TMJ (temporomandibular joint) disorder is a painful condition of the jaw, and our board-certified oral and maxillofacial surgeon, Dr. Bartlomiej Nierzwicki, would like to help you find the answers and relief. In addition, Dr. Nierzwicki offers helpful solutions for a healthier, more comfortable jaw joint. You may have been referred to Millennium Surgical by a dentist or primary care physician for symptoms like a "clicking" sound when you open your mouth or chew your food, pain and swelling that require daily medication, or you cannot make your chewing muscles move properly. At our office in Chicago, IL, our diagnostic team can help you figure out the best course of action in treatment, regardless if you need to have surgery or not. Cases that require a surgical intervention are usually the most severe. Ease your anxiety about your painful TMJ symptoms, and give us a call today to set up your consultation appointment with Dr. Nierzwicki.
"Great,great,great.Very proffetional.High class.Every step,every question where answered.No pain.I' m very suprised of pro I can recommend the whole responsibility."- M.S. / Facebook / Jul 07, 2017
"I am a big baby and have had many bad experiences with dentists. I can't stop talking about Dr. Bart and all the staff. So kind, patient, gentle and so nice!! Had two teeth extracted and was shaking and even crying. The Dr. talked me thru the while procedure, kept asking if I was ok, asked if I needed anything. It was an excellent experience!!! Rhe staff were so great and considerate of what i was feeling....and the doc is pretty cute, so that helped. Thank you for making my fears go away. No swelling, not much pain the day after. I highly recommend this place. Wish he was my dentist for ever!!! Lol"- L.G. / Facebook / May 16, 2017
"I went in to get 3 of my wisdom teeth removed and I couldn't have gone to a better facility. The staff and Dr. B. Nierzwicki were amazing. The Dr is bilingual and they do have staff that speaks speaks Spanish. Dr. Nierzwicki was patient and understanding, he answered all of our questions and concerns and he did an amazing job. I am very happy I came here and I truly recommend him and his staff. ???????? Thank you so so so so MUCH!!!!"- M.N. / Facebook / May 08, 2017
"Just had 2 of my wisdom teeth extracted by Dr. Bart Nierzwicki! His assistant, Patrycia Strama, guided me step by step with what medication I needed to take after the extractions. She was great at answering any questions I had and is an overall outstanding assistant! Dr. Bart Nierzwicki had definitely made me feel comfortable and 100% numb before starting the procedure. He is a wonderful surgeon!! Millennium Surgical and staff is very professional! The first time I walked into Millennium Surgical, I felt at home and the staff makes you feel welcome and always greets patients with a warm smile. I will be coming very soon to extract my next 2 wisdom teeth. I highly recommend Dr. Bart Nierzwicki for any oral procedure/surgery.??"- M.M. / Facebook / Apr 20, 2017
"Fantastic experience, never thought visit to an oral surgeon for wisdom teeth would be so smooth, painless and comfortable. Highly recommend."- Anonymous / Healthgrades / Apr 14, 2017
When we talk to patients who may have TMJ, we may ask the following questions during a consultation to determine a diagnosis:
- Do you have sensitive, broken, or loose teeth?
- Do you grind or clench your teeth so hard it causes soreness and pain?
- Do you wake up with sore, stiff muscles around your jaws?
- Do you have frequent headaches or neck pain?
- When you are anxious or stressed out, does it make your teeth clenching worse?
- Does your jaw click, pop, grate, catch, or lock when you open your mouth or chew?
- Do you experience pain when you open your mouth, eat, or yawn?
- Have you ever suffered an injury of the neck, head, or jaw?
- Have you had problems with other joints in your body?
- Do your teeth touch when you bite or meet differently from time to time?
- Do you refrain from using your front teeth to bite or tear food?
Once our oral and maxillofacial surgeon diagnoses your condition as a TMJ disorder, there will be a customized treatment plan made for your unique case. Your surgeon may recommend the use of a muscle relaxant, anti-anxiety medication, anti-inflammatory, or pain-relieving medication to stop muscle spasms, swelling of the joints, decrease stress, and stop the pain. It may also be recommended that the patient receive steroid injections into the joints for severe cases of chronic inflammation and pain. We advise all of our TMJ patients to:
- Exercise the jaw daily
- Practice stress management techniques
- Do your best to not clench your teeth and jaw (especially when you are stressed)
- If possible, eat a diet of soft foods (avoid chewy, sticky foods)
- Apply ice and heat to relieve the pain and throbbing
- Have good neck alignment and practice good posture
- Rest your jaw as needed
- Use a night guard to prevent grinding the teeth at night while you sleep
- If your surgeon advises you to wear an anterior positioning appliance to move your jaw forward, wear it as recommended to relieve pressure and heal the jaw
- Your surgeon may require you to wear an orthotic stabilization appliance, which will move your jaw into the proper position and protect the teeth from wear
Our oral and maxillofacial surgeon will not consider surgery as a treatment for TMJ unless the jaw will not open, is displaced, severely degenerated, or if the patient is not responding to other noninvasive treatments. We will make recommendations to your primary dentist or orthodontist for a bite adjustment (equilibration), special orthodontic treatment, and/or restorative dental work. We will do our best to make sure that surgery (open joint repair/restructuring, or arthroscopy) is utilized as a last resort
Plan Your Procedure
- Post-op Follow-up
- 3 – 4 Weeks
- Procedure Recovery Location
Trouble With Your Jaw?
Say goodbye to TMJ pain. Many people around the world develop TMJ for unexplainable reasons. We do know that clenching and grinding the teeth and tightening the jaw muscles both put undue pressure on the jaw joint. Facial injury and disease can also inflame the damaged jaw joint. Whatever the reason for your pain, we want to help diagnose and treat the condition within your jaw. We want you to say goodbye to the pain, clicking, and grating noises that happen when you open your mouth to eat, yawn, or talk. Call today and schedule your appointment for a TMJ consultation today.