Does your jaw click, pop, or lock? Do you experience pain in your jaw joint, neck, or head? This could be a sign of temporomandibular joint disorder—also known as TMD or TMJ disorder—which is a common problem that often goes undiagnosed. Why Choose Us for TMD Treatment? We are the only practice in Greenwich to utilize BioJVA™ joint vibration analysis to detect even the smallest of frictional issues in the TMJ We use advanced CBCT scanning and iTero imaging to further diagnose underlying TMJ problems, such as bite interference and excessive bite force Dr. Tsangaroulis regularly receives continuing education pertaining to the minimally and non-invasive resolution orofacial concerns The temporomandibular joint (TMJ) is a complex hinge joining the lower jaw to the skull. It works similarly to a ball-and-socket joint, though it has the added ability to slide forward with the help of various muscles, ligaments, and fibrous tissues to allow for a full range of jaw motion. When these structures are not working in sync, several uncomfortable and even painful symptoms can manifest in the TMJ region and other areas of the upper body. This dysfunction and its associated side effects—which can be caused or worsened by jaw and/or bite misalignment—is known as TMJ disorder. Fortunately, TMJ disorder can be effectively treated in most cases, leading to a significantly better quality of life for those suffering from the condition. The key to effective treatment has much to do with properly diagnosing the issue(s) responsible for TMD, as well as developing a comprehensive solution that takes into account optimal bite alignment (occlusion) and mechanics. At our practice, Greenwich dentist George Tsangaroulis, DDS utilizes state-of-the-art technologies such as joint vibration analysis (JVA), 3D CBCT intraoral scanning, and iTero Element 5D imaging to diagnose TMJ disorder—the combination of which is far more sophisticated and precise in identifying the problem(s) responsible for TMJ-related discomfort than traditional methods (including guesswork) of the past. This enables him to formulate a customized solution for each patient that results in improved jaw function, optimal bite alignment, and lasting relief from pain. For more information about TMD and its treatment, we encourage you to continue reading the content on this page and/or contact Greenwich Cosmetic & Family Dentistry today to book an appointment with Dr. Tsangaroulis. He is happy to help! TMJ Symptoms TMJ Causes Why Choose Dr. Tsangaroulis? TMJ Treatment What Are Some Common Symptoms of TMJ Disorder? The symptoms of TMJ disorder are numerous—and not all may seem related to the jaw to those who are unfamiliar with the condition. Some of the most common symptoms include: Jaw pain or soreness (ranging from mild to significant) Popping or clicking of the jaw when opening/closing the mouth Inability to fully open the mouth Irregular or excessive tooth wear Earaches and/or ringing in the ears Facial pain Headaches (including migraines) Discomfort in the neck, shoulders, and/or back Dizziness Sinus pressure Numbness in the upper extremities What Causes TMJ Disorder? TMJ disorder is most commonly caused by improper alignment of the jaw and/or bite—whether due to natural growth and development, trauma or injury, missing and/or damaged teeth, or previous substandard orthodontic or dental work. When this jaw misalignment or malocclusion is present, it can lead to inflammation of the joint and surrounding tissues, resulting in the activation of pain receptors throughout the face, head, and neck. In some cases, this inflammatory response—and, therefore, the associated TMJ issues—can also be attributed to habitual tooth clenching or teeth grinding (bruxism), as well as arthritis of the joint. Why Choose Dr. Tsangaroulis for TMJ Therapy? Dr. Tsangaroulis stands out as a premier TMJ treatment provider in Greenwich for numerous reasons, including his use of industry-leading diagnostic technologies and dedication to continuing education in orofacial therapies. We are currently the only practice in Greenwich to be using BioJVA™ joint vibration analysis—an advanced device that is worn like a pair of headphones and designed to detect even the slightest vibrations and friction in the temporomandibular joint. The vibration patterns picked up by BioJVA™ enable Dr. Tsangaroulis to identify the exact severity of TMD and formulate the most effective treatment plan accordingly. Dr. Tsangaroulis also has in-house access to 3D CBCT intraoral scanning and iTero Element 5D imaging. With its exceptionally detailed imaging capabilities, the CBCT scanner provides him an unmatched three-dimensional view of the temporomandibular joint and other oral structures, further helping him diagnose TMJ-related issues. In addition, the iTero Element 5D scanner allows him to analyze bite mechanics, identify any bite interferences, and measure bite force—all of which is critical to optimizing occlusion and creating a successful and lasting resolution to TMJ disorder. Regarding continuing education, Dr. Tsangaroulis maintains active membership in such prestigious organizations as the Academy of Orofacial Myofunctional Therapy, the International Academy of Biological Dentistry and Medicine, the American Academy of Clear Aligners, and more. Through these associations, he is consistently introduced to innovative methodologies that can be applied to treating TMJ disorder and its underlying causes through minimally and non-invasive means. Ultimately, Dr. Tsangaroulis is exceptionally qualified and experienced in TMD therapy, and he possesses the technology, knowledge, and expertise to develop personalized treatment plans that effectively relieve pain while optimizing bite mechanics and overall orofacial wellness. How Is TMJ Disorder Treated? There are a variety of different methods that Dr. Tsangaroulis can employ to treat TMJ disorder, all of which involve achieving proper occlusion and bite mechanics. Using joint vibration analysis, 3D CBCT intraoral scanning, and iTero Element 5D imaging, he will first diagnose the exact cause(s) of your TMD. These technologies provide an unmatched picture of the underlying issue(s) at hand—allowing for the identification of friction and vibration patterns during jaw movement, damage to teeth and other oral structures, excessive bite force, malocclusion, and more. Based on this information, Dr. Tsangaroulis can then tailor a TMD treatment plan to meet your unique needs. This may involve custom-designing a night guard to protect against teeth grinding while holding the jaw and bite in proper position throughout the night—or it might entail the use of Invisalign® to align, derotate, or righten crowded or collapsed teeth to create proper tooth and bite alignment. In some instances, a combination of these methods (and potentially even some restorative dental work) may be the best course of action. For each and every case, Dr. Tsangaroulis’ goal is always to formulate an approach that comprehensively treats TMJ disorder through the least invasive means possible while achieving proper occlusion and optimal orofacial health. When this is achieved, the end result is lasting relief from pain and an improved overall quality of life. Contact Greenwich Cosmetic & Family Dentistry If you have additional questions about TMJ disorder, or if you are ready to schedule an appointment with Dr. Tsangaroulis, please reach out to us online or by telephone today!