Management of TMD


At your first appointment, a thorough assessment will be carried out and we will discuss your condition and treatment options. Recommended treatment is subject to change or modification. Everyone has a different healing response.

The first phase of treatment is diagnostic as well as palliative and may include the wear of a comfortable intraoral appliance on a full or part time basis, which reduces tension of the joints and muscles and allows healing of these structures.

TMD encompasses many different disorders and accordingly treatment varies depending on each situation.

Physical modalities such as physiotherapy, laser therapy, infrared treatments, trigger point injections, and ultra low frequency TENS therapy may be incorporated into your care.

You are also an important contributor to your treatment outcome, as home exercises and behavior and stress management play a significant role in healing.

We also offer sphenopalatine block for headache and Nucalm to relax your brain and body.

Problems with your jaw and the muscles in your face that control it are known as temporomandibular disorders (TMD). But you may hear it wrongly called TMJ, after the joint.

To thoroughly assess your jaw muscles and determine the optimal healing position of your orthopedic appliance, Dr. Cope measures muscle activity (surface electromyography), and jaw movements. In combination with a thorough history and detailed clinical examination, this technique provides objective, documentable, valid, and reproducible information about the functional status of your jaw muscles. She also utilizes T-scan to objectively assess your bite. For more information about physiologic dentistry visit

In a small percentage of cases phase II therapy, such as orthodontics, a long term appliance, or restorative dentistry, is required to modify your bite and place your jaw in a comfortable and physiologic position. Surgical treatments are rarely needed. Not everyone can experience complete recovery, but most can expect significant improvement and a better quality of life

We believe in long-term management of your jaw health. A yearly assessment of your jaw function as well as your appliance will help you remain in a stable condition.

The SphenoCath® Solution

We offer SphenoCath®, a simple and effective procedure to provide patients with immediate and long-term relief from their symptoms. The SphenoCath® device and procedure differs from conventional headache prescription medications, because we treat the pain right at its source with a quick, relatively painless, and minimally invasive SPG/PPG/ Trigeminal blocking technique.

For more information please visit their website at


NuCalm is clinically proven to naturally relax the brain and body within minutes, without drugs. This patented technology addresses the brain circuitry in the limbic system, the hypothalamus and the brainstem responsible for activating the stress response. NuCalm works specifically on the body’s inhibitory system, the GABAergic system.

For more information please visit their website at

Do you experience any symptoms of TMD?

Please feel free to contact our office for a consultation…