About TMJ Therapy
The temporomandibular joint (TMJ) is the place where your jaw attaches to your skull to enable you to open and close your jaw smoothly. Sometimes the joint is damaged or injured, leading to a debilitating condition known as temporomandibular joint disorder or dysfunction (TMD). If you're having pain or hearing sounds whenever you open your jaw, then schedule an appointment with Dr. Patrick Yoshikane to see if you have TMD. At his private practice, Patrick Yoshikane, D.D.S. in Orange, CA, Dr. Yoshikane utilizes the Tekscan occlusal analysis system to diagnose TMD, using the information provided to create a treatment plan that relieves painful symptoms. Your treatment will be dependent on the cause of your TMD and your particular condition, but a few choices are oral appliances (night or mouth guards), bite adjustment, dental restorations, and more.
TMJ Therapy Reviews
"Best dentist I have EVER been to! Amazing bed side manner. Dr. Yoshikane always takes time to address and fix the problem and you are having! I used to hate getting cavity filled but after my experience yesterday I love it! I would rate him 10 stars if I could! I also have horrible TMJ and he fixed 80% of my pain in my jaw by simple evening out my back teeth! Absolutely love Dr. Yoshikane I would recommend him to anyone! Seriously Best dentist out there!"- B.S. / Yelp / Jun 23, 2015
"The dentist's dentist. When you want the highest standards of care, you should go to Dr. Yoshikane's office. Let me begin by prefacing my background. I am a practicing dentist who worked in Orange County for over 35 years and have since retired. All my life, I have suffered for TMJ problems resulting from severe bruxing and grinding. Recently, I had two crowns that were done 15 years ago that chipped. I was also experiencing increasing soreness in my facial muscles. I was referred to Dr. Yoshikane by a friend of mine. In coming to Dr. Yoshikane's office for the first time, I found his staff to be very nice and professional, as well as his office to be clean. He was able to find problems with the way my teeth function that no other dentist including myself have noticed before. With the replacement of a few crowns and a comprehensive bite adjustment, he was able to get rid of my muscle soreness completely. He is very compassionate and knowledgable. I would recommend him to anyone."- T.N. / Yelp / Nov 04, 2014
"The dentist’s dentist. When you want the highest standards of care, you should go to Dr. Yoshikane’s office. Let me begin by prefacing my background. I am a practicing dentist who worked in Orange County for over 35 years and have since retired. All my life, I have suffered for TMJ problems resulting from severe bruxing and grinding. Recently, I had two crowns that were done 15 years ago that chipped. I was also experiencing increasing soreness in my facial muscles. I was referred to Dr. Yoshikane by a friend of mine. In coming to Dr. Yoshikane’s office for the first time, I found his staff to be very nice and professional, as well as his office to be clean. He was able to find problems with the way my teeth function that no other dentist including myself have noticed before. With the replacement of a few crowns and a comprehensive bite adjustment, he was able to get rid of my muscle soreness completely. He is very compassionate and knowledgable. I would recommend him to anyone."- T.N. / Yelp / Nov 04, 2014
"I have lived my whole adult life with debilitating migraines. When these migraines became active, they caused auras and intolerable headaches which led to blurry vision, dizziness, nausea and chronic energy-draining neck and shoulder pain. I literally had to isolate myself in a quiet, dark room to lay still and prevent myself from vomiting.Then, I was referred by a friend who had similar migraines, to Dr Yoshikane. At this point, I was open to try anything that wouldn’t require drugs, with all of their side effects, for the rest of my life. With years of severe headache pain.. one may wonder about the possibility of having a brain tumor or neurological disorder. I was unsure if my teeth had anything to do with my migraines, but I had to give it a try.The drive to Dr Yoshikane’s office to seek care was 40 miles one way...this clearly was beyond my personal comfort zone...but my migraine pain was unbearable and continued to steal precious time that I could have spent with my family.After explaining my symptoms, Dr Yoshikane thoroughly examined my teeth while immediately explaining the importance of bite balance..andpointed out the relationship of extended of health issues that TMJ dysfunction creates. One of the most interesting facts which Dr Yoshikane pointed out, was why my porcelain cracked off my crowns.Dr Yoshikane explained the relationship of uneven bite contacts causing my muscle overload, debilitating headaches and the extension of chronic body pain. He recommended an extensive bite equilibration through careful grinding of my teeth with the assistance of a computer pressure sensor. Honestly, I was apprehensive about teeth grinding, but it was painless and he and his assistant made sure I was comfortable and at ease. After the bite adjustment..what an amazing experience! All of my teeth touched...completely synchronized!!! All at the same time, without my jaw having to jockey around to find my bite-something I have had to deal with for decades and became an automatic, subconscious habit of mine. I didn’t know that it could be corrected. No more biting the inside of my cheek when chewing! And the most amazing revelation-months later, I realized I hadn’t had a migraine since that day.Dr Yoshikane is experienced in TMJ pain disorders...diagnosing, treating and quickly accessing the situation. In treating me, he was very professional, and he considers my best interests first!Now I have to return to finish my implant crown! Yippee!"- Y.K. / Yelp / Aug 02, 2020
TMD may be caused by an injury to the jaw, years of teeth grinding (bruxism) and jaw clenching, or misalignment of the teeth (dental malocclusion). Other conditions that may cause TMD include arthritis or a tumor in the TMJ. Sometimes the cause of TMD is unclear, but if you're having symptoms, Dr. Yoshikane can diagnose and care for your TMJ. Some of the most typical signs of TMD are tenderness or pain at the temporomandibular joint, involuntary contractions in your face muscles, feeling like your jaw is rigid or stuck, and frequent headaches that begin in front of your ears. Another sign is hearing cracking, popping, or clicking when you move your jaw.
What To Expect
To diagnose TMD, Dr. Yoshikane will listen carefully to understand your concerns prior to using Tekscan occlusal analysis to evaluate both your jaw and your bite. Dr. Yoshikane will use Tekscan technology to search for signs of teeth grinding, jaw clenching, and misalignment of your teeth. He will palpate the jaw and lower face for any swelling and tenderness and may request to obtain digital images of your lower head along with an analysis of your bite to search for underlying factors that may determine your therapy approach. Depending on the examination, he will discuss your treatment choices that may incorporate a mouth guard, teeth straightening, or dental restorations (crowns, bridges, and dentures).
Along with treatments to solve the root cause of your TMD, Dr. Yoshikane may suggest different ways to relieve pain and other problems on your own. This may include eating softer foods, not biting your nails or chewing gum, applying heat to your jaw, and relaxation methods. Dr. Yoshikane may also show you exercises to strengthen your jaws or prescribe medication to relax your jaw muscles (and to relieve pain, nervousness, or even inflammation).
You should continue to go to follow-up appointments so Dr. Yoshikane can assess the results from your TMJ treatment. If your therapy isn't working, he might consider another strategy. As soon as your TMD is treated, you should continue to schedule yearly dental examinations at Patrick Yoshikane, D.D.S. to keep your mouth healthy.
Based on your dental insurance coverage, some of your costs may be paid. After talking to your insurance company, we can better calculate your out-of-pocket costs. At your consult, the team of Dr.Yoshikane can go over payment methods, along with financing, to help make your procedure affordable.
Advanced TMD Treatments
Pain in your temporomandibular joint (TMJ) can make it difficult to eat, talk, and enjoy your life. Since there are lots of potential causes, signs, and remedies to treat temporomandibular joint disorder (TMD), make an appointment with Dr. Patrick Yoshikane at his practice in Orange, CA. He will perform a detailed exam with Tekscan prior to making a diagnosis and talking about treatment choices. Get in touch with our staff at Patrick Yoshikane, D.D.S. to learn more and schedule your appointment.