Kate Brayman DDS

TMJ Treatment on Long Island, NY

TMJ Specialist on Long Island NY

Dr. Kate Brayman treats the pain of temporomandibular joint disorders at her practice, Kate Brayman DDS in Long Island NY. If you experience pain in the jaw, difficulty chewing, pain while chewing, or aching facial pain, contact our dental office for an appointment. The doctor can evaluate the problem and determine if a night guard for teeth grinding will relieve your pain.

TMJ Specialist Long Island NY


What is TMJ treatment?

TMJ Specialist on Long Island NY

Our mouths contain a great joint known as the temporomandibular (TMJ), connecting the skull and jawbone with complex movements such as opening/closing the mouth and sliding from side to side. It also enables us to enjoy life’s most basic functions like speaking, yawning, and chewing – making the temporomandibular joints one of the most significant yet intricate joints in our body.

There is a TMJ on each side of the jaw. Many patients every year are diagnosed with a TMJ disorder which requires treatment of some kind. Usually, these disorders cause pain and they may limit the movement of the jaw.

It’s usually hard to determine exactly what is causing someone’s TMJ disorder. Several things could possibly cause pain and stiffness. In some cases it’s genetic. It could also be a sign of arthritis, or it could be the result of an injury as well. One of the major probable causes is teeth grinding (bruxism). This is often caused by stress, which makes people habitually tense their muscles, including the muscles in the jaw.

In the vast majority of cases, a TMJ disorder is temporary, and you can relieve it with treatment at home. However, if the pain lasts too long and at-home treatments are not sufficient, then surgery is a last resort option. 

TMJ disorders can present themselves in several ways. Pain and discomfort might be felt on either side of the face or both, and women tend to have TMJ disorders more often than men, and it most commonly affects those between the ages of 20 and 40.

What are the symptoms and causes of TMJ?

Do you experience any of these symptoms in your jaw or face? These could all be signs that you suffer from Temporomandibular Joint (TMJ) disorder:

  • Jaw pain
  • Difficulty or pain while chewing
  • Lockjaw
  • Painful clicking or popping sounds when opening and closing the mouth
  • Stiffness in the jaw muscles
  • Difficulty speaking clearly due to pain from grinding teeth at night (bruxism)
  • Headaches
  • Pain in the jaw joint itself or surrounding areas like the back of your head; behind your ear, or on either side of your face near the cheekbone

A common cause of temporomandibular joint (TMJ) is teeth grinding or clenching while sleeping. Another factor could be physical trauma, such as a head injury that disturbs the shock-absorbing disks at each end of the bones in this area. For older adults, arthritis developing within their temporomandibular joint may lead to related pain and discomfort symptoms.

What are the 4 stages of TMJ?

 TMJ disorders typically do not have specific stages like some medical conditions do. However, TMJ disorders can manifest in different ways and may progress in severity. There are several common signs and symptoms associated with TMJ disorders including

  • Early Symptoms: Occasional jaw discomfort, clicking or popping sounds.
  • Moderate Symptoms: More frequent pain, headaches, earaches, muscle tension.
  • Advanced Symptoms: Severe and chronic jaw pain, restricted jaw movement, neck and shoulder discomfort.
  • Severe Symptoms: Debilitating pain, limited jaw function, potential need for surgery.

How does Dr. Brayman treat TMJ?

A plastic dental night guard may be the answer if you suffer from TMJ. The plastic dental guard covers the upper or lower teeth, which helps eliminate clenching while you sleep, relieving painful jaw tension. 

For the most effective treatment of TMJ, Dr. Brayman offers the NTI-type night guard–a convenient and comfortable solution that fits just over your front teeth. This compact yet powerful dental appliance helps stop jaw clenching while sleeping and prevents migraine pain. The NTI is a better option for many patients than the full dental night guard.

If you’re located on Long Island, NY, particularly in the towns of Woodbury, Syosset, Oyster Bay, Huntington, Melville, or Plainview, feel free to contact us or visit our dental clinic so we can assess if you’re a good candidate for a TMJ treatment.

TMJ Treatment FAQ's

Yes, a regular dentist can often diagnose and treat TMJ (temporomandibular joint) disorders. Dentists can provide treatments such as custom oral appliances like splints or mouthguards to alleviate TMJ symptoms, prescribe pain meds, or recommend lifestyle changes. For more complex cases. Dentists may refer you to a specialist, like a TMJ specialist, for further evaluation and treatment. It depends on the severity and complexity of the TMJ disorder.

What your TMJ treatment ends up costing can depend on several factors. What is causing your TMJ pain can have an impact on how much your treatment costs.

If you only need a mouthguard, then it will be relatively inexpensive. Medication is also a lower-cost way of treating a TMJ disorder.

If your TMJ dentist is more experienced and has extra training, then your treatment may cost more as well.

If your TMJ disorder requires mouth reconstruction or jaw surgery, then you can expect to pay up to $50,000.

If you have dental or medical insurance, then there’s a good chance that you are covered for several TMJ treatments and procedures. TMJ disorder treatments are not cosmetic procedures. If there are several procedures that you need, then you may be covered for several things, but not covered for others. It’s important to discuss with your dentist’s insurance specialist to see how to make the best use of your coverage. 

Even though oral surgery is often covered by medical benefits, and other treatments are eligible for dental coverage, to best understand the coverage of your dental care plan and ensure that you can prepare for out-of-pocket expenses, it’s essential to explore all available options with a professional before making a decision.

Despite careful consideration from your insurance provider, there are rare instances when an authorized procedure might still not be covered. Fortunately, our dental office team is here to assist with alternatives like credit or financing plans if you are ever facing such a situation.

 These  may exacerbate TMJ symptoms and make the condition worse:

  • Stress: Increased stress and tension.
  • Diet: Hard or tough foods.
  • Poor Posture: Bad sitting or sleeping posture.
  • Excessive Chewing: Frequent gum chewing or tough food consumption.
  • Inadequate Rest: Lack of sleep or poor sleep posture.
  • Teeth Grinding: Nighttime teeth grinding or clenching.
  • Jaw Overuse: Singing, talking loudly, or prolonged dental procedures.
  • Habits: Nail biting or holding objects between teeth.
  • Dental Occlusion: Irregular upper and lower teeth alignment.
  • Medical Conditions: Arthritis or connective tissue disorders.
  • Trauma: Previous jaw injuries or accidents.


Dr. Kate Brayman, in Long Island, can guide effective TMJ  treatments and strategies for symptom relief.

Treatment for TMJ disorders encompasses various approaches to alleviate symptoms: Self-Care involves ice packs, a soft foods diet, and avoiding habits like gum chewing. Medications like pain relievers and muscle relaxants manage pain and inflammation. Physical therapy includes exercises and techniques to enhance jaw mobility and reduce muscle tension. Oral Appliances like mouthguards prevent teeth grinding and provide jaw support. Behavioral therapy helps with stress management. Dental procedures, like orthodontic adjustments or dental crowns, correct dental occlusion problems. Injections like Botox or corticosteroids relax jaw muscles and reduce inflammation. Arthrocentesis and surgery address severe cases.

TMJ specialists incorporate a combination of these methods for the best results.

TMJ disorder outcomes vary. Many experience symptom improvement or resolution with treatment and self-care, while others may have intermittent flare-ups. Long-term relief is possible for some but not guaranteed, as TMJ is a chronic condition. Early diagnosis, personalized treatment, and consistent self-care are crucial for effective management. Collaboration with healthcare professionals or TMJ specialists can help individuals find relief and enhance their quality of life. TMJ symptoms can improve, but complete resolution may not occur for everyone.

Conditions commonly mistaken for TMJ disorder include:

  • Toothache: Dental problems can cause jaw pain.
  • Sinus Issues: Sinus infections may lead to facial pain near the jaw.
  • Migraines: Severe headaches can be confused with TMJ symptoms.
  • Trigeminal Neuralgia: A neurological condition with sudden facial pain.
  • Ear Infections: Earaches can radiate pain to the jaw.
  • Bruxism: Teeth grinding can cause jaw discomfort.
  • Stress/Anxiety: Tension may result in jaw clenching and pain.


Professional diagnosis is crucial to differentiate TMJ from these conditions for appropriate treatment. Schedule an appointment with Dr. Brayman to evaluate you and determine if a night guard to stop grinding your teeth can bring you pain relief. 

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Why Choose Us?

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Experience matters

With 15 years of experience, we are equipped to provide efficient, safe, and reliable dental care. Check out more about our dentist, Dr. Kate Brayman DDS here.


the right technology matters

Our advanced technology can enhance diagnostic accuracy and treatment precision – leading to better patient outcomes, reduced discomfort, and better communication.

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We aim to foster trust with you as our patient, which enables you to actively participate in your overall dental health journey.

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Unfortunately we do not accept Medicaid, Healthplex, HMO, DMO and some other dental insurances.