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General Dentistry

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney


Specialist Services

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney


Children Dentistry

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney


Specialist Prosthodontist & Implant Surgeon

Dr. Sarkis Nalbandian

Registered Specialist, Prosthodontist & Implant Surgeon In Sydney

TMD (Temporomandibular Dysfunction/Disorder)

Temporomandibular Joint Dysfunction (TMD)

This means it is a disorder of jaw joint and muscle pain. However, in a universal wholistic approach is part of the group of musculoskeletal and neuromuscular disorders. Therefore, a careful assessment by a specialist is mandatory to reduce pain intensity and allow healing. The concept of low tech and high prudence approach is critical since:

  • Aetiology and pathophysiology of the disorders are poorly understood
  • Most patients with TMD can be efficaciously managed at a primary level
  • No single treatment has been shown to exhibit superior efficacy in long term trials

So, when your dentist says they can fix your “TMJ” using special plate, or magical solutions – it’s not true! Get a second opinion. There are too many salespeople out there and frankly I find it’s disheartening to see unfortunate patients presenting with unnecessary treatments with ridiculous costs to “fix their TMJ”.

As a specialist, I educate our patients how to manage their condition and, in many ways, we get a reduction of pain and discomfort so our patients can resume their normal quality of life. If the pain persists for more than 30 days it can become chromic and more difficult to treat. It can also amplify in intensity and spread. The aim is therefore to act quickly, reduce pain to manageable levels and make you, the patient, become your own doctor! Reducing costs using simple home maintenance regiments.

Treatment of TMD involves not only physical assessment but also, if you are stressed and have high anxiety, we need to reduce your stress levels so healing can occur at physical and emotional level. Therefore, treatment may be multimodal in nature where consultation with medical colleague may be required, or even simple counselling. Reducing your stress level (whatever it may be) allows reduction in microtrauma in muscles, nerves and joints to allow healing.

Referred pain: this can be referred to orofacial region, or from the orofacial region to other parts of the body such as neck pain, jaw pain or tension headaches.

The limitation of jaw opening and clicking with, or without associate pain requires careful assessment. Therefore, you need a specialist consultation. If jaw pain is disturbing your sleep, interfering with daily life – such as making it difficult to eat or concentrate, giving you aches and pains in other parts of your body and generally making life a misery, you could have a TMD disorder.

The temporomandibular joint (TMJ) is like a hinge that joins the jawbone to the skull and should slide smoothly when the mouth opens and shuts. There are a number of reasons painful TM Joint movement disorder can occur, including injury, arthritis, clenching or grinding your teeth (bruxism) or wear and tear on the joint. Sometimes there’s no obvious reason.

Step 1

Do you have a TMD disorder?

You might have a TMD disorder if you are concerned by:

  • Pain in your face, jaw, neck or around your ear.
  • Pain in your upper back, frequent headaches, even migraines.
  • Stiffness or tenderness in your jaw muscles.
  • Limited movement or a “locking” of your jaw.
  • Clicking, popping or grating noises in your jaw joint when opening or closing your mouth.
  • A change in the way your upper and lower teeth fit together.
  • Difficulty chewing, which may even restrict the foods you can eat.

As a result, TMD can interfere with your daily activities and your ability to concentrate on the important things you have to do.

Step 2

How we can help and help you to manage your TMD disorder (TM joint and muscle pain)

Jaw joint treatments are usually very simple but you might need to make a few visits. When you call us, we will explain that treating TM Joint and muscle pain generally involves a review of your jaw muscles and joints and an easy home-care management program.

We might also recommend short-term medication, a mouth plate, physiotherapy, counselling or extra images of your jaw joints. Call us or fill in the form and find out how we can ease your TMD pain and change your life.

When you call us at Designer Smiles, in Cremorne on Sydney’s lower North Shore, we immediately begin to assess your concerns by specialist prosthodontist Dr Sarkis Nalbandian and his team.

Thank you for taking the time to explore this patient’s story. I hope this gives you an idea of what I can do for you if you are having difficulty and need help, because there is always hope.

Dr Sarkis Nalbandian

Dr. Sarkis Nalbandian

Visiting Professor YSMU
Specialist Prosthodontist & Implant Surgeon
B.D.S.(Hons), Dip. Clin. Dent. (Oral Implants), Uni. Syd.,
M. Clin. Dent. (Prosth) King’s College, Uni.London.,
D. Clin. Dent. (Prosth), Uni. Syd.,