TMJ Disorders
Like all other joints in the body, the TMJ is subject to inflammation and other chronic joint problems.
Understanding TMJ Disorders
Among the most common, irritating and difficult to diagnose problems with head and neck pain are temporal mandibular joint problems, more commonly known as TMJ problems. The joint is located near the ear where the top of the mandible or lower jaw meets the upper jaw at the base of the skull.
Like all other joints in the body, the TMJ is subject to inflammation and other chronic joint problems. Many of these issues may be caused by destructive bite habits like clenching or grinding. These actions cause pressure on the joint that can lead to inflammation and general breakdown of the joint itself.
What makes TMJ problems difficult to diagnose and treat properly is the fact that the symptoms vary widely in both location and severity. Symptoms can range from a slight clicking in the jaw with no pain to severe head and neck pain which is not relieved by medication.
Once diagnosed properly treatments include everything from simple placement of a nightguard, which prevents pressure on the joint to surgical intervention in more severe cases. A dental health professional is the person most able to diagnose this widely variable and very common issue.


Causes of TMJ Disorders
- Jaw Trauma: A direct impact to the jaw joint, such as from an accident or injury, can lead to TMJ problems.
- Teeth Grinding (Bruxism): Habitual clenching or grinding of teeth can place excessive stress on the TMJ.
- Arthritis: Certain types of arthritis, such as osteoarthritis or rheumatoid arthritis, can affect the TMJ.
- Malocclusion Misalignment of the teeth and jaw can contribute to TMJ disorders.
- Over-the-counter remedies: Explore various products, such as artificial saliva substitutes and moisturizing mouth sprays, to combat dry mouth symptoms.
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Meet Our Highly Trained Doctors
At our dental practice, your comfort and happiness matter to us. We’re dedicated to providing a friendly and stress-free environment for all of our patients.

Dr. Efraim Florendo
Dr. Efraim Florendo earned his Dental degree in 2000. His enthusiasm to expand his dental knowledge brought him to the field of Dental Research and he worked in San Francisco as a Dental Researcher for two years.
This vivified his passion for Dentistry and willed him to practice the Art and Science of Dentistry in various cities such as San Bruno, San Francisco, Sacramento, Vallejo, San Jose until he finally found his heart and decided to settle in the lovely and warm city of Modesto.

Dr. Alexandra Chang
Dr. Alexandra Chang, DDS, MS is a native of the San Francisco Bay area. She went to U.C. Davis for her undergraduate studies and attend U.C San Francisco for her Doctor of Dental Surgery degree. After completing her studies in Orthodontics and Dentofacial Orthopedics at The Ohio State University, she returned to California.
She has been practicing orthodontics for over 10 years and loves working with young children and adults. On her free time, she enjoys traveling and learning about new cultures. She also likes to spend with her family and two japanese bobtail cats.
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