TMJ Treatment in Austin, TX

There are many different types of treatment options for temporomandibular joint disorder (TMD/TMJ) in Austin, depending on the severity of your own situation. At The Hills Dental Spa, we know that the symptoms of TMJ/TMD can range from merely annoying to physically debilitating. Regardless of how severe your condition is, our Austin neuromuscular dentist is specially trained to identify the right treatment to correct your condition as quickly and painlessly as possible.

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One effective way to treat TMJ is through the use of dental orthotics, also called mouthguards or splints. An orthotic device is a custom-made dental appliance to help achieve the proper bite alignment after you have been diagnosed with TMD. These comfortable and unobtrusive dental orthotic appliances are worn by the patient according to the neuromuscular dentist’s specifications. There are different goals of dental orthotics, including:

  • To protect the teeth from nighttime tooth grinding
  • To help reposition the jaw joint to its proper location
  • To allow the jaw and face muscles to fully relax
  • To realign the patient’s bite to its optimal position

Some patients will need to wear a dental orthotic appliance only in the evenings while others may require that the splint be worn all day and night to help achieve the correct bite. Many patients experience almost immediate relief from certain TMJ symptoms, such as severe headaches, while wearing the device.

Jaw Pain Relief

Certain dental procedures can also help to realign a patient’s bite and relieve TMD symptoms. Missing teeth, uneven bite surfaces, or decayed teeth can cause dental stress, thereby leading to stress on the temporomandibular joint. Dental procedures that may bring relief to TMJ include:


Besides dental orthotic devices, therapy, and dental work, there are other treatment options that may help alleviate the pain of TMD including:

  • Medications, such as muscle relaxants and anti-inflammatory drugs
  • Relaxation techniques and stress management
  • Jaw exercises, stretching and massage
  • Jaw rest
  • Heat and ice therapy
  • Orthodontics to realign the teeth
  • Surgery, only used as a last resort

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It’s something we don’t think about, but when our bite is misaligned we’ll know in the pain it causes. For your bite to function and fit, three components must work together: your teeth, the jaw muscles, and your temporomandibular joint. When everything is working well, you have no pain in the jaw or face area, and there isn’t any clicking or popping when you chew. But if one of the three components creates alignment problems with the jaw, this leads to problems with the bite that can lead to jaw pain that can also radiate down into the neck and shoulders. You are suffering from temporomandibular joint disorder (TMJ).


TMJ is most common in people between the ages of 20 and 40; women have the condition more often than men. These are the typical symptoms:

  • Pain or tenderness in your face, jaw joint area, neck and shoulders, or in and around the ears when you chew or otherwise open your mouth
  • Clicking, popping, or grating sounds in the jaw joint when you chew or simply open or close your mouth
  • Jaws that get “stuck” or “lock” either open or closed
  • Consistent headaches
  • Regular jaw stiffness
  • Ear ringing
  • Unintentional teeth grinding
  • A tired feeling in your face
  • Upper shoulder pain
  • Dizziness


It would seem that cosmetic dentistry, which addresses aesthetic issues with the smile, and TMJ wouldn’t have much in common, but that’s not the case. Often bite problems can be caused by a combination of misalignment plus either worn teeth or prior dental work that may have broken down.

For instance, a crown can be used cosmetically to change the shape of a misshapen tooth, but it can also fix the bite of a tooth that has been worn down by teeth grinding. Invisalign® may seem like a cosmetic tooth alignment tool, but misaligned bites are behind TMJ so fixing them provides double benefit to the patient.

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  • Porcelain veneers — If a patient has been grinding his or her teeth, chances are the teeth are now visibly shorter. After the bite has been corrected, we can use porcelain veneers to return length to the teeth. These thin porcelain shells are placed onto the fronts of the teeth, masking various imperfections.
  • Invisalign® — One of our most popular cosmetic procedures, Invisalign®, can play a valuable role in treating TMJ. Invisalign® isn’t meant for major orthodontic movement, but usually the misalignment that accompanies TMJ can be relatively minor. Still, even minor misalignment makes the jaw muscles and joints work hard to try and create alignment. Invisalign® is perfect for mild to moderate tooth movement, and it does so basically invisibly, thanks to its use of clear plastic aligner trays to move the teeth.
  • Inlays and onlays — We use these porcelain restorations (where they are on the tooth dictates their name) to replace former amalgam fillings that may have failed or to repair a tooth with extensive decay or a serious crack. In a cosmetic sense, they become invisible with the porcelain used for these restorations, but they can also correct bite problems, lowering or raising cusps as needed.
  • Porcelain crowns — The nightly grinding that is often a part of TMJ can shorten the teeth impacted. We use dental crowns to return height to teeth that have been ground down. This is critical for TMJ treatment, especially after the teeth have been moved with Invisalign®, to attain proper bite alignment.
  • Tooth bonding — As with veneers, we can change the shape of a tooth that has been damaged by TMJ clenching. Bonding uses ceramic resin painted onto teeth to change the shape and size, or to cover issues such as minor cracks.


TMJ may have its roots in misalignment of the jaw or the overall bite, but as it continues the disorder will invariably cause damage to the patient’s smile, both functionally and cosmetically. Most patients have no idea that they are suffering from TMJ (or even what TMJ is), so they keep living with the pain and grinding, clenching, and damaging their teeth.

That’s why having dual expertise in neuromuscular dentistry and cosmetic dentistry is an advantage for our patients. First, we know to look for and correctly diagnose TMJ. From there we can target correcting your jaw alignment. After that, the role changes to a cosmetic dentist as we move on to repairing the damage caused by TMJ and giving you back a beautiful smile.


If you are searching for the right TMJ/TMD treatment option in Austin, contact us at (512) 347-0044 or fill out our contact form to schedule a neuromuscular dentistry consultation with a knowledgeable Austin neuromuscular dentist at The Hills Dental Spa. Located in Austin, we serve all of Central Texas and the surrounding areas including Westlake, Lakeway, Bee Cave, San Antonio and Waco.

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