TMJ/TMD Treatment

When there’s trouble with your jaw joints, it can mean chronic pain through your face, head, neck, and shoulders. Good thing it’s not just something you have to live with. At Bruno Integrative Dentistry, we have solutions with not just your jaw but your whole body health in mind.

What Are TMJ & TMD?

The joints that let your mouth open and close are called the temporomandibular joints, or TMJ for short. Ligaments and muscles attach the part of your jaw called the condyle to the articular disc that rides between the upper temporal bone and the condyle.

Chronic clenching and grinding (bruxing) can stretch and damage those muscles and ligaments; likewise, traumatic accidents or whiplash incidents. When this happens, the disc can get out of position – a situation called TMJ dysfunction, or TMD. Symptoms of TMD include

  • Popping, clicking, or grating noises when you open and close your mouth.
  • Locking of the joint when you open or close.
  • Facial pain or pain around the TM joints.
  • Headaches.
  • A misaligned bite.
  • Excessive tooth wear.
  • Fractured teeth.

Finding a Solution for Your TMD

At your first appointment, Dr. Bruno will do a comprehensive exam that includes evaluation of your jaw joints. If she sees signs of TMJ breakdown, she’ll share her findings with you so you can discuss options for addressing the specific problem(s) she identifies.

Dr. Bruno is well regarded for being able to help bring relief even to patients for whom the usual splint therapy has failed. Too often in dentistry, folks choose to guess at or hypothesize causes. With current technology, there’s no reason to guess.

Dr. Bruno will order tests that show your actual TMJ anatomy so she can discuss the risk factors of your joint issues and give you treatment options that make sense. Being able to see the anatomy of the situation allows for a more tailored approach to your treatment. After all, no two joints are exactly the same and no single treatment suits every joint.

How Long Does It Take to Fill a Cavity?

How Long Does It Take to Fill a Cavity?

The short answer: most fillings take somewhere between 20 and 60 minutes, start to finish. But that range depends on a handful of specific factors, and honestly, the more useful question is often whether a filling is even needed yet. At Bruno Integrative Dentistry,...

Do Cavities Actually Hurt?

Do Cavities Actually Hurt?

It's a fair question, and the honest answer surprises most people: not always, and not in the way you'd expect. Pain turns out to be a surprisingly unreliable guide to how serious a cavity actually is. Someone with a small, early cavity can have real sensitivity,...

How to Know If You Have a Cavity

How to Know If You Have a Cavity

Here's the honest, slightly frustrating answer: in the earliest stages, you often won't feel anything at all. Cavities don't announce themselves the way most people expect, and by the time there's real pain, decay has usually already reached the more sensitive layers...