Home » TMJ

Manage TMJ disorder with effective treatment

The temporomandibular joint is a small ball-and-socket joint that is located on each side of your jaw near your ears. These joints act like hinges and allow your lower jaw to move up and down, sideways and backward. If these joints become damaged, they result in temporomandibular disorders (TMD/TMJ).

Causes of TMJ Disorders

The exact cause of temporomandibular disorders is often difficult to diagnose. There may be a single cause or numerous causes for TMJ disorder in a single patient. Some of them include:

  • Trauma to the jaw
  • Stress or anxiety
  • Bruxism or teeth grinding
  • Genetics
  • Arthritis
  • Too much gum chewing
  • Orthodontic braces
  • Poor posture

Symptoms of TMJ Disorders

Signs and symptoms of TMJ disorders include:

  • Pain in the jaw
  • Pain while biting or chewing
  • Grating, popping, or clicking noise
  • Prolonged ache around the ears and a cracking or ringing noise
  • Aching facial muscles
  • Jaw lock or inability to open or close your mouth
  • Muscular spasms in the jaw
  • Pain or swelling around the temples
  • Shoulder and neck pain
  • Vertigo

Non-Invasive Treatments for Temporomandibular Joints

At Jonathan J. Golab, DDS, PA, Dr. Jonathan Golab can discuss the different treatment options for you. Some of the non-invasive treatment options are:


If you suffer from jaw pain and swelling, we may prescribe you nonsteroidal anti-inflammatory drugs to manage the conditions. Muscle relaxants are also a good treatment to relax your jaw and prevent clenching. Anti-anxiety medication can also help you relieve stress, which can cause TMJ disorders.

Night Mouthguards or Splints

Night mouthguards are plastic devices that fit over your upper and lower teeth to prevent them from directly touching each other. They can help you fight the symptoms of bruxism during sleep and prevent jaw pain and tooth damage by distributing the force of your bite.


Ultrasound produces thermal effects, which can help relieve muscle pain and improve jaw mobility.

Trigger-point Injections

We may recommend injecting anesthesia or pain medication into the “trigger points” of your face, which can provide you relief from pain and relax your facial muscles.

Transcutaneous Electrical Nerve Stimulation (TENS)

This treatment involves the use of low-voltage electric currents to relax jaw muscles and joint and provide relief from pain.

Laser Therapy

Applying low level lasers to the sore spots helps relieve inflammation, improves neck mobility, and allows you to open your mouth more easily.

Surgery for Temporomandibular Joints

Surgery is usually only considered when all the other therapeutic efforts proved insufficient to treat your TMJ disorder. Dr. Jonathan Golab will first determine whether your TMJ disorders are due to structural problems or positioning of the joint.

In some cases, surgery is the only option since patients with certain degenerative diseases may not respond well to other treatments.

Some surgical treatments for temporomandibular disorders are:


Arthrocentesis is usually performed to treat a lockjaw. We will give you general anesthesia and then make a small incision in front of your ear to insert a tool called the arthroscope. We will examine your joint and its surrounding area, remove the inflamed and damaged tissue, and then wash out the joint.

The surgery is minimally invasive and may leave just a small scar with few risks. You will recover in a short time.

Modified Condylotomy

Modified condylotomy is surgery on the lower jaw, rather than on the TMJ itself. It can be helpful to treat lockjaw and relieve pain.

Open-Joint Surgery

If your TMJ disorders do not resolve with conservative surgeries, you may be recommended open-jaw surgery. There are many causes for open-joint surgery, including:

  • Your joint has worn down and contains numerous bony chips
  • There is a tumor in or around your TMJ

Open-jaw surgeries are very risky, and you may take a long time to recover from this type of surgery. It is also irreversible, and you have a greater chance of scarring and nerve injury, among other risks. Open-jaw surgery is recommended in very rare cases. If you have been suggested an open-jaw surgery, get a second opinion from Dr. Jonathan Golab.

At Jonathan J. Golab, DDS, PA, we will discuss all the pros and cons of TMJ treatments with you so that you can have a clear understanding of what to expect from the procedure. To discuss your treatment options, call us at (469) 444-2119 today.