Serving New York Midtown East, Upper East Side & Surrounding Areas
At Lazare Biomimetic Dentistry and Smile Design, we specialize in diagnosing and treating TMJ disorder (TMD) with a patient-centered, minimally invasive approach. Diagnosing and treating TMJ disorder can be challenging due to the complexity of symptoms and the intricate anatomy involved.
Many patients suffering from jaw pain, headaches, or bruxism (teeth grinding) find long-lasting relief with custom-made night guards for TMJ, designed for both comfort and durability. Achieving a correct diagnosis is essential before proceeding with any treatment, as it ensures the most effective care plan.
Dentists are often the first to identify and manage TMJ symptoms, providing conservative treatments such as night guards, and may refer patients to specialists if these methods are not effective. Our practice’s network of specialists allows for comprehensive care when necessary.
Causes of TMJ Disorder (TMD)
TMJ disorder (TMD) can develop from:
Trauma to the jaw or dislocation of the joint’s cartilage disk
Arthritis or connective tissue diseases that affect cartilage
Bite misalignment caused by missing dental or orthodontic treatment
Poorly fitted restorations that alter natural bite function
Bruxism (teeth grinding), often stress-induced during sleep
Bruxism is the most common cause, with patients exerting between 50–160 lbs. of force on their teeth at night—sometimes even more. This excessive pressure can damage tooth structure, muscles, and the temporomandibular joint over time.
What Is the Temporomandibular Joint?
The temporomandibular joint (TMJ) connects your lower jaw to your skull, functioning like a sliding hinge. It is one of the most active joints in the body, responsible for movements of the jaw and face, including chewing, speaking, and swallowing. When the joint or surrounding muscles are compromised, TMD symptoms such as pain, stiffness, facial tenderness, or clicking may occur. Limitation of jaw movement can also result from TMJ issues, making daily activities more difficult.
Diagnosing TMJ Disorder and Irregularities of the Jaw Joint
Along with physical symptoms, Dr. Lazare can assess a patient for TMJ disorder with a thorough evaluation. He may view and feel the area, noting any signs of inflammation that could be attributed to improper function of the lower jaw. He may also determine if there is regular movement of the jaw in each direction — forward, back, up, down, and side-to-side. If these movements are accompanied by sounds, Dr. Lazare can hear them during the exam. Sometimes, X-rays or other imaging is a necessary step in diagnosing TMJ disorder.
In complex cases, referral to a maxillofacial surgeon or oral and maxillofacial surgeon may be necessary for advanced diagnostics and specialized evaluation. If initial treatments are not effective, further attention from these specialists ensures comprehensive care and proper management of TMJ disorders.
Symptoms of TMJ Disorder
Patients experiencing TMJ disorder may notice symptoms related to the temporomandibular joints, such as:
Jaw pain or tenderness (one or both sides)
Clicking, popping, or grinding sounds when opening or closing the mouth
Headaches (often in the morning)
Stiff or fatigued jaw muscles
Neck pain or stiffness
Lockjaw or difficulty opening the mouth fully
Earaches or ringing in the ears
Changes in bite alignment
.png)
Why Choose Lazare Biomimetic Dentistry for TMJ Treatment?
Led by Dr. Marc Lazare, DDS, MAGD, known as “Dentist to the Stars”
Minimally invasive, conservative-first approach
Advanced diagnostics and custom-fabricated night guards
Convenient location on Manhattan’s Upper East Side
Personalized care designed for long-term oral health and comfort
Highest level of expertise and safety in TMJ and facial pain treatment
Commitment to quality care and optimal patient outcomes
Multidisciplinary team of specialists providing comprehensive TMJ care
Nightguards for TMJ Disorder
Nightguards (also called occlusal guards or splints) are one of the most effective, non-invasive treatments for TMD and are part of a range of nonsurgical treatments available for TMJ disorder. There are various treatments for TMJ, and the best approach depends on the severity and cause of your symptoms.
Nightguards and other therapies can be helpful in alleviating discomfort, improving quality of life, and providing personalized solutions for TMJ issues. These custom-made appliances are worn at night to:
Prevent teeth grinding and clenching
Reduce pressure on the TMJ
Protect enamel and tooth structure from damage
Alleviate jaw, facial, and headache pain
Improve bite alignment
Unlike over-the-counter guards, our custom TMJ nightguards are precisely fitted for maximum comfort and effectiveness.
Candidates for TMJ Disorder Therapies
Patients interested in treatments for their TMJ disorder can schedule an appointment to meet with Dr. Lazare to discuss their symptoms and learn more about treatment options. Dr. Lazare will collect and review a full medical and dental history and perform an examination to determine the source of discomfort. Dr. Lazare may also capture x-rays or other types of images to better understand jaw function and any underlying issues. The best candidates for TMJ disorder treatment are those who are willing to try more conservative approaches, and agree to follow at-home regimens, such as the daily use of a night guard.
Who Is a Candidate for TMJ Nightguards?
You may be a candidate for TMJ treatment if you experience:
Jaw or facial pain
Teeth grinding during sleep
Headaches linked to clenching
Bite changes or uneven wear on teeth
Recovery and At-Home Care
Patients with TMD often benefit from conservative therapies such as:
Wearing a night guard nightly
Applying warm compresses for pain relief
Eating soft foods to minimize jaw strain
Stress management and relaxation exercises
Avoiding excessive chewing (gum, hard foods)
Add a Title
.png)
Posted on
Inga Jonikiene
I had an amazing experience with EMFACE at Lazare Biomimetic Dentistry!After struggling with jaw tension I felt noticeable relief after just one session! The treatment was comfortable, non-invasive, and left my face feeling lighter and more balanced. By the end of my series, my jaw tension had significantly improved, and I could see a natural lift and better muscle symmetry. I highly recommend EMFACE at Lazare Biomimetic Dentistry on the Upper East Side to anyone looking for a gentle and effective way to ease tension and refresh their facial appearance.
Add a Title
Posted on
Sharone Safia
I am absolutely blown away by Dr. Lazare’s work. His precision and patience were incredible. He took the time to explain everything clearly and made sure to preserve as much of my natural tooth structure as possible. If you’re looking for top-quality dental care, Dr. Lazare is the person to see. Highly recommended!
Add a Title
Posted on
Hubert
I’ve been going to Dr. Fay for a while now and I can genuinely say she’s the best dentist I’ve ever had. She guided me through Invisalign and some cosmetic work that made a huge difference in my smile. What I really appreciate is how careful and thorough she is—she actually takes time to explain what she’s doing, and is proactive when it comes to dental care. The whole experience feels professional, honest, and comfortable. Highly recommend her to anyone looking to improve their smile or just have a dentist they can trust.
Frequently Asked Questions About TMJ Nightguards
Do night guards actually help TMJ?
Yes. Night guards act as a cushion between your teeth, reducing grinding forces and relieving pressure on the jaw joint. Many patients notice relief within weeks of consistent use.
How can I relax my jaw with TMJ at night?
Using a night guard, practicing deep breathing, and avoiding stimulants like caffeine before bed can reduce nighttime clenching. Gentle jaw stretches before sleep may also help.
How long does a TMJ night guard take to work?
Most patients experience improvement within 2–6 weeks, depending on the severity of symptoms and consistency of night guard use.
What is the difference between a TMJ splint and a night guard?
Both are oral appliances, but a splint is typically used for repositioning the jaw, while a night guard primarily prevents teeth grinding and protects tooth enamel.
Are night guards for TMJ covered by insurance?
Some dental insurance plans cover part of the cost of a custom night guard. Our office helps patients explore coverage and payment options.
How much is a night guard for TMJ?
The cost of a custom TMJ night guard in NYC typically ranges from $400–$800, depending on the complexity of the case and insurance coverage.
What type of mouth guard is best for TMJ?
A custom-fitted, hard acrylic night guard made by your dentist offers the best results compared to over-the-counter boil-and-bite options.
Can my dentist give me a night guard?
Yes. At Lazare Biomimetic Dentistry and Smile Design, we create custom night guards tailored to your bite and specific TMJ symptoms.
Is there a special night guard for TMJ?
Yes, TMJ night guards are specifically designed to alleviate joint pressure and tooth grinding, unlike sports guards, which only protect against trauma.
Does TMJ go away with night guard?
While a night guard may not cure TMJ completely, it significantly reduces symptoms and protects against long-term damage. In many cases, conservative treatment with a guard resolves discomfort without surgery.
Explore Our Full Range of Dental Services
At Lazare Biomimetic Dentistry and Smile Design, located on Manhattan’s Upper East Side, we offer a comprehensive suite of services designed to support your long-term oral health and smile goals. From advanced cosmetic enhancements to preventive care and biomimetic restorative techniques, each treatment is delivered with precision and a deep respect for preserving what’s healthy and natural.
Whether you’re just beginning care or continuing it with us, we’re committed to supporting the lasting health and beauty of your smile.
Browse our full list of services to learn more.
Can TMJ Disorder Be Cured?
What Is the Main Cause of TMJ?
Is My Headache Related to a TMJ Disorder?
Why Is a Night Guard the First Method of Treating TMJ Disorder?
Is TMJ Disorder a Condition That Will Last Forever?
What Should You Do if Your Jaw Starts Making a Popping Sound When You Open It?
Frequently Asked Questions
Is TMJ Disorder a Condition That Will Last Forever?
While Dr. Lazare is a TMJ Specialist and can successfully manage TMJ disorders, he must first diagnose the cause of joint issues. In cases of situational stress, tooth grinding and jaw clenching may subside when the stressful event ends, or the patient is able to manage difficulties in their life. When a connective tissue disease or arthritis causes dysfunction in the joint of the lower jaw, the condition may be chronic until the disease is controlled. Most patients will not experience TMJ disorder (or at least its negative effects) long term.
What Should You Do if Your Jaw Starts Making a Popping Sound When You Open It?
If you are among the millions of people who have been diagnosed with TMJ syndrome, these may be among the symptoms. The TMJ (temporomandibular joint) is a joint that attaches the lower jaw to your skull. The symptoms described may be a result of the TMJ not functioning properly, due to one or more of the following having been adversely affected: your chewing muscles, joints, ligaments or surrounding bones.
What Is the Main Cause of TMJ?
Stress is the most common factor behind TMD, and should be treated alongside the physical symptoms of the joint issues. Mental stress can manifest as physical symptoms, even if we are not conscious of it. Some people enduring a stressful event may notice short term TMJ disorder, while those with issues like anxiety or chronic stress may find that problems like bruxism are ongoing.A common consequence of stress are clenching and grinding, which can tire and strain the chewing muscles, causing them to go into spasm and cause pain. An improper bite can also result in TMJ dysfunction. Among the symptoms are: headaches (usually upon awakening), tenderness or fatigue of the jaw muscles, earaches, and pain or difficulty when chewing, yawning or opening wide. Clicking or popping sounds are very common signs, and in some extreme cases, the jaw can actually get stuck in the open or closed position.
Is My Headache Related to a TMJ Disorder?
It is difficult to pinpoint the exact cause of one’s TMJ syndrome, although it is often related to stress. It also may be the result of a traumatic accident or a disease such as arthritis.
Why Is a Night Guard the First Method of Treating TMJ Disorder?
While there are more invasive methods available, Dr. Lazare typically suggests beginning TMD treatments conservatively with the use of a night guard. The guard can provide clues as to the patient’s nighttime jaw movements, and will alleviate pain associated with the hard pressure placed on the teeth by acting as a buffer. In many cases, the use of a night guard is sufficient in treating TMD. The added benefit is that a night guard made of a hard material will also keep the teeth in proper alignment, serving as a nighttime retainer.
Can TMJ Disorder Be Cured?
Most cases of TMJ disorders can be treated conservatively and successfully. Only a small number of cases require surgical correction, usually with those individuals who have suffered a traumatic injury. The first step is to eliminate the pain and muscle spasms. In mild cases, this can be done with moist heat packs, a non-chewy diet, and muscle relaxants (if necessary). It is also important not to try to test the degree of pain by opening and closing, but rather try to rest the TMJ and give it time to heal. The next step would be to try and become aware of the potential sources of stress and tension that could lead to clenching and grinding. A conservative therapeutic device that may work well for you is a corrective bite plate (made by your dentist), that will help to relax the muscles, thus preventing headaches, pain and spasm.Selective filing of an uneven bite to correct the “high” spots is a final attempt to treat TMJ conservatively, because the removal of tooth structure is an irreversible process.
Insights
EMFACE
TMJ Relief Without Injections: How EMFACE® Is Changing the Future of Jaw Pain Treatment
Specialized Dental Treatments
Jaw Popping (Clicking): Understanding Noises TMJ Makes
Specialized Dental Treatments