TMJ Pain and bruxism management
Temporomandibular Joint Pain Dysfunction Syndrome (TMJPDS) is one of the most common causes of jaw joint problems.
It may involve:
- The jaw joint itself
- Muscles of mastication (chewing)
- Myofascial pain (muscle-related discomfort)
These issues can usually be effectively managed with your usual dentist — with no need for referral in most cases.
Common TMJPDS symptoms
Patients often experience:
- Dull ache in or around the ear (can radiate to cheekbone, neck, or temple)
- Joint noise (clicking, cracking, crunching, or popping)
- Limited mouth opening
- Headaches (especially in the temples)
- Mild facial swelling, especially in the morning
Symptoms often worsen with chewing or during periods of stress.
Bruxism is a broad term used to describe a group of jaw muscle activities that include:
- Teeth grinding
- Teeth clenching
- Bracing or thrusting of the lower jaw
Bruxism can occur:
- During sleep (sleep bruxism)
- While awake (awake bruxism)
Bruxism is not simply a dental issue — it’s often driven by central (neurological and psychological) factors, such as:
- Stress sensitivity
- Emotional states
- Personality traits
- Sleep disturbances
- Autonomic nervous system regulation
Advanced treatments we offer
Thorough TMJ assessment with Dr Shilpa Shah
All patients receive a comprehensive TMJ assessment carried out by Dr Shilpa Shah, who takes a holistic and evidence-based approach to diagnosing and managing TMJ-related conditions.
With over 4 years of experience working in a specialist TMJ clinic alongside consultants and physiotherapists, we offer a complete and compassionate care pathway for patients suffering from jaw pain, dysfunction, or bruxism-related issues.
The assessment includes:
- Detailed examination of the jaw joint (TMJ) and facial muscles
- Evaluation of bite, range of motion, and muscle tenderness
- Identification of grinding/clenching habits, postural issues, or contributing stress factors
- Full medical and dental history to understand underlying causes
- A personalised treatment plan tailored to your needs — ranging from splint therapy to physiotherapy or onward referral if required (see below for more details)
Soft splints
Mandibular Advancement Devices (MADs)
Custom stabilisation splints
Ideal for mild to moderate bruxism, these soft, flexible splints are worn during sleep to:
- Absorb grinding forces
- Protect the teeth from wear or cracks
- Reduce strain on jaw muscles
- Improve sleep quality for both the patient and their partner
Custom stabilisation splints
Mandibular Advancement Devices (MADs)
Custom stabilisation splints
- Hard acrylic splint worn on the upper teeth, providing even contact with the opposing teeth.
- Reduces activity of jaw-closing muscles and protects teeth and restorations from further damage.
- Particularly effective in reducing jaw tension and muscle fatigue.
Mandibular Advancement Devices (MADs)
Mandibular Advancement Devices (MADs)
Mandibular Advancement Devices (MADs)
- Often used for patients who grind their teeth and suffer from snoring or sleep apnoea.
- Holds the lower jaw slightly forward to maintain an open airway during sleep.
- Reduces both grinding activity and sleep-disordered breathing.
Anterior Repositioning Splints
Anterior Repositioning Splints
Mandibular Advancement Devices (MADs)
- Designed to reposition the lower jaw (mandible) forward slightly.
- Used in patients with internal TMJ disc displacement or joint clicking.
- Helps improve joint alignment and relieve joint pain and dysfunction.
Masseter Botox
Anterior Repositioning Splints
TMJ Physiotherapy
Botulinum toxin can be a powerful tool for managing chronic bruxism or TMJ pain caused by muscle hyperactivity.
- Administered into the masseter muscles (jaw muscles involved in chewing and clenching).
- Helps reduce clenching force, soften jaw tension, and prevent further tooth damage.
- Treatment typically takes 15–20 minutes and lasts 3–6 months.
- Particularly beneficial when other methods have failed or symptoms are severe.
TMJ Physiotherapy
Anterior Repositioning Splints
TMJ Physiotherapy
We work closely with experienced physiotherapist Cathy Gordon, who specialises in managing TMJ disorders through physical therapy.
Specialist Referrals
Specialist Referrals
Specialist Referrals
In complex or persistent cases, we may refer you to
Dr. Shereef – Consultant in Oral and Maxillofacial Surgery at Spire Hospital
Referral may be recommended for:
- Advanced imaging (e.g., MRI or CBCT scans of the TMJ)
- Diagnosis of structural joint issues
- Further surgical or medical evaluation if conservative treatments are not effective are made from high-quality materials.