TMJ–TMD Prevention and Treatment

Understanding Temporomandibular Disorder (TMD)

Millions of people across the U.S. experience chronic jaw, face, and neck pain, along with frequent headaches. In many cases, these issues can be linked to Temporomandibular Disorder (TMD), a condition affecting the temporomandibular joints (TMJs)—the hinges that connect your jawbone to your skull.

Because these joints are constantly at work when you chew, speak, swallow, or yawn, inflammation or misalignment can cause discomfort and even limit jaw movement.

Common Symptoms of TMD

If you are experiencing any of the following, TMD may be the cause:

  • Jaw pain or tenderness

  • Pain, ringing, or fullness in the ears

  • Frequent headaches or neck pain

  • Clicking, popping, or grating sounds when moving the jaw

  • Muscle spasms around the jaw

  • Changes in your bite or how your teeth fit together

  • Locked jaw or difficulty opening the mouth

If you notice these symptoms, Dr. Cassy Wiggins and Dr. Boswell recommend scheduling a consultation to determine if TMD is the source and to create a personalized treatment plan.

Not All Jaw Pain Is TMD

Jaw pain can be caused by many factors. Even if your symptoms aren’t related to TMD, there are steps you can take to keep your jaw healthy and reduce the risk of joint issues:

  • Relax your face — “Lips together, teeth apart”

  • Avoid teeth grinding and clenching

  • Skip gum chewing

  • Use a headset or hold the phone to your ear—don’t cradle it between your neck and shoulder

  • Chew evenly on both sides

  • Avoid resting your chin on your hand

  • Practice good posture—keep your head up, back straight, and shoulders relaxed

While TMD can occur even without braces, early intervention can help prevent symptoms from worsening.

Customized TMD Treatment Options

Dr. Wiggins and Dr. Boswell offer specialized appliances to help relieve jaw pain, correct bite alignment, and improve overall comfort.

Centric Relation Appliance (CRA)

A Centric Relation Appliance is designed to reduce muscle tension caused by an improper bite. This removable acrylic device allows the jaw muscles to relax, easing discomfort.

Treatment Process:

  1. Take an impression of your mouth.

  2. Insert the CRA, adjust the acrylic surface, and provide home care instructions.

  3. Follow-up visits every 4–6 weeks to monitor progress.

Anterior Repositioning Appliance (ARA)

An Anterior Repositioning Appliance helps reposition the lower jaw forward so the TMJs can settle into a healthier position. This often reduces or eliminates jaw clicking, popping, and pain. The ARA is designed to mimic an ideal bite, relieving strain on the jaw joint.

Treatment Process:

  1. Take an impression of your mouth.

  2. Insert the ARA, adjust bite alignment with added acrylic, and review home care instructions.

  3. Wear the appliance full-time for 6–9 months, with check-ups every 4–6 weeks.

  4. Once symptoms have improved, many patients are ready for orthodontic treatment such as braces.

Get Relief from Jaw Pain

If you are struggling with jaw discomfort, headaches, or bite problems, Dr. Wiggins and Dr. Boswell can help identify the cause and recommend a treatment plan tailored to you.
Contact our office today to schedule your TMD evaluation and take the first step toward lasting relief.