TMJ Disorders

TMJ (temporomandibular joint) disorders are a family of problems related to your complex jaw joint. If you have had symptoms like pain or a “clicking” sound, you’ll be glad to know that these problems are more easily diagnosed and treated than they were in the past. These symptoms occur when the joints of the jaw and the chewing muscles (muscles of mastication) do not work together correctly. TMJ stands for temporomandibular joint, which is the name for each joint (right and left) that connects your jaw to your skull. Since some types of TMJ problems can lead to more serious conditions, early detection and treatment are important.

No one treatment can resolve TMJ disorders completely and treatment takes time to become effective. Dr. Weierbach can help you have a healthier and more comfortable jaw.

Trouble With Your Jaw?

TMJ disorders develop for many reasons. You might clench or grind your teeth, tightening your jaw muscles and stressing your TM joint. You may have a damaged jaw joint due to injury or disease. Injuries and arthritis can damage the joint directly or stretch or tear the muscle ligaments. As a result, the disk, which is made of cartilage and functions as the cushion of the jaw joint, can slip out of position. Whatever the cause, the results may include a misaligned bite, pain, clicking, or grating noise when you open your mouth or trouble opening your mouth wide.

Do You Have a TMJ Disorder?

  • Are you aware of grinding or clenching your teeth?
  • 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?
  • Does stress make your clenching and pain worse?
  • Does your jaw click, pop, grate, catch, or lock when you open your mouth?
  • Is it difficult or painful to open your mouth, eat, or yawn?
  • Have you ever injured your neck, head, or jaws?
  • Have you had problems (such as arthritis) with other joints?
  • Do you have teeth that no longer touch when you bite?
  • Do your teeth meet differently from time to time?
  • Is it hard to use your front teeth to bite or tear food?
  • Are your teeth sensitive, loose, broken or worn?

The more times you answered “yes”, the more likely it is that you have a TMJ disorder. Understanding TMJ disorders will also help you understand how they are treated.

Treatment

There are various treatment options that Dr. Weierbach can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, Dr. Weierbach will determine the proper course of treatment. It is important to note that treatment always works best with a team approach of self-care joined with professional care.

The initial goals are to relieve the muscle spasm and joint pain. This is usually accomplished with a pain reliever, anti-inflammatory, or muscle relaxant. Steroids can be injected directly into the joints to reduce pain and inflammation. Self-care treatments can often be effective as well and include:

  • Resting your jaw
  • Keeping your teeth apart when you are not swallowing or eating
  • Eating soft foods
  • Applying ice and heat
  • Exercising your jaw
  • Practicing good posture

Stress management techniques such as biofeedback or physical therapy may also be recommended, as well as a temporary, clear plastic appliance known as a splint. A splint fits over your top or bottom teeth and helps keep your teeth apart, thereby relaxing the muscles and reducing pain. There are different types of appliances used for different purposes. A nightguard helps you stop clenching or grinding your teeth and reduces muscle tension at night and helps to protect the cartilage and joint surfaces. An anterior positioning appliance moves your jaw forward, relieves pressure on parts of your jaw and aids in disk repositioning. An orthotic stabilization appliance is worn 8-10 hours/day or just at night to move your jaw into proper position. Appliances also help to protect from tooth wear.

What About Bite Correction or Surgery?

If your TMJ disorder has caused problems with how your teeth fit together, you may need treatment such as bite adjustment (equilibration), orthodontics with or without jaw reconstruction, or restorative dental work. Surgical options such as arthroscopy and open joint repair restructuring are sometimes needed, but are reserved for severe cases. Dr. Weierbach does not consider TMJ surgery unless the jaw can’t open, is dislocated and nonreducible, has severe degeneration, or the patient has undergone appliance treatment unsuccessfully.

Weierbach Prosthodontics

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Dr. Weierbach provided the best experience I have ever had at a dentists office. The staff was welcoming and efficient. The atmosphere was calm and inviting. From start to finish I felt confident with everything Dr.Weierbach was doing. My implant is perfect and I am so grateful. I would highly recommend his practice!

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My true experiences with Dr.John Weierbach ll D.M.D. since 1989 has been amazing! Thru his great knowledge of Prosthodontic Dentistry and clinical diagnostics he has truly changed my life and restored it back to healthy. He was able to visibly determine the very early stages of tongue cancer. Great KUDOS are given to Dr.Weierbach D.M.D II at the University of Pa.. Thru early detection I was a great candidate for TORS surgery minimal noninvasive surgery. What a great sense of relief that this maverick to dentistry is in our great hometown of Lancaster PA. Wow...impressed!! With much love and respect to the office and all involved in my treatment.

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I had to have a lot of work completed which started in 2008 and was completed in 2009. I was lucky and met Dr.Weierbach by chance but am glad that I did! I am very pleased with the outcome of all the work performed by Dr. Weierbach and all of his staff. I still go back and have my cleanings and checkups with him. All of the work he has done is working out very well and looks and feels as good today as if it was performed yesterday.

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From the very first exploratory phonecall I made, I knew I was going to be in good hands with Dr. Weierbach and his staff. Everyone I encountered from scheduling to procedure was extremely professional and clearly capable but also warm and friendly. Dr. Weierbach patiently and clearly explained the procedure and worked closely with me to ensure I would be satisfied with the results. I am very happy with my Juvederm lip injections and will be returning for future cosmetic procedures.

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The care and attention to detail by Dr. Weierbach and his staff given to their patients is outstanding. I knew without a doubt that I had made the right choice for the extensive work I needed on my teeth. My front teeth seemed to break easily and needed constant repairs. I was so self-conscious that I never wanted to smile without putting my hand over my mouth or turning away. Every time I saw someone with beautiful teeth I became depressed. After years of putting up with the problem I got a glowing recommendation for Dr. Weierbach. Wow! He and his assistant Kelsee went far beyond my expectations. I have the temporaries on now and they are beautiful. No more covering up this mouth!

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Dr. Weierbach has created a practice that should be a model for his industry: he’s a recognized expert in his field (you’ll see why at your first visit), patient, a good listener, and not sales-focused: he’ll recommend what he believes is the best course of action for your specific situation, even if it’s not the most expensive one. All the above traits help develop trust, and he’s certainly earned mine. The staff is well trained, very friendly and caring (in a sincere way). For example, one of the technicians (Jenn) came in on her day when their office was officially closed just to help me with a problem, and didn’t make a big deal out of it. They seem to genuinely like each other and enjoy office-sponsored social events, which creates a family-like atmosphere. As we know, happy employees make for happy customers/patients. Dr. Weierbach spared no effort and cut no corners in treating me, and the results were as good as I’d hoped for, if not better. The experience was so positive that I left the dentist I’d used for many years and started using Nina, Dr. Weierbach’s dental hygienist, a move I’ve not regretted. Lastly, Dr. Weierbach’s services are definitely and significantly more expensive that others in his field, but the quality of the whole experience and the results he achieves justify the premium he charges. Another good example of “you get what you pay for”.

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I really look Forward to going to this Dentist! Because of the care, the respect, and the expertise! Thank you!

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Was extremely pleased with the professional and caring staff. Dr. Weierbach is a dentist of excellence and I am very happy with my provisional crown. He strives to have his patients completely satisfied. Would definitely recommend him.

- wilmer H

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I was recently diagnosed with mild to moderate sleep apnea. My wife complained for many years that my snoring interfered with her sleep. I consulted with my family doctor who referred me to an ENT physician who shared that my options were surgery or a dental appliance. I called numerous dentists offices and learned of Dr. Weierbach's practice. The initial consult convinced me that I chose the right practice. Dr. Weierbach explained the alternatives and I selected the Micro02 appliance. I was pleased that my health insurance company covered a large part of the cost under the major medical equipment coverage. I have had excellent success with the appliance as evidenced by my wife's feedback that she is sleeping more soundly. I am most pleased with the service and support I have received at Dr. Weierbach's practice.

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Dr. Weierbach and his staff have raised the bar on dental implant perfection. His expertise in this field can not be surpassed. I highly recommend him to anyone who wants "perfect results". Thank you Dr Weierbach and staff. Jean C. Lloyd, retired business owner.

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