Our TMJ and TMD Therapy Options are Something to Smile About

We Offer Neuromuscular Dentistry to Align Your Jaw and Relieve Your Chronic Pain

Are you among the 15 percent of Americans who suffer from some type of chronic facial or jaw pain? If so, you need a TMJ specialist.

Understanding TMJ and TMD

TMJ refers to temporomandibular joint disorder. The temporomandibular joints sit on each side of the head in front of the ears. These joints connect the jaw to the skull and help to make the movements necessary for talking and eating. You may have also heard this termed temporomandibular disorders TMD. This refers to multiple conditions affecting the temporomandibular joints. Like TMJ, it has as many possible causes as it does management options.

TMJ Services

If you suffer from the symptoms of TMJ, we can help diagnose the cause. We can also suggest possible TMJ treatment options to help you live pain-free.

Causes of TMJ

The temporomandibular joints and surrounding facial muscles perform complex movements. This joint is actually one of the most complicated in the body. For this reason, you can easily injure or inflame the TM joints.

Cartilage and small discs surround these joints. They work like shock absorbers to provide smooth movement, and there is no one definitive cause of dysfunction. However, several common things can happen. Sometimes, the discs slip out of alignment or begin to erode. Other times, the surrounding cartilage or muscle sustains damage. This causes the jaw joint to become at-risk and chronic pain may develop. The pain could be occasional, cyclical or constant. It can worsen over time if left untreated.

Many things can contribute to TMJ pain:

  • Jaw injuries
  • Arthritis
  • Whiplash
  • Bruxism (commonly called teeth grinding)
  • Misalignment of the teeth and jaw
  • Frequent heavy lifting
  • Stress

Often, it’s a combination of two or more of these things that lead to chronic symptoms. TMJ pain affects women more often than men, and the conditions are most common between the ages of 20-40.

TMJ Symptoms

You may be suffering from TMJ disorder if you frequently experience one or more of the following:

  • Pain in your jaw muscles and surrounding areas
  • Pain around your ears and facial muscles
  • Difficulty or discomfort while chewing or yawning
  • Locking jaw joints
  • Headaches
  • Neck and shoulder aches
  • Facial pain or swelling
  • Tinnitus (ringing in the ears)
  • Jaw tenderness
  • Jaw muscle stiffness
  • Grinding, clicking or popping noises when you open or close your mouth

Diagnosing and Treating TMJ

TMJ disorders present differently in each patient. There is no standard test for diagnosis. It’s important to have a dental professional diagnose TMJ, particularly one trained in neuromuscular dentistry like Dr. Perry. He will perform a comprehensive exam to rule out other health issues that could be contributing to or causing your symptoms. (For instance, many cases of sleep apnea are actually related to TMJ. Fibromyalgia is sometimes an underlying cause for TMJ symptoms, too.)

 

 

Dr. Perry’s comprehensive exam will allow him to get a full picture of how everything in your mouth is working. This includes your teeth, gums, muscles, bite and joints. He will also take your history. This means he will listen to anything you would like to relate about your pain and discomfort and how it affects you. This allows him to design the very best treatment plan for your individual needs.

TMJ Treatment Options

For most TMJ patients, the symptoms of TMJ will dissipate over time with self-care treatments and TMD therapy you can perform at home. These include:

  • Relaxation techniques
  • Physical therapy exercises to improve jaw motion
  • Moist heat to relax muscles
  • Cold packs to reduce swelling
  • Night guards to prevent teeth grinding
  • Anti inflammatory medications
  • Muscle relaxants

Rarely, in-office surgical treatments are necessary for fully relieved pain and discomfort. This occurs in cases of extreme TMJ distress. Surgical treatments include:

  • Dental implants to replace one or more missing teeth and stabilize the jaw
  • Open joint surgery, where the temporomandibular joint is repaired under general anesthesia

Surgical treatments for TMJ may lead to several days of pain and discomfort due to inflamed tissue. Opening your mouth and chewing may be difficult during this time. However, Dr. Perry is a TMJ specialist. His experienced staff works hard to keep you as comfortable as possible while you heal. As many current patients can attest, Dr. Perry takes a personal interest in each patient’s recovery. He often calls personally to check on patient progress.

Why Choose Dr. Perry?

At Ponte Vedra Family Dentistry, we believe in treating our patients like family. We are committed to providing patients in Ponte Vedra and Jacksonville Beach with exceptional health care. This includes access to all the information you need to determine your best treatment option for TMJ and TMD disorders.

Are you coping with chronic pain due to anxiety about dental treatment? Do simply you feel there is no hope? If so, Dr. Perry and his compassionate, highly-trained team of dental professionals can help. They will put you at ease and answer any questions you have.

You don’t need to suffer needlessly from TMJ disorders or temporomandibular joint disorder (TMD) pain. There ARE options for pain relief. Call our office today to schedule a consultation. You can begin your journey to the pain-free lifestyle you deserve.

 

Dr. Josh Perry

Meet Dr. Perry

Dr. Perry attended dental school at the University of Florida and went on to complete three additional years of specialty training in Prosthodontics.

Accreditations & Memberships
International Team for Implantology
Academy of Osseointegration
Florida Dental Association Icon Gray
American Academy of Cosmetic Dentistry
American College of Prosthodontists Icon

Patient Reviews

5-Star Rated Ponte Vedra Dentist
Susan Bradshaw
Susan B.
11:23 10 Aug 19
Every staff member passed the fabulous test!! Caring, compassionate, attentive, knowledgeable, professional and committed to a dental plan that was right for me.
Melissa Kirkland
Melissa K.
20:14 22 Jul 19
Dr. Perry and his staff are wonderful!! I've had everything from basic cleanings to major dental work done here and every experience has been fantastic. It's clear that my comfort is a top priority for them. Despite being young and having good dental hygiene, my teeth have always been a problem, one issue after the other - mostly due to bad dental work from previous dentists. However, after working with Dr. Perry and his team the past few years i feel like i've finally gotten my teeth back to health and in tip top shape. He really is a great dentist. I also don't dread going to the dentist like I used to. The staff are SO warm and friendly. Cannot recommend PV Family Dentistry enough!
Melissa Kirkland
Melissa K.
20:14 22 Jul 19
Dr. Perry and his staff are wonderful!! I've had everything from basic cleanings to major dental work done here and every experience has been fantastic. It's clear that my comfort is a top priority for them. Despite being young and having good dental hygiene, my teeth have always been a problem, one issue after the other - mostly due to bad dental work from previous dentists. However, after working with Dr. Perry and his team the past few years i feel like i've finally gotten my teeth back to health and in tip top shape. He really is a great dentist. I also don't dread going to the dentist like I used to. The staff are SO warm and friendly. Cannot recommend PV Family Dentistry enough!
Robert Claypoole
Robert C.
16:22 22 Jul 19
Excellent staff. Monica was very professional and caring. Dr. Perry was also very helpful re my current problems.
Robert Claypoole
Robert C.
19:02 26 Jun 19
Excellent staff. Monica was very professional and caring. Dr. Perry was also very helpful re my current problems.
Scott Bishop
Scott B.
22:43 18 Jun 19
Went to see Dr Perry after I was not satisfied with a filling by another dentist. After that filling I needed a root canal and in turn needed a crown. The main reason I came to this practice is that Dr Perry is also a prosthadontist ( basically the experts in cosmetics like crowns). The entire staff is beyond polite and friendly!! Kristie, Dr Perry’s assistant saw me both for the temporary and permanent crown appointments and was integral in the process. Kristie was extremely skilled and awesomely friendly! Dr Perry is a master at his craft and made sure my permanent crown felt and looked amazing! Great guy indeed!! He had wonderful bedside manner and is incredibly knowledgeable. I would recommend his practice to anyone looking for superb care!
Scott Bishop
Scott B.
22:43 18 Jun 19
Went to see Dr Perry after I was not satisfied with a filling by another dentist. After that filling I needed a root canal and in turn needed a crown. The main reason I came to this practice is that Dr Perry is also a prosthadontist ( basically the experts in cosmetics like crowns). The entire staff is beyond polite and friendly!! Kristie, Dr Perry’s assistant saw me both for the temporary and permanent crown appointments and was integral in the process. Kristie was extremely skilled and awesomely friendly! Dr Perry is a master at his craft and made sure my permanent crown felt and looked amazing! Great guy indeed!! He had wonderful bedside manner and is incredibly knowledgeable. I would recommend his practice to anyone looking for superb care!
Dave Oczypok
Dave O.
18:22 13 Jun 19
Another OUTSTANDING experience at my Dentist office! Ponte Vedra Family Dentistry is by far the very BEST dentist office in Ponte Vedra and the Jacksonville, FL area! You must go there! I give them my HIGHEST RECOMMENDATION as everyone and everything is fantastic!! The professional office staff is superb, welcoming, attentive, helpful and accommodating to your needs. The hygienists, especially Morgan, who by the way is an artist with the teeth cleaning water pick and has a very light yet effective touch polishing, etc., are pros and will make your pearly whites feel exceptional! Dr. Perry is top-notch, caring and extremely knowledgeable, taking time to explain anything needed to ensure you fully understand and are confident about a suggestion or recommendation he offers. I am extremely satisfied, so much so, that I have been promoting Ponte Vedra Family Dentistry to my family and friends, even if they don’t need a new dentist office. . . 6 stars out of 5…trust me!! I actually look forward to going to this dentist office!! Thank you, Dr. Perry and team!!!
Jeanne Ariav
Jeanne A.
17:59 23 Apr 19
Dr Perry and his staff at Ponte Vedra Family Dentistry are fantastic. Scheduling is a breeze, appointments are ontime and Dr Perry is a perfectionist. Dr Perry took the time at my most recent visit to listen and advise regarding some other medical issues that came up between visits with some good advice moving forward. He always calls the evening after a procedure to check if everything is ok.
Haim Ariav
Haim A.
21:45 22 Apr 19
Great service and care! The staff is amazing and very attentive with great follow-up by Dr. Perry afterwards.
James Bradshaw
James B.
21:23 19 Apr 19
What a great office, all the folks here ready do a wonderful job. I'm difficult with my schedule and they certainly helped me in that regard.
Ashley Schmitt
Ashley S.
11:05 20 Jul 17
Ponte Vedra Family Dentistry is by far the best dentist in town!! I was not a patient of Ponte Vedra Family Dentistry (I didn't have a dentist in town as I have only been living here a short while), but I was heavily pregnant and my tooth broke (not just chipped, but half of my tooth broke off). I called Ponte Vedra Family Dentistry and within a few hours I had an appointment with Dr. Perry, I was completely surprised that I would be able to get an appointment that quickly, especially considering I was a new patient. The ladies I spoke with on the phone/at the Front Desk were unbelievably friendly, accomodating and helpful. Tammy, who works very closely with Dr. Perry took great care of me and made sure I was comfortable and had everything I needed. Dr. Perry is a true professional, he is extremely good at what he does and he runs a fine practice!!! When I met Dr. Perry he was very down to earth, he was caring and explained the different options and procedure to me (as I was heavily pregnant I couldn't have x-rays or certain anesthesia). Throughout the process he made sure I understood what he was doing and that it was safe for me. Dr Perry's wife was pregnant at the time and he said to me "I wouldn't do/recommend anything to you that I wouldn't to my wife" which was very reassuring. As my tooth broke off so low to the gum/nerve Dr. Perry recommended having a root canal to prevent any pain, I literally went straight from Ponte Vedra Family Dentistry to see the specialist who performed the root canal, talk about being efficient and knowing the right people!! I could not have been happier with Dr Perry's recommendation, they did a great job and I came back the next day to have the temporary crown fitted. Dr Perry advised that I should have crown lengthening done before he fitted the permanent crown (as the tooth broke off so close to the gum), so we decided it would be best to wait until after I had my baby. After my baby I had the crown lengthening done and again was extremely pleased with Dr. Perry's specialist recommendation. After my gums healed I had the permanent crown fitted and it feels like my tooth never broke as Dr. Perry did an unbelievably good job!! Needless to say I have been promoting Ponte Vedra Family Dentistry to all of my friends when they say they need a dentist. I could not have been happier with my experience, thank you Dr. Perry and team!!!
Darla March
Darla M.
13:12 19 Jul 17
I love coming here despite gum sensitivity and not-a-fan of dental work. I have been a patient at Ponte Vedra Family Dentistry since we moved here in 2012. I was sad to lose Dr. Banga and was very concerned about a new dentist. I see the wisdom in Dr. Banga's wife selling the practice to Drs. Susi and Josh Perry. I highly recommend this practice to the entire family. Dr. Susi Perry (aka Dr. Susi) is fantastic with kids and young adults. Dr. Josh Perry is an expert in adult and geriatric dental care. My grandfather complained about his dentures for ten years until Dr. Perry and his staff were able to line them and heal the remaining bone and tissue. Years of pain, frustration and difficulty eating were remedied in three visits. The front office staff, hygienists and assistants are professional, proficient and kind. They treat us like family. They helped get my grandparents in/out of the car; work with us for appointments; file all the insurance claims; and, provide a gentle touch in cleanings and care. I recommend this dentist to those new to the area; and, anyone looking for a comprehensive dental office.
James Carlin
James C.
21:46 02 Mar 17
It just doesn't get any better than this team. I am having a smile changing procedure. I have never, ever been happy with my teeth. I am so at ease with all the steps of this. I am looking forward to next stage of life with a smile I can be confident about
Greta Saari Mayhugh
Greta Saari M.
12:59 30 Sep 16
Seriously the best dentist and people that work there... I'm so sad to have to move away... :( love them all!
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