Do you wake up with a sore jaw? Do you get headaches that seem to start around your temples? Does your jaw click or pop when you chew or yawn?
If any of that sounds familiar, you might be dealing with a TMJ disorder. Find relief from jaw pain and headaches at Montgomery Dental Associates & Implantology Center.
Dr. Mark Hagigi helps patients in Rockville find real relief. He takes the time to listen, figure out what’s causing your symptoms, and build a treatment plan that fits your life. You’ll get compassionate, expert care without pressure.

What Exactly Is TMJ?
TMJ stands for temporomandibular joint. That is a fancy name for the hinge that connects your jawbone to your skull. You have one on each side of your face, right in front of your ears.
These joints work with muscles and ligaments to help you chew, talk, yawn, and swallow. They are among the most used joints in your body. When something goes wrong with them, or with the muscles around them, you can develop a TMJ disorder (sometimes called TMD).
Common Signs You Might Have a TMJ Disorder
TMJ disorders show up in different ways for different people. Here are some of the most common symptoms:
- Pain or tenderness in your jaw, face, neck, shoulders, or around your ear
- Clicking, popping, or grinding sounds when you open or close your mouth
- Difficulty chewing or a feeling that your bite is “off”
- Locking of the jaw (stuck open or stuck closed)
- Headaches, especially around the temples
- Earaches or ringing in the ears (even though your ears are healthy)
- Facial fatigue after eating or talking for a long time
You don’t have to have all these symptoms. Even one or two can be a sign that something isn’t right.
If any of this sounds familiar, Dr. Hagigi can help. He will listen to your symptoms, examine your jaw and bite, and figure out what’s really going on.
What Causes TMJ Disorders?
TMJ disorders don’t always have a single cause. Often, several factors come together. Here are some of the most common culprits:
- Teeth grinding or clenching (bruxism): Many people grind their teeth at night without even knowing it. The constant pressure can strain your jaw muscles and joints.
- Injury to the jaw: A blow to the face, whiplash, or even a dental procedure that kept your mouth open too long can trigger TMJ problems.
- Arthritis: Osteoarthritis or rheumatoid arthritis can affect your jaw joints, just as it affects your knees or hips.
- Stress: When you’re stressed, you might clench your jaw or tighten your facial muscles without realizing it.
- Misaligned bite: If your teeth don’t come together evenly, your jaw may have to work harder to chew, which can lead to strain.
- Poor posture: Hunching over a computer or looking down at your phone can strain the muscles in your neck and jaw.
During your consultation, Dr. Hagigi will take the time to determine the cause of your specific symptoms. He looks for the root of the problem.
TMJ Treatment Options at Montgomery Dental Associates
The good news is that most TMJ disorders can be treated without surgery. Dr. Hagigi starts with the least invasive options and only recommends more advanced treatments if needed.
Conservative, Non-Invasive Treatments
These simple solutions can make a difference for many patients:
- Custom Oral Appliances (Night Guards): Dr. Hagigi can create a custom-fitted night guard that prevents you from grinding your teeth while you sleep. It also helps position your jaw in a more relaxed, comfortable alignment.
- Lifestyle and Self-Care Tips: Simple changes can help. Eating softer foods. Avoiding extreme jaw movements (like wide yawning or chewing gum). Applying heat or ice packs to sore areas. Practicing stress-reduction techniques like deep breathing or meditation.
- Posture Awareness: Small adjustments to how you sit at your desk or hold your phone can reduce strain on your jaw and neck muscles.
Botox for TMJ: Advanced Relief
For patients with persistent or severe TMJ symptoms, Botox injections can help. Botox relaxes the overactive jaw muscles that are causing pain and tension. It reduces grinding and clenching. It can also decrease the frequency and intensity of tension headaches.
The treatment is a quick single visit. Most patients feel minimal discomfort, and results typically last 3 to 4 months.
Dr. Hagigi has advanced training in Botox for therapeutic use. As a dentist, he has a deep understanding of facial anatomy, making him uniquely qualified to administer these injections safely and effectively.
Dental Restorations
Sometimes, TMJ problems are caused by bite issues or worn-down teeth. If that’s the case, Dr. Hagigi may recommend restorative dental treatments like:
- Replacing missing teeth to restore proper bite balance
- Adjusting or reshaping biting surfaces
- Crowns or bridges to correct alignment
By fixing the underlying dental issues, we can often relieve the strain on your jaw joints.
When Should You See a Dentist for TMJ?
You don’t have to live with jaw pain. You should schedule an appointment with Dr. Hagigi if:
- You have persistent jaw pain or tenderness
- You hear clicking or popping when you open or close your mouth
- You have difficulty chewing or opening your mouth completely
- You suffer from recurring headaches with no clear cause
- Your jaw occasionally locks or gets stuck
Early treatment can prevent your condition from getting worse and help you avoid more complex problems down the road.
Why Choose Dr. Hagigi for TMJ Treatment in Rockville?
Dr. Mark Hagigi is a graduate of New York University College of Dentistry. He has spent years perfecting a calm, conversational approach to dental care. He knows that jaw pain can be frustrating and that the idea of treatment can feel intimidating.
That’s why he takes the time to listen. He explains everything, never rushes, and builds treatment plans that fit your needs, your budget, and your comfort level.
His practice, Montgomery Dental Associates & Implantology Center, has been serving Montgomery County since 2015 (with the practice itself established since 1990). Patients come to him from Rockville, Potomac, North Bethesda, and beyond because they want a dentist who truly cares.
Patient Review
Frequently Asked Questions
Is TMJ treatment painful?
Most treatments are not painful. Custom oral appliances are comfortable to wear. Botox injections cause minimal discomfort, and many patients say it feels like a tiny pinch. Dr. Hagigi is known for his gentle touch.
How long does TMJ treatment take?
It depends on the cause of your symptoms and the treatment you need. Some patients feel relief within days of starting to use a custom night guard. Botox typically takes 3-7 days to show full effects. More complex cases involving dental restorations may take several months.
Will my insurance cover TMJ treatment?
Coverage varies by plan. Some insurance plans cover TMJ treatment, especially when it is related to teeth grinding or bite problems. Our team will verify your benefits and explain your out-of-pocket costs before any treatment begins.
Can TMJ disorders go away on their own?
Sometimes mild TMJ symptoms resolve on their own, especially if they are caused by temporary stress or overuse. But if your symptoms persist for more than a few weeks, it is worth seeing a dentist. Early treatment can prevent the condition from worsening.
Do you offer sedation for TMJ treatment?
For patients who feel anxious about dental visits, Dr. Hagigi offers sedation options to help you relax. This is especially helpful for longer procedures or for patients with significant dental anxiety.
Ready to Find Relief?
You don’t have to live with jaw pain, headaches, or clicking sounds every time you eat. Help is available right here in Rockville.
Dr. Mark Hagigi and his caring team at Montgomery Dental Associates & Implantology Center are ready to help you get back to a pain-free life.
Call us today at (301) 679-7786 or request an appointment online. We are conveniently located at 15200 Shady Grove Rd., Ste. 208, in Rockville, MD, and welcome patients from Potomac, North Bethesda, Gaithersburg, and throughout Montgomery County.