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Understanding TMJ and TMD


Get Rid Of Your Headaches!

Get Your Life Back, Pain Free


Temporomandibular Joint Syndrome (TMJ)

TMJ disorders can have a numbers of causes, including:

red-check  Misalignment Of The Bite

red-check  Unbalanced Jaw Muscles

red-check  Trauma To The Head, Face or Jaw

Get your life back…we are an internationally recognized TMJ and Headache Treatment office


Migrane Treatment With Cosmetic Makeover

Today’s modern technology allows a few skilled doctors to provide life changing treatment options. We have been perfecting these treatments for over 10 years. TMJBA
This beautiful lady came to our office for a cosmetic consultation. She simply wanted a better smile. After performing our thorough examination, we determined that she was suffering with severe migraine headaches and ear aches. Our analysis concluded that her jaw function was out of alignment by over 5 mm.

We started our treatment with functional decompression appliances. Within 6 months all of her headaches and ear aches were eliminated. Patient was truly amazed that our dental treatment alleviated and cured what numerous other neurologists and doctors could not treat for over 20 years.

A comprehensive neuromuscular EMG study was performed before any dental treatment commenced. This advanced diagnostic tool enables us to be able to precisely determine how we find harmony between muscle, bone, and tooth positions. In this case, the EMG confirmed the need for 5 mm. of tooth support and advancement of the lower jaw to a position which would provide stability and proper function. Without an EMG study it is impossible to have the proper blueprint for cases that involve such complex issues. It would be similar to building a skyscraper without blueprints.

The treatment followed with reconstruction of her teeth and establishing a brand new bite and jaw position. This work included porcelain crowns and veneers. The final photo shows a close-up of her lower teeth, which shows longer than average teeth. This was required in order to provide the necessary jaw function and stability. This was also necessary to prevent any future headaches. As you can see from the face photos, the length of these lower teeth did not affect her smile or show negatively in any way. As a matter of fact, take a look at the significant difference in her overall appearance.

This patient’s life has changed dramatically since completion of these services. She can’t stop smiling and her confidence level is up in the stratosphere!!!



Kari initially came to our TMJ office with complaints of headaches, migraines, sinus congestion, and ear pain.  We treated her symptoms and stopped all of her pain with our advanced functional TMJ program.  She wanted more.  We used functional treatment along with cosmetic veneers and crowns to give her a whole new face lift….and a whole new life.


Ashley was not a happy camper when she came to our office. Notice the forced smile and the painful look in her eyes. Her pre-treatment photo may look quite normal to the reader. It looked normal to every other specialist she visited. Unfortunately, what you can’t see is the severe discrepancy between her jaw position, which was causing her pain. The jaws were narrow and lacked vertical support.Three years later, Ashley was a whole new person. Notice the broad, healthy smile, the fuller face, and the happy eyes.What is the proper sequence of treatment for patients who present with headaches, migraines, and jaw pain (TMJ dysfunction)? This case shows how unapparent problems require proper diagnosis. A complex method of providing proper jaw stabilization was used to cure the pain issues.A series of complex treatments were used to balance the jaws and promote the needed growth in order to provide what we call: the most balanced Craniomandibular position possible! The patient stated: “Just when I was ready to give up, I found you. And you fixed everything.”This patient came to our office with constant headaches and inability to chew in 2006. She has not had one headache since we began treatment. Chewing problems are now nonexistent.

Understanding TMJ and TMD

  tmj1Actually, TMJ is just the abbreviation for the temporomandibular joint – the “hinge” that connects your lower jaw to your skull. Most often, though, people speak of TMJ when they actually mean Temporomandibular Joint syndrome, or TMD/temperomandibular disorder – a range of problems involving the jaw, joint, and facial musculature.

The causes of TMD are not always clear – but the consequences are. TMD sufferers experience a wide range of debilitating, painful, and dangerous effects, ranging from chronic headache to the almost complete destruction of teeth, bones, and the joint itself. Some of the symptoms of TMD include:

  • Clicking or popping when chewing or speaking
  • Pain in ears, teeth, shoulders, facial muscles, neck, or jaw joint
  • Facial swelling
  • Chronic headache
  • Limited jaw movement
  • “Tired feeling” in the face
  • Dizziness
  • Tinnitus/Ringing in the ears
  • Earache
  • Hearing problems

Left untreated, these symptoms continue indefinitely, and usually increase with severity over time. The problem is that treatment of individual symptoms usually does little more than mask the underlying problem, providing the opportunity for the TMD to worsen and other symptoms to arise. It is critical that a proper diagnosis and assessment be provided so that appropriate treatments that address both the symptom and its underlying cause can be addressed.


TMJ/TMD Diagnosis and Treatment

Unfortunately, far too many dentists treat TMD symptoms without addressing, or even understanding, the underlying cause. This is understandable, as the causes of TMD can be extremely complex. Causes in individual cases are often unclear, and only a careful and systematic examination of a broad range of factors can reveal all of the circumstances affecting an individual case – and provide the road map for successful individual treatment.

Comfort Dental understands that a comprehensive and holistic approach to both diagnosis and treatment of TMJ/TMD is essential for treatment success. We also have the experience and extensive training needed to address the full range of complex factors involved in each TMJ case, including stress, anxiety, sleep disorders, bone disorders, and arthritis, as well as traditional dental issues. Comfort Dental’s TMJ/TMD specialist Dr. John Halmaghi has been trained, certified, and is a member in good standing of the American Academy of Craniofacial Pain, the American Academy of Pain Management, the Academy of General Dentistry, and International Association of Orthodontists. He brings the full range of his extensive experience and scholarship to every TMD/TMJ case under his care. As a result, Comfort Dental patients experience successful, effective treatment suited precisely to their personal cases – and long-term relief from pain and discomfort.

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