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TMJ Treatment

If you’re struggling with persistent jaw pain, clicking, stiffness, or tension headaches, it could be a sign of TMJ disorder (TMD).

Our TMJ specialists at Carolinas Center for Oral & Facial Surgery offer a full range of TMJ treatment options, from conservative TMJ therapies to TMJ surgery.

We’re here to help relieve your symptoms and restore long-term jaw function with personalized treatments tailored to your unique needs, goals, and lifestyle.

Understanding TMJ Disorders

Our TMJ pain management specialists and surgeons take a comprehensive approach to diagnosing and treating temporomandibular joint (TMJ) disorders.

Our first priority is always conservative, reversible care. This may include medications, splint therapy, muscle relaxants, Botox for overactive jaw muscles, or physical therapy. These treatments help reduce inflammation, protect the joint, and relieve strain on the muscles that surround it.

When symptoms are more complex or when conservative options aren’t enough, our board-certified oral and maxillofacial surgeons are among the few in the nation who perform advanced TMJ surgery, including minimally invasive arthroscopy and total joint replacement.

Whether your TMJ issue is muscle-related, joint-related, or a combination of both, we’ll help you find the right path toward lasting relief and restored jaw function.

A person in a white coat is holding a transparent anatomical jaw model with red muscles and visible teeth against a blue background.

Understanding TMJ Disorders

The temporomandibular joints are essential for everyday movements, including chewing, talking, and yawning. When these joints become inflamed, damaged, or misaligned, it can lead to a range of painful and disruptive symptoms.

Recognizing the signs early of a TMJ disorder (also called TMD) and seeking expert care helps protect your jaw health and prevent more serious complications.

TMJ Symptoms

  • Jaw pain or soreness, especially near the ears
  • Clicking, popping, or grinding sounds when opening or closing the mouth
  • Limited jaw movement or locking
  • Facial pain or pressure
  • Frequent headaches or migraines
  • Earaches, ringing in the ears (tinnitus), or a sense of ear fullness
  • Neck, shoulder, or upper back tension
  • Trouble chewing or a shifting bite

Causes of TMD

  • Teeth grinding (bruxism) or jaw clenching
  • Injury or trauma to the jaw, head, or neck
  • Arthritis or degenerative joint conditions
  • Misalignment of the bite or jaw
  • Stress-related muscle tension
  • Disc displacement in the joint
  • Genetics or connective tissue disorders

Risks if Untreated

  • Worsening jaw pain and inflammation
  • Progressive joint damage or degeneration
  • Permanent changes in bite alignment
  • Difficulty eating or speaking comfortably
  • Chronic headaches or facial tension
  • Sleep disturbances or worsening of sleep apnea symptoms
  • Reduced quality of life due to ongoing discomfort

Why See a TMJ Specialist?

TMJ disorders are complex and often misunderstood. Because TMJ pain can come from many different sources, including the muscles, the jaw joint, nerves, or even nearby structures, it’s important to get a precise diagnosis and a tailored plan of care to effectively manage your muscle strain, joint dysfunction, or bite-related issues.

Our TMJ specialists in North Carolina and South Carolina treat the full range of TMJ disorders, from mild muscle tension to structural joint damage.

Depending on your needs, your care team may include:

  • Orofacial Pain Specialists
    Experts in diagnosing and treating TMJ pain and muscle dysfunction. They focus on conservative, non-surgical treatment methods such as medications, TMJ splints, and targeted therapies to reduce pain and protect the joint.
  • Oral and Maxillofacial Surgeons
    Specialists with dual training in dentistry and medicine. They manage the most complex TMJ cases and can provide advanced TMJ surgery, including minimally invasive arthroscopy and TMJ joint reconstruction, when necessary.
A person in a lab coat shows a skull model to another person in a medical office setting.

TMJ Treatment Leaders

At Carolinas Center for Oral & Facial Surgery, you’ll find a specialized team that works with you from start to finish, evaluating your pain and creating a TMJ treatment plan that’s personalized to your needs.

Patients come to us from across the country for our expertise, and our focus is always the same: doing everything possible to restore comfort, protect function, and avoid surgery unless it’s truly necessary.

Multidisciplinary Expertise

Our team of TMJ specialists includes board-certified oral and maxillofacial surgeons and orofacial pain experts, working seamlessly together on your care at one location.

Comfortable Care Near You

With a network of experienced providers and more than 20 fully equipped locations across the Carolinas, we make it easier to get the expert care you deserve. All our high-tech centers are designed for your comfort and safety.

Conservative TMJ Therapy

Most TMJ disorders respond well to non-surgical care, and our conservative treatments can reduce inflammation and muscle strain, stabilize your jaw joint, relieve pain, and improve function without the need for surgery.

TMJ Surgery

When conservative care isn’t enough, our oral surgeons can perform arthroscopy, arthroplasty, and total TMJ joint replacement for long-term relief, improved jaw function, and restored quality of life.

Christian’s Journey to Relief and Renewal

For years, Christian lived with a severe TMJ condition that made eating, speaking, and smiling nearly impossible.

After meeting Dr. Roger Moreira and the expert team at CCOFS in Raleigh, he finally found hope through TMJ surgery.

Today, he can eat freely, speak confidently, and smile wider than ever. Watch his story to see how life-changing relief is possible.

Watch Christian’s Story

Insurance & Financing for TMJ Treatment

At CCOFS, we offer a range of affordable care solutions to help make TMJ treatment accessible to you.

We accept a variety of medical and dental insurance plans and help verify coverage for your treatments.

To help make care accessible to all patients, we also have financing partnerships, including CareCredit and Sunbit, to offer flexible financing options.

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I am so thankful for the excellent care I received from the doctors and staff at Carolinas Center for Oral & Facial Surgery. I have complete confidence in this practice to handle my TMJ/TMD concerns. I learned so much and will highly recommend this practice to anyone seeking solutions for these issues!

Michele P.

I have had TMJ issues for many years. I saw Dr. Dammling, and together we decided on a plan that will bring me relief. Everyone was pleasant, and my care was exceptional. The office is state-of-the-art and beautiful.

Emilee M.

Dr. Cook and his entire team are fantastic, guiding me through every step of my TMJ surgery. I highly recommend Dr. Cook for his expertise and skill!

Christine S.

Dr Nale and his team were exceptional-both informative and professional! Thank you!

Christine P.

TMJ Treatment FAQs

Have questions about TMJ treatment? You’re not alone. Many patients want to better understand their symptoms, treatment options, and what to expect during care.

Our TMJ specialists have answered some of the most common questions below to help guide you.






Take the First Step Toward Relief

If jaw or facial pain is holding you back, we can help you find lasting relief.

Schedule your consultation with our team for a personalized path to comfort, function, and a better quality of life. No referral is needed.