When the TMJ and/or the teeth don’t make proper contact, it creates instability in the jaws and mouth. This often leads to pressure and pain in the neck, face or mouth. Occlusal therapy and TMJ treatment are methods of restoring balance to eliminate stress and bring the masticatory system back into harmony.

Dr. Roy Eskow and Dr. Adam Eskow are experienced in the diagnosis and treatment of TMJ disorders and myofascial pain syndrome. We utilize advanced technology including the iCAT cone beam imaging system to take 3D scans of the head, jaws and mouth. These scans allow Dr. Eskow to get a precise look at the relationship between these structures and identify potential problems.

What is TMJ?


TMJ stands for temporomandibular joint, which is the joint that connects the upper and lower jaw. TMJ is also widely used to describe a complex group of disorders that are characterized by pain and limited mobility in the temporomandibular joint (TMJ) and surrounding tissue.

Signs & Symptoms of TMJ Disorder
Patients with TMJ Disorders (TMD) often exhibit signs and symptoms very different from one another, which makes diagnosing TMD a challenge. Some of the more common signs of TMJ dysfunction are:

  • Popping, clicking or grating of the jaw (TMJ joint)
  • “Locked” jaw and/or limited mobility in the jaw joint
  • Frequent headaches
  • Difficulty when eating or chewing
  • Chronic earaches without ear infection
  • Soreness or tiredness in the face and/or jaws

TMJ Treatment Options

There is no one-size-fits-all solution in dentistry, particularly when it comes to TMJ treatment. Each problem is unique to the individual patient and treatment planning is entirely dependent on the diagnosis. Our goal is to treat TMD with the most conservative procedure possible. Therapies for TMJ may include:

  • Oral appliance therapy (such as a night guard)
  • Dental splints
  • Occlusal equilibration, making changes to the fit of the bite by reshaping and/or removing tooth structure