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TMD (also known as TMJ) Therapy and Migraine Management

Therapy and Migraine Management

Often patterns in a patient's bite will show us where they spend a great deal of time. Many times this will reflect their nighttime breathing posture or position. Enough wear on the anterior teeth can impact how a patient chews and cause premature damage to the posterior teeth including fractured tooth syndrome. Oftentimes, a holistic approach is needed for a complete recovery of your dental issues, and we take time to truly assess the imbalance triggering your discomfort, which can at times be outside of the mouth.

Irregularities in the way you move your mouth, chew or bite can cause chronic pain. The muscles and tissues in your mouth are designed to function in a specific way. Chronic pain and problems can occur when a patient has developed irregular habits or when their teeth have simply developed in a way that inhibits the natural motion of their mouth and jaw. This causes undue stress on the surrounding joints and ligaments.

Grinding and Clenching are other common causes of TMD or headache pain. Grinding and clenching are often a subconscious reactions to stress and anxiety. This harmful habit can lead to chronic pain and fracturing of teeth.

Injury to your jaw, the joint, or the muscles of your head and neck — like from a heavy blow or whiplash — can lead to TMD.  Other causes can be:

  • Movement of the soft cushion or disc between the ball and socket of the joint

  • Arthritis in the joint

  • Stress, which can cause you to tighten facial and jaw muscles or clench the teeth


Common symptoms include:

  • Pain or tenderness in your face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide

  • Jaws that get “stuck” or “lock” in the open- or closed-mouth position

  • Clicking, popping, or grating sounds in the jaw joint when you open or close your mouth or chew. This may or may not be painful.

  • A tired feeling in your face

  • Trouble chewing or a sudden uncomfortable bite — as if the upper and lower teeth are not fitting together properly

  • Swelling on the side of your face


You may also have toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitus).



At StudioNINE30, we'll work with you and explore financial options to assist with your prescribed dental treatment plan, and we'll help you with insurance and other financial arrangements.

We will always do our best to schedule your treatment in a way that will optimize your insurance benefits and work within your budget.

I’ve never written a review or testimonial before. However, I’m inspired to do so now. If your like me, new to an area, and looking for a new doctor or dentist and loving your previous health care providers, it can be a daunting process. Especially if you have a complicated medical history.. For me, not only did I find the perfect physician, I’ve found my dream team dental office. I’m the kind of person that notices and observes what’s around me. It’s an automatic response . So, when I arrived for my first visit to Dr. Matt Engel's office, I felt a sense of comfort. I was greeted by Linda, the front desk person, with the most welcoming smile and disposition. I liked her right away. She represents the feel of the whole staff. As for Dr. Engel, he's not only knowledgeable and extremely skillful but as kind as the talented staff he has hired! And there’s one more thing. The office is pleasantly decorated and centered in a place of serene beauty. Lots of birds and trees. I get your not looking for serene beauty but it doesn’t hurt. If fact it helps! Recently my husband lost a crown and went for the first time to Dr. Matt (another name Dr. Engel is known by). He went in the morning and left a couple hours later happy with a new, perfectly fitting crown. If your looking for a dentist you can’t go wrong, in my opinion, choosing Dr. Matt Engel! He certainly has done a great job for me! A pleased patient, Jane B.

Jane B.

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