Your temporomandibular joints (TMJ) sit on either side of your jaw, just in front of your ears. They connect your lower jaw to your skull and let you chew, talk and yawn. When these joints or the muscles around them are strained, you may notice jaw pain, clicking or popping, headaches, or trouble opening your mouth fully. Dentists often call these problems TMD, or temporomandibular disorders.
Dr. Larry Dunford, DDS, has practiced as a prosthodontist in Southwest Florida since 1986. Jaw joint problems (TMD) are one of the areas prosthodontists are trained to manage, because so much of TMJ comfort depends on how the teeth come together. Dr. Dunford is a member of the American College of Prosthodontists, and patients from Cape Coral, Fort Myers and the surrounding area come to our Del Prado Boulevard office for TMJ care.
Having one of these symptoms does not always mean you have a TMJ disorder, which is why a proper evaluation matters.
TMJ symptoms rarely have a single cause. Common contributors include clenching or grinding your teeth, muscle tension from stress, a bite that has changed because of worn, missing or broken teeth, older dental work that no longer fits your bite, an injury to the jaw, and arthritis in the joint. Understanding which factors apply to you shapes the treatment plan.
TMJ problems and teeth grinding (bruxism) can feel similar, but they are different conditions and are treated differently. Your visit starts with a careful assessment of your jaw joints, the muscles that move your jaw, how far and how smoothly you can open, how your teeth meet, and any signs of clenching or wear. We also review your dental and medical history. If your symptoms point to something outside the mouth, we will tell you and help you find the right next step.
The first phase of TMJ treatment typically uses a custom oral appliance, often called a splint. Unlike a soft night guard, a TMJ splint is made of rigid acrylic. It is designed to raise the bite slightly and guide the jaw into a position that helps relieve pressure on the joints and the discomfort that comes with it.
Because a TMJ splint has to fit precisely, Dr. Dunford may make several small adjustments over follow-up visits until the jaw position feels right. Your splint is custom-made to fit your own teeth rather than a standard size.
A night guard used for teeth grinding acts as a protective barrier between your upper and lower teeth, so the teeth wear against the guard instead of each other. A TMJ splint works differently: it repositions the jaw to take strain off the joints. Some patients need one, some need the other. Dr. Dunford will explain which fits your symptoms. You can learn more on our mouth guards and night guards page.
Worn, missing or broken teeth can change how your jaw closes. When that is part of the picture, restoring the bite with crowns, bridges or a full mouth reconstruction may be discussed once your symptoms are under control. Any restorative plan is explained in advance, so you can decide what is right for you.
Alongside professional treatment, small habits can help your jaw rest: choose softer foods during flare-ups, cut food into smaller pieces, avoid chewing gum, try not to open extremely wide when yawning, and notice whether you clench your teeth during the day. Wear your splint exactly as directed and bring it to every follow-up visit.
We accept CareCredit, a health care credit card that can be used for dental expenses. Call our office to ask about insurance and payment options for your visit. To schedule a TMJ evaluation, call (239) 542-3141 or request an appointment online.
No. A night guard protects your teeth from grinding by acting as a barrier between them. A TMJ splint is made of rigid acrylic and is shaped to reposition your jaw slightly to relieve strain on the joints.
It depends on your symptoms. Dr. Dunford usually adjusts the splint over several follow-up visits and will explain how often to wear it and how long treatment is expected to last.
A splint is removable and does not change your teeth. Permanent changes, such as new crowns or a full mouth reconstruction, are only discussed after your symptoms are under control and only with your agreement.
Yes. Jaw joint problems (TMD) are one of the areas prosthodontists are trained to manage, because TMJ comfort is closely tied to how the teeth and bite fit together.
Yes. Many of our patients come from Fort Myers and North Fort Myers. Our office is at 3209 Del Prado Blvd S in Cape Coral.
We accept CareCredit. Call our office at (239) 542-3141 to ask about insurance and other payment options.
Why See a Prosthodontist for TMJ?
Prosthodontists complete an extra three years of formal training after dental school, focused on restoring and replacing teeth and on how the whole bite works together. That background helps when jaw discomfort is linked to how your teeth meet, to worn teeth, or to older dental work that no longer fits your bite.
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