Solutions to a localized pain disorder called temporomandibular joint (TMJ) syndrome.

Temporomandibular disorders (TMD) occur as a result of problems with the jaw, jaw joint and surrounding facial muscles that control chewing and moving the jaw. These disorders are often incorrectly called TMJ, which stands for temporomandibular joint.

Dr Gjelaj will review your case and recommend a range of possible medical treatments, including dental splints, Botox injections, physical therapy, and prescription medications.

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About Temporomandibular Joint (TMJ)


Dr. Gjelaj identifies problematic contact points in your bite and then files or adjusts the tooth structure to a more natural and comfortable height.

T-SCAN (shown above) allows us to accurately measure the biting forces for each tooth and precisely adjust.

What is the temporomandibular joint (TMJ)?

Temporomandibular joint and muscle disorders, commonly called “TMJ,” are a group of conditions that cause pain and dysfunction in the jaw joint and the muscles that control jaw movement. We don’t know for certain how many people have TMJ disorders, but some estimates suggest that over 10 million Americans are affected. The condition appears to be more common in women than men.

For most people, pain in the area of the jaw joint or muscles does not signal a serious problem. Generally, discomfort from these conditions is occasional and temporary, often occurring in cycles. The pain eventually goes away with little or no treatment. Some people, however, develop significant, long-term symptoms.

What causes TMD?

We don’t know what causes TMD. Dentists believe symptoms arise from problems with the muscles of your jaw or with the parts of the joint itself.

Injury to your jaw, the joint, or the muscles of your head and neck — like from a heavy blow or whiplash — can lead to TMD. Other causes include:

  • Grinding or clenching your teeth, which puts a lot of pressure on the joint
  • Movement of the soft cushion or disc between the ball and socket of the joint
  • Arthritis in the joint
  • Stress, which can cause you to tighten facial and jaw muscles or clench the teeth

DTR (Discclusion Time Reduction) Therapy

Digitally Directed “Alignment”

Disclusion Time Reduction (DTR) therapy is a bite/occlusal adjustment procedure used in patients that possess stable and adapted temporomandibular joints (TMJ’s).

EMG sensors in conjunction with TSCAN allow us to accurately measure and adjust biting forces and surfaces
When back teeth contact/touch too long in TIME during function, research has shown repeatedly for decades that this neurologically overstimulates muscular contraction within the chewing complex. Many of these muscles, when overworked, become very fatigued and painful, resulting in unexplained headaches and tension within the head and neck.

A precise and objective, digitally directed “alignment” of the way the teeth relate to one another over TIME, can reduce this overstimulation of the muscles, reducing painful symptoms that would otherwise not respond.

Based upon three decades of evidence-based research by Dr. Robert Kerstein and others, DTR therapy does not involve the usage of splints, medications, injections, lasers, chiropractic therapy or other temporary adjuncts. DTR addresses the genesis of the problem that causes the chewing muscles to overwork, excess contact of posterior teeth, in TIME.

  Schedule an appointment today 727-228-6846