TMJ is a condition that can cause a variety of symptoms ranging from earaches, headaches, tender jaw muscles, and more. If you think you may have TMJ, Dr. Raymond Lim at Dental Smiles of Willow Glen can help. He has done extensive training in diagnosis and the treatment of TMJ and will be glad to to provide the right solution for you.

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Do you have frequent headaches, earaches, tender jaw muscles or a dull, aching facial pain? Does your jaw lock or stray to one side when you open your mouth? These aches and pains may be related to the jaw joint, called the temporomandibular joint or “TMJ,” and the muscles that work to move the joint. These painful conditions are often called “TMJ” for temporomandibular disorders.

Signs and symptoms
TMJ is a condition, not a specific disease. Temporomandibular disorders can have many different signs and symptoms, from mild to severe. Some patients may have symptoms but are still able to function fully. TMJs appear to be more common in women. Specific symptoms may include:

Pain in or around the ear
Tender jaw muscles
Clicking or popping noises in the jaw
Difficulty opening or closing the mouth
Facial pain when yawning or chewing
Jaw joints that feel as if they are “locked,” “stuck” or they “go out”

Man rubbing his achy jaw. 

What causes TMJ?
Several conditions may be linked with TMJ. They may include:

Jaw or head injuries
Diseases that affect the muscles or joints, such as arthritis
Teeth grinding
To determine how best to treat your condition, a complete TMJ evaluation is often recommended. Dr. Lim will check the joints and muscles for tenderness, clicking, popping or difficulty moving. Your complete medical and dental history will be reviewed along with updating your current records. Dr. Lim may also request specialize x-rays of the TM joints.
Dr. Lim has done a three year mini-residency at the TMJ clinic at the University of California, San Francisco. You can have the confidence that Dr. Lim has the training to diagnose your TMJ issues.

How the jaw joints and muscle work
The joints and muscles on each side of the jaw help open and close the mouth. These joints move in many different directions. They allow you to chew, talk, and swallow. The two temporomandibular joints are among the most complex joints in the body. They work together in a delicate balance with muscles, ligaments, cartilage and your jaw bones. When a problem prevents these parts from working properly, pain may result.

Treatment and Management Options
There are several ways TMJ may be managed. The success of the treatment often depends upon you and Dr. Lim working together to find what works to relieve your symptoms. Treatment may involve a series of steps. The step-by-step plan allows you to try simple treatment before moving on to more involved treatment. Experts generally recommend a “less is often best” approach to treating TMJ disorders.

The following self-care practices may be recommended

Easting softer foods or avoiding foods that cause symptoms
Minimize extreme jaw movements, such as yawning, yelling or singing
Avoid chewing gum
Modifying the pain with heat or ice packs
Practicing relaxation techniques to control jaw tension, such as meditation
If necessary, Dr. Lim may recommend the following to relieve your symptoms:

Exercises to strengthen jaw muscles
Medicines to reduce pain or inflammation, or to help you relax
A night guard or bite plate to decrease clenching or grinding of teeth
Night Guards
Night guards (also called occlusal guards, splints and bruxing appliances) are made of rigid or semi-rigid materials like laboratory-processed acrylic. They are generally made to be worn over the biting surfaces of either the upper or lower teeth, and are easily inserted and removed by the patient.

Night guards accomplish three main functions:
Night Guards

Evenly distribute bite forces to protect the teeth from stresses that can crack or wear them abnormally
Protect the temporomandibular joints (TMJs) from excessive bite stress that can produce pain, damage to the jaw joint components, and dysfunction
Reduce the heavy forces generated by the jaw-closing muscles.
Night guards can prevent damage to teeth and dental restorations, saving the time, expense and potential discomfort of fixing problems that result from clenching the jaw muscles and grinding the teeth (bruxism). They can also be used to treat patients with temporomandibular joint (TMJ) dysfunction and pain and people suffering from jaw/facial muscle discomfort and fatigue (myalgia). It is important to understand how night guards work, in order to decide whether you are a patient who might benefit from the use of a night guard.

For more information, please contact us at  (408) 978-1888. We’ll be happy to answer your questions and set up an appointment.

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1525 Meridian Avenue
Suite 104
San Jose, CA 95125


Office Hours:

M   10:30am-6:00pm
T      9:30am-7:00pm
W     8:30am-6:00pm
Th    9:30am-7:00pm
F      8:30am-2:00pm
S      8:30am-2:00pm,
        by appt only
Sun  Closed


Dr. Raymond Lim, DDS,
is pleased to serve the South Bay Area:

San Jose, CA
Milpitas, CA

Sunnyvale, CA
Mountain View, CA
Santa Clara, CA
Campbell, CA
Saratoga, CA
Los Gatos, CA

He also serves the neighborhoods of:

Willow Glen
Downtown San Jose
San Jose Japantown

General & Cosmetic Dental Services

Dental Checkups
Teeth Cleaning
Dental Fillings & Restorations
Pediatric Dentistry
Dental Bridges
Dental Implants
Tooth Extractions
Dental Crowns
Root Canals
Porcelain Veneers
Anti-snoring devices
Dry mouth treatments