What is TMD?
Everyone has a TMJ. It is the joint that connects your lower jaw to your skull. When that joint or the muscles around it cause pain or stop moving the way they should, that is TMD, or temporomandibular joint disorder.
TMD often goes hand in hand with clenching and grinding. Stress, poor sleep and bite problems can all play a part.
Jaw pain or tightness, often worse in the morning
Dull headaches around the temples
Clicking, popping or locking when you open your mouth
Sore jaw muscles after chewing
Worn, chipped or flattened teeth
Signs of TMD
Your treatment options
Every case is different, so treatment starts with an exam. Depending on what we find, Dr. Panesar may recommend one or more of these. Some cases are complex. If yours needs a specialist's opinion, Dr. Panesar will refer you to a specialist we trust.
Custom night guard
Made from a digital scan and 3D printed in our office. It protects your teeth from grinding while you sleep.
About our night guards →
Muscle-relaxing injections
For jaw muscles that stay overworked, Dr. Panesar may recommend neuromodulator injections into those muscles. He will tell you whether you are a candidate and what to expect.
Habit and bite review
Simple changes to daytime clenching, sleep and stress, plus a check of how your teeth come together.
What to expect
Consultation and exam
We check your jaw movement, jaw muscles, bite and tooth wear, and talk through your symptoms.
Your plan
Dr. Panesar explains your options and the cost before anything starts.
Treatment and follow-up
Usually one visit, with a follow-up 2 weeks later to see how you are doing.
Frequently asked questions
Is TMD the same as TMJ?
No. Everyone has a TMJ, the jaw joint. TMD is when that joint or the muscles around it cause problems.
How do I know if I have TMD?
Morning jaw pain, headaches at the temples, clicking or worn teeth are common signs. Book an exam and Dr. Panesar will assess your jaw and bite.
Is a night guard enough?
For many people who grind at night, a custom night guard is the first step. If your jaw muscles stay sore, Dr. Panesar may discuss injections or other options with you.
What if my case is complex?
Some TMD cases need a specialist's opinion. If yours does, Dr. Panesar will refer you to a trusted specialist and stay involved in your care.