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.


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).


Our temporomandibular joint (TMJ) allows us to bite, chew, swallow, and talk. The joint combines a hinge action with sliding motions, forward and back and side-to-side. Problems with the joint leading to TMJ can often be traced back to misalignment of the patient’s bite, as that creates obvious stress. But the condition can also be caused by more subtle issues such as clenching your teeth or grinding your teeth at night. Prior injury to the jaw can lead to TMJ.

Here are typical causes of TMJ:

  • Grinding teeth during sleep
  • Clenching the teeth
  • Movement of the soft cushion (disc) between the ball and socket of the joint
  • Arthritis in the joint
  • Traumatic injury to the jaw


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:

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  • 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.

Is TMJ Treatment Covered by Insurance?

Typically dental insurances do not cover TMJ treatments.


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:


For some patients, exercises for the jaw can relieve their pain. These exercises seek to help by…

  • Strengthening the jaw muscles
  • Stretching the jaw muscles and TMJ
  • Relaxing the jaw
  • Increasing mobility
  • Reducing jaw clicking
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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

Does TMJ Disorder Ever Require Surgery?

By using the techniques and philosophy of a physiologic based bite, it is almost always possible to say jaw surgery is not needed. This goes in opposition to traditional dental approaches to some TMJ problems. Physiologic dentistry takes in to consideration more than just the joint. Muscles, jaw position, airway, nasal breathing all must be included in handling TMJ related issues. This is one of the main reasons that statistically so few jaw surgeries actually work.


  • 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

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:

  • Consistent headaches
  • Regular jaw stiffness
  • Ear ringing
  • Unintentional teeth grinding
  • A tired feeling in your face
  • Upper shoulder pain
  • Dizziness
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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.


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This is completely variable based on the patient and his or her severity of symptoms. Sometimes the treatment can be relatively quick and other times it can be a series of different treatments over time. Each plan is personalized to meet the needs of each patient.


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.

See What Our Patients Are Saying

"When I first saw Dr Winters my smile was a mess, and I was not sure what to do to correct it. I had already done Invisalign and had pinhole gum surgery but my bite was worn down and completely off due to years of grinding my teeth. The enamel on my teeth was also compromised, and I had become very self conscious about my smile. I was thinking that veneers would be the next step, but Dr Winters convinced me that the correct approach would be to rebuild my bite and do a total restoration. It is the best investment I have ever made in myself. It took years off of my face, giving the appearance of a facelift. It also gave me a perfect bite, which eliminated years of chronic neck pain that would wake me at night. The results are natural and truly transformative. I am so grateful that Dr Winters decided to move his practice to Austin. He is one of a very few dentists who are experienced with this type of restoration. I can enthusiastically say that the process and the investment are completely worth it."

“A big thanks to you for your recommendation for an orthotic/night guard. It truly works!  Headaches which I attributed to allergies have significantly been reduced and I even think that my overall smile has improved. The Best part is that this nightguard definitely stays put. No longer do I take it out in my sleep and fling it across the room. An appliance that lives up to its claims and an always welcoming staff is a winning combination. Thank you!”

“Great dentist, great office. They make you feel relaxed and welcome, and yet very professional. I refer all my friends and colleagues here.”


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 West Lake Hills, Lakeway, Bee Cave, San Antonio and Waco.


“Dr. Kevin Winters and his team at The Hills Dental Spa in Austin, TX truly provide a spa-like experience for their patients. They offer TMJ treatment, cosmetic dentistry, dental implants, general dentistry and so much more. They serve patients in and around the Austin, Texas area including the communities of West Lake Hills, Bee Cave, Lakeway, TX and zip codes 78703, 78704, 78735, 78746,78748 and 78738.”

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Text message is limited to 160 characters.

  1. Enter your Cell Phone Number, area code first
  2. Enter your text message in the box.
  3. Click "Send Text"
  4. A copy of this text will be sent to the office and to your cell phone. The office's reply will also be sent to your cell phone where you can continue the text conversation.

Note: Mobile message and data rates from your cell phone carrier may apply.