Chronic jaw pain, clicking, popping, headaches, and difficulty opening your mouth can all be signs of temporomandibular joint (TMJ) disorder. At Madison Lakes Dental, Dr. Ellickson evaluates and treats TMJ dysfunction with a conservative, non-surgical approach focused on relieving your pain and restoring comfortable jaw function.
What Is TMJ Disorder?
The temporomandibular joints connect your lower jaw to your skull on each side of your face. These complex joints allow you to open and close your mouth, chew, speak, and yawn. TMJ disorder (TMD) occurs when these joints, the surrounding muscles, or the disc that cushions the joint become inflamed, misaligned, or damaged.
TMD affects millions of people and can range from mild, intermittent discomfort to severe chronic pain that impacts daily life. The condition may develop from injury, stress-related clenching, arthritis, bite misalignment, or habitual teeth grinding (bruxism).
Symptoms of TMJ Disorder
- Pain or tenderness in the jaw, face, or around the ear
- Clicking, popping, or grinding sounds when opening or closing the mouth
- Difficulty or discomfort while chewing
- Jaw locking in the open or closed position
- Frequent headaches or migraines
- Neck and shoulder pain
- Tooth sensitivity or wear from grinding
- Earaches or ringing in the ears (tinnitus)
If you experience any of these symptoms regularly, a thorough evaluation can determine whether TMJ disorder is the underlying cause.
Our Approach to TMJ Treatment
Dr. Ellickson takes a conservative, patient-centered approach to TMJ treatment. Rather than jumping to invasive procedures, we start with the least aggressive therapies and progress only as needed. Our treatment options include:
Custom Occlusal Splints (Night Guards)
A custom-fabricated splint worn during sleep protects your teeth from grinding damage, reduces muscle tension, and allows the jaw joints to rest in a more relaxed position. Unlike over-the-counter guards, our splints are precision-fit to your bite for optimal comfort and effectiveness.
Therapeutic Botox Injections
For patients with severe clenching or muscle tension, Botox injections into the jaw muscles can provide significant relief by reducing the force of involuntary muscle contractions. This treatment can decrease pain, headaches, and jaw fatigue within days of injection.
Lifestyle Modifications and Physical Therapy
We provide guidance on jaw exercises, stress management techniques, dietary adjustments, and posture improvements that support healing. For complex cases, we coordinate with physical therapists who specialize in TMJ rehabilitation.
Bite Adjustment
If your bite is contributing to TMJ stress, minor adjustments to tooth surfaces or restorations can help distribute biting forces more evenly and reduce strain on the joints.
When to See a Dentist for TMJ
Many people are unsure whether to see a dentist, physician, or specialist for jaw pain. Because TMJ disorder frequently involves the bite, teeth grinding, and the relationship between your teeth and jaw joints, a dentist trained in TMD evaluation is often the most appropriate first step. Dr. Ellickson can determine the cause of your symptoms and either treat them in-house or refer you to the appropriate specialist if needed.
Frequently Asked Questions
A general dentist with training in TMJ evaluation and treatment is a good starting point. Depending on the severity and cause, you may also benefit from a physical therapist, oral surgeon, or orofacial pain specialist. Dr. Ellickson can help determine the right care team for your situation.
Most TMJ cases respond well to conservative treatments including custom splints, physical therapy, stress management, and lifestyle changes. According to the National Institute of Dental and Craniofacial Research, conservative approaches resolve symptoms for the majority of patients without surgery.
Coverage for TMJ treatment varies widely between plans. Custom occlusal splints are sometimes covered under dental insurance, while medical insurance may cover TMJ-related evaluations and Botox when medically necessary. Our team helps verify your specific benefits before treatment begins.
TMJ disorder is sometimes classified in stages based on severity. Advanced-stage TMD may involve significant joint degeneration, chronic pain, and limited jaw function. Early intervention is important because it can prevent progression to more severe stages. If you are experiencing symptoms, do not wait to seek evaluation.
Mild TMJ symptoms sometimes resolve with rest, soft foods, and self-care. However, chronic or worsening symptoms typically require professional treatment to prevent further joint damage and muscle dysfunction.
Find Relief from TMJ Pain
You do not have to live with jaw pain, headaches, and clicking. Madison Lakes Dental in Madison, WI offers effective, non-surgical TMJ treatment to help you eat, speak, and live without discomfort.

