TMJ/TMD Treatment in Hillsboro | Jaw Pain Relief | East Wind Dental Care

If you suffer from chronic jaw pain, frequent headaches, clicking or popping in your jaw, or difficulty chewing, you may have TMJ disorder (temporomandibular joint disorder, also called TMD). At East Wind Dental Care, Dr. Merat Ostovar provides comprehensive evaluation and treatment for TMJ disorders, helping patients find relief from pain and restore normal jaw function.

Schedule Your TMJ Evaluation → | Call (503) 614-0198

What is TMJ/TMD?

The temporomandibular joint (TMJ) is the hinge joint that connects your lower jaw (mandible) to your skull. You have two TMJ joints—one on each side of your face, just in front of your ears. These joints are among the most complex in the human body, allowing your jaw to move up and down, side to side, and forward and back for eating, speaking, and yawning.

TMJ disorder (TMD) refers to a group of conditions that cause pain and dysfunction in the jaw joint and the muscles that control jaw movement. TMD can range from mild discomfort to severe, debilitating pain that significantly impacts quality of life.

Common Causes of TMJ Disorder

Jaw Injury or Trauma:

Direct impact to the jaw from accidents, sports injuries, or physical altercations can damage the TMJ.

Teeth Grinding & Clenching (Bruxism):

Chronic grinding or clenching—often during sleep—places excessive stress on the jaw joint and muscles.

Arthritis:

Osteoarthritis or rheumatoid arthritis can affect the TMJ, causing inflammation, pain, and limited movement.

Misaligned Bite (Malocclusion):

When teeth don’t fit together properly, it can force the jaw into an unnatural position, straining the TMJ.

Stress:

Emotional stress often manifests as muscle tension in the jaw, face, and neck, contributing to TMD.

Disc Displacement:

The TMJ contains a small disc that acts as a cushion. If this disc slips out of place, it can cause pain and clicking sounds.

Poor Posture:

Forward head posture and slouching can strain neck and jaw muscles, contributing to TMD.

Connective Tissue Disorders:

Certain genetic conditions affecting connective tissue can make the TMJ more prone to problems.

Signs & Symptoms of TMJ Disorder

TMD symptoms vary widely and can affect the jaw, face, head, neck, and even shoulders. Common symptoms include:

Jaw-Related Symptoms

✅ Pain or tenderness in the jaw joint

✅ Pain when chewing, talking, or yawning

✅ Clicking, popping, or grinding sounds when opening or closing the mouth

✅ Jaw locking (stuck open or closed)

✅ Difficulty opening the mouth wide

✅ Jaw stiffness or limited range of motion

✅ Feeling like your jaw is “out of place”

Head & Face Symptoms

✅ Frequent headaches (often mistaken for tension or migraine headaches)

✅ Pain around the ears (often mistaken for ear infections)

✅ Ringing in the ears (tinnitus)

✅ Facial pain or tenderness

✅ Pain behind the eyes

✅ Sensitivity to light

Neck & Shoulder Symptoms

✅ Neck pain and stiffness

✅ Shoulder pain and tension

✅ Upper back pain

Other Symptoms

✅ Difficulty chewing or discomfort when eating

✅ Changes in the way your teeth fit together

✅ Dizziness or vertigo

✅ Swelling on one side of the face

Important: Many TMD symptoms overlap with other conditions. If you’re experiencing any of these symptoms, it’s important to get a proper evaluation from Dr. Ostovar to determine the cause and appropriate treatment.

Diagnosing TMJ Disorder

Comprehensive Evaluation

At East Wind Dental Care, Dr. Ostovar uses a thorough, multi-step approach to diagnose TMJ disorder:

1. Medical & Dental History:

• Discussion of your symptoms and when they started
• Review of past injuries or dental work
• Assessment of lifestyle factors (stress, sleep habits, posture)
• Review of medications and medical conditions

2. Physical Examination:

• Observation of jaw movement and range of motion
• Palpation of jaw muscles and joints for tenderness
• Listening for clicking, popping, or grinding sounds
• Assessment of bite alignment
• Evaluation of tooth wear patterns
• Examination of neck and shoulder muscles

3. Advanced Imaging:

• Digital X-rays to assess bone structure
• 3D Cone Beam CT scan (if needed) for detailed visualization of the joint
• Panoramic X-rays to view the entire jaw

4. Bite Analysis:

• Assessment of how your upper and lower teeth come together
• Evaluation of contact points and pressure distribution
• Analysis of jaw position in relation to the TMJ

Ruling Out Other Conditions

Because TMD symptoms can mimic other conditions, Dr. Ostovar may also evaluate for:

• Ear infections or problems
• Sinus issues
• Dental infections or abscesses
• Migraines or other headache disorders
• Nerve conditions

Treatment Options for TMJ Disorder

Treatment for TMD is highly individualized based on the severity of your condition and the underlying cause. Dr. Ostovar typically begins with conservative, non-invasive treatments and only recommends more aggressive approaches if necessary.

Conservative Treatment Options

1. Custom Nightguards (Occlusal Splints)

A custom-fitted nightguard is one of the most effective treatments for TMD caused by teeth grinding or clenching. These devices:

• Worn while sleeping
• Cushion and protect the jaw joint
• Prevent tooth grinding and clenching
• Relieve pressure on the TMJ
• Reduce muscle tension
• Protect teeth from wear

Benefits:

• Non-invasive and reversible
• Can provide significant relief within weeks
• Custom-fitted for comfort and effectiveness
• Durable and long-lasting

2. Bite Adjustment (Occlusal Equilibration)

If your TMD is caused by a misaligned bite, Dr. Ostovar may recommend subtle reshaping of tooth surfaces to improve the way your teeth fit together. This:

• Eliminates high spots and interference
• Distributes biting forces more evenly
• Reduces strain on the jaw joint
• Improves jaw function

3. Orthodontic Treatment

In some cases, orthodontic treatment (braces or Invisalign®) may be recommended to correct significant bite misalignment contributing to TMD.

4. Restorative Dentistry

Missing or worn teeth can affect bite alignment. Replacing missing teeth with implants, bridges, or dentures—or restoring worn teeth with crowns—can help relieve TMD symptoms.

5. Physical Therapy & Jaw Exercises

We may recommend:

• Gentle jaw stretching and strengthening exercises
• Massage of jaw and facial muscles
• Heat or cold therapy
• Posture correction techniques
• Referral to a physical therapist specializing in TMD

6. Stress Management

Since stress contributes to muscle tension and teeth grinding, stress reduction techniques can help:

• Relaxation techniques
• Meditation and mindfulness
• Counseling or therapy
• Biofeedback
• Regular exercise
• Adequate sleep

7. Lifestyle Modifications

Simple changes can make a big difference:

• Diet: Eat soft foods, avoid chewy or hard foods, cut food into small pieces
• Avoid excessive jaw movements: Minimize yawning, singing, or chewing gum
• Posture: Maintain good posture, especially at work
• Sleep position: Sleep on your back rather than on your side or stomach
• Avoid bad habits: Don’t chew on pens, pencils, or fingernails

8. Medications

While Dr. Ostovar doesn’t typically prescribe medications, he may recommend:

• Over-the-counter pain relievers (ibuprofen, acetaminophen)
• Muscle relaxants (prescribed by your physician)
• Anti-inflammatory medications
• Referral to your physician for prescription options if needed

Advanced Treatment Options

If conservative treatments don’t provide adequate relief, Dr. Ostovar may refer you to a specialist for:

Corticosteroid Injections:

Injections directly into the joint can reduce inflammation and pain.

Botox Injections:

Botox can relax overactive jaw muscles and provide relief from pain and grinding.

Arthrocentesis:

A minimally invasive procedure to flush out the joint and remove inflammatory byproducts.

TMJ Surgery:

Reserved for severe cases that don’t respond to other treatments. Options include arthroscopy or open joint surgery.

The Role of Custom Nightguards

Custom nightguards are often the first line of defense against TMD, especially when caused by bruxism (teeth grinding or clenching).

How Nightguards Help

Protect the Joint:

Nightguards create a cushion between your upper and lower teeth, reducing the force transmitted to the TMJ.

Relax Muscles:

By preventing clenching, nightguards help jaw muscles relax during sleep.

Prevent Tooth Damage:

Nightguards protect teeth from the excessive wear caused by grinding.

Improve Sleep:

Many patients sleep better once their jaw pain and grinding are controlled.

Custom vs. Store-Bought Guards

Store-Bought Guards:

• One-size-fits-all or boil-and-bite design
• Poor fit and comfort
• May not adequately protect the TMJ
• Often uncomfortable, leading to non-compliance
• Can shift or fall out during sleep

Custom Guards from East Wind Dental Care:

• Made from precise impressions of your teeth
• Perfect fit and comfort
• Superior protection for teeth and TMJ
• Durable, high-quality materials
• Designed specifically for your bite and condition
• Higher compliance due to comfort

Getting Your Custom Nightguard

The process is simple:

1. Evaluation: Dr. Ostovar examines your jaw, bite, and symptoms

2. Impressions: We take detailed impressions of your teeth

3. Fabrication: Your custom guard is made in a dental laboratory

4. Fitting: You return in 1-2 weeks for fitting and adjustments

5. Follow-Up: We monitor your progress and make adjustments as needed

Preventing TMJ Disorder

While not all TMD is preventable, you can reduce your risk:

Protect Your Jaw:

• Wear a mouthguard during contact sports
• Avoid opening your mouth too wide
• Be cautious when biting into hard or chewy foods

Manage Stress:

• Practice relaxation techniques
• Get regular exercise
• Ensure adequate sleep
• Seek counseling if needed

Maintain Good Posture:

• Keep your head balanced over your spine
• Avoid forward head posture
• Take breaks from computer work
• Stretch regularly

Address Dental Issues Promptly:

• Replace missing teeth
• Treat worn or damaged teeth
• Correct bite misalignment

Avoid Bad Habits:

• Don’t chew gum excessively
• Avoid chewing on pens, pencils, or ice
• Break nail-biting habits
• Don’t use your teeth to open packages

Living with TMJ Disorder: Self-Care Tips

During a Flare-Up:

• Apply ice packs for 15-20 minutes to reduce inflammation
• Apply moist heat after 24-48 hours to relax muscles
• Take over-the-counter pain relievers as directed
• Eat soft foods
• Avoid extreme jaw movements
• Practice gentle jaw stretches
• Try to reduce stress

Long-Term Management:

• Wear your nightguard consistently
• Practice jaw exercises recommended by Dr. O
• Maintain good posture
• Manage stress
• Attend regular dental checkups
• Address any dental problems promptly

Frequently Asked Questions About TMJ/TMD

1. Is TMD permanent?

Not usually. Most cases of TMD can be successfully managed with conservative treatment. Even chronic TMD can often be controlled with ongoing management.

2. Will my insurance cover TMJ treatment?

Coverage varies. Some plans cover TMJ evaluation and treatment, while others don’t. We’ll verify your benefits and help you understand your coverage.

3. How long does it take for a nightguard to help?

Some patients experience relief within days, while others may need several weeks. Consistent use is key.

4. Can TMD go away on its own?

Sometimes. Mild TMD caused by temporary stress or jaw strain may resolve on its own. However, chronic or severe TMD usually requires treatment.

5. Will I need surgery?

Most patients with TMD don’t need surgery. Dr. Ostovar begins with conservative treatments, and the majority of patients find relief without surgery.

6. Can children have TMD?

Yes, though it’s less common. Children can develop TMD from jaw injuries, teeth grinding, or orthodontic issues.

7. How do I know if my headaches are from TMD?

TMD-related headaches are often accompanied by jaw pain, clicking sounds, or difficulty opening the mouth. Dr. Ostovar can evaluate whether your headaches are TMD-related.

8. Is there a cure for TMD?

While there’s no single “cure,” most TMD can be effectively managed with appropriate treatment, allowing you to live pain-free.

9. Can I still eat normally with TMD?

During flare-ups, stick to soft foods. Once symptoms improve, you can usually return to a normal diet—though you may need to avoid very hard or chewy foods long-term.

10. How much does TMJ treatment cost?

Cost varies depending on treatment. A custom nightguard typically costs $300-$600. We’ll provide a detailed estimate after your evaluation.

Find Relief from TMJ Pain

Don’t let jaw pain, headaches, or TMJ disorder control your life. Dr. Ostovar has helped countless patients find relief and regain normal jaw function through personalized, effective treatment.

Schedule Your TMJ Evaluation Today

Call: (503) 614-0198 Visit: 7546 NE Shaleen St, Hillsboro, OR 97124 Serving: Hillsboro, Beaverton, Aloha, and Surrounding Areas

During your evaluation, Dr. Ostovar will:

• Thoroughly examine your jaw joint and muscles
• Diagnose the cause of your symptoms
• Create a personalized treatment plan
• Provide relief options
• Answer all your questions

Take the first step toward a pain-free life—call us today!

East Wind Dental Care—Expert TMJ Treatment & Lasting Relief