TMJ Treatment

Frequent headaches? Uncomfortable bite? Pain in your neck and shoulders? Jaw locking? These are all symptoms of TMJ disorders. TMJ, or jaw joint, disorders can be painful and debilitating. Our skilled dentist provides TMJ treatment in Newport Beach, California to alleviate your discomfort and help you regain an excellent quality of life. At present, there are more than 50 treatments available, from conservative therapies to more aggressive treatments. We welcome you to call us at (949) 720-0200 to schedule your consultation with Dr. John N. Vartanian, DDS and determine which treatment will be most beneficial for you.

The TMJ is the temporomandibular joint, or the joint that connects the lower jaw to the rest of the head. The term “TMJ” is often used to refer to TMJ disorder, also called TMD, which occurs when the jaw joint becomes stressed, injured, or misaligned. TMJ disorder may result due to several different factors, such as stress, bruxism (teeth grinding and clenching), arthritis in the TMJ, or trauma and injury to the head, neck, or jaw.

You may suffer from TMD if you experience frequent jaw pain or facial pain. TMJ disorders may also cause:


A lot of folks are still unaware of this fairly new relationship between botox and dentistry for pain relief.

Dentists are experts in the entire myofascial region, including your teeth, gums, jaws, face, head, and neck. Plus, we’re already highly skilled at giving precision and painless injections in these delicate facial areas, and with the help of dental blocks (local anesthetic), we can provide a more comfortable and pain-free experience from the comfort of your dental home. We use Botox to treat chronic pain associated with TMJ dysfunction and may even be able to prevent migraines before they start.

Botox® for pain relief?

Yes! If you thought Botox® was only skin deep, think again! Dentists and doctors have been safely and effectively using Botox® to treat chronic pain for many years. The same purified protein that relaxes facial muscle contractions that cause fine lines and wrinkles can be used to relax muscle contractions that cause chronic pain.

Patients suffering from teeth grinding and clenching (bruxism) or TMJ dysfunction have to live with chronic orofacial pain – but now, you don’t have to grin and bear it! A simple Botox® treatment can help prevent the micro muscle contractions that cause constant tension, stress, and pain. Botox® treatment for pain relief can melt away your worries and prevent chronic pain, allowing you to live a happier, more comfortable life!

Our dentist can help you determine the cause of your TMJ disorder and recommend the appropriate treatment. Treatment for the TMJ will depend on the cause and severity of your TMJ disorder. TMD treatment may include jaw and facial relaxation exercises, lifestyle changes, restorative dental treatments, a mouth guard or night guard, or jaw surgery. To learn more about TMJ treatment and to schedule your consultation with our dentist, we encourage you to contact us today.

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Dental crowns and bridges are custom-fitted prosthetics that are used to replace or restore damaged or missing teeth. Crowns – also known as caps – are fixed over the surfaces of natural teeth or dental implants. Bridges are used to fill in the gaps left by missing teeth and are anchored in place by the natural teeth. Both crowns and bridges are non-removable and must be cemented in place by your dentist. Patients who get crowns or bridges achieve both the function and appearance of natural, healthy teeth.

Did you know…

that the Etruscan civilization were the first to use crowns as a means of restoring damaged teeth? In fact, the materials they used – ivory, gold, and bones – were still the standard in dentistry as recently as the 20th century, when porcelain crowns were first invented. Today, crowns and bridges are customized specifically for the patient’s bite and can usually be placed in as little as one or two dental visits. With proper cleaning and regular dental check-ups, crowns and bridges can last many years, or even a lifetime.

Frequently Asked Questions

Is a crown or bridge right for me?

If you have a tooth that is damaged or decayed, but still intact, a dental crown may be right for you. If your tooth is missing, but its former position is surrounded by other tooth structures, a bridge may be the solution for you. Schedule a consultation to determine whether you could benefit from crowns or bridges.

What should I expect when I have my crown or bridge placed?

If you are a candidate for a crown or bridge, your teeth will be prepared to ensure a proper fit. An impression will then be taken of your bite and used to fabricate the crown or bridge. If you are choosing porcelain restorations, its color will be matched to the natural shade of your other teeth. If a dental lab is making your crown or bridge, you may be fitted with a temporary restoration until the permanent one is ready for placement.

Do I need to follow any post-treatment care guidelines?

Your teeth will need time to heal following the crown and bridge placement process, so it is normal for you to experience some sensitivity – especially to hot and cold. Additionally, you may experience soreness in the gums surrounding your restorations, though this is usually manageable with ibuprofen and should subside within a few days.

Inlays and onlays are dental restorations that are more extensive than dental fillings but less than caps and crowns. They are typically formed in a dental lab and are made of gold, porcelain or resin depending on the patient’s needs and aesthetic goals. An inlay refers to a restoration that is formed to fit the center of a tooth, whereas an onlay refers to a restoration that encompasses at least, one cusp of the tooth. Both inlays and onlays are bonded to the surface of damaged teeth and matched to the color of the surrounding teeth.

Did you know…

that inlays and onlays can serve as alternative treatments to dental crowns when you have a broken or damaged tooth? When fillings are not enough to adequately repair a tooth, an inlay or onlay can be custom-created to fit securely onto the tooth’s surface. Depending on the materials used, the restoration can be created to appear natural and will have the same function as a tooth. Inlays and onlays have extremely high success rates and because they are custom made for each patient, and many last longer than traditional fillings.

Frequently Asked Questions

Am I a candidate for an inlay or onlay?

You could be a candidate for an inlay or onlay if you have moderate tooth damage or decay and are in search of an alternative restoration option to a crown or cap. Schedule a dental consultation to find out if an inlay or onlay is right for you.

What should I expect when I get my inlay or onlay restoration?

Your inlay or onlay restoration will be completed over two dental visits. First, your tooth will be prepared for treatment, and an impression will be taken to serve as a mold for your new restoration. You may be fitted with a temporary restoration while your permanent inlay or onlay is fabricated. Once completed, you will return to have the temporary restoration removed and the permanent one bonded to the surface of the teeth.

Do I need to follow any post-treatment care guidelines?

Special care needs to be given to your teeth while temporary restorations are in place. It is important to avoid sticky or hard foods that could cause significant damage to temporaries. Once you receive your permanent inlay or onlay, you can resume normal eating, brushing and flossing habits.

Dental implants are metal devices that are surgically inserted into the jawbone in order to replace one or more missing teeth. Normally, dental implants support a dental prosthesis such as a crown, bridge, removable dentures but sometimes they may act as an orthodontic anchor (in order to align and straighten teeth).

First, a procedure is required to place the dental implant inside the jawbone. The basis for modern dental implants is a biologic process called osseointegration where materials, such as titanium, form an intimate bond to bone. A variable amount of healing time is required for osseointegration (3 to 6 months).

After the healing time, an abutment is attached to the implant. The abutment will hold the dental prosthesis (crown, bridge, removable denture).

Why is it so important to replace missing teeth?

Following tooth loss, several toothless spaces appear inside the oral cavity. These are called edentulous spaces or toothless gaps.

If toothless gaps are not rehabilitated in time (with a dental restoration), irreversible changes may take place around these areas with an adverse effect on oral health.


After teeth extractions, it is essential to restore the toothless gaps as soon as possible. Dental implants offer superior therapeutic solutions compared to traditional restorations (bridges or removable dentures supported by natural teeth).

All-on-4 implants are revolutionizing the way dentists replace missing teeth. For years, patients have been choosing dental implants as permanent tooth replacement. However, instead of placing as many as 8 implants into each arch for traditional dental prosthetics, all-on-4 implant therapy makes it possible to secure all of the teeth to just four dental implants. Unlike traditional implants, all-on-4 implants are placed at an angle, which increases their strength and allows them to better support multiple restorations. The benefits of all-on-4 are significant, including a faster single-visit implant placement process that is minimally invasive and usually prevents the need for bone grafting.

Did you know…

that all-on-4 dental implants are placed while you are fully sedated? That means that you will have little or no memory of the procedure; and because there are fewer implants, you are also likely to experience an easier recovery period. When you choose all-on-4 implants to replace your missing or damaged teeth, you will gain a permanent, non-removable dental solution that looks and functions like real teeth. In many cases, all-on-4 implants can last for several decades.

Frequently Asked Questions

Am I a candidate for all-on-4 implants?

You may be a candidate for all-on-4 dental implants if all or nearly all of your teeth are missing or badly damaged. Implants placed early after tooth loss can help prevent bone shrinkage and also reduces the need for bone grafting. To find out more about all-on-4 dental implants, schedule a consultation with us.

What should I expect if I get all-on-4 dental implants?

Your damaged teeth will be removed to make room for your new implants. A minimum of four implants will be strategically placed into the supporting bone beneath your gums. The gums will be closed to allow the implants time to fuse with the bone and heal. Several months later, you will return to have your dental prosthetic secured to the implants where it will remain permanently.

Will I need to follow any special care instructions after I get all-on-4 implants?

Dental implants have a very high success rate, but there are some special care instructions you will need to follow after having them placed. It is normal to experience some pain and swelling after your procedure. You may treat discomfort with over the counter medications or prescribed medications by your dentist. You will also be given a special list of instructions to follow for the first week or two.

Grinding and Wear

Teeth grinding can be caused by stress and anxiety, and often occurs during the REM stage of sleep. It is more likely caused by an abnormal bite or missing or crooked teeth. 

The tooth to tooth pressure from clenching and grinding can cause cracks or micro fractures in the teeth. This can lead to tooth sensitivity. As the tooth enamel is worn away, the underlying layer of dentin may be exposed. This causes the tooth to become sensitive to temperature changes and pressure. 

Regular dental checkups are important to detect damage in the early stages. We can diagnose and treat irregular wear on teeth and determine the source of facial pain that may result from bruxism. Give our office a call to schedule your appointment for an evaluation. 

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