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.
"Fantastic doctor! I had a molar extracted one week ago. I am a patient who suffers from extreme dental anxiety. I went in for a consultation and Dr. Bart was a Godsend. He explained in detail the procedure, gave me a prescription to help with the dental anxiety and the next day completed the extraction in a matter of minutes with no issues whatsoever. I am so grateful to have used his services. Once I left the consultation, I was actually looking forward to getting the procedure done. He listened to my concerns, addressed them thoroughly with his thoughtful bedside manner. His staff was also exceptional. The facility is clean and modern. I felt no pain or anxiety. If I have any future oral surgery needs, I will never go anywhere else but to Millennium Surgical. A week later, I am healing nicely and have had no pain just the normal discomfort which comes from an extraction. Hands down the best oral surgeon in the area."- V.Y. / Yelp / Jun 07, 2018
"Fantastic doctor! I had a molar extracted one week ago. I am a patient who suffers from extreme dental anxiety. I went in for a consultation and Dr. Bart was a Godsend. He explained in detail..."- V.Y. / Yahoo / Jun 07, 2018
"They are wonderful, caring people. I had a panic attack and the nurses sat with me and calmed me down. They are dedicated to their work, and makes sure their clients leave with a smile."- T.N. / Facebook / Jun 04, 2018
"Walk in, quick consult eval & tooth out; walk out. Done. Went to work next day. No problem."- A.S. / Facebook / Mar 10, 2018
"Dr. Nierzwicki and his team were exceptional, professional, and compassionate. I was told about Dr. Nierzwicki from a friend and went for my wisdom teeth extractions. I was called in for the dimensional x-ray and was then taken to the consulting room. My vitals were taken and then I waited for Dr. Nierzwicki to explain my options. He explained the risks of the surgery and provided all the information I needed. I was given the option to remove my wisdom teeth that same day with only local anesthesia, so I went ahead and did it. The staff and Dr. Nierzwicki made me feel very comfortable. I was given instructions on how to take the medications, what to expect, and how to care for my incisions. The surgery only took a few minutes but it went smoothly as Dr. Nierzwicki would walk me through every single step he was doing. This made me feel very comfortable and less anxious. If you need to remove your wisdom teeth or need any dental surgeries, I recommend coming here."- A.S. / Yelp / Mar 07, 2018
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.