Have you spent years dealing with chronic headaches, jaw pain, or neck pain without ever finding relief? If you’ve been to multiple doctors trying to find the source of your symptoms, only to be left with unanswered questions, you could be suffering from temporomandibular joint disorder (TMD). At Titus Dentistry in Middletown, IN, we provide effective TMJ therapy so that you can experience improved comfort and oral function.

Why do people suffer from temporomandibular joint disorder?

Every individual has temporomandibular joints. These complex joints connect the jaw to the skull and are the only joints that move in such a wide range of directions. Dysfunction of these joints can occur for several reasons, from genetics to injury. The most common reasons for TMD are:

  • Imbalanced bite that places a strain on the jaw
  • Missing teeth
  • Ill-fitting restorations
  • Chronic stress
  • Poor posture
  • Airway problems

The symptoms of TMD can show up intermittently for some individuals, while others suffer from constant pain. The most common are:

  • Chronic migraines
  • Limited mobility of the jaw
  • Clicking / popping of the jaw joint
  • Neck or ear pain
  • Muscle tension
  • Shoulder stiffness

Due to the wide range of symptoms, TMD often goes undiagnosed for many years, leaving patients to suffer in silence. The good news is there is relief.

TMJ therapy from your Middletown, IN dentist

At Titus Dentistry, we take your symptoms of TMD very seriously and provide a comprehensive approach to treatment. After a full assessment of your particular symptoms we will create a customized game plan to first, manage your discomfort and then to prevent future issues. Recommendations may include a combination of: lifestyle changes, stress relief exercises, techniques to prevent jaw strain, physical therapy, bite adjustments, custom bite splints, and/or orthodontic treatment. As always, our goal is to provide the least amount of dentistry necessary to solve your particular problem.

TMD evaluation at Titus Dentistry - Dr. Jonathan W. Titus

TMD evaluation at Titus Dentistry - Dr. Jonathan W. Titus
Do you have tension in your muscle on the temple or jaw area? You might be having TMD. What is TMD? Watch this video from Dr. Jonathan W. Titus to learn more.

What is TMJ?

You may have heard the term TMJ before. TMJ is actually a part of your jaw known as the temporomandibular joint.

When they say they have TMJ, most people are referring to a problem with that joint called TMD or temporomandibular joint disorder.

In a relatively simple simplified form, you can think of your TMJ as a joint in your body. It has a disc that sits in between your lower jawbone and your skull.

Here at Titus Dentistry, our goal is to identify any potential problems with your joint and then help relieve your symptoms as best we can.

What are the symptoms of TMD?

The symptoms we look for that could be pointing towards a problem with your TMJ are muscle tension in your temple region or down through your jaw.

You might have popping or clicking in your joint when you open a certain way or chew. Pain when opening or with biting and chewing.

If you have a limited range of motion with your jaw or clenching and grinding habits. When our patients come to us with TMJ problems, the first thing we do is do a thorough exam.

How do you evaluate and treat TMJ problems?

We evaluate everything from a range of motion of the jaw to having TMJ load testing to ensure that your jaw can bite and chew the way it’s designed to.

We also evaluate your muscles and bite. We even use a handheld doppler and listen to your joint as you go through different motions to see if we can identify exactly what’s going on with your TMJ.

If necessary, you’ll take a Cone Beam CT, a 3D X-ray to see if there are any boney changes in the joint.

On rare occasions, sometimes we’ll even get an MRI to see if we can’t tell what is going on with the soft tissue that cushions the joint.

For most of our patients, a simple bite splint provides significant relief. For many patients, simply wearing this bite splint at night gives their muscles enough of a break to function throughout the day comfortably.

Feel free to give us a call today and learn more about TMJ.


Find relief from TMD today

At Titus Dentistry, we understand the effect TMD can have on your life. If you would like to learn more about how TMJ therapy can improve your symptoms, please give us a call at (765) 358-5868 to schedule a consultation.

What is TMJ/TMD?

TMJ, or temporomandibular joint, is the specific joint that connects the jawbone to your skull. Disorders that are commonly related to this joint are referred to as TMD, “temporomandibular disorders.” These disorders can cause pain and discomfort in the jaw and surrounding muscles.

What are the common symptoms of TMJ/TMD?

Symptoms of TMD can differ widely among individuals, yet there are some common signs that patients may start to observe, including the following:

  • Pain or tenderness in the jaw
  • Difficulty opening or closing the mouth
  • Clicking or popping sounds when either opening or closing the mouth
  • Headaches or earaches
  • Facial swelling

What specifically causes TMJ/TMD?

Numerous factors can contribute to TMJ pain and discomfort, and stress can significantly intensify these symptoms. Essentially, the pain may emerge from joint, bone, or muscle issues. However, stress notably heightens the TMJ symptoms. It can also be a result of trauma to the jaw or muscles, misalignment of the teeth, or poor posture.

How is TMJ/TMD diagnosed?

Diagnosing TMD means that there is no species for this condition. Our dental team at Titus Dentistry will typically start by conducting a thorough exam of the jaw and reviewing your medical history. Dr. Jonathan W. Titus might also use imaging techniques such as digital dental X-rays to get a more detailed look at your joints and teeth. Based on these findings, he can make an accurate diagnosis and determine the best treatment course to consider.

What are some treatments for TMJ/TMD?

Treatment options for TMD vary depending on the severity and cause of the disorder. Some common treatments include:

  • Over-the-counter pain medication. Many patients can manage the discomfort of TMD with over-the-counter pain relievers such as ibuprofen or acetaminophen.
  • Nightguards or splints. These oral appliances can help alleviate the pressure on your jaw joint and prevent you from grinding your teeth, which often exacerbates TMD symptoms.
  • Physical therapy. Your dentist might recommend to your specific exercises to help strengthen your jaw muscles and improve joint function.
  • Orthodontic treatment. In some situations, a misaligned smile can contribute to TMD symptoms. Straightening your teeth with orthodontic metal braces or clear aligners can help alleviate the discomfort.
  • Surgical interventions. In more severe cases, surgery might be needed to correct structural problems or remove scar tissue from the joint.

What can I do to prevent TMJ/TMD?

While TMD is not always preventable, there are steps you can take to minimize your risk of developing these disorders. These include maintaining good posture, avoiding chewing gum or hard foods, practicing stress management techniques, and seeking prompt treatment if you experience persistent jaw pain or discomfort. Dr. Jonathan W. Titus and his dedicated staff at Titus Dentistry in Middletown, Indiana, can educate you on ways you can reduce the risk of potential problems down the line. Call the office today to request a consultation appointment and discuss your concerns for TMJ/TMD–especially if you are showing symptoms impacting your day-to-day activities and quality of life.

An alumnus of Purdue University and Indiana University School of Dentistry, Dr. Jonathan Titus is an established professional in the field of dentistry. He always prioritizes his patients by striving to provide the best possible dental care.

With the constant developments and changes in the industry, Dr. Titus makes sure to invest his time in continuous education and training from some of the most respected and skilled dental institutions. This is done to stay abreast of any dental practices and technology that may contribute to improving his efficiency and accuracy when treating his patients. Through this, he maintains his quality of work and exceeds his clients’ expectations.

Dr. Titus is presently a member of the Dawson Academy Alumni, American Dental Association and the American Academy of Cosmetic Dentistry.

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