TMJ Pain and Migraine Treatments

Dr. Blum is experienced with successfully treating TMJ disorders and migraines caused by bite misalignment and bruxism.

If you have jaw pain or headaches, clicking or other noises in your jaw joints, or pain when you try to open your mouth, please come see us!

TMJ Pain and Migraine Therapeutic Treatments

Jaw Pain and Headaches – The Connections

TMJ Disorder (Temporomandibular Joint Syndrome) is a painful neuromuscular disorder of the jaw joints or the muscles that control them. Symptoms masquerade as a multitude of other problems such as sinus headaches, migraines, neck and shoulder stiffness, earaches, difficulty eating and sleeping, and other problems. Some people with TMJ pain suffer for years or decades, not ever knowing that the cause can be related to the bite of their teeth.

There are a multitude of things that can cause TMJ malfunction, including traumatic injury, bite misalignment, and buxism (teeth clenching/grinding), to name a few principle causes. One of the best ways to insure a healthy temporomandibular joint is to have an aligned bite. If your teeth all meet harmoniously and your bite is balanced, the jaw will function smoothly. When the bite is misaligned, your lower jaw opens and closes in the wrong position, which strains the temporomandibular joint.

If you have a missing tooth that has not been replaced, resulting in tipping of adjacent teeth, or if you have crooked teeth and a crooked bite, or if you have had dental work placed that has not been properly harmonized with the rest of your teeth, it all can create pain in this joint or in the associated muscles.

Please see our other section on BOTOX or DYSPORT Dental Therapeutic Treatments for more information on causes and treatments for TMJ problems.


After a comprehensive evaluation, Dr. Blum may recommend using a specially designed Night Guard or BOTOX or DYSPORT Therapeutic Treatments to re-program your jaw positioning and relax the jaw/facial muscles.

Treatments can include:

– A Night Guard, which is an acrylic mouthguard that Dr. Blum can design to help minimize the abrasive action of tooth surfaces during normal sleep.  Night Guard Mouthguards should be worn on a long-term basis to help prevent tooth damage, damage to the temporomandibular joint and help to stabilize the occlusion.

Botox® or Dysport® Treatments, which can be injected into the muscles to relax them.  Botox® and Dysport® are both excellent treatments for TMJ disorders because they relax the muscles enough to prevent the misuse, but not enough to interfere with everyday functions like chewing and speaking. Relaxing the muscles is both a way to relieve pain, and to make space for the muscles to re-learn proper function.

– Other methods of treatments that may help include relaxation exercises and stress management.

Dr. Blum is experienced with successfully treating TMJ Disorders, Migraines, Teeth Grinding and Clenching, Bruxism, and various other types of jaw and facial pain caused by these problems. If you have jaw pain or headaches, clicking or other noises in your jaw joints, grind your teeth at night, or pain when you try to open your mouth, please come see us!

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