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TMD Treatment in Düsseldorf

| Dr. med. dent. Efthymios Pantas

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Temporomandibular disorder (TMD) – when the jaw causes problems

Headaches, neck tension, ringing in the ears or a clicking jaw joint – a temporomandibular disorder (TMD), known in German as craniomandibular dysfunction (CMD), may be behind these symptoms. TMD describes a malfunction in the interaction between the jaw joints, the chewing muscles and the teeth. At our dental practice in Düsseldorf, we diagnose and treat TMD symptoms individually and holistically.

Symptoms of TMD

The symptoms of a temporomandibular disorder are varied and are often not immediately associated with the jaw:

  • Jaw joint pain or clicking when opening and closing the mouth
  • Teeth grinding (bruxism) – often at night and unconsciously
  • Headaches, including migraine-like headaches, especially in the morning after waking up
  • Neck and shoulder tension
  • Earache or tinnitus without an ENT finding
  • Restricted mouth opening or locked jaw
  • Worn, sensitive or broken teeth
  • Dizziness and balance problems

Causes of TMD

The causes are often multifactorial:

  • Malocclusion: The teeth do not fit together correctly, which leads to overloading of the jaw joints and muscles
  • Stress: Psychological strain often leads to unconscious teeth grinding or jaw clenching
  • Dentures or fillings: Dental restorations that are not optimally fitted can change the bite
  • Posture problems: Poor posture in the shoulder and neck area can affect the jaw joint
  • Injuries: Accidents or falls involving the jaw

Diagnosing TMD

Careful diagnostics are the basis of TMD treatment. Our approach:

  1. Detailed medical history: Recording your symptoms, previous history and possible triggers
  2. Clinical functional analysis: Examination of the jaw joints, the chewing muscles and the bite position
  3. Digital diagnostics: If necessary, X-rays or 3D imaging to assess the structures of the jaw joint

Treatment options

Occlusal splint (grinding splint)

The most common treatment for TMD and bruxism is an individually made occlusal splint. It is produced to a precise fit in our in-house dental laboratory. The splint is usually worn at night and ensures that the jaw joints are relieved and the teeth are protected from further wear. Read more in our guide on teeth grinding.

Prosthetic and restorative measures

If missing teeth or ill-fitting dental restorations are causing the TMD, new prosthetic treatment can correct the bite position and relieve the symptoms in the long term.

Interdisciplinary collaboration

In complex TMD cases, we work together with physiotherapists, orthopaedic specialists and ENT specialists where necessary in order to pursue a holistic treatment approach.

Cost of TMD treatment

The cost of TMD treatment depends on the type and extent of the diagnostics and treatment. A simple grinding splint is generally covered by German statutory health insurance. More elaborate functional analysis procedures or individually made splints may require personal contributions. We advise you transparently in advance about the costs to be expected.

Frequently asked questions about TMD

What is TMD?
TMD stands for temporomandibular disorder (in German: craniomandibular dysfunction, CMD): the jaw joints, chewing muscles and rows of teeth no longer work together in harmony. Typical consequences are pain in the jaw, tension in the neck and recurring headaches.
Which doctor treats TMD?
The diagnosis and initial treatment of TMD is usually carried out by the dentist. Where necessary, treatment is supplemented on an interdisciplinary basis – for example through physiotherapy, orthopaedics or ENT medicine.
How much does a grinding splint cost?
A simple occlusal splint is covered by German statutory health insurance. Individually made functional splints or splints made of special materials may require personal contributions. We discuss the exact costs with you after the diagnostics.
Can TMD heal on its own?
Mild TMD symptoms can sometimes improve on their own, particularly if stress as a trigger is reduced. In the case of persistent or worsening symptoms, a dental diagnosis is advisable in order to avoid consequential damage such as loss of tooth substance.
How long does TMD treatment take?
The duration of treatment varies from person to person. An improvement with an occlusal splint is often possible after a few weeks, but is not guaranteed. In more complex cases, treatment can take several months, especially if accompanying physiotherapy is recommended.

Arrange a TMD consultation

Do you suffer from jaw pain, teeth grinding or unexplained headaches? Get advice from us – we take the time for thorough diagnostics.

Book an appointment online