Procedure Overview

The temporomandibular joints are located in front of the ears and allow for the hinge and rotational movements involved in opening and closing of the mouth.

The joints are surrounded by several muscles, and ligaments that work as a unit for swallowing, speaking, chewing, yawning and simple opening and closing of the mouth.

Typically, jaw pain requires a complete workup and understanding of how the muscles, cartilage, ligaments and bones work together. Occasionally, and MRI or CT scan may be needed to further evaluate the anatomy of the joints and surrounding structures.

Typically, non-surgical options are enough to improve pain and functional issues. In some patients however, surgical procedures may be necessary.

Having TMJ disorder can typically be divided into muscle pain or actual joint issues with the bone or disc. Whatever the cause, the result may be pain, malocclusion, clicking, grinding noises and limited opening.

Typically, non-surgical treatment is recommended and includes some of the following:

  1. Soft foods when possible
  2. Anti-inflammatory medication when needed
  3. Alternating with ice and heat when the pain level is high
  4. Avoid sleeping on stomach and other bad postural habits
  5. Night guard if grinding/clenching is present
  6. Orthotic appliance
  7. Muscle relaxants
  8. Physical therapy/massage therapy for jaw exercises
  9. Avoid long dental appointments
  10. Equilibration of teeth to allow for better teeth contact
  11. Orthodontic therapy in some patients with severe crowding and pathological biting pattern
  12. Botox therapy for migraines and headaches

In only a few cases, where function has been compromised, or there is severe bony degeneration, surgery may be an option.

At Blueridge OMS we take pride in providing the best care possible.Your safety, privacy and comfort are of the utmost importance.

— Dr. Osama Soliman

Digital Workflow Process


Photographs, CBCT, Intraoral scan

Virtual Show & Tell

Custom parts ordered and design completed

3D Printed Surgical Guides

Planned with your dentist/denturist and our laboratory and implant partners

Surgery Day

Surgical Suites or Operating Room​ prepared. Options for awake, IV sedation or General anesthesia​ with in house Anesthesiologist for larger reconstructive surgery.

Surgery Follow Ups

Coordinated prosthetic solutions with your dentist/denturist and our laboratory and implant partners

Surgical Excellence



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