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Temporomandibular Disorder TMD


We welcome patients to Queensway for the assessment and treatment of Temporomandibular disorder (TMD). You may wish to self-refer yourself to Queensway or you can speak to your own general dental practitioner, doctor or chiropractor who will make a referral.

TMD is a problem affecting the 'chewing' muscles and the joints between the lower jaw and the base of the skull and is caused by an imbalance in the bite.

Treatment options 

The Kois deprogrammer is used as a diagnostic tool to assess where the jaw joint and muscles are most comfortable.

You will be given an appliance that after 2-4 weeks wear will allow the bite to adjust into its new 'correct' position. Our Kois-trained dentists are then able to assess where the jaw 'sits best' by analysing the bite position that works best for the muscles, jaw joints and teeth. 

Once the dentist has established this information, they can look at treatment diagnostics for keeping the bite in its new comfortable position. This could involve fine-tuning the old bite or in some cases building a new 'custom' bite. 

When all options have been considered, you will be kept informed every step of the way before proceeding with the best treatment for you. 

If you think you are suffering with problems caused by TMD we can offer you a free consultation. At this appointment we will examine your bite thoroughly and start to diagnose the problem.


Symptoms include:

  • clicking, popping or grating noises as you chew or move your mouth
  • muscle pain around the jaw
  • pain in front of the ear that may spread to the cheek, ear and temple
  • difficulty opening the mouth - the jaw may feel tight, as if it is stuck, making eating difficult
  • headache or migraine
  • earache or a "buzzing" or blocked sensation in the ear
  • pain in other areas of the body - such as neck ache or back ache

Possible causes of TMD include:

  • clenching your jaw or grinding your teeth during sleep (bruxism) - which overworks the jaw muscles and puts pressure on the joint (often caused by stress)
  • wear and tear of the inside of the jaw joint - usually caused by osteoarthritis injury to the jaw joint - for example, after a blow to the face or surgery
  • stress - some people may inherit increased sensitivity to pain or stress
  • uneven bite - for example, when new fillings, dental crowns or dentures are fitted


"My chiropractor referred me to Dr Ian Lane at Queensway Dental Clinic as I have suffered for a long time with TMJ and had restricted movement in my jaw with lots of clicking going on. Dr lane examined me and told me he could certainly help me and recommended The Kois Deprogrammer. I had to wear this for at least 3 weeks before I went back to Dr Lane. Well the results were great I could open my mouth properly and the clicking had stopped I just wanted to wear it all the time but unfortunately that's not the idea if it. I now wear a hard acrylic splint at night on my teeth which has also helped. The service I received from Dr Lane and Queensway was great from start to finish, I cannot thank them enough for sorting my jaw out and having the feeling that somebody at last knows what they are doing. I would not hesitate to recommend Queensway Dental Clinic to family or friends it’s a brilliant service and place to go and everybody is so friendly."