion.
  • Arthrocentesis (TMJ Joint Flush) – Needle-based flush that removes irritants, reduces inflammation, and improves jaw movement.
  • TMJ Arthroscopy – Small scope surgery to repair adhesions or disc issues while minimizing recovery time.

Advanced TMJ Surgery

  • Arthroplasty – Open joint repair or disc repositioning to restore function and relieve pain.
  • Total Joint Replacement – Replaces a severely damaged joint to restore normal movement and eliminate chronic discomfort.
  • Corrective Jaw Reconstruction / Orthognathic Surgery – Realigns jaw bones to improve bite, function, and comfort.
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Schedule Your TMJ Consultation in the DFW Metroplex Today

If you're experiencing jaw pain, headaches, or teeth grinding, relief is closer than you think. Contact Northern Texas Facial & Oral Surgery in the DFW Metroplex to schedule your TMJ consultation and explore safe, effective treatment options.

TMJ Treatment Frequently Asked Questions

TMJ disorder can result from teeth grinding (bruxism), jaw injuries, arthritis, bite misalignment, or chronic jaw muscle tension. Often, multiple factors contribute, which is why a thorough evaluation by an oral surgeon is essential.

Empowering Patients Through Education:

At Northern Texas Facial & Oral Surgery, we are committed to providing the best oral surgery experience while upholding the highest ethical standards. Our comprehensive Patient Library includes resources, videos, and information to promote transparency, reduce anxiety, and help every patient feel confident and informed before treatment.