TMD
Temporomandibular Joint Disorder

TMJ - Temporomandibular Joint Disorder

Temporomandibular Joint

The TMJ is the joint that allows the movement of the lower jaw along the upper part of the skull. There are ligaments and muscles that attach the lower bone called the condyle to the articular disk that rides between the upper bone or the temporal bone and the condyle.
In trauma accidents or whiplash incidents, these muscles and ligaments can get stretched and damaged. When this happens, the disc can get out of position and noises can be heard on opening and closing. When the disc gets damaged and no longer sits in between the two bones, it is called temporomandibular dysfunction. Noises alone are not an indication for intervention but often these noises can progress to also having pain associated with them.

TMD signs and symptoms

  • Popping/clicking or grating noises in the joint
  • Locking of the joint on opening or closure
  • Pain in the muscles of the face
  • Pain in the area of the joint
  • Headaches
  • Misaligned bite
  • Excessive wear of teeth
  • Fractured teeth


Dr. Bruno will perform a comprehensive evaluation at your first appointment. If she sees signs that there is breakdown of the joint apparatus, she will discuss this with you at your consultation visit. She will then discuss your options to get a clear diagnosis.
If you are having TMD problems and no one is able to help, feel confident that Dr. Bruno will be able to help alleviate your pain. Too often in dentistry we choose to “guess” or hypothesize what may be the problem. With current technology there is no reason to guess anymore.

Dr. Bruno orders tests that show her the actual anatomy of the joint. This allows her to discuss the risk factors of your joint issues with you and give you the treatment options available to you. Seeing the actual anatomy of the situation allows for a more tailored approach to your treatment because not every joint needs the same treatment.


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Temporomandibular Joint Disorder (TMD)

Temporomandibular Joint

The TMJ is the joint that allows the movement of the lower jaw along the upper part of the skull. There are ligaments and muscles that attach the lower bone called the condyle to the articular disk that rides between the upper bone or the temporal bone and the condyle.
In trauma accidents or whiplash incidents, these muscles and ligaments can get stretched and damaged. When this happens, the disc can get out of position and noises can be heard on opening and closing. When the disc gets damaged and no longer sits in between the two bones, it is called temporomandibular dysfunction. Noises alone are not an indication for intervention but often these noises can progress to also having pain associated with them.

TMD signs and symptoms

  • Popping/clicking or grating noises in the joint
  • Locking of the joint on opening or closure
  • Pain in the muscles of the face
  • Pain in the area of the joint
  • Headaches
  • Misaligned bite
  • Excessive wear of teeth
  • Fractured teeth


Dr. Bruno will perform a comprehensive evaluation at your first appointment. If she sees signs that there is breakdown of the joint apparatus, she will discuss this with you at your consultation visit. She will then discuss your options to get a clear diagnosis.
If you are having TMD problems and no one is able to help, feel confident that Dr. Bruno will be able to help alleviate your pain. Too often in dentistry we choose to “guess” or hypothesize what may be the problem. With current technology there is no reason to guess anymore.

Dr. Bruno orders tests that show her the actual anatomy of the joint. This allows her to discuss the risk factors of your joint issues with you and give you the treatment options available to you. Seeing the actual anatomy of the situation allows for a more tailored approach to your treatment because not every joint needs the same treatment.