TMJ Treatment
TMJ Treatment
TMJ stands for Temporo-Mandibular Joint. TMJ Disorder TMD) is a progressive disease. Symptoms usually worsen over time, and some may become irreversible if not treated early. Disc Displacement can become permanent and very limiting if not treated at an early stage. Many people who leave a click untreated may end up with locked jaw and limited opening permanently, resulting in chronic pain, inability to chew foods, inability to open mouth, difficulty yawning, and anxiety which often comes with the limitations of this condition.
We help patients understand the severity of their TMD condition, how to manage it, and how to treat it properly. Treatment will depend on severity, degenerative changes in the TMJ, as well as patient compliance. If diagnosed in its early stages, treatment is typically faster and easier to resolve all symptoms.
Do you have TMD?
TMD is a common disorder affecting a wide variety of people. The vast majority of TMJ Dysfunction sufferers are not aware that the root cause of their symptoms is the way their teeth are positioned, causing their mandible (lower jaw) to misalign. This results in the condyle (the head of the jaw) to be displaced, most often posteriorly. resulting in an array of symptoms.
One of the most obvious symptoms of TMJ disorder is pain. This can be in the form of jaw pain, headaches, migraines, facial pain, neck pain, back pain, ear pain.
Popping or clicking when opening or closing the mouth is a frequent early sign of TMJ disorders. This may be painless and many people with this type of sound in their joint will often ignore it. However, the clicking or popping in the jaw joint when opening or closing is an indication of the articular disc displacement in the temporo-mandibular joint. If left ignored, it can get worse over time, resulting in some or all of the symptoms associated with TMD.
Crepitus (grinding noise) in the jaw joint is most often a sign of long-term articular disc displacement in the TMJ and people with this type of noise will often remember past history of clicking or popping which then stopped, and was later followed by crepitus. This typically indicates that the articular disc has displaced some time ago, and the condyle (head of the jaw) is now grinding against the glenoid fossa of the temporal bone. This may be painless or painful depending on other factors.
Buzzing, or ringing in the ear is one of the symptoms associated with TMJ disorders. People with this type of noise often have a posteriorly positioned condyle which, consequently, presses on the mandibular fossa of the temporal bone. This pressure can then extend to the tympanic bone, which houses the tympanic membrane of the ear as well as Stapes, Incus, and Malleus, which are the tiny bones inside the ear responsible for sound.
Restricted or limited movement on opening, which prevents the mouth from being opened fully or the jaw from being moved in all directions cause can discomfort and/or anxiety. When a person is unable to open normally, this causes fear and concern and can limit the ability to eat, chew, yawn, and even speak. Most common limitation is on opening and this is most often related to a displaced articular disc which has become stuck anterior (in front of) the condyle of the TMJ, preventing the condyle from travelling forward on opening. This can also be very painful and cause significant anxiety impacting the quality of daily life.
A locked jaw, medically known as trismus, refers to a condition where a person experiences difficulty opening or closing their mouth fully.
This is often caused by a disc displacement in the TMJ.
CLINICAL SIGNS
When a patient presents with symptoms of TMJ disorder, there are certain clinical signs that we look for to help us diagnose the type of TMD they have, what caused it, and how it has progressed. Most common of these are:
- Tooth Wear
- Abfractions (notching of teeth at the gumline)
- Loose teeth
- Specific pattern of bone loss (on x-ray)
- Myoclonus (muscle twitching on a lateral slide)
- Presence of tori
- Narrow upper and/or lower arch
- Lingually inclined posterior teeth
- Lingually inclined upper anterior teeth
- Bicuspids missing (extracted for braces)
- Lateral slide interferences on posterior teeth
- Gum recession on teeth that have lateral interferences
- Fremitus on anterior teeth (vibration on closing)
Dr. Agatha Bis
Oakville Dentist, Dr. Agatha Bis, DDS received her Doctor of Dental Surgery degree from University of Western Ontario in 1996. With over 25 years of clinical experience creating beautiful and healthy smiles, Dr. Bis offers a unique approach to dentistry, blending modern dental practices with the use of digital technology to optimize health outcomes.
With thousands of hours in post-graduate training, her unique focus and expertise in treating TMD and providing options in restorative dentistry, along with digital technology has led to helping numerous patients resolve chronic and debilitating dental challenges.
Dr. Agatha Bis
Oakville Dentist, Dr. Agatha Bis, DDS received her Doctor of Dental Surgery degree from University of Western Ontario in 1996. With over 25 years of clinical experience creating beautiful and healthy smiles, Dr. Bis offers a unique approach to dentistry, blending modern dental practices with the use of digital technology to optimize health outcomes.
With thousands of hours in post-graduate training, her unique focus and expertise in treating TMD and providing options in restorative dentistry, along with digital technology has led to helping numerous patients resolve chronic and debilitating dental challenges.
Schedule a Appointment with Dr. Agatha Bis
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EXCELLENTTrustindex verifies that the original source of the review is Google. After years of suffering from unbearable pain as a result of my TMJ disorder, I was in search of a solution. I came across Dr. Bis online and after reading her other client testimonials, I felt a sense of hope that I hadn’t in quite sometime. After my first visit to the office, I left feeling so confident that Dr.Bis and her team were going to be the solution I was so desperately searching for. Dr. Bis is nothing short of a miracle worker. She is driven, focused, attentive and a master of her craft. Not only is she extremely passionate about her specialty and helping those who are suffering, she is kind, generous and informative. Coming in on her days off when I was in agony to adjust me, always taking time to explain everything to me in a way that I understand. She quite literally gave me my life back. I am now completely pain free and have nice straight wide teeth which was an unexpected bonus. She has constructed a powerhouse team of incredible women who were always so kind, gentle and accommodating. If you are suffering from the dreadful symptoms of TMJ disorder, this is the practice for you. 10/10 could not recommend Dr.Bis and her team more.Trustindex verifies that the original source of the review is Google. Nothing to complain about Dr. Agatha's clinic. Everyone is really nice, she is very competent. She knows what she is talking about and explain everything with details..Trustindex verifies that the original source of the review is Google. Went here for a TMD/TMJ consultation. This was the most helpful consultation I have had with some hopeful recommendations. I have been to many physio, chiro, dentist, and other doctors. She took it seriously and validated my symptoms as well, including dizziness which my doctor was saying is normal. She explained things well and so did Roanna. 5 stars for Roanna too- friendly, knowledgeable and kind. She was patient with me as well which was wonderful for me as I had limited opening ability. Exceptional customer service. I will note, it is pricey but you have to understand there are factors that need to be considered. Tons of free parking space available so no issue there. I was seen in a timely manner as well. Decided to go with them for a treatment. Will update with results after.Trustindex verifies that the original source of the review is Google. I am incredibly grateful for the care I received from Dr. Agatha Bis and her amazing team while dealing with my lock jaw. From the moment I walked in, I was met with kindness and professionalism. Dr. Bis was patient and took the time to explain everything, which made me feel much more at ease. Thanks to their support, I am feeling much better now and plan to check back in a year to ensure everything remains on track. The entire team was friendly and supportive, helping me to overcome this challenging issue. I truly appreciate their dedication and expertise. I highly recommend them to anyone who is looking to take the right step in addressing lock jaw. Thank you for everything!Trustindex verifies that the original source of the review is Google. This review is written because Dr. Bus and her team are amazing. I start with the team always courteous and helpful. The professionalism to patients was excellent. I want to say I was a little apprehensive as I had been having TMJ for a year, dentist and specialist before lots of money and no solution. I found Dr. Bis on my own and went in with blind faith. First visit was knowing my issues and lots of pictures of the mouth to see the issue at hand. Second visit a bit more follow up and develop a mouth piece. Third visit the mouth piece. As it was a long history Dr. Bis said it may work as I had it for so long but I needed hope in her expertise. Wow with the first month I noticed some changes. This was an issue I would never want for anyone. Painful on the Jaw but she was amazing. With the follow up I seen more improvement and had better results. The detail in Dr. Bis expertise to understanding each underlying issue and listening to me was key. I never felt that my voice or issues were not heard. I have faith to anyone who goes here. Key so listen and find a solution. This was the best experience I have had and would recommend the team to anyone. Thank youTrustindex verifies that the original source of the review is Google. She gave me my life backTrustindex verifies that the original source of the review is Google. I can't thank Dr. Bis enough! After waking up with limited mouth opening due to jaw displacement, I tried various facial massages from a chiropractor, which helped alleviate some tension on my face, but unfortunately, the pain would return after a couple of days. Eventually, a maxillofacial surgeon recommended surgery, which I was not prepared to proceed with. Luckily, I found Dr. Bis online and decided to schedule an appointment. She suggested an appliance, and my headache and earache disappeared almost instantly! Dr. Bis has been fantastic throughout, and her entire team is warm and friendly, creating such a welcoming environment. Highly recommend her to anyone needing TMJ treatment!Trustindex verifies that the original source of the review is Google. I’ve been seeing Dr. Bis since January for a challenging TMJ case complicated by other co-morbidities. After having previously seen another jaw specialist there was a notable difference in both the level of care and diagnostic approach she provided. Dr. Bis brings an incredible depth of knowledge, kindness, and genuine commitment to her patients’ well being, qualities that are rare to find. She has invested significant time and effort into understanding my specific needs, considering both my TMJ and other co-morbidities. I appreciate her candor about which treatments she believes will help and which won’t, ensuring no one’s time or money is wasted. Dr. Bis has also been proactive in suggesting other avenues to explore, expanding my treatment options and resources. I’m still in the midst of receiving treatment from her and I feel hopeful about the progress we’re making, I would highly recommend her to anyone dealing with TMJ issues. I also want to recognize Dr.Bis' wonderful team. Laura is always cheerful and kind, whether on the phone or in person. Kera, Roanna and Kelly are all so friendly and skilled at their jobs, creating a welcoming and supportive environment. Their genuine compassion and dedication to patient care are commendable.Trustindex verifies that the original source of the review is Google. I can’t say enough about the level of care Dr Bis has provided. She took the time to detail what was wrong, how to fix the issue, the cost and time involved. I have been under her care for over 2 years and my “ear infections” that were determined to be TMD have now been fixed with “trays”. I have been 2 years without ear pain and would highly recommend Dr. Bis.Trustindex verifies that the original source of the review is Google. When the symptoms first started to appear, a bite and jaw disorder was the furthest thing from my mind. I was experiencing pain and numbness in my left hand, which eventually radiated up to my arm, to my chest and back… At first, my doctor blew it off as workout related … But when the pain increased & persisted, I was prescribed a cocktail of drugs from gabapentin to Lyrica, a handful of painkillers and sleeping pill, just to cope. Nothing would touch the pain, which, within weeks became debilitating… Thats the best way to describe it, I felt like a wet bag of cement on top of the excruciating discomfort radiating throughout my chest, back and arm The doctor finally sent me to a specialist who wanted to do a surgery to open up the spinal column, to give the nerves room, to alleviate the compression. This seemed extreme, so I sought out the care of a chiropractor, which yielded no measurable results. My search for answers finally led me to Dr Bis who I have known for years. She has had amazing success with jaw pain and TMJ patients So while I was waiting for my neck surgery, she suggested “let’s try this”. No guarantees. She always says that, by the way. With nothing to lose and everything to gain, I went through her protocol. And that was a Game Changer: I was noticeably better the first evening, the first evening in months I was able to sleep, without medication, I might add. It’s been almost a year now. I am 98% back to normal life, with no meds and more importantly, no surgery!!!! There are a few steps left in the process, but I’m eternally grateful for how far we’ve come. The whole journey has been life-changing. Dr Bis is truly one of a kind. It’s impossible to imagine what life would be like, having not gone through this treatment.Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more