Relieving Pain and Restoring Comfort

Dentist Waverly


TMJ stands for Temporomandibular Joint. That is the joint that connects the jawbone to the skull on each side. Temporomandibular Disorder, or TMD, refers to issues affecting the TMJ and the muscles and soft tissues that surround it. Common TMD symptoms

  • Jaw pain
  • Clicking jaw joint
  • Jaw stiffness
  • Stuck jaw, open or closed
  • Clenching or grinding teeth
  • Pain in cheeks and temples

Causes of TMD

There are a number of issues that can cause TMD. The most common is subconscious clenching or grinding of the teeth. This usually occurs during sleep or when under high amounts of stress. Patients with this type of TMD may find that their symptoms vary depending on their level of stress.

Other causes of TMD can include:

  • Jaw joint disc out of place
  • Osteoarthritis damage to joint
  • Swelling inside the joint
  • Poor posture muscle strain
  • Joint inflammation or strain

Diagnosing TMD

During your visit, our team will take a detailed dental and medical history. Tell us about any symptoms or injuries to the TMJ area. Be sure to notify us of any chronic illnesses or medications you are taking.

Next, Dr. Zaky and Dr. Gudmendson will perform a comprehensive exam of your head and neck. We will pay particular attention to the jaw muscles and joints. We may recommend a screening X-ray to rule out other issues. At this point, we can recommend an initial treatment plan in most cases.


In addition to recommending conservative treatments for TMD, tailored to each patient’s specific needs, Dr. Zaky and Dr. Gudmendson are pleased to offer Botox® services as an innovative treatment option. Botox® can be particularly effective for patients experiencing TMD symptoms related to muscle tension. By carefully administering Botox® injections into specific facial muscles, we can help alleviate jaw tension, reduce discomfort, and improve overall jaw function.

This treatment is an option for those looking to address the discomfort and functional issues associated with TMD, offering a non-surgical approach to managing symptoms. If you are experiencing symptoms that may be related to TMD, or are interested in learning more about Botox® therapy for TMJ disorders, contact Aya Zaky, DDS for a consultation.