Why does my jaw make noise?

One of the first signs of TMJ problems is a noise when opening or closing the mouth. The noise can happen all the time or sporadically. In some people the noise is very quiet and hard to hear, in others it is loud enough to hear across the dinner table. The reason the jaw is making noise is that the ligament between two bones is dislocating and popping on or off the jawbone. This is not normal or healthy.

Do TMJ problems hurt?

TMJ problems occasionally are associates with severe pain, but more than not, pain is a late effect. This means pain is not a predictable way to screen people for TMJ disorders. In most TMJ issues the bodies’ temporomandibular joint is resilient to the pain that people would expect when the bones and ligaments are being torn apart. Pain can occur in the joint space itself and in the muscles, that control the movement of the jaw and head and neck. Pain can come in the form of sharp shooting pains when opening and or closing and pain can also come in the form of dull unending ache in the muscle. It is not unusual to mistake TMJ pain for headaches and earaches.

Why is my jaw stuck or locked?

The jaw can occasionally become stuck or locked when the ligament dislocates between two bones completely blocking the jaw from closing again or opening to its full range. Another cause of a lock is when the muscles that control the movement of the jaw spasm to such an extent as to prevent full range of motion. Both situations are bad and very dangerous if left untreated. TMJ disorders are progressive in nature, which means small problems will turn into bigger problems without treatment.

How do you diagnose TMJ problems?

TMJ disorders are diagnosed by the use of physical examination, range of motion, joint sounds/vibrations, joint hard tissue images, patient history and interview and in some cases, sleep diagnostics and hospital based soft tissue diagnostics. Prior to any treatment suggestions a diagnosis of your condition will be made.

My dentist took x-rays can we use them?

Routine dental x-rays such as a panoramic x-ray can give hints about what might be going on in the joint space, but alone are not diagnostic for the condition of the bones associated with the jaw joint. It will frequently be necessary to obtain a 3D image of the joint through the use of a technology not typically found in a dental office. This image is called a CBCT scan or Cone Beam. You may be referred to a diagnostic imaging center to have this completed.

Are grinding/clenching related to TMJ issues?

Often, the action of clenching and or grinding of teeth can have a negative effect on the jaw joint. The jaw works best when plenty of lubrication is present. The act of clenching and grinding teeth puts stress on the joint space and causes a decrease in the quality of the lubrication.

Will drugs help?

Drugs can play an important role in the treatment of your TMJ issues. Drugs only will be used to improve the outcomes of more definitive treatments and therapies. Drugs alone cannot solve your TMJ issues. It may be necessary to prescribe analgesics, corticosteroid, muscle relaxants, anti-anxiety drugs, antidepressants, or local anesthetics.

Why and when are sleep studies recommended in TMJ situations?

It has been reported that greater than 60% of patients with TMJ issues suffer from Obstructive Sleep Apnea (OSA). OSA can only be diagnosed through the use of sleep study that is read and interpreted by a sleep physician. OSA has many presentations that can affect the mouth, the tongue, the teeth and the jaw joint. Because such a high correlation exists between the two disorders and the severity of consequences of living with undiagnosed sleep apnea it may be suggested during the course of TMJ therapy that a sleep study be obtained. One of the hallmark maintenance therapies for TMJ is a nighttime appliance. This appliance can cause patients with sleep apnea to double the severity of their sleep apnea, if not made to control sleep apnea.

Could my headache be a result of my TMJ issue?

It depends on the type of headache. Headaches are complicated and deserve to be evaluated carefully by a medical doctor. Headaches may result from issues within the skull, outside of the skull, the spine, blood pressure, medication and many other causes. We can never guarantee that TMJ appliances will solve headache issues, but we have found that frequently headache occurrence improves with therapy.

What might happen if I do nothing?

Unfortunately, the future is worse than the present. TMJ issues are progressive; they continue to get worse over time. The progression usually follows this pathway. Short term sharp pains, jaw inflammation resulting in muscle tenderness, jaw joint noises, limited range of motion and locking of jaw, changes in the bony makeup if the jaw joint, wear and destruction of teeth, loss of a portion of jaw joint resulting in a permanent change in the bite and ability to chew.

How do I find out if I have sleep apnea?

Sleep Apnea cannot be diagnosed from symptoms alone. There are only two ways to determine if you have sleep apnea. One is called a PSG which is an overnight visit to a facility that is designed to monitor all facets of sleep. The other is a home sleep study where you sleep with a monitor in the comfort of your own bed. Both options are good at detecting sleep apnea and with both tests, a boarded sleep physician will read and interpret the raw data collected by the sleep study. The at home sleep study is much less expensive to administer than the in-lab sleep study but sometimes can under diagnose the occurrence of sleep apnea. It is occasionally recommended that if you have severe symptoms and get a negative reading from a home sleep test that your test is followed up with an in-lab sleep study.

What is the difference between mild, moderate and severe sleep apnea?

The American Academy of Sleep Medicine has created 3 classifications of obstructive sleep apnea. The difference between the classification center around the number of times you stop breathing in an hour of sleep. Mild is equal to 5-15 events per hour, moderate is 16-30 events, and severe being greater than 30. Obstructive sleep apnea is a progressive disorder; without treatment, it will get worse over time.

Will I stop snoring?

It depends. We will be able to run some simple tests to determine the amount of advancement required to prevent snoring. On occasion, it takes a period of time to adjust your appliance to the best possible position; one where you will wake feeling rested, minimize snoring noise and allow you a comfortable night’s sleep. We will do everything in our power to help you get into this position.

How will I know if the treatment really works?

We do not completely rely on how you feel to determine if the appliance is working. We expect that you will feel more refreshed and have more energy, but we will also validate our treatment with the use of a follow-up sleep study. It may require us to repeat this test until we get the results that we anticipate. We may also use technology such as a cone beam x-ray to evaluate the increase in the lower airway.

How long will it take to feel more rested?

Generally, your subjective symptoms will improve within 30-60 days. We work with you to ensure that this happens as quickly as possible.

How long does an appliance last?

Nothing lasts forever. Your appliance is going to be used every night for 6-8 hours. We anticipate that your appliance will need to be replaces in 5-7 years. This could be sooner in people who are heavy bruxers and clenchers or those who do not take care of their appliance.

Will my insurance pay for this?

If you obtain a diagnosis of obstructive sleep apnea, your insurance company should pay for your care. Obstructive Sleep Apnea is a medical condition treated with a dental device. Because it is a medical condition, only medical insurance will provide coverage. It is also subject to your annual medical insurance deductible. If you have met your deductible, they will generally cover more of the expenses. If you have not, your payment will apply to your deductible for other services you may need this year.

Is an appliance the only treatment that I will need?

It depends. CPAP is the gold standard of treating obstructive sleep apnea, and its effectiveness should never be undervalued. The goal of treatment should always be to render the least invasive, least expensive treatment that is both effective and lends itself to patient compliance. Sometimes, an oral appliance does not meet these goals. When it does not, we will actively support your in obtaining other effective therapies. Both CPAP and oral appliances work by helping air get to your lungs. Occasionally, we will discover that the air is having difficulty in making the journey because of physical barriers in the pathway that CPAP and oral appliances are unable to help. In these situations, we will work with the appropriate physician to create a plan that gets you the best possible outcome.

What are the risks of treatment?

Because you will be seeing a dentist with advanced training in treating sleep apnea, we can assure you that every possible precaution will be made to prevent any possible harm to your occlusion (the way your teeth come together) and your TMJ. But despite all care, it is possible to have some consequences in these areas.

What are the risks of not treating sleep apnea?

Obstructive Sleep Apnea steals far more than sleep, it steals life. Few diseases have more consequences on your longevity and quality of life than sleep apnea. Of course, it is impossible to know for sure, but heart attack, stroke, type 2 diabetes, automobile accidents, poor performance at work, fatigue and negative social interactions are among the most common and problematic risks.

Why do I need a Home Sleep Test?

Home Sleep Tests are commonly used by physicians to diagnose sleep breathing disorders such as Obstructive Sleep Apnea. Our patients have already been diagnosed with OSA during their Data Appointment which is why we use them mid-treatment to check the efficacy of our therapy.

What is included in the MediByte® Kit and what are their purposes?

The MediByte® Recorder is equivalent to the quality of a sleep laboratory in the palm of the patients’ hand. The recorder contains sensors for body position, pulse oximetry, and a pressure transducer. Each sensor includes the same high-quality and reliable biosensors that are used in a sleep laboratory. These sensors monitor airflow, respiratory effort, and blood oxygenation. There are 5 connectors and each are unique and connect differently to simplify the hook-up process. Each connector locks into place causing sensor data to be continuously captured. A snore microphone records every single snore and will offer precise audio playback for your sleep physician. When played back, it sounds as if you were in the room during the patient’s snoring.

Can I use this with my CPAP device?

The MediByte® Home Sleep Test is compatible with any CPAP device. The MediByte® connects to any CPAP device in the industry with the standard luer connector. When the study is completed, software will show important information from airflow as well as a concise breakdown of study parameters for the sleep physician to review.

TMD/Craniofacial Pain - FAQ
Why does my jaw make noise?

One of the first signs of TMJ problems is a noise when opening or closing the mouth. The noise can happen all the time or sporadically. In some people the noise is very quiet and hard to hear, in others it is loud enough to hear across the dinner table. The reason the jaw is making noise is that the ligament between two bones is dislocating and popping on or off the jawbone. This is not normal or healthy.

Do TMJ problems hurt?

TMJ problems occasionally are associates with severe pain, but more than not, pain is a late effect. This means pain is not a predictable way to screen people for TMJ disorders. In most TMJ issues the bodies’ temporomandibular joint is resilient to the pain that people would expect when the bones and ligaments are being torn apart. Pain can occur in the joint space itself and in the muscles, that control the movement of the jaw and head and neck. Pain can come in the form of sharp shooting pains when opening and or closing and pain can also come in the form of dull unending ache in the muscle. It is not unusual to mistake TMJ pain for headaches and earaches.

Why is my jaw stuck or locked?

The jaw can occasionally become stuck or locked when the ligament dislocates between two bones completely blocking the jaw from closing again or opening to its full range. Another cause of a lock is when the muscles that control the movement of the jaw spasm to such an extent as to prevent full range of motion. Both situations are bad and very dangerous if left untreated. TMJ disorders are progressive in nature, which means small problems will turn into bigger problems without treatment.

How do you diagnose TMJ problems?

TMJ disorders are diagnosed by the use of physical examination, range of motion, joint sounds/vibrations, joint hard tissue images, patient history and interview and in some cases, sleep diagnostics and hospital based soft tissue diagnostics. Prior to any treatment suggestions a diagnosis of your condition will be made.

My dentist took x-rays can we use them?

Routine dental x-rays such as a panoramic x-ray can give hints about what might be going on in the joint space, but alone are not diagnostic for the condition of the bones associated with the jaw joint. It will frequently be necessary to obtain a 3D image of the joint through the use of a technology not typically found in a dental office. This image is called a CBCT scan or Cone Beam. You may be referred to a diagnostic imaging center to have this completed.

Are grinding/clenching related to TMJ issues?

Often, the action of clenching and or grinding of teeth can have a negative effect on the jaw joint. The jaw works best when plenty of lubrication is present. The act of clenching and grinding teeth puts stress on the joint space and causes a decrease in the quality of the lubrication.

Will drugs help?

Drugs can play an important role in the treatment of your TMJ issues. Drugs only will be used to improve the outcomes of more definitive treatments and therapies. Drugs alone cannot solve your TMJ issues. It may be necessary to prescribe analgesics, corticosteroid, muscle relaxants, anti-anxiety drugs, antidepressants, or local anesthetics.

Why and when are sleep studies recommended in TMJ situations?

It has been reported that greater than 60% of patients with TMJ issues suffer from Obstructive Sleep Apnea (OSA). OSA can only be diagnosed through the use of sleep study that is read and interpreted by a sleep physician. OSA has many presentations that can affect the mouth, the tongue, the teeth and the jaw joint. Because such a high correlation exists between the two disorders and the severity of consequences of living with undiagnosed sleep apnea it may be suggested during the course of TMJ therapy that a sleep study be obtained. One of the hallmark maintenance therapies for TMJ is a nighttime appliance. This appliance can cause patients with sleep apnea to double the severity of their sleep apnea, if not made to control sleep apnea.

Could my headache be a result of my TMJ issue?

It depends on the type of headache. Headaches are complicated and deserve to be evaluated carefully by a medical doctor. Headaches may result from issues within the skull, outside of the skull, the spine, blood pressure, medication and many other causes. We can never guarantee that TMJ appliances will solve headache issues, but we have found that frequently headache occurrence improves with therapy.

What might happen if I do nothing?

Unfortunately, the future is worse than the present. TMJ issues are progressive; they continue to get worse over time. The progression usually follows this pathway. Short term sharp pains, jaw inflammation resulting in muscle tenderness, jaw joint noises, limited range of motion and locking of jaw, changes in the bony makeup if the jaw joint, wear and destruction of teeth, loss of a portion of jaw joint resulting in a permanent change in the bite and ability to chew.

Obstructive Sleep Apnea - FAQ
How do I find out if I have sleep apnea?

Sleep Apnea cannot be diagnosed from symptoms alone. There are only two ways to determine if you have sleep apnea. One is called a PSG which is an overnight visit to a facility that is designed to monitor all facets of sleep. The other is a home sleep study where you sleep with a monitor in the comfort of your own bed. Both options are good at detecting sleep apnea and with both tests, a boarded sleep physician will read and interpret the raw data collected by the sleep study. The at home sleep study is much less expensive to administer than the in-lab sleep study but sometimes can under diagnose the occurrence of sleep apnea. It is occasionally recommended that if you have severe symptoms and get a negative reading from a home sleep test that your test is followed up with an in-lab sleep study.

What is the difference between mild, moderate and severe sleep apnea?

The American Academy of Sleep Medicine has created 3 classifications of obstructive sleep apnea. The difference between the classification center around the number of times you stop breathing in an hour of sleep. Mild is equal to 5-15 events per hour, moderate is 16-30 events, and severe being greater than 30. Obstructive sleep apnea is a progressive disorder; without treatment, it will get worse over time.

Will I stop snoring?

It depends. We will be able to run some simple tests to determine the amount of advancement required to prevent snoring. On occasion, it takes a period of time to adjust your appliance to the best possible position; one where you will wake feeling rested, minimize snoring noise and allow you a comfortable night’s sleep. We will do everything in our power to help you get into this position.

How will I know if the treatment really works?

We do not completely rely on how you feel to determine if the appliance is working. We expect that you will feel more refreshed and have more energy, but we will also validate our treatment with the use of a follow-up sleep study. It may require us to repeat this test until we get the results that we anticipate. We may also use technology such as a cone beam x-ray to evaluate the increase in the lower airway.

How long will it take to feel more rested?

Generally, your subjective symptoms will improve within 30-60 days. We work with you to ensure that this happens as quickly as possible.

How long does an appliance last?

Nothing lasts forever. Your appliance is going to be used every night for 6-8 hours. We anticipate that your appliance will need to be replaces in 5-7 years. This could be sooner in people who are heavy bruxers and clenchers or those who do not take care of their appliance.

Will my insurance pay for this?

If you obtain a diagnosis of obstructive sleep apnea, your insurance company should pay for your care. Obstructive Sleep Apnea is a medical condition treated with a dental device. Because it is a medical condition, only medical insurance will provide coverage. It is also subject to your annual medical insurance deductible. If you have met your deductible, they will generally cover more of the expenses. If you have not, your payment will apply to your deductible for other services you may need this year.

Is an appliance the only treatment that I will need?

It depends. CPAP is the gold standard of treating obstructive sleep apnea, and its effectiveness should never be undervalued. The goal of treatment should always be to render the least invasive, least expensive treatment that is both effective and lends itself to patient compliance. Sometimes, an oral appliance does not meet these goals. When it does not, we will actively support your in obtaining other effective therapies. Both CPAP and oral appliances work by helping air get to your lungs. Occasionally, we will discover that the air is having difficulty in making the journey because of physical barriers in the pathway that CPAP and oral appliances are unable to help. In these situations, we will work with the appropriate physician to create a plan that gets you the best possible outcome.

What are the risks of treatment?

Because you will be seeing a dentist with advanced training in treating sleep apnea, we can assure you that every possible precaution will be made to prevent any possible harm to your occlusion (the way your teeth come together) and your TMJ. But despite all care, it is possible to have some consequences in these areas.

What are the risks of not treating sleep apnea?

Obstructive Sleep Apnea steals far more than sleep, it steals life. Few diseases have more consequences on your longevity and quality of life than sleep apnea. Of course, it is impossible to know for sure, but heart attack, stroke, type 2 diabetes, automobile accidents, poor performance at work, fatigue and negative social interactions are among the most common and problematic risks.

Home Sleep Test - FAQ
Why do I need a Home Sleep Test?

Home Sleep Tests are commonly used by physicians to diagnose sleep breathing disorders such as Obstructive Sleep Apnea. Our patients have already been diagnosed with OSA during their Data Appointment which is why we use them mid-treatment to check the efficacy of our therapy.

What is included in the MediByte® Kit and what are their purposes?

The MediByte® Recorder is equivalent to the quality of a sleep laboratory in the palm of the patients’ hand. The recorder contains sensors for body position, pulse oximetry, and a pressure transducer. Each sensor includes the same high-quality and reliable biosensors that are used in a sleep laboratory. These sensors monitor airflow, respiratory effort, and blood oxygenation. There are 5 connectors and each are unique and connect differently to simplify the hook-up process. Each connector locks into place causing sensor data to be continuously captured. A snore microphone records every single snore and will offer precise audio playback for your sleep physician. When played back, it sounds as if you were in the room during the patient’s snoring.

Can I use this with my CPAP device?

The MediByte® Home Sleep Test is compatible with any CPAP device. The MediByte® connects to any CPAP device in the industry with the standard luer connector. When the study is completed, software will show important information from airflow as well as a concise breakdown of study parameters for the sleep physician to review.

Let Us Help!

If jaw pain, facial pain, or sleep disorders plague you, let us help! The TMJ & Sleep Therapy Centre has a treatment that will provide relief. From laser therapy and physical therapy to airway pressure machines and orthotic appliances, we will find a way to help you live your best life.

For more information, please call 574-203-5599

PATIENT TESTIMONIALS

No one tells our story better than our patients. Click below to see the people whose lives have been changed by The TMJ & Sleep Therapy Centre.

Dr. Klauer is a mentor of mine. I have tremendous respect for him and his amazing team.
Steve Russell
Steve Russell
12:14 23 Mar 20
Amazing staff who validate you as a patient and treat you with the best professional care possible! Highly recommend!
Jessica Nicole
Jessica Nicole
16:04 19 Mar 20
Thanks to Dr Klauer & his staff are so awesome. I have been a patient since 2013 when Dr Klauer was the one who was able to tell me why I was in pain for my jaw and was able to relieve my pain.
Candy Larrew
Candy Larrew
17:17 06 Mar 20
Everyone at the office is so helpful and understanding. Anytime I’ve had any issues they have asked me when I can come in that same day. I’ve never had a doctor or staff work so hard at making sure I am getting the best care and as soon as possible. I highly recommend this office and tell everyone I can about my experience with them!
Heather Hahn
Heather Hahn
13:58 25 Feb 20
The staff members were very patient and friendly during my visits as we worked through the process of alleviating my jaw pain.
Rita Kemble
Rita Kemble
21:23 24 Feb 20
Absolutely fabulous facility!! Everyone at this practice truly cares!!! You take your time and answer every question and medical concerns regardless of the concern. Your office goes out of its way to contact other medical practices to work with you even though it has nothing to do with what you are being treated for at this Practice. Everyone is soooo Professional, nice as can be, so accommodating and always with a smile!!!! Pretty great place!!! Oh, and not to mention the results I’m already feeling is priceless!!!!
Sally Bridges Schiffer
Sally Bridges Schiffer
18:46 21 Feb 20
Great staff giving great and concerned care!
Patti Walz
Patti Walz
13:58 21 Feb 20
I will recommend anyone and everyone to see Dr. Klauer and staff for help and guidance with problems they may be experiencing. I have had jaw clicking for years which developed into jaw locking. I went in for my initial appt and I left the office feeling relieved with the easy and detailed explanations of my issues. My fears of the damage that may have done due to the length of time I had these issue were completely erased! With their detailed examination and the time they spent making sure all of my questions were answered was so welcomed! I have never experienced so much attention to detail about my care and concerns in any office before like I have with Dr. Klauer’s. His staff is amazing and I look forward to my check ups to see my progress and to say HI to my new friends! They are all incredible people and I am grateful to the Doctor and staff!
Ashley Smith
Ashley Smith
18:34 17 Feb 20
Dr. Klauer is amazing. He is knowledgeable and truly cares for you as a patient.
Stephen Gillum
Stephen Gillum
23:15 14 Feb 20
Dr. Klauer is not only informative and helpful, he is also so kind and gentle. He and Kelly made my experience so easy by explaining everything in detail and making me understand exactly what I needed to better my health.
Jamie Teibel
Jamie Teibel
17:15 13 Feb 20
Dr Thomas Harter wanted me to have a comfortable and pleasant experience as well as trying to help fix my years of grinding, clenching and damage to my teeth, mouth and jaw just to mention a few of the problems he is passionate about helping me fix. He and his partner as well as their staff really want you to be able to have a better quality of life and are going to do everything they are capable of to get you to that point. Dr Harter is very knowledgeable in TMJ, mouth, jaw and sleeping problems/apnea. His partner Dr Bo Sweeny has always been there for any dental problems I have ever encountered or dental pain/discomfort that I am dealing with and has been a good big brother/friend for a long time. I trust both Dr Harter and Dr Sweeny to make sure I am helped and fixed and are both passionate about helping their patients as I have noticed in my appointments to their office!
Brian Patrick Nilon
Brian Patrick Nilon
02:46 23 Nov 19
I'm not reviewing my husband (Dr. Klauer) but the team. My mother and father have both received treatment from the team at TMJ & Sleep Therapy Centre along with my children. The team there is amazing and work extremely hard for their patients. They are all extremely empathetic and truly have a passion for what they do. I am so impressed by their skills, talents, and ability to make all who enter the doors feel loved and cared for.
Hayley Klauer
Hayley Klauer
11:50 03 Nov 19

Featured On

Dr. Klauer’s passion and expertise for treating patients with the most cutting-edge and effective care has extended to sharing these findings with the industry—making him a highly sought-after lecturer for dental professionals across the globe. Click on the button below to read some of the articles or watch a few news spots in which Dr. Klauer and his expertise have been utilized.