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TMJ Treatment in Bel Air, MD: Lasting Relief for Jaw Pain and Discomfort

Jaw pain, headaches that start near your temples, a jaw that clicks or pops, and difficulty opening your mouth wide are all signs that something is off with your temporomandibular joint. TMJ dysfunction, sometimes called TMD, is more common than most people realize. The good news is that the majority of cases respond well to conservative, non-surgical treatment. At Elevated Smiles Dentistry in Bel Air, MD, Dr. Joshua Englander helps patients find relief and get back to comfortable daily function.

Frequently Asked Questions About TMJ Treatment

Can TMD go away on its own?

Mild cases sometimes resolve with rest and stress reduction. However, if the underlying cause is structural, like a bite problem or chronic grinding, the symptoms will return or worsen without treatment. Getting an evaluation is the only way to know which category you fall into.

Does a night guard fix TMJ problems?

A night guard prevents grinding and reduces the load on the joint during sleep, which relieves symptoms for many patients significantly. It does not fix underlying joint damage that is already present, but it stops the forces that are making it worse.

Can TMD cause ear pain?

Yes. The TMJ sits directly adjacent to the ear canal, which is why TMD often causes ear pain, a feeling of fullness in the ear, or even ringing. Many patients are evaluated for ear problems before the actual cause, the jaw joint, is identified.

Is Botox effective for jaw clenching?

Yes. Botox injected into the masseter muscles reduces the force of clenching significantly and provides relief for many patients who have not responded adequately to night guards alone. The effect lasts three to six months and can be repeated as needed.

Will I need surgery for TMJ treatment?

The vast majority of TMD cases do not require surgery. Surgery is reserved for cases with significant structural damage to the joint that has not responded to all other conservative treatments. Dr. Englander will always recommend the least invasive option first.

Lasting Relief

Lasting Relief

Non-surgical TMJ care

What Is the TMJ and What Causes TMD?

The temporomandibular joint is the hinge that connects your lower jaw to your skull, located just in front of each ear. It allows the complex opening, closing, and side-to-side movements of the jaw used for eating and speaking. TMD, or temporomandibular disorder, is the term used for pain and dysfunction affecting this joint and the muscles that control jaw movement. Common causes include jaw clenching and teeth grinding (bruxism), arthritis in the joint, a bite that is misaligned, trauma to the jaw, or prolonged stress that causes chronic muscle tension in the jaw and face.

What Are the Most Common Symptoms of TMD?

Symptoms vary from person to person and range from mild to significant. The most common include pain or soreness in the jaw joint area, especially in the morning after sleeping, clicking or popping sounds when opening or closing the mouth, a jaw that occasionally locks open or closed, difficulty chewing or a feeling that the bite does not fit together correctly, facial pain, ear pain or fullness, frequent headaches particularly around the temples, and neck or shoulder tension. Not every symptom needs to be present for a TMD diagnosis, and the same symptom can have multiple causes, which is why a thorough evaluation is important.

What TMJ Treatment Options Are Available at Elevated Smiles?

Most cases of TMD can be managed without surgery. Dr. Englander starts with the most conservative approaches and only escalates treatment if needed. Common treatment options include custom night guards to prevent grinding and protect the joint during sleep, anti-inflammatory recommendations, jaw exercises to strengthen and relax the muscles, bite adjustments where the bite is contributing to the problem, Botox injections to reduce the force of jaw clenching when other approaches have not been fully effective, and referral to a specialist for more complex joint pathology if necessary.

When Should I See a Dentist for TMJ Pain?

If you have jaw pain, clicking, or headaches that have been present for more than a few days, it is worth having an evaluation. Many people live with TMD symptoms for years before seeking help, assuming the discomfort is just something they have to manage. In most cases relief is achievable. Early treatment also prevents habits like grinding from causing damage to your teeth, which adds a layer of restorative work on top of the joint problem. Do not wait until the joint is significantly damaged or the teeth are severely worn before coming in.

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    Dr. Joshua Englander, DDS

    Page written and reviewed by:

    Dr. Joshua Englander, DDS

    Doctor of Dental Surgery · Elevated Smiles Dentistry, Bel Air, MD · Last reviewed: July 2026