TMD Treatment

Do you clench or grind your teeth? Do you wake up with headaches, chronic jaw pain, or tired facial muscles? You could be suffering from temporomandibular joint disorder (TMD). This condition occurs when the oral and maxillofacial structures are out of alignment. This can lead to a host of other problems if left unaddressed. Dr. Carl Roy provides TMD treatment at Roy Orthodontics to alleviate pain and improve the quality of life for our patients.

Symptoms of TMD

TMD presents differently for everyone. The pain may be acute or chronic, mild or severe. Those who are suffering from TMD may experience:

  • Face, jaw, or mouth pain
  • Back, shoulder, or neck pain
  • Earaches
  • Headaches
  • Popping and clicking of the jaw joints

What Causes TMD?

There is no singular cause for TMD, although there are several potential factors. These can include:

  • Bruxism: One of the leading causes for TMD is teeth grinding, or bruxism. Chronic clenching or grinding can also lead to severe tooth erosion over time, further exacerbating TMD symptoms.
  • Malocclusion: Any time the teeth do not fit together properly, it can cause unnecessary pressure on the nerves and muscles around the jaw.
  • Direct injury: Blunt force trauma, such as a sporting injury, can directly contribute to TMD.
  • Arthritis: If you suffer from arthritis, it can lead to inflammation in the tissues around the jaw joints. A common symptom is a popping sound when you open or close.
  • Cartilage erosion: Every joint in the body has an articular disc that cushions it. When this cartilage erodes or wears thin, it can cause the bones to grind against one another.
  • Dislocation: Popping and clicking can also indicate a dislocated jaw joint. This can potentially strain the muscles and cause pain and inflammation.

Diagnosing TMD

To diagnose issues with the TMJ, Dr. Roy will perform a full assessment of the teeth, gums, jaw joints, facial muscles, and surrounding structures. He will also take x-rays and scans to evaluate the health of the jawbone and TMJs. Once the cause of your TMD is determined, Dr. Roy can design a customized treatment plan to address your condition.

Orthodontic Treatment for TMD

There are a variety of treatments available for TMD. Specific recommendations will depend on your unique situation. A few of the common orthodontic treatments for TMD include:

  • Custom mouth guards: If your TMD is mild or moderate, you may benefit from a custom mouth guard. These appliances can be worn during the day or while you sleep, depending on the need. Some appliances simply cushion the teeth to prevent clenching or grinding. Others can actually move the jaw in a more forward position to alleviate the discomfort.
  • Invisalign®: If your TMD is due to misalignment of the teeth, orthodontic treatment may be recommended. In some cases, Invisalign can move the teeth into more appropriate positions.
  • Metal braces: More often, traditional metal braces are used to correct the bite and align the jaws, especially in cases of severe malocclusion.
  • Orthognathic surgery: Oftentimes, TMD is the result of skeletal discrepancies. In these cases, braces alone will not correct the problem. Therefore, orthognathic surgery ­– or corrective jaw surgery – is necessary to align all oral and maxillofacial structures.

Learn More about TMD

If you notice any of the aforementioned symptoms, it is a good idea to schedule an orthodontic consultation. Treating TMD early can alleviate pain and prevent a myriad of more serious issues from developing in the future. To learn more about TMD, or to speak to a team member, call us in Virginia Beach or Chesapeake, or contact us online anytime.

Dr. Carl Roy Meet Dr Roy
My sincere thanks to Dr. Roy and his team for showing me the way! My baby teeth had to be crowned for years since 2 of my adult teeth never came in. This was just one piece of the puzzle that needed figuring out. I’m proud of my smile and it shows every time I meet someone!Liz

Roy Orthodontics Locations

Virginia Beach Location

4388 Holland Rd
Ste. 200
Virginia Beach, VA 23452
(757) 471-2900  

Chesapeake Location

684 Battlefield Blvd. N
Ste. B
Chesapeake, VA 23320
(757) 549-1115

Google Reviews

Tina Roberts
Tina Roberts
03:31 26 Jun 18
My first experience with Dr.Roy and his staff was in 2004. The entire staff was always professional and very kind to me. I was treated for large spaces between my teeth and my end result was Phenomenal!! Here I am 14 years later, seeking slight help once again, but not as bad. I didn't wear my retainer faithfully. .so I have returned to the best orthodontic team in the area. I can honestly say,Dr.Roy and his team are the best! That's why I chose to come back to Roy Orthodontics this year for round #2. #satisfied returning patient.
Jennifer Grimes
Jennifer Grimes
01:13 26 Jun 18
Dr. Roy and his colleagues are the best. They are very professional and knowledgeable in what they do. I like how they take the time to get to know you as a person and not just a client. They even incorporate personal touches that takes the overall experience to new heights. I highly recommend them for orthodontic care!
Karen Bennett
Karen Bennett
22:42 23 Jun 18
We were visiting from Vermont and my daughter broke her braces. Dr. Roy and his office staff not only agreed to see us, but squeezed us in between regular scheduled patients AND made all the much needed repairs. Their willingness and professionalism, combined with their friendly personalities made this stressful time so much easier!! Huge thanks to Dr. Roy and his amazing staff!!
Kathy Knopp
Kathy Knopp
00:56 10 May 18
Great orthodontist with great results. I know I can be frustrating to deal with but Dr Roy hung in there. Thank you Dr Roy
Sherrilyn Olds-Cage
Sherrilyn Olds-Cage
11:13 09 May 18
My teenage daughter and I are in treatment. We love the care and the progress we are receiving from Dr. Roy. Everyone there is kind and knowledgeable. They are going far beyond the expected to give us top-knotch service.
gabrielle hopkins
gabrielle hopkins
16:25 08 May 18
Dr. Roy and his team has been nothing short of a blessing to me. I was stationed in Virginia four years ago, I came to Dr. Roy with braces from another Orthodontist, instead of pushing me away like most doctors due to not wanting to finish another's work he was more than welcoming. Due to after care with retainers I wasnt as diligent as I should to wear them often Dr. Roy and staff always made me feel wanted and warm to start the process over. Many days I didn't want to smile, his team always brought cheer. I was actually refereed to him by someone else and I shared the candor and referred someone also. I said to myself " does anyone here have a bad day, everyone is literally always smiling". It saddens me a bit to have my braces off because I wont see their smiling faces monthly. But, if you want fair over the top treatment, Dr. Roy and staff will ensure 5 star treatment. They are truly a blessing, I wish I could give more than 5 stars.
Colman Elis
Colman Elis
13:59 02 May 18
They were always super friendly and they always knew who you were when you walked in. Everytime I was there they were fast and I'm very happy with the outcome of my teeth.
Jorene Delacruz
Jorene Delacruz
15:07 27 Mar 18
Dr. Roy & his staff are more than wonderful. I would recommend this practice 10x if I could. They are amazing at what they do, especially Dr. Roy for understanding my past situation with my teeth. I’m so grateful & happy to have been a patient here for many years. The staff knows what they’re doing and is always so nice. I can’t thank you guys enough for dealing with my crazy teeth!
Tanya Barclift
Tanya Barclift
02:49 28 Feb 18
My son was need of palate expanders and braces and Dr. Roy and his staff have been such a blessing to us! He was only 8 years of age when this was all needed and they treated him with such professionalism and ease! Dr. Roy has such a love and compassion for his patients and families! What could have been a nightmare for my son was actually the exact opposite because of his expertise in this field. Karen, Sandy and the whole office staff is amazing!!! I would highly recommend this practice who is need of their services! Thank you Dr. Roy and staff for helping our son! May God continue to bless your wonderful practice and employees!!
04:50 24 Feb 18
Everyone was so welcoming and polite. They made me very comfortable which made me want to keep coming back. I love how they put their patients first, and they do everything they can to make sure their patients’ teeth are perfect👌🏾.
Jay Wang
Jay Wang
22:04 01 Feb 18
Dr. Roy and his team took great care of my son’s teeth. They are efficient, professional and knowledgeable. Everyone has been friendly and helpful. They fixed my niece’s braces for free during her visit!
Samantha Simmons-Conaway
Samantha Simmons-Conaway
16:09 09 Jan 18
Wonderful staff. Everything was always explained thoroughly and I felt comfortableAs an older adult I had lots of trepidation about doing braces but they made process clear and I always looked forward to my visitsHighly recommend this practice. Special kudos to Tracy who is a wonderful tech and a great person
Heather Ham
Heather Ham
16:41 15 Dec 17
Dr Roy and his staff have provided Orthodontic care for both of my children. The best thing I can say about Dr Roy is he always puts the needs of the child and their long term orthodontic care first. It isn’t just about putting braces on your kids to have straight teeth for pictures it is about treating them at the appropriate age so that the care they receive is appropriate and will last them into adulthood and more importantly won’t have to be repeated when they finish growing. As a parent it was so refreshing to deal with a practice as practical and professional as Roy Orthodontics. I recommend them to anyone seeking orthodontics for their children.
Sheila Field
Sheila Field
17:12 04 Dec 17
I am thrilled with my results from Roy Orthodontics. I am happy to say that my jaw is pain free for the first time in years. My joint popped, cracked and hurt after I had braces as a teenager. Now, I not only look good but I feel good too. Thank you Dr. Roy and your amazing staff for investing your time in being the best. This team of experts will certainly give you a reason to smile!
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