TMJ Therapy

Pennington NJ Orthodontist & Pediatric Dentist


Millions of Americans suffer from chronic facial and neck pain as well as severe, recurring headaches. In some cases, this pain is due to Temporomandibular Disorder, also known as TMD. Your temporomandibular joints, or TMJs, connect your lower jawbone to your skull. These joints get a lot of use throughout the day as you speak, chew, swallow, and yawn. Pain in and around these joints can be unpleasant and may even restrict movement.

Dr. Niyati Patel-Parekh and Dr. Darren Loew treat patients with TMD at Pennington Orthodontics and Pediatric Dentistry in Pennington, New Jersey. Dr. Patel-Parekh and Dr. Loew are experienced orthodontists passionate about providing high-quality dental care to patients of all ages. To determine where how your TMD is manifesting, look out for common signs of the disorder and let Dr. Patel-Parekh or Dr. Loew know at your next appointment.


  • Pain in the jaw area
  • Pain, ringing, or stuffiness in the ears
  • Frequent headaches or neck aches
  • Clicking or popping sound when the jaw moves
  • Muscle spasms in the jaw area
  • A change in the alignment of top and bottom teeth
  • Locked jaw or limited opening of the mouth

If you notice that you are experiencing any of these symptoms, let us know. We can help determine if you have TMD and create a customized treatment plan to help relieve your symptoms.


If you feel that you might have TMD, it is always important to see your dentist and receive an exam. However, not all jaw pain is associated with TMD, and if you do not have TMD there are many different preventive steps you can take to maintain a healthy, strong smile.

  • Relax your face — “Lips together, teeth apart”
  • Avoid grinding your teeth
  • Avoid all gum chewing
  • Don’t cradle the phone receiver between your head and shoulder — either use a headset or hold the receiver to your ear
  • Chew food evenly on both sides of your mouth
  • Do not sit with your chin rested on your hand
  • Practice good posture — keep your head up, back straight, and shoulders squared

Many people get TMD without ever having braces. Symptoms usually wax and wane regardless of whether braces are worn. If you are experiencing any of the symptoms listed above and are concerned that you’re a candidate for TMD treatment, please contact our office for a consultation.

Patients with crooked or misaligned teeth are more at risk of developing TMD than other patients. Sometimes, orthodontic treatment can alleviate TMD symptoms and fix the problem on its own. Dr. Loew and Dr. Patel-Parekh will help you find the right treatment to straighten your smile.


What happens if TMD is left untreated?

Without treatment, pain from TMD can become debilitating. It can be excruciating and require further medical treatment. Problems with depression, jaw function, and even eating disorders can come from TMD that isn’t taken care of.

Do I need surgery to treat TMD?

There are many ways to treat TMD that don’t involve surgery. In particular, alignment of the jaw and your bite being fixed can help solve many problems. Oral appliance therapy is also helpful in making sure you aren’t grinding and clenching your teeth overnight and keep your jaw in proper alignment.

Can I permanently get rid of TMD?

Unfortunately, there is no permanent perfect cure for TMD. But you can alleviate symptoms and get rid of them altogether with proper care. It’s essential to get an exam so that the TMD treatment can be personalized to your specific condition. The best treatment for you may be different than other TMD patients.


Call 609.737.3700 to request an appointment. Request a consultation with Dr. Loew or Dr. Patel-Parekh on our website. They will help you get the care you need to alleviate jaw and facial pain as well as other unpleasant symptoms caused by TMD.