Are you experiencing jaw pain, clicking sounds when you eat, or unexplained headaches? These could be signs of TMJ/TMD—a condition that affects millions of Americans but is often misdiagnosed. At David Eskow, DDS in Olney, MD, we specialize in diagnosing and treating temporomandibular joint disorders with personalized care plans designed to relieve your pain and restore proper jaw function.
Dr. Eskow and his team of dental professionals understand how debilitating TMJ/TMD symptoms can be. Our comprehensive approach to treatment combines advanced diagnostic techniques with effective, minimally invasive therapies to address your specific symptoms and their underlying causes.
Don’t let jaw pain control your life any longer. Read on to learn more about TMJ/TMD, its causes, symptoms, and how our expert team can help you find relief right here in Olney, Maryland.
Understanding TMJ and TMD: What’s the Difference?
Many people use the terms TMJ and TMD interchangeably, but they actually refer to different things. TMJ stands for temporomandibular joint—the complex joint that connects your lower jaw (mandible) to your skull’s temporal bone. This remarkable joint works as a sliding hinge, allowing you to speak, chew, and yawn comfortably.
TMD, or temporomandibular joint disorder, refers to the various conditions that can affect this joint and its surrounding muscles, causing dysfunction and pain. Understanding this distinction is important because proper diagnosis leads to more effective treatment. At David Eskow, DDS, we focus on accurately identifying the specific type of TMD you’re experiencing.
The temporomandibular joint is one of the most complex joints in your body, involving multiple muscles, ligaments, and a specialized disc that cushions movement. When any component of this system is damaged or misaligned, it can lead to the painful symptoms associated with TMD.
Common Signs and Symptoms of TMJ Disorders
Many patients suffering from TMD experience symptoms for months or even years before seeking treatment. Recognizing the early warning signs can help you get the care you need sooner. The most common symptoms include:
Pain-Related Symptoms:
- Jaw pain or tenderness, especially when chewing
- Facial pain that may radiate to the neck and shoulders
- Earaches or pain around the ear without infection
- Chronic headaches, often misdiagnosed as migraines
- Unexplained tooth pain or sensitivity
Mechanical Symptoms:
- Clicking, popping, or grating sounds when opening or closing your mouth
- Jaws that “lock” or get stuck in open or closed positions
- Limited ability to open your mouth wide
- Difficulty or discomfort while chewing certain foods
Secondary Symptoms:
- Dizziness or vertigo
- Ringing in the ears (tinnitus)
- Sleep disturbances
- Improper bite alignment
What Causes TMJ Disorders? Understanding Risk Factors
TMD can develop from various factors, and often multiple causes contribute simultaneously. Identifying the underlying causes is crucial for developing an effective treatment plan. Common causes and risk factors include:
Physical Factors
Arthritis affecting the jaw joint can lead to inflammation, pain, and deterioration of the joint surfaces. This includes both osteoarthritis (wear-and-tear type) and rheumatoid arthritis (an autoimmune condition). Physical trauma from accidents or injuries to the jaw, head, or neck can damage the joint directly or create misalignment issues that lead to TMD.
Structural Issues
Disc displacement occurs when the cushioning disc between the jawbone and socket moves out of proper alignment, causing pain and restricting movement. Malocclusion (improper bite) can put excess stress on the jaw joint, forcing it to work harder and potentially leading to TMD symptoms over time.
Behavioral Factors
Bruxism (teeth grinding or clenching), especially during sleep, puts tremendous pressure on the TMJ and can trigger or worsen TMD. Chronic stress often manifests physically through jaw clenching or tightened facial muscles, contributing significantly to TMD development.
Women of childbearing age are more likely to develop TMD, suggesting possible hormonal influences. Additionally, certain connective tissue diseases may increase susceptibility to TMJ disorders.
Advanced Diagnostic Techniques for TMJ/TMD at David Eskow, DDS
Because many conditions can mimic TMD symptoms, accurate diagnosis is essential for effective treatment. At our Olney dental practice, we employ a comprehensive diagnostic approach that includes:
Thorough Clinical Examination
Our specialists will carefully evaluate your jaw movement, listen for joint sounds, and check for areas of tenderness or pain. We’ll assess your bite alignment and examine how your upper and lower teeth fit together when you close your mouth. The muscles around your jaw will be palpated to identify specific trigger points or areas of tension.
Specialized Imaging
We use advanced digital X-rays to visualize the joint structures and identify potential abnormalities. In some cases, we may recommend cone beam CT scanning for a more detailed, three-dimensional view of your TMJ. These diagnostic images help us see beyond surface symptoms to understand the true condition of your jaw joint.
Bite Analysis
Creating precise models of your teeth allows us to analyze your bite pattern and identify any misalignments that could be contributing to your TMD. We may use special bite registration materials to record the exact relationship between your upper and lower jaws.
This comprehensive diagnostic approach enables us to develop a personalized treatment plan that addresses your specific TMD issues rather than just managing symptoms.
Effective TMJ/TMD Treatment Options in Olney, MD
Based on your diagnosis, we’ll recommend a customized treatment plan that may include one or more of the following approaches:
Conservative Self-Care Strategies
Lifestyle modifications can significantly reduce TMD symptoms. These may include:
- Eating softer foods temporarily
- Avoiding extreme jaw movements (wide yawning, gum chewing)
- Applying moist heat or ice packs to reduce pain and inflammation
- Practicing stress-reduction techniques
Jaw exercises and physical therapy help strengthen jaw muscles, improve range of motion, and reduce pain. Our team will demonstrate specific exercises tailored to your condition.
Pain management options include over-the-counter anti-inflammatory medications and, in some cases, prescription muscle relaxants for temporary relief.
Custom Dental Appliances
Occlusal splints or night guards are custom-fitted devices worn over your teeth to prevent grinding and clenching, especially during sleep. These appliances help reduce muscle strain and protect tooth surfaces from damage.
Stabilization splints help balance the bite forces across your jaw, reducing stress on the TMJ while you sleep or during periods of unconscious clenching.
Advanced Treatment Options
For more severe or persistent cases, we may recommend:
- Occlusal adjustment – carefully reshaping the surfaces of teeth to create a more balanced bite
- Botox injections – to relax overactive jaw muscles that contribute to pain and tension
- Referrals for specialty care – including orthodontics or oral surgery when necessary
Why Choose David Eskow, DDS for Your TMJ/TMD Treatment?
When selecting a TMJ specialist in Olney, MD, experience and expertise matter. Dr. David Eskow, recognized as a top dentist by Washingtonian Magazine 2025, brings exceptional skill and knowledge to TMD treatment.
Our comprehensive approach ensures we address not just your symptoms but the underlying causes of your TMD. We take the time to perform thorough diagnostics before recommending any treatment plan, ensuring you receive the most appropriate care for your specific condition.
We understand that TMD can significantly impact your quality of life, which is why we prioritize patient comfort and education throughout your treatment journey. Our friendly staff creates a welcoming environment where all your questions will be answered, and your concerns addressed with compassion.
TMJ/TMD Treatment FAQs
How long does TMJ/TMD treatment usually take? Treatment duration varies depending on the severity of your condition and the chosen treatment approach. Many patients experience significant improvement within 2-3 months with conservative treatments. More complex cases may require longer-term management strategies.
Is TMJ/TMD treatment covered by dental insurance? Many dental insurance plans provide partial coverage for TMJ/TMD treatments, especially for diagnostic procedures and conservative therapies. Our office staff can help verify your benefits and explain any out-of-pocket costs.
Can TMJ/TMD resolve on its own without treatment? While mild, temporary TMJ discomfort may sometimes resolve with rest and self-care, established TMD typically requires professional treatment. Delaying care can lead to worsening symptoms and potential long-term joint damage.
How can I prevent TMJ/TMD from recurring after treatment? Maintaining good posture, practicing stress reduction techniques, wearing your prescribed dental appliance as directed, and attending regular follow-up appointments can help prevent TMD recurrence. We’ll provide specific recommendations based on your situation.
How do I know if my headaches are related to TMJ/TMD? TMD-related headaches often occur alongside other symptoms like jaw pain, clicking sounds, or limited mouth opening. They frequently start near the temples or ears and may worsen with jaw use. Our diagnostic process can help determine if your headaches have a TMJ connection.
Schedule Your TMJ/TMD Consultation Today
Don’t let jaw pain, headaches, or difficulty chewing impact your quality of life any longer. The skilled team at David Eskow, DDS is ready to provide the expert TMJ/TMD care you deserve.
Visit Us: 18119 Cashell Road, Olney, MD 20832
Call: 301.774.2000
Or Request an Appointment Online Today
Experience the relief that comes with proper diagnosis and effective treatment from Olney’s trusted TMJ/TMD specialists at David Eskow, DDS.