TMJ Care

TMJ Care

Temporo-Mandibular Joint Dysfunction (TMJ) is a common condition affecting a wide variety of patients. TMJ is characterized by myofacial pain including migraines; frequent headaches; and tenderness of facial, head, and neck muscles. The vast majority of TMJ sufferers are unaware that the root cause of these problems is something Dr. Madderra can effectively treat.

Pain affects one out of four patients and can have a profound effect on physical, mental and spiritual well being. Head, jaw and neck pain very often has a dental occlusion and masticatory (chewing) muscle origin.

This is often misdiagnosed and mistreated with aggressive, irreversible dental procedures, or ongoing use of prescription pain relievers that leaves patients unable to function normally due to the severe side-effects of the medication.

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Recent advances in the understanding of pain have lead to new treatments and pain management techniques for acute and chronic dental and facial pain. Dr. Madderra specializes in these areas and offers a wide range of treatment options. He believes in a holistic approach to treatment. His comprehensive treatment plans combine traditional and complimentary medicine approaches.

He seeks to empower patients by educating them about their conditions and identifying the best methods to relieve pain, promote healing and restore maximum levels of function. Dr. Madderra believes that the elimination of pain is one of the noblest causes that he has as a Doctor of Dental Surgery.

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Reasons for treating TMJ

Consistent and increasing pain can have a severe impact on daily life. Normal or unexpected stress can also trigger increased symptoms and pain. Untreated, TMJ can lead to progressive oral health issues including periodontal diseases; chronic earaches and headaches; hearing loss; and tooth abrasion, sensitivity, fractures, caries, loss, and mobility.

One of the most common causes of TMJ is the misalignment of teeth, often called a “bad bite.” Other factors such as an imbalance between masticatory (chewing) closing and opening muscles, masseteric hypertrophy (swelling or enlargement of chewing musles) and an imbalance of facial outline (squaring of jawline, lack of proper alignment of boney structures, bone or tooth loose) can contribute to the progression of TMJ.


It is possible for Dr. Madderra to realign or adjust these imbalances without the need for painful or expensive surgeries. The realignment/adjustment will stop the pounding headaches, the jaw pain, and the dizziness.

Another important symptom to TMJ is the clenching and grinding of teeth (bruxism). Grinding will eventually erode the structure of teeth and lead to more severe dental problems in the future. Untreated TMJ is one of the prime underlying factors in eroded jawbones and loose teeth.

It is important for anyone experiencing the symptoms of TMJ to be properly diagnosed. Treatment can sometimes be as simple as wearing a small customized mouthpiece at night or can be as advanced as using Thereaputic Botox® to relax facial, head, and neck muscles affected.

Even if past treatments haven’t been successful at relieving pain and discomfort, Dr. Madderra will work with you to put together a plan that will work for your specific symptoms and daily life.

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