Precision Periodontics & Implant Dentistry

TMJ Treatment

Washington DC & Alexandria VA

TMJ Treatment

TMJ Treatment Washington DC & Alexandria VA

TMJ Treatment
Washington DC & Alexandria VA

Everyone has two temporomandibular joints (TMJ), one on the left and one on the right. When one or both of these joints becomes damaged or develops issue with functionality, a patient is said to have TMD or TMJ syndrome. Symptoms typically manifest as rustling, clicking, or popping in the jaw joint along with muscle or jaw joint pain. Other symptoms include tinnitus, headaches, difficulty opening their jaw or a jaw that locks in place, and even numbness in the fingertips and face.

Fortunately, there are several treatment options for TMJ. At Precision Periodontics and Implant Dentistry, our specialty trained periodontists Dr. Justin Zalewsky and Dr. Antara Daru have years of experience treating a wide range of stages of gum disease and placing dental implants. To learn more about TMJ treatment, our clinic facilities, or to schedule an appointment for a procedure, contact our Alexandria, VA office at (703) 823-2422 or our Washington D.C. office at (202) 296-3360.


Contact Precision Today

Please enter your name.
Please enter a valid email.
Please enter a valid phone number.
Please enter a message.
Dr. Justin Zalewsky

Dr. Zalewsky

Dr. Justin Zalewsky, a graduate of Case Western Reserve University School of Dentistry, then went on to Temple University Kornberg School of Dentistry where he received his Certificate of Periodontology and Oral Implantology.


Dr. Daru

Dr. Antara Daru, a graduate of New York University College of Dentistry, then went on to University of Maryland, Baltimore College of Dentistry where she received her Masters of Science in Oral Biology and Certificate in Periodontology and Oral Implantology.

Types of TMJ Disorders

There are three broad categories of TMJ disorders:

  • Myogenous: Myogenous TMJ accounts for over 80% of TMJ disorders and presents as discomfort and pain in the shoulder, neck, temples, and jaws. This type of TMJ is typically treated with a combination of BOTOX and custom fit nightguards.
  • Jaw joint generated pain: Caused by internal derangement, such as displaced disc, dislocated jaw, and/or injured condyles.
  • Degenerative joint disease: Rheumatoid arthritis, osteoarthritis, and other degenerative diseases of the joints can result in TMJ developing.

Most TMJ disorders can be treated by your dentist or periodontist, however degenerative joint disease or internal derangements may require a physician to become involved.

What Causes TMD

TMJ disorder can develop due to a variety of factors, including the following:

  • Jaw or neck injury
  • Dislocated joint
  • Neck or jaw injury
  • Bruxism
  • Fillings or crowns that were incorrectly placed
  • Malocclusion

TMJ can also be caused by arthritis or following facial trauma, but it is most commonly the result of genetic predisposition or excessive levels of stress, which is why the disorder is more common in professions such as lawyers, consultants, physicians, etc.

TMJ Treatment Options

There are range of treatment options available for TMJ. In order to determine which treatment option is right for you, it will be necessary to determine the root cause of your issue. For example, if the root cause is due to improperly placed fillings or crowns, your periodontist will begin treatment by removing and replacing the filling or crown to see if symptoms improve. If the issue appears to be related to stress, your periodontist will encourage you to make certain lifestyle changes, such as practicing yoga, meditating, and other self-care practices.

In very rare cases, surgical intervention that involves replacing the jaw joint disc may be necessary, or a series of procedures utilizing numerous veneers and crowns may be performed to rebuild the patient’s bite, but typically TMJ can be improved or treated through the following methods.

Custom Fit Nightguard

A custom fit nightguard is one of the most common and successful treatment options for patients with TMJ. Although one-size-fits-all nightguards are available in drugstores, to maximize your results and increase your chances of successfully treating TMJ, it is critical that you have a guard that is designed and customized to meet your specific mouth. With one-size-fits-all nightguards purchased in a drugstore, you run the risk of not improving your symptoms, and you may end up making your condition worse.

One of the primary reasons a custom fit nightguard is so important is because everyone has different dental structure, and TMJ can present itself differently in patients. Some patient’s TMJ may be primarily clenching, whereas another patient may be grinding, and a third might be clenching and grinding. Although it may be a little costlier and time consuming to have custom guards designed, in the end you will save more time and money by seeking treatment that is designed to meet your unique needs.

BOTOX Treatment

Another effective treatment for TMJ pain is BOTOX. Dental BOTOX involves injecting BOTOX into tightened facial muscles, which in turn relaxes these muscles and alleviates pain and discomfort. BOTOX treatment can also help address nighttime clenching, which further reduces daytime pain. Patients who pursue dental BOTOX treatment for TMJ will typically need to schedule treatments every three to four months, although some patients only require one treatment to address their TMJ syndrome.

Quick Contact

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

  • This field is for validation purposes and should be left unchanged.

TMJ Treatment Cost

The cost of treating TMJ will depend on a variety of factors, including your dental insurance plan, what type of treatment plan you have, and the severity of your case.

At Precision Periodontics and Implant Dentistry, we are committed to ensuring that money is not a deterrent to our patients receiving the optimal dental health care they deserve. For this reason, we offer a range of payment options regardless of what type of treatment you are having, which our staff will be happy to explain and assist with. Our office insurance coordinators work with other insurance companies to assist patients with their claims.

For your convenience, Precision Periodontics and Implant Dentistry accepts cash, check, debit and credit cards (Mastercard, American Express, Visa, and Discover). Our clinic also accepts CareCredit, a financing option for procedures and treatments not typically covered by insurance, or when insurance does not cover the entire cost. We are happy to provide an application in our office or you can apply online at


Precision in Perio - 2019 Team

Providing you with Optimal Care

At Precision Periodontics and Implant Dentistry, we are proud to provide optimal care for patients in the Washington D.C. and Alexandria, VA area, and are dedicated to collaborating with your dentist to provide you with the customized treatment you deserve. In addition to having state-of-the-art equipment, we are also committed to creating a peaceful and relaxing environment, with amenities such as personal movie screens, neck pillows, and soft blankets available regardless of what procedure you are having performed.

To schedule an appointment for TMJ treatment, contact us today. We look forward to helping you achieve and maintain a bright and healthy smile!

Washington DC

2311 M Street NW Suite 500
Washington D.C. 20037
(202) 296-3360

Alexandria VA

4660 Kenmore Avenue Suite 300
Alexandria, VA 22304
(703) 823-2422