Amisha V. Patel, DMDFremont Family Dentistry

Our approach

Gentlest effective care first

  1. Step 1

    Evaluate

    We assess your joint, muscles, bite, and wear patterns — and listen carefully to when and how the discomfort shows up.

  2. Step 2

    Calm the system

    Usually a custom night guard plus practical habit guidance — the gentle first-line steps most cases are given time to respond to.

  3. Step 3

    Reassess honestly

    We track how you're responding. If your case needs more than conservative care, we coordinate with trusted specialists.

Grinding and clenching are the most common drivers of jaw strain — our custom night guards are usually where relief starts.

Good to know

TMJ questions, answered

What is TMJ (or TMD)?

The TMJ is the temporomandibular joint — the hinge just in front of each ear that lets your jaw open, close, and slide. TMD (temporomandibular disorder) is the umbrella term for problems with that joint and its muscles: pain, clicking, locking, and tension. People commonly say 'TMJ' for both, and we'll know exactly what you mean.

What are common TMJ symptoms?

Jaw pain or tenderness, clicking or popping when you open, a jaw that feels tired or tight in the morning, headaches that start at the temples, ear discomfort without an ear infection, and difficulty opening wide. Many people also grind or clench at night without knowing it.

How is TMJ treated?

Most TMJ discomfort responds well to conservative care: a custom night guard to calm grinding and unload the joint, small habit changes (chewing evenly, softer foods during flare-ups, unclenching awareness), and adjusting any bite interference. Dr. Patel starts with the gentlest effective options; for complex or persistent cases, we coordinate with trusted specialists.

Will a night guard help my TMJ?

Often, yes — especially when grinding or clenching is part of the picture, which it frequently is. A custom guard reduces the force reaching the joint and muscles overnight. It's usually the first step, and we'll be honest with you about whether it's helping.