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 surgeon and the staff amazing, made me feel very comfortable and answer all my questions, I'll definitely recommend family and friends"- J.M. / Facebook / Sep 17, 2017
"The staff is extremely respectful and knowledgeable. Both the doctor and assistants provided me with information that was easy to understand regarding the procedure. I can not express just how satisfied I am with my experience."- A.R. / Facebook / Sep 12, 2017
"I came to Millenium Surgical to get my wisdom teeth removed. Dr. Nierzwicki was great and made me feel very comfortable being put to sleep with anesthesia. Not only did that, but he took the time to explain all my options and then the entire procedure and answer ALL of my questions before hand. After the procedure, Dr. Nierzwicki called to check up and see how I was feeling. I felt so at ease from start to finish during the entire processes. The entire staff was very kind and helpful, from Kenya to Maggie. Highly recommend!!"- S.S. / Facebook / Sep 07, 2017
"I was referred by a friend to Dr. Cienawa who then referred me to Dr. Bart - the same day - to have my two bottom wisdom teeth removed. As I have never had even a stitch before in my life, I was nervous about being put to sleep, etc. (especially after the horror stories everyone tell you about getting their wisdom teeth removed!). Dr. Bart led the consultation along with Kenia and went over other options where I could stay awake. Honestly, I think that took more time than the... actual extraction itself! The consultation was thorough and helpful, so when I made the decision it was all green lights. I was truly taken care of - and last minute, which I so appreciate, and was able to not be put to sleep, and still be pain free. I appreciate also the woman who walked me through the billing process and (this is on my insurance more than the practice) while it was a hefty upfront cost, I am pleased with the decision I made (they even gave me a shirt!) because I was able to still enjoy my Labor Day weekend up in Michigan! I would highly recommend this place due to the professional demeanor of the office, the staff, and the doctor. Thank you!"- J.W. / Facebook / Sep 05, 2017
"Very professional place and friendly. I recommend many friends to go there!"- M.R. / Facebook / Sep 02, 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.