Treatment options for TMJ Dysfunction / TMD in Richmond

Whilst the exact cause of temporomandibular joint (TMJ) disorders is not known, we can offer patients at our Richmond clinic several treatment options for the management of temporomandibular disorder (TMD).

TMJ Disorder/TMD Treatment Options include:

  • Medication
  • Appliance Therapy
  • Occlusal Equilibration
  • Laser Therapy
  • Chiropractic Treatment
  • Orthodontia or Maxillofacial Surgery.


If our dentist finds evidence of teeth grinding and clenching, a muscle relaxant may be prescribed to relax the jaw. Anti-anxiety medication may also be considered to relieve stress and help reduce or control pain. Non steroidal anti-inflammatory drugs (NSAIDs) may also have a role relieving muscle pain and swelling.

Appliance Therapy

The use of a splint (mouth guard) may be considered to reduce stress on the jaw and improve the bite.

Occlusal Equilibration

Involves reshaping the biting surfaces of the teeth so that the jaw can close properly.

Laser Therapy

Low-Level Laser Therapy (LLLT) has been found to be effective in the treatment of myofacial pain in the jaw and face. It’s a laser for the soft tissues of the jaw and face and we have found it to increase cell metabolism. An increase in cellular metabolism indicates healthier cells which function more effectively. We have also reported some of our patients who have undertaken LLLT to have a reduction in oedema (swelling due to fluid retention).

Chiropractic Treatment

Chiropractic treatment can be effective in reducing the pain associated with TMD. Chiropractic trigger point therapy and adjustment can be effective in relieving tension in the muscles around the TMJ, neck and spinal joints.

Orthodontia or Maxillofacial Surgery

Structural disorders of the joint that are confirmed by X-ray, MRI or CT scans may require treatment with an intra-oral appliance or orthodontia or maxillofacial surgery. Surgical treatment is considered only after all other conservative treatment options have been exhausted.