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TMJ & Orofacial Pain Dentist in Rockville

Relieve jaw discomfort and restore natural movement with personalized TMJ care.
Our advanced treatments target the root cause of orofacial pain for lasting relief.

If your jaw clicks, locks, aches, or feels stiff… if you wake up with headaches… if chewing is uncomfortable… or if facial tension is part of your everyday life, you may be dealing with TMJ disorder or orofacial pain. These conditions are incredibly common — and incredibly misunderstood.

TMJ problems are rarely “just a jaw issue.” They often involve the bite, airway, muscles, posture, and even sleep. We take a comprehensive, whole-mouth, whole-body approach to diagnosing and treating your pain so you can get lasting relief.

What Is TMJ Disorder?

Your TMJ (temporomandibular joint) connects your jaw to your skull. When the joint or the muscles around it stop working smoothly, you can experience:

  • Jaw pain or soreness
  • Clicking, popping, or grinding sounds
  • Headaches or migraines
  • Ear pain or pressure
  • Facial or cheek pain
  • Stiffness in the jaw
  • Difficulty opening wide
  • Pain while chewing
  • Neck and shoulder tension
  • Locking of the jaw

These symptoms can come and go — or become constant if the root cause isn’t addressed.

Why TMJ Problems Happen?

TMJ pain can develop from a single cause or a combination of factors:

  • Misaligned bite
  • Teeth grinding or clenching
  • Stress and muscle tension
  • Sleep-disordered breathing
  • Airway restriction
  • Arthritis
  • Jaw injury
  • Orthodontics that narrowed the arches
  • Poor posture
  • Tongue-posture imbalance

The key is understanding which of these factors is triggering your pain — and treating the source, not the symptoms.

Orofacial Pain: More Than “Jaw Trouble”

Orofacial pain affects the muscles, nerves, joints, and soft tissues of the face. It can mimic:

  • Toothaches
  • Sinus pressure
  • Ear infections
  • Neck strain
  • Tension headaches
  • Neuropathic pain

This is why many patients bounce between doctors and dentists for years before finding real relief. Orofacial pain requires a comprehensive, specialized evaluation — and that’s exactly what we provide.

TMJ & Orofacial Pain Treatment Options

1. Custom Stabilization or Repositioning Appliances
A comfortable, custom-made device reduces muscle tension, protects the joints, and guides your jaw into a healthier position.

2. Bite Balancing and Occlusal Therapy
Correcting bite disharmony can dramatically reduce strain on the jaw joint and surrounding muscles.

3. Airway-Focused Treatment
If breathing problems contribute to nighttime grinding or jaw tension, we address the airway to reduce stress on the TMJ.

4. Orthodontic or Arch Development Therapy
For some patients, narrow arches or misaligned teeth overload the joint. Correcting alignment helps stabilize the system.

5. Myofunctional Therapy
Improves tongue posture, swallowing mechanics, and facial muscle balance.

6. Botox for TMJ Pain
When appropriate, precise injections relax overactive muscles and reduce pain quickly.

7. Lifestyle & Habit Coaching
We help correct parafunctional habits like clenching, nail biting, poor posture, and mouth breathing.

8. Collaborative Care
If needed, we work with ENTs, physical therapists, sleep physicians, and pain specialists to ensure complete care.

Signs Your TMJ Problem Is Airway-Related

  • You grind your teeth at night
  • You wake up tired
  • You snore or mouth-breathe
  • You have morning headaches
  • Your jaw feels stiff in the morning
  • You clench more during stress or poor sleep

When your airway collapses during sleep, your body pushes the jaw forward to reopen it — and that creates enormous strain on the joints and muscles. Treating the airway often reduces TMJ symptoms dramatically.

Get Relief From TMJ & Facial Pain

You don’t have to live with daily jaw tension, headaches, or discomfort. With the right diagnosis and an airway-focused, muscle-balanced treatment plan, you can finally get long-lasting relief — and your quality of life back.

Schedule your TMJ and orofacial pain evaluation today.

Real Stories from Rockville Patients

Our Comprehensive Evaluation

We go beyond the jaw joint and examine the entire system. Your visit includes:

Full TMJ and muscle exam
Range-of-motion testing
Bite and occlusion analysis
Airway and breathing assessment
Tongue posture evaluation
3D imaging if needed
Screening for sleep apnea or bruxism
Posture and muscle balance assessment

TMJ issues rarely exist alone — they are part of a bigger pattern. We identify that pattern.

TMJ & Orofacial Pain FAQs

1. Is TMJ disorder permanent?

Not necessarily. Most cases improve significantly with proper diagnosis and targeted treatment.

2. Do TMJ appliances change your bite?

Therapeutic appliances are designed to improve comfort and function, not permanently change your bite unless part of a planned treatment.

3. Can TMJ cause headaches and ear pain?

Absolutely. The TMJ shares nerve pathways with the head, face, ears, and neck.

4. Can stress cause jaw pain?

Stress alone doesn’t cause TMJ disorder, but it can dramatically increase clenching and grinding.

5. Do I need surgery?

Very few TMJ cases require surgery. Conservative, non-invasive treatments are extremely effective for most patients.