TMJ and Facial Pain

The “Temporomandibular Joint,” more commonly referred to as the “jaw joint,” assists in the basic opening and closing movements of the jaw. Unfortunately, this joint is a common area for recurring pain. Although conventional wisdom suggests that “popping” sounds in the jaw indicates a TMJ dysfunction, this is not always true. Many times, your jaw is functioning properly even if a “popping” sound is present when chewing or talking.

We offer a TMJ exam that evaluates the joint tissue in the “hinge” of the jaw. Possible problems include swelling, deterioration of the joint tissue or damaged joint tissue (which cushions the jaw bones during the opening and closing movement of the mouth). Often times, the muscles surrounding this joint have become inflamed and overstimulated in the body’s attempt to protect the joint.

The Pain Relief Program offered at Alizadeh & Schreiner Orthodontics can provide relief to many patients suffering from TMJ symptoms.  This therapy program focuses on the patient’s unique situation and the interaction of the TMJ, teeth, and head and neck muscles.

For some patients, treatment with Botox can calm down the muscles used when clenching and grinding their teeth to provide relief. This is a treatment option offered by Alizadeh & Schreiner Orthodontics. Botox can also be used to enhance the esthetic orthodontic result for some patients. Ask one of our doctors if this might be right for you.

For more serious cases of TMJ, we will recommend alternate treatments. Often, we will suggest using a mouth guard to relieve teeth grinding. In some cases, we will instruct you to use orthodontic appliances or retainers to alleviate discomfort or redirect positioning of the TMJ joint. For the most severe cases of TMJ, we may recommend certain invasive procedures.

Headache and Migraine Therapy

Headache disorders impose a recognizable burden on sufferers including sometimes-substantial personal suffering, impaired quality of life and financial cost. Repeated headache attacks, along with the constant fear of the next one, damage family life, social life and employment. The long-term effort of coping with a chronic headache disorder may also predispose the individual to other illnesses. For example, depression is three times more common in people with migraine or severe headaches, than in healthy individuals.

The head and mouth are home to a myriad of nerves, muscles, tendons, ligaments, joints and bones, which affect not only your teeth, but your overall health and well-being. The forces, which are created by these elements, when not properly balanced, can result in various symptoms. These include chronic head, neck and face pain, clenching, grinding, tinnitus, broken teeth, clicking/popping of the jaw and numerous other symptoms.

A painless examination by one of our Orthodontists can quickly determine if your symptoms can be resolved with our drug-free, needle-free Pain Management Therapy system. We will evaluate how your head and neck muscles are functioning. You will see a real-time movie of your bite, and the distribution of the forces within your mouth, on a tooth-by-tooth basis. This will show you the source of your pain.

Our Pain Management Therapy treatments are painless, pleasant and require no drugs or needles. Utilizing systems and methods perfected in sports medicine, our Orthodontists may be able to rapidly and painlessly resolve issues from which many patients have been suffering for years.


  • Headaches and Migraines
  • Clenching and Grinding (Bruxism)
  • Dental Wear and Tooth Breakage
  • Clicking and Popping of the Jaw
  • Head, Neck or Jaw Discomfort

If you are coming in for a pain consultation please print and fill out these forms prior to your appointment!

Pain-Headache History

Head Health History