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Orofacial Pain

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1. Temporomandibular Disorders

Symptoms include pain in and around the ear, the jaw joint, temples, often accompanied by muscle pain, headaches, limited jaw opening and chewing difficulties.

2. Oral Neuropathies

Dental pain (not due to cavity or infection), pain in gums, lips, tongue, or palate pain can be due to trauma or appear spontaneously.

3. Primary Headaches

Migraines, tension type headache, or TMJ induced headaches.

4. Oral Appliances for Sleep Apnea

FDA approved as an alternative to continuous positive airway pressure (CPAP) for mild to moderate obstructive Sleep Apnea (OSA). An alternative to CPAP for severe OSA in patient with CPAP-intolerance who are not candidates for surgery.


Evidence based research indicates that conservative, reversible treatment is the treatment of choice. Examples are: physical therapy, behavior modification and if needed, night time wear of orthotic appliance. More invasive treatments for those patients who do not respond to conservative therapy include muscle and joint injection and arthrocentesis. Permanent changes to teeth, such as orthodontics, jaw repositioning, full mouth reconstruction and orthognathic surgery are never indicated for a TMJ disorder.