TMJ & TMD,
find relief today.

Jaw pain, clicking, headaches, or a locked jaw — these are all signs of TMJ disorder. At Bright Smile Dental, we can help diagnose and treat TMD before it becomes a serious problem.

overview

What is TMJ / TMD?

The temporomandibular joint (TMJ) connects your lower jaw to your skull, just in front of your ear. It controls opening, closing, chewing, talking, and yawning.

When this joint is disrupted — from injury, grinding, arthritis, or other causes — it results in TMJ disorder (TMD). Left untreated, TMD can lead to jaw locking or dislocation.

Symptoms

Signs you may have TMD

TMD symptoms can extend beyond the jaw. Look out for any of the following:

Jaw tenderness or pain

Clicking or popping sounds

Difficulty opening your mouth

Facial pain

Neck or ear pain

Dizziness or tinnitus

Frequent headaches or migraines

Jaw locking open or closed

Causes

What causes TMJ disorder?

There is no single known cause, but several conditions can contribute:

Surrounding teeth shift into the gap, causing crowding, bite changes, and added stress on your jaw.

Bruxism (teeth grinding) or teeth clenching — especially at night

Arthritis — including osteoarthritis and rheumatoid arthritis

Wear and tear from aging

Infection, disease, or congenital joint conditions

When to seek care

When does TMD need treatment?

For ongoing symptoms — persistent jaw pain, difficulty chewing, or frequent headaches — see your dentist before the condition worsens. Early treatment is far simpler than addressing dislocation or severe joint damage.

Seek immediate care if your jaw locks

A dislocated jaw — locked open or shut — requires emergency care. An ER physician will manipulate the jaw back into position, typically with pain and anti-anxiety medications.

Treatment options

How we treat TMD

01

Custom mouthguard

A fitted nightguard prevents grinding and clenching — the most common TMD trigger.

02

Lifestyle changes

Avoid hard or chewy foods. Soft diet, ice/heat packs, and jaw rest can ease symptoms quickly.

03

Jaw exercises

Targeted stretching exercises to relieve tension and improve joint mobility.

04

Medication

OTC pain relievers or prescription muscle relaxers for moderate cases.

05

Orthodontic care

If bite or alignment issues are causing TMD, braces or realignment may be needed.

06

Stress reduction

Relaxation techniques or cognitive behavioral therapy for stress-driven clenching.

what our patients usually ask us

Frequently Asked Questions

Can a dentist really treat TMD?

Yes. Dentists are often the first and most appropriate point of care for TMJ disorders. Dr. de la Paz can diagnose and manage most cases without specialist referral.

Will I need surgery?

Rarely. The vast majority of TMD cases respond well to conservative treatments like custom nightguards, jaw exercises, and lifestyle changes. Surgery is only considered when all other options have been exhausted.

How long does treatment take?

Mild cases may improve within a few weeks. More persistent cases can take several months of management. Dr. de la Paz will set clear expectations and adjust your plan as you progress.

Is TMD covered by dental insurance?

Coverage varies by plan. Some plans cover nightguards and related treatment; medical insurance may also apply in certain cases. We recommend checking with both your dental and medical providers.

Do you offer same-day consultations?

Yes. If you're experiencing jaw pain, don't wait. Call or text us at (253) 475-0262. We frequently have same or next-day availability.

Insurances We Work With

At Bright Smile Dental, we provide efficient, educational, and judgement-free dental services for Tacoma community members in search of relief for their dental pain or other concerns.

Live the life you want

You will feel right at home in our office as we welcome all patients as if they were family. We provide a state-of-the-art facility to protect the well-being of our patients.