TMJ Treatment at San Antonio Oral Surgery

TMJ Specialist San Antonio TX

Most of us tend to overlook the temporomandibular joint's function and purpose until it gives us cause for concern. This important joint can create many problems in our ability to speak and chew properly if it gets injured or infected. If the simplest tasks like opening and closing your mouth become difficult due to discomforts such as muscle pain or headaches, you may have a temporomandibular joint disorder, also known as TMD.

As a craniofacial pain specialist, Dr. Jeffrey Wert of San Antonio Oral Surgery understands the frustrations of discomfort extending to the head, back, and shoulders and uses his extensive knowledge to treat the aches and pains often associated with TMD.

From conservative exercises to advanced TMJ surgery, our comprehensive treatments are designed to alleviate and correct the complications associated with compromised jaw movement. Contact us today to schedule your TMD consultation!


Understanding the Temporomandibular Joint and Disorders

Your temporomandibular joint is a hinge that connects your jaw to your skull's temporal bones in front of each ear. It allows you to move your jaw up and down and side by side, allowing you to talk, chew, and yawn. Perhaps you have experienced pain in your jaw area sometimes, or maybe your dentist or doctor has told you that you might have TMD. TMD is not a single disorder but a group of painful conditions that affect the temporomandibular joint and the chewing muscles.

How Will I Know if I Have A TMJ Disorder?

There are many reasons for developing TMJ disorders. You may clench or grind your teeth or tighten the muscles of your jaw by habit or from stress.

Here is a quick and simple three-step test you can try right now:

  • Place a finger over the joint in front of your ear.
  • Open your jaw slightly.
  • Then open wide until you can feel the joint move.

Chances are you may have a temporomandibular joint disorder if you hear a grating, clicking, or crackling noise, or if it is tender when you press.

Still Unsure You May Have TMD? Ask Yourself!

When trying to determine if you may require treatment for TMD, it’s always important to pause and reflect on the circumstances that sparked your attention in the first place.

We recommended asking yourself the following:

  • Do you wake up with sore, stiff muscles around your jaws?
  • Do you have frequent headaches or neck aches?
  • Does the pain get worse when you clench your teeth?
  • Is it difficult or painful to open your mouth, eat, or yawn?
  • Does your jaw click, pop, grate, catch, or lock when you open your mouth?
  • Have you ever injured your neck, head or jaws?
  • Are your teeth sensitive or worn?
  • Have you had problems (such as arthritis) with other joints?
  • Do your teeth meet differently from time to time?

What Causes TMD?

Unfortunately, there is no single cause for TMD. Anything that causes tension in the jaw and temporal muscles can cause TMJ problems. Multiple factors often coincide in causing the disorder and pain. An injury to the jaw, face, head, and neck are some of the most frequent causes of onset TMD pain.

Grinding or Clenching Your Teeth

Bruxism can develop when you unconsciously clench your jaw or grind your teeth. Some people experience this while awake, typically induced by stress or concentration, and others suffer from the condition during sleep. Over time, because of the intense pressure being put on your teeth, your bite position can change. This often leads to jaw misalignment, creating other associated issues, like TMD.

Sleep Disorders

Sleep apnea occurs when your airway collapses while you’re asleep, obstructing your breathing. The lower jaw will clamp down or thrust forward in an attempt to open the airway causing additional stress that can result in TMJ discomfort or pain.


Individuals with arthritis throughout the body can quite often experience arthritis of the TMJ.


Often considered a major cause of TMD, stress influences involuntary movements throughout the body, such as teeth clenching and grinding as well as tensing the neck, head, and shoulders.

Signs and Symptoms

Because TMD is a collection of complications, there may be a variety of symptoms associated with TMD. Pain is the most common symptom, especially in the chewing muscles and/or jaw joint.

Other symptoms are likely to include:

  • Locked or limited movement in the jaw
  • Pain that extends to the jaw, face, neck and shoulders
  • Uncomfortable popping, clicking, or rough sounds when opening and closing the mouth
  • A sudden, significant change in the position of the upper and lower teeth.
  • Headaches
  • Earaches
  • Dizziness
  • Hearing problems

How Is TMD Diagnosed?

There is no one standard test for diagnosing TMD because the exact causes and symptoms are not clear. Typically, doctors, dentists, and oral surgeons make a diagnosis based on traditional symptoms, particularly jaw pain. When you visit San Antonio Oral Surgery for an experienced TMD diagnosis, you can expect the following process:

Medical History Evaluation – Dr. Wert will begin by reviewing your medical history. Many oral health conditions such as tooth decay, sinus issues, arthritis, and/or gum disease are also looked at to gain a better perspective of your specific situation. A physical examination of your jaw is conducted to determine potential causes.

Physical Examination – We will check for pain or tenderness in your jaw joints and listen for clicks, pops, or grating sounds. We also make sure your jaw works correctly, not locking when you open or close your mouth. We will also test your bite and check for facial muscle problems.

Diagnostic X-Rays – We specialize in surgery for areas of the face, mouth, and jaw. We take a full range of panoramic X-rays to look at your jaws, temporomandibular joints, and teeth to diagnose your condition properly.

What are My Options for Treating TMD?

Conservative treatments are most often used due to the lack of severe, degenerative TMD in most patients. Conservative treatments do not invade the facial, jaw, or joint TMJ tissues.

Since most cases of TMD issues are temporary and do not often get worse, simple treatment may be all that is needed to alleviate discomfort.

Practices used to relieve symptoms of TMD include:

  • Eating soft foods
  • Applying ice or heat packs to the area
  • Avoiding strenuous jaw movements such as wide yawning, gum chewing and loud singing
  • Learning special relaxation and stress reduction techniques can also help patients cope with the pain that often involves TMD problems.

Other conservative treatments include:

  • Physical therapy that is focused on gentle muscle stretching and relaxing exercises
  • Short-term use of muscle relaxers and anti-inflammatory drugs
  • Night-guards
  • Splints

Surgical Treatment Options

Conservative therapies are useful for temporary pain relief and muscle spasms; however, they are not "cures" for TMD. If other treatments fail or do not provide sufficient relief, TMJ surgery may be a viable option.

Three common types of surgical treatment that could alleviate your TMD:

  • Injecting pain-relieving medications with treatment such as BOTOX®
  • Reducing or helping jaw from locking up with a Modified Condylotomy
  • Re-positioning of the TMJ joint disc with a Discectomy

The need and type of or surgical treatment rely heavily on your specific situation. While we offer a wide range of procedures to alleviate your TMD once and for all, we always recommended consulting with Dr. Wert before you undergo surgery.

Experience the Benefits of Treating TMD

TMD not only impacts your day to day life but also affects oral and overall health. TMD treatment provides you with a chance of normalcy as proper jaw function is restored and joint stress is relieved.

Our oral surgery practice provides compassionate, experienced, and innovative TMD treatment for patients throughout San Antonio and the surrounding communities. If you would like more information about our TMD treatment options, we encourage you to contact Dr. Jeffrey Wert and his team today!