What Are TMJ Disorders?

The temporomandibular joints (TMJs) are the two joints that connect your lower jaw to your skull. They work together with the surrounding muscles to allow you to speak, chew and open and close your mouth.

Problems affecting the jaw joints or the muscles responsible for chewing are known as temporomandibular disorders, or TMDs.

Symptoms can vary considerably from one person to another. Some people experience temporary discomfort, while others may develop persistent or recurring symptoms.

What Are Common Symptoms of TMJ?

You may benefit from a TMJ assessment if you experience:

  • Jaw pain or tenderness
  • Pain when chewing or opening your mouth
  • Clicking, popping or grating of the jaw
  • Jaw stiffness
  • Difficulty opening your mouth fully
  • Jaw locking
  • Facial pain
  • Pain that spreads towards the neck or face
  • Headaches associated with jaw symptoms
  • A noticeable change in the way your teeth meet
  • Symptoms that become worse with clenching or grinding

Not every jaw click requires treatment. Clicking or popping without pain is common, so a thorough assessment is important before deciding whether treatment is necessary.

What Happens During a Consultation With a TMJ Specialist?

We begin with a detailed assessment rather than assuming that one treatment is suitable for everyone.

Step 1. Detailed Consultation

We begin by discussing your symptoms, medical and dental history, when your symptoms started and what makes them better or worse.

This helps us understand the nature of your problem and whether further investigation is appropriate.

Step 2. Clinical Assessment

Your jaw, teeth and bite are carefully assessed, including jaw movement, tenderness, symmetry and the way your upper and lower teeth come together.

We also consider whether your symptoms could have another dental or medical cause.

Step 3. Diagnostic Imaging Where Appropriate

Depending on your symptoms and clinical findings, additional imaging may be recommended.

This may include dental X-rays or other imaging where clinically indicated.

Step 4. Personalised Treatment Plan

Once we understand your individual circumstances, we can explain the available options and recommend the most appropriate next step.

Treatment may be conservative and focused on managing symptoms, monitoring the condition or addressing relevant dental and orthodontic factors.

Step 5. Ongoing Review

Where treatment or monitoring is required, we continue to review your symptoms and jaw function and adjust the approach where necessary.

What Can Cause TMJ Problems?

TMD can involve the jaw joints, the muscles used for chewing, or both. Symptoms can also occur alongside other conditions such as headaches or sleep problems.

Jaw symptoms may be associated with factors including:

  • Jaw injury
  • Jaw clenching or teeth grinding
  • Muscle tension
  • Changes in jaw function
  • Stress and other life factors
  • Problems affecting the jaw joint

Since the causes of TMJ can be complex, an accurate assessment is more useful than simply assuming that your teeth or bite are responsible.

How Do Orthodontists Treat TMJ Issues?

Orthodontists treat TMJ issues by first carefully assessing the jaw joints, muscles, teeth and bite to understand the factors that may be contributing to your symptoms.

Treatment will depend on your individual diagnosis and may include conservative approaches such as monitoring symptoms, addressing clenching or grinding, or using appropriate dental appliances where clinically indicated.

In some cases, orthodontic treatment such as braces or invisible braces may be considered to improve the alignment of the teeth or address a specific bite problem, but changing the bite is not automatically required for treating TMJ disorders.

Dr Bass will recommend the most appropriate approach based on your symptoms, clinical findings and overall dental health.

Why Choose Bass Orthodontics as TMJ Specialists in Harley Street, London?

Over 50 Years of Specialist Experience

Bass Orthodontics is a family-run specialist orthodontic practice in Harley Street, London, with more than five decades of experience.

Specialist-Led Care

Your assessment is carried out with specialist orthodontic knowledge, considering your teeth, jaws and bite as part of the wider picture.

Personalised Treatment

There is no single treatment that is right for every person with jaw symptoms. We take the time to understand your individual problem before recommending an approach.

Advanced Diagnostic Technology

Modern digital scanning and diagnostic technology can be used where appropriate to help assess your teeth and jaw and support treatment planning.

Central Harley Street Location

Our practice is located at 4 Queen Anne Street in the heart of London's Harley Street medical district, close to Oxford Circus, Bond Street and Baker Street.

Frequently Asked Questions

What is the difference between TMJ and TMD?

TMJ refers to the temporomandibular joint itself. TMD, or temporomandibular disorder, describes conditions affecting the jaw joint and/or the muscles involved in jaw movement.

Does clicking in my jaw mean I have TMJ?

Not necessarily. Jaw clicking and popping can occur without pain and is relatively common. If clicking is accompanied by pain, stiffness, locking or restricted movement, an assessment may be appropriate.

Can TMJ cause headaches?

Some TMDs are associated with headaches, particularly when the jaw muscles or joints are involved. However, headaches can have many different causes, so a proper assessment is important.

Can TMJ problems go away on their own?

Yes. Many TMD symptoms are temporary and improve without treatment. Where symptoms persist, worsen or interfere with daily life, professional assessment can help determine the appropriate next step.

Will an orthodontist automatically change my bite to treat TMJ?

No. Treatment should be based on an individual clinical assessment. Permanent changes to the teeth or bite are not appropriate for every patient with TMD.

Do I need a referral letter to see you as TMJ specialists?

No, you can contact Bass Orthodontics in Harley Street directly to discuss an appointment and your symptoms.

Where is Bass Orthodontics located?

We are based on Queen Anne Street next to Harley Street and are within walking distance of Baker Street and Marylebone , Bond Street, Tottenham Court Road, Soho and the West End .