TMJ Pain Treatment (Tempro-Mandibular Joint Dysfunction)

Living in pain isn't really living, is it?

TMD or Tempro-Mandibular Joint Dysfunction, is a common and frequent condition that affects a lot of people. TMD is labelled by relentless and severe headaches, varying degrees of jaw pain, teeth grinding and an constant ringing in the ears. Most TMJ sufferers are unaware that the root cause of these symptoms is something TMJ dentist, Dr. Khullar, can effectively treat.

The symptoms of TMJ are debilitating and can interfere severely with day-to-day life. The comfort and general well being of the patient is at the heart of our Little Rock dental practice, so pain relief is the first consideration of Dr. Khullar. He is able to test, diagnose and devise an immediate plan to treat the underlying causes of your TMJ disorder.

Reasons for treating TMJ

TMJ sufferers state their symptoms generally get worse during prolonged or unexpected periods of stress. Intense outbreaks can often lead to severe neck pain and spells of dizziness.

If you suffer from TMJ, the most common cause is your "bad bite" or the misalignment of your jaw and teeth. It's possible for Little Rock TMJ dentist Dr. Khullar to realign or adjust your teeth without the need for expensive or painful surgeries. Once your teeth and jaw is adjusted, the pounding headaches, jaw pain and dizziness will stop.

Grinding of your teeth is another particularly common symptom, usually occurring when you sleep. Eventually the grinding will erode the structure of your teeth and lead to more critical dental problems in your future. Untreated TMJ is one of the most common underlying factors in eroded jawbones and tooth loss.

If you're experiencing or suspect any of these symptoms, it's critical you seek out TMJ pain therapy. This can be done at Dentalways.

What does treating TMJ involve?

While a bad bite is the most common problem affecting your TMJ, you could still be suffering from a number of different reasons. An injury resulting from a blow to the meniscus cartilage is also a possibility. To determine exactly what's going on, TMJ dentist Dr. Khullar will thoroughly examine the jaw area, your bite, take x-rays and review your history, in order to make an accurate diagnosis and recommend the proper treatment. Once a firm diagnosis is attained, there are several ways in which relief can be provided through TMJ pain therapy.

An orthotic device can be created using a TENS machine (Transcutaneous Electrical Neural Stimulation). This machine is used to relax the muscles in your face and neck. After 45-60 minutes on the TENs unit, and after using measurements of your lower teeth in relation to the upper teeth, a bite registration is made. This removable orthotic is placed over the lower teeth and should help you stop teeth grinding during the night. Ultimately, this provides pain relief. TMJ dentist Dr. Khullar can also give you advice on relaxation techniques which will lessen the effects of stress. As a last alternative, Dentalways in Little Rock, is also able to prescribe muscle relaxants.

Another TMJ pain therapy option is to change the shape of your teeth and get rid of your bad bite completely. This is often referred to as a “realignment.” This is especially useful because it not only alleviates TMJ symptoms, a lot of times it improves the aesthetic appearance of your teeth as well. Realignment involves adjusting the relationship between how the upper and lower teeth come together. This may require new restorations and/or adjusting the natural teeth. It is not a painful procedure, and is one TMJ dentist Dr. Khullar has performed with great success numerous times.

A pain-free life is possible, today

You've been living in pain for a long time. So long in fact, you barely remember a pain-free life. TMJ pain therapy is the answer you've been looking for. Once Dr. Khullar and his Dentalways team carefully observe and monitor the signs and symptoms of your TMJ disorder, they can determine how it affects your neck pain, posture, muscle tenderness, jaw joint function and the damage to your teeth and gums. Then a treatment option will be provided and you'll be on your way to living a life, free of pain!

TMJ / TMD Diagnosis

First, let's see what we're dealing with

The first step in determining the cause, severity and ultimately the treatment of your pain, is a meeting with TMJ dentist, Dr. Khullar and his Dentalways team. After meeting with Dr. Khullar for a ONE HOUR TMJ CONSULTATION, we will discuss the cause of your symptoms and go over possible solutions. There are many treatment options that can be tailored just for you.

During the consultation Dentalways may request a digital CAT Scan of your jaws to observe any jaw joint disease or breathing issues. Our team can explain the details of this service, which can be done in-office.

Let's gather the scientific facts

There truly is a science behind your TMJ/TMD diagnosis and, at Dentalways, we use every advantage possible. Here's how we go about gathering the information we need to properly diagnosis your condition:

Careful observations of symptoms and signs of your TMJ disorder and how it relates to your posture, muscle tenderness, jaw joint function and tooth and gum tissue damage.

Special radiographs of your teeth and jaw joints are gathered using digital, low radiation CAT Scan Technology.
Detailed casts are made of your upper and lower teeth.
Neuromuscular testing is implemented, using the advanced instrumentation.


computerized jaw tracking
eight channel
joint sonography

Through these channels, the purpose is to record your bite while it's in a relaxed position. Then the way your teeth meet is observed and noted and, as a result, an orthodic is made based on your jaw's relaxed position. This orthotic is then used to cover the biting surface of your lower teeth and eliminate any pain associated with a bad bite.

When your jaw is in its most natural and relaxed position, your TMJ symptoms will begin to disappear and the pain and discomfort associated with your jaw misalignment will disappear as well. The first step in determining the most optimal position of the jaw - where the muscles are relaxed and at rest - requires the help of sophisticated technology found in our Little Rock Dentalways office.

Once we know the facts, a pain-free life is possible

You've been living in pain for a long time. So long in fact, you barely remember a pain-free life. TMJ pain therapy is the answer you've been looking for. Once Dr. Khullar and his Dentalways team carefully observe and monitor the signs and symptoms of your TMJ disorder, they can determine how it affects your neck pain, posture, muscle tenderness, jaw joint function and the damage to your teeth and gums. Then a treatment option will be provided and you'll be on your way to living a life, free of pain!

Orthotic Solutions

Such huge relief found in such a simple device

You can actually change the position of your lower jaw - where it comes together to meet your upper jaw, through a TMJ orthotic or dental splint appliance. A balanced bite splint will help your teeth come together in a balanced, healthy bite position and this in turn can can correct and treat your TMJ symptoms.

This simple piece of plastic, which isn't the same as devices used to treat grinding or sleep apnea, will bring instant relief to the muscles of your neck and face.

What's an orthotic?

TMJ dentist Dr. Khullar and his team will restore balance to your teeth and jaw, with a TMJ orthotic solution. By bringing back this balance, the strain, stress, pressure and pain that's been building in your jaw, face, neck, shoulders, back and the rest of your body will finally be relieved.


look very real and natural
feel like your natural teeth
don't hinder or impair your speech
are comfortable when you are chewing
are virtually invisible; no one will know you're seeking dental treatment

After Khullar and his Dentalways team have met with you and made a proper diagnosis, your treatment can start immediately. With a TMJ orthotic solution, your bite is balanced and your pain will decrease, often times disappearing altogether. There is no surgery involved and no medications to take. Still you get balanced muscle activity, even tooth contact, ideal joint positioning and corrected posture... all from this simple orthotic appliance.

The orthotic appliance is a diagnostic tool. It should be constantly worn to determine the best results. As time goes by, the plastic orthotic may start to wear down. For this reason, some people move forward to a second phase of treatment, after the orthotic appliance relieves most of their symptoms. The second phase treatment might involve restoring damaged or worn teeth with ceramic crowns, or moving teeth to the correct bite position with orthodontic treatment. Dr. Khullar in Little Rock can discuss all your options and treatment alternatives, best suited for you.


Neck pain
Fullness of the ears
Jaw pain
Pain behind the eyes
Clicking or painful jaw joints
Worn or breaking teeth
Sleep apnea

Relief is immediate

Once Dr. Khullar and his Dentalways team carefully observe and monitor the signs and symptoms of your TMJ disorder, they can determine how it affects your neck pain, posture, muscle tenderness, jaw joint function and the damage to your teeth and gums. If an orthotic is the best treatment option, you will get immediate relief the moment you pop in your appliance. Then, you'll be on your way to living a life, free of pain!

No Surgery Needed

No surgery, sounds like a pretty great option

If you suffer from TMJ related symptoms and the pain that accompanies it, you want relief. Plain and simple. Not only can Dr. Khullar determine exactly what's going on and how to go about relieving your pain, the treatments can come without the use of surgery. That’s right. No surgery may be required to fix your problems.

TMJ problems can be solved through a combination of non-invasive therapy, including dental orthotics, braces or other dental devices. If broken or worn teeth are also a problem, a complete smile rejuvenation can help to restore teeth and eliminate embarrassment. Dentalways in Little Rock, can restore your smile, your health and most importantly, it can restore you!

No surgery, how?

Neuromuscular or TMJ dentistry is a fancy name for a specific treatment of dentistry. Basically, it combines the science of making you feel better with the art of making you look better. It stabilizes your bite, contributing to a healthy, long term TMJ treatment plan.

Neuromuscular dentistry, which TMJ dentist Dr. Khullar performs, can restore your smile back to its intended beauty. It can reduce or even eliminate all the symptoms that take affect your quality of life. With the help of computer tracking and advanced technology, your bite is rebuilt back into the position nature intended. This helps balance the way you chew and how your overall mouth functions.

Bring back the balance

By bringing back this balance – the strain, stress, pressure and pain that has been building in your jaw, face, back, neck, shoulders and the rest of your body will finally be relieved. Once Dr. Khullar diagnoses and determines the exact problem, your TMJ treatment can start immediately.

Your pain will decrease and often disappear, once your bite is balanced again, There is no surgery involved in helping you with your pain. We are balancing muscle activity, joint position, tooth contact and posture using a very special piece of plastic called an orthotic.

A thorough examination by Little Rock's Dr. Khullar will offer not only a correct diagnosis but more importantly, an individualized, accurate treatment plan. Modern science and technological advances make it even easier to determine the exact root of the problem. An analysis will show just how much damage has been caused. The muscles of your jaw and neck will be measured while in use. This allows for Dr. Khullar to determine your best bite position.

Relief with no surgery, no healing time

Using treatments designed to fit your symptoms and TMJ problems, Dr. Khullar can realign your jaw and muscles to end the pain and suffering caused by TM related stress and strain. With no surgery, it means you have no recovery time, you incur less expense and your treatments can generally start immediately. Doesn't that bring you relief?


Clenching and grinding shouldn't be ignored

Bruxism occurs in most people at some point in their lives. The grinding of the teeth and the clenching of the jaw are the two main characteristics of this condition, which can occur either during the day or at night.

Bruxism is one of the most common known sleep disorders and causes most of its damage during sleeping hours. The clenching and grinding which accompanies bruxism happens because of a faulty chewing reflex. This reflex is turned off in non-sufferers when you are sleeping. For sufferers, deep sleep or even naps, cause the reflex nerve control center in the brain to turn off, and the reflex pathways to become active.

The causes of bruxism

Typically, the front 6 upper and lower teeth of grind against each other laterally. This side to side action puts undue strain on the medial pterygoid muscles and the temporomandibular joints. Earache, depression, headaches, eating disorders and anxiety are amongst the most common symptoms of bruxism; which often accompanies chronic stress, Alzheimer’s disease and alcohol abuse.

Bruxism is frequently misdiagnosed or not diagnosed at all, because it is only one of several potential causes of tooth wear. Dr. Khullar can tell the difference between bruxing wear and wear caused by overly aggressive brushing, acidic soft drinks and abrasive foods.

A BiteStrip® is an economical device used to diagnose bruxism at home. The device itself is a small electromyography which senses and monitors any activity in the jaw muscles during sleep. The frequency and severity of the condition can then be assessed and the best treatment plan can be formulated.

Why get treatment

Here are some of the main reasons why bruxism should be promptly treated:

Bruxism is one of the leading causes of gum recession and tooth loss; firstly because it damages the soft tissue directly, and secondly because it leads to loose teeth and deep pockets where bacteria can colonize and destroy the supporting bone.

The abnormal wear patterns on the occlusal (chewing) surfaces can lead to fractures in the teeth, which may require restorative treatment.

In severe and chronic cases, bruxing can eventually lead to painful arthritis in the temporomandibular (TMJ) joints (the joints that allow the jaw to open smoothly).

The grinding associated with bruxism can eventually shorten and blunt the teeth. This can lead to muscle pain in the myofascial region and debilitating headaches.

Treatment options

There is no single cure for bruxism, though a variety of helpful devices and tools are available through Dentalways. Here are some common ways in which bruxism is treated:

An acrylic mouth guard can be designed from tooth impressions to minimize the abrasive action of tooth surfaces during normal sleep. Mouth guards should be worn on a long-term basis to help prevent tooth damage, damage to the temporomandibular joint and help to stabilize the occlusion.

Other methods of treatment through TMJ dentist Dr. Khullar, include relaxation exercises, stress management education and biofeedback mechanisms. When the bruxing is under control, there are a variety of dental procedures such as crowns, gum grafts and crown lengthening that can restore a pleasant aesthetic appearance to the smile.

A proper diagnosis can make all the difference

Bruxism is frequently misdiagnosed or not diagnosed at all, because it's only one of several potential causes of tooth wear. TMJ dentist, Dr. Khullar can tell the difference between what's causing the wear and tear on your teeth. Once a proper diagnosis has been made, only then a proper treatment can be suggested. You owe it to yourself to find out what's at the root of your problem.

Sports Mouthguard

The new revolution in athletics

While neuromuscular dental philosophies are not revolutionary, what is revolutionary is how new mouthguard technology is being used by athletes around the world.

Dr. Khullar is one of only of a few dentists in the state certified to make a Neuromuscular sports mouthguard. This mouthguard was advocated and worn by Shaquille O'Neal, Terrell Owens and many other professional athletes including PGA Tour golfers. In fact, Tracy Porter of the New Orleans Saints was wearing this mouthguard in the Super Bowl when he picked off Peyton Manning and helped New Orleans win their first and only Super Bowl!

How a mouthguard and dentistry are related

The sports mouthguard has been designed using neuromuscular dental principles. These principles have been practiced by neuromuscular or TMJ dentists like Dr. Khullar, for the last 50 years.

The goal of the neuromuscular dentistry, is to relax the muscles controlling jaw position, establishing a natural physiological rest position. When your muscles are truly in their optimal rest position, your jaw and TMJ are are better aligned. This directly affects the posture of your neck and head. Aligning the head and neck allow for better alignment of the rest of the body.

Your jaw joint is a balance point of body power. If your jaw is misaligned, your body will try to compensate, sapping strength and concentration from your motoring muscles. By realigning the jaw joint with a TMJ mouthguard from Dentalways, you release power and energy to your legs and arms. You don't become stronger but your full strength is realized and executed

Can a dentist make me this mouthguard?

The only dentist that can make a sports mouthguard for you is a Certified Dentist, like  Dr. Khullar. He is expertly trained in the principles of neuromuscular and TMJ dentistry, completing hundreds and hundreds of hours in post graduate dental training in this specialty. The high-level instrumentation is available only to those dentists who qualify as neuromuscular dentists, such as Dr. Khullar.

It's important to note the sports mouthguard is a completely different device than typical boil and bite mouthguards. It's different as well from traditional dental mouthguards made for athletes. While other athletic mouthguards do provide some protection of the teeth, the sports mouthguard is the only one designed to protect the teeth and jaw joint while enhancing athletic performance. Because of the slightly thicker material between the teeth, the sports mouthguard can help to reduce occurrences or severity of concussions from blunt force to the jaw or teeth.


Cost for TMJ treatment

The costs associated with your TMJ treatment by Dentalways, depends on your individual mouth. There are several options for custom treatment to your specific needs. However most patients can expect to pay in a certain range depending on the type of orthotic they choose.

They can range from $2500 to $5000. These orthotics are removable and are meant for part time wear but can be worn up to 20 hours a day.

They can range from $7000 to $8000. These orthotics are typically bonded onto the lower teeth and are a pre-cursor to orthodontics or restorations to change the way teeth mesh permanently.

Cost for chiropractic care, orthodontic treatments or restorative care will depend on the severity of your situation.

It's an investment in you and you deserve it

While there are variables and numerous scenarios to take into account when factoring in the cost of your treatment, the truth is there is no cost too great when compared to a pain-free, healthy, vibrant life! You deserve to live a better quality of life and you deserve to make the investment in yourself!

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