Chart for Summary of Treatments for Temporomandibular Disorders (TMDs)
Simplest treatments; try these treatments first.
- Eating soft foods.
- Applying heat or cold to face.
- Jaw stretching and strengthening exercises.
- Short-term over-the-counter NSAIDs.
Could be prescribed by doctor or dentist as a second step if simpler treatments do not help.
- Behavioral health approaches (usually offered by a psychologist).
- Physical therapy, including manual therapy (needs referral by doctor or dentist).
- Prescription medications.
- Intraoral appliances.
- Complementary treatments.
Proceed with caution if these treatments are recommended. They involve going into the jaw joint using needles or other instruments.
Only consider these if doctor or dentist recommends as a last resort; ask for second opinion. Involves direct access and permanent changes to the jaw joint.
- Surgery, including TMJ implants.
Botulinum toxin Type A injections and occlusal treatments are not listed in this table because:
- Researchers do not have conclusive evidence that botulinum toxin Type A injections into the chewing muscles help with TMDs.
- Occlusal treatments including placing crowns, grinding down teeth, and orthodontic treatments do not help TMDs and can make the problem worse.