Jaw pain that won’t go away may be a sign you need TMJ treatment in Liberty Township and Hamilton, OH. TMJ disorders can create daily discomfort and affect how your jaw works. Treatment helps reduce tension, ease pain, and restore balance. In this guide, you’ll learn the causes, diagnosis steps, and treatment options.

What Is a TMJ Disorder?
Your temporomandibular joint (TMJ) is the hinge that connects your lower jaw to your skull. You use this jaw joint to talk, chew, yawn, and smile. When this joint or the nearby jaw muscles do not work well, you may have a TMJ disorder or temporomandibular joint disorder (TMD).
Even a small problem with this joint can cause a lot of pain and discomfort. It can also affect your bite and how your teeth fit together.
Common TMJ Symptoms
TMJ symptoms can be mild at first, then get worse over time. It is important to notice the early signs so you can get help.
Typical symptoms include:
- Jaw pain or soreness in the cheeks, jaw, or chin
- Clicking or popping sounds when you open or close your mouth
- Jaw feeling “stuck” or locking open or closed
- Tight or tired jaw muscles
- Trouble chewing certain foods
- Headaches or migraines, often near the temples
- Neck pain or shoulder soreness
- Ear pain, ringing, or a feeling of fullness in the ears
These problems can affect your day-to-day life. Chewing, talking, and even smiling can become hard or tiring. The good news is that with the right tmj treatment, real relief is possible.
What Causes TMJ Disorders?
A TMJ disorder can have more than one cause. In many cases, several small issues add up.
1. Grinding and Clenching
Many people grind or clench their teeth. This habit is called bruxism. It often happens during sleep or periods of high stress. Grinding or clenching puts pressure on the jaw joint and jaw muscles. Over time, this can cause tmj pain, muscle pain, and worn teeth.
2. Bite Misalignment
If your bite does not line up well, your top and bottom teeth do not meet as they should. This is known as bite misalignment. When the bite is off, the jaw joint must work harder to open and close. This can lead to jaw joint pain, jaw tension, and other TMJ symptoms over time.
3. Injury or Overuse
A hit to the jaw, a fall, or even wide yawning can stress the joint. Some people also overuse the joint by chewing gum all day or eating very tough foods. These habits may cause joint strain and discomfort.
4. Arthritis and Other Conditions
Like other joints in the body, the jaw joint can be affected by arthritis or other health conditions. These issues may lead to swelling, stiffness, and pain in the temporomandibular joint.
5. Stress and Muscle Tension
High stress levels can lead to tight jaws, shoulder tension, and clenching. This muscle tension adds more strain to the jaw joint and can worsen a TMJ disorder.
When Should You See a TMJ Specialist?
You should consider a TMJ consultation at Queen City Orthodontics if:
- Jaw pain lasts for more than a few days
- You notice frequent clicking or popping with pain
- Your jaw locks or gets stuck
- You have daily headaches, neck pain, or ear pain
- Chewing is hard or uncomfortable
Early care can protect your jaw and may prevent more serious TMJ problems in the future.
TMJ Examination and Diagnosis at Queen City Orthodontics
At Queen City Orthodontics in Liberty Township and Hamilton, OH, TMJ care starts with a careful examination and a clear treatment plan.
1. Health and Symptom Review
Your doctor will ask about:
- Your TMJ symptoms and when they started
- Any history of jaw injury
- Sleep habits and stress levels
- Any known grinding or clenching
- Neck pain, ear pain, or headaches
This helps your doctor understand how the disorder is affecting your life.
2. Physical Exam of the Jaw and Muscles
Next, the doctor gently feels your jaw, cheeks, and neck.
They will:
- Press on the jaw joint to check for soreness
- Feel the jaw muscles for tightness or muscle pain
- Listen for clicking or popping sounds
- Watch your jaw movement as you open and close your mouth
This exam helps find the source of the pain and how it affects your jaw function. According to Dr. Andy Glassick, a dedicated orthodontist in Charlottesville, VA, these gentle tests show how your joints and muscles work together, which is key for building a safe and effective plan for relief.
3. Bite and Jaw Alignment Check
Because the bite plays a big role in jaw joint health, your doctor checks for:
- Overbites or underbites
- Crossbites or open bites
- Teeth that are worn down from grinding
- Signs of bruxism
Improving jaw alignment and bite can be a key step in long-term TMJ relief.
4. Imaging (If Needed)
If needed, X‑rays or other imaging are used to view the bone and joint position. These images can show:
- Joint wear or arthritis
- Jaw joint shape and structure
- Signs of joint damage
This supports a clear diagnosis of a temporomandibular joint disorder.
Non-Surgical TMJ Treatment Options
Most TMJ disorders can be treated without surgery. At Queen City Orthodontics, we focus first on gentle, non-invasive treatment options that promote healing and pain relief.
1. Night Guards, Bite Guards, and Bite Splints
A custom bite guard, bite splint, or mouth guard is one of the most common tools in TMJ care. This type of appliance:
- Fits over your teeth
- Helps stop grinding and clenching
- Reduces pressure on the jaw joint
- Allows the jaw muscles to rest
This is often called appliance therapy. Wearing a night guard while you sleep can greatly reduce jaw joint pain and protect your teeth.
2. Physical Therapy and Exercises
Physical therapy and simple home exercises can support healing and better jaw movement. These may include:
- Gentle jaw stretches to improve motion
- Posture training to reduce strain
- Light strength or movement drills
These steps help with muscle relaxation, reduce jaw tension, and support better jaw function over time.
3. Muscle Relaxants and Pain-Relief Medicine
For short-term relief of severe pain or tightness, your doctor may suggest:
- Over-the-counter pain medicine
- Anti-inflammatory drugs to reduce swelling
- Short-term muscle relaxants for strong muscle spasms
These medications are often used along with other forms of TMJ treatment, not as the only step.
4. Stress and Habit Changes
Because stress and habits play a big role in TMJ, your plan may include:
- Stress reduction methods (deep breathing, relaxation, stretching)
- Avoiding gum, nail biting, or chewing ice
- Limiting very chewy or hard foods when the jaw hurts
These simple changes lessen daily strain on your jaw joint and support long-term pain relief.
Advanced TMJ Care and Jaw Alignment
If basic treatments are not enough, your doctor may suggest further steps:
Orthodontic Treatment for Bite Misalignment
If your TMJ disorder is linked to bite misalignment, orthodontics may help. Straightening the teeth and improving the bite can:
- Balance pressure on the jaw joint
- Reduce muscle strain
- Improve how the upper and lower teeth meet
This can have a strong, lasting impact on TMJ pain and jaw comfort.
Other Therapies (If Recommended)
In more complex cases, your doctor may work with other providers, such as physical therapists or pain specialists, to strengthen your TMJ therapy plan.
Is TMJ Surgery Needed?
Most patients do not need surgery for TMJ disorders. Surgery is only considered if:
- There is severe jaw joint damage
- The jaw cannot open or close normally
- All other forms of care have not reduced the pain
Your doctor at Queen City Orthodontics will fully explain the risks and benefits if surgery ever becomes an option.
How Long Does TMJ Treatment Take?
The length of treatment for TMJ disorders depends on:
- The cause of your TMJ disorder
- How long you’ve had symptoms
- Your daily habits and stress levels
- How well you follow your treatment plan
Some people feel better in a few weeks with a night guard and habit changes. Others may need several months of combined appliance therapy, exercises, and bite correction to see lasting results.

Why Choose Queen City Orthodontics for TMJ Treatment?
At Queen City Orthodontics in Liberty Township and Hamilton, OH, we focus on:
- Careful examination and accurate diagnosis
- Personalized, easy-to-follow treatment plans
- Gentle, effective TMJ therapy and orthodontic care
- A friendly team that explains each step clearly
We don’t just look at teeth. We look at the whole jaw system, joints, muscles, bite, and habits, so your TMJ treatment supports both comfort and long-term jaw health.
Get Lasting Relief with Personalized TMJ Treatment
Don’t let jaw pain, headaches, or clicking interfere with your daily life. At Queen City Orthodontics in Liberty Township and Hamilton, OH, our team provides personalized TMJ treatment plans that address the root causes of your discomfort, including bite misalignment, muscle tension, and jaw habits. With gentle, effective treatment options, from custom night guards to targeted physical therapy and orthodontic care, we help you restore proper jaw function and enjoy pain-free chewing, speaking, and smiling.
Schedule your consultation today and take the first step toward lasting relief, better jaw health, and a more comfortable, confident life.
About the Authors
Dr. Nicole Crasto – Orthodontist in Liberty Township and Hamilton, OH
Dr. Andy Glassick – Orthodontist in Charlottesville, VA
Frequently Asked Questions
What are the common symptoms of TMJ disorders?
TMJ disorders can cause jaw pain, clicking or popping sounds, jaw stiffness or locking, tight jaw muscles, headaches, neck pain, and ear discomfort. These symptoms can make chewing, talking, or even smiling difficult. Early evaluation by a TMJ specialist can help prevent the condition from worsening and improve jaw function.
How is TMJ treated without surgery?
Most TMJ disorders can be treated without surgery. Common non-surgical options include custom night guards or bite splints to reduce teeth grinding, physical therapy and jaw exercises, stress and habit changes, and short-term pain relief or muscle relaxants. In some cases, orthodontic treatment may help correct bite misalignment and reduce jaw strain.
How long does TMJ treatment take?
The length of TMJ treatment varies depending on the cause, severity of symptoms, and how well you follow your treatment plan. Some people notice improvement in a few weeks with a night guard and habit changes, while others may need several months of combined therapy, exercises, and bite correction for lasting relief.




