TMJ jaw and facial pain are part of a group of symptoms related to TMD.

Temperomandibular joint disorder (commonly referred to as TMD or TMJ) is a condition involving pain or tenderness in the muscles and/or joint that control jaw movement, with the pain sometimes extended beyond these areas. This pain includes jaw pain, jaw popping or clicking, or pain in the face, eyes, neck, head, and pain when you chew or open wide.


Do you look at yourself and see that your teeth are shorter than they once were?

Do you experience jaw pain when opening your mouth?

Do you ever experience an annoying ringing in your ears?

Or worse yet, do you constantly suffer from stress, tension, and migraine headaches?

You are here because you may be experiencing some of the symptoms of temporomandibular joint dysfunction, more commonly known as TMD.

TMJ dentist Dr. Randi Green in Springfield, Missouri is continually training and learning the highly effective advanced practices taught at LVI. LVI Global is one of the top global institutes for hands-on, continuing education for successfully treating TMD and TMJ pain. LVI accredited dentists such as Dr. Green focus and train on the techniques that impact the root cause of your TMJ disorder and treat surgery as a rare and very last resort. 

The temporomandibular joint is commonly known as the jaw joint or TMJ. It is a very complex structure that is located in an intricate area of bones that works in harmony with many areas of the body which all can be affected when it is not functioning properly.

TMD is a term used to describe a group of symptoms that includes migraine headaches, facial pain and TMJ jaw pain. Clicking or popping of the jaw as well as limited opening or closing of the jaw are also signs of joint problems.

Other symptoms of TMD affect the teeth and can present as sore, worn, broken or chipped teeth. Temporomandibular joint dysfunction can also lead to pain in the neck, shoulders and back. Ear ringing (tinnitus) and restricted airway can also be associated with jaw joint problems.


You may be thinking, there is no way my teeth could be causing that ringing in my ears or that nagging headache. Interestingly, most cases of TMD are caused by a condition called malocclusion. A malocclusion exists when the teeth do not fit together properly.

Malocclusion includes under bites, overbites, crowding or spacing. Also, missing teeth can result in shifting of surrounding teeth, leading to a malocclusion. It is also important to note that some people may have beautiful natural or orthodontic-assisted straightened teeth that are not located in a position where the supporting muscles and joints are comfortable which can reveal TMD symptoms.

Neuromuscular dentistry is a branch of general dentistry that studies the system of teeth, muscles and jaw joints and, specifically, how these structures come together into the bite, or occlusion. When this system is out of balance because the teeth do not fit together properly, the muscles and joints will work overtime in order to bring the teeth together. Working overtime can lead to sore muscles and sometimes a breakdown in the structure of the teeth and jaw joints.The physiologic-based approach to TMD therapy considers the physiology of the muscles, joints, nerves, and teeth before any treatment is rendered.

Phase I

The first phase (Phase 1) of treatment includes a comprehensive evaluation of the teeth, jaw joints, neck muscles, and airway and supporting muscles to determine if the presenting signs and symptoms are in fact dental related. When this is established, the first phase of treatment can begin with TMJ dentist, Dr. Randi Green. The principle of physiologic-based dentistry lies in getting the muscles to a comfortable position with reversible therapy prior to performing any definitive treatment.

The muscles are relaxed using a transcutaneous electrical nerve stimulation (TENS) device. This device delivers gentle electrical stimulation to the muscles in order to overcome the programming that has occurred through functioning in the previous adaptive position. Once the muscles are relaxed, the comfortable jaw position is recorded and used to create a reversible removable appliance. This removable appliance is worn for several months until the muscles are comfortable.

When a case is more severe, the neuromuscular general dentist may also use jaw tracking devices and electromyography to monitor muscle activity and ensure the muscles reach their true comfortable position.

Phase II

Once the symptoms of TMD are relieved, then the second phase of treatment can begin. Phase II therapy involves changing the bite to coincide with the comfortable muscle position established during the first phase of treatment. Treatment options in this phase include fabrication of an overlay partial/appliance or adjustment of the natural tooth structure when the bite is only slightly out of line. When the teeth are aesthetically and structurally sound, neuromuscular orthodontics and the use of facial growth appliance can be performed by a specially trained TMJ dentist such as Dr. Randi Green. If aesthetic changes are indicated in addition to bite correction, custom-made porcelain restorations are used to rehabilitate the bite to the new position.

If you answer yes to any of these questions below you might be surprised to learn that they are connected to a stream of TMJ symptoms. The smile team can help you take the first step and help you make a reservation. Please call (417) 887-5155

Does your sleep partner complain that you grind your teeth during sleep?

Do you experience chronic or severe facial pain?

Do you suffer from migraine headaches?

Are you prone to headaches, neck pain, and shoulder pain?

Do your jaw hurt when you eat, drink, yawn, or move your mouth?

Have you experienced unexplained ringing in the ears?

When you wake from sleep to you experience facial pain, soreness of the tissues around the jaw?

Does your jaw pop or click?

If you answered yes to any of the questions, there is hope to relieve your migraine headaches and TMJ pain.

While there are many approaches to treating TMD, physiologic dentistry is an area that has helped many individuals who once suffered from this often debilitating condition. By addressing the root cause, the muscles, through reversible methods first, patients treated by this approach benefit from known symptom relief prior to any extensive surgery and expensive treatment.

If you are suffering from TMD symptoms it is important to note that the area is continually advancing and you should choose a provider who is up-to-date and current in the latest technologies. Dr. Randi Green, LVI Fellow, has completed and continues to pursue extensive advanced training at the Las Vegas Institute for Advanced Dental Studies, the world-wide leading dental education center for aesthetics and treatment of TMD.

Through this rigorous training, Dr. Green has helped many patients in southwest Missouri, Northwest Arkansas, Oklahoma, Kansas, Illinois and across the United States manage their TMJ pain symptoms. She exhibits her commitment to excellence in education and practices this passion and knowledge while caring for her patients.


Dr. Green and her team have helped me more than I can express. I have suffered for many years living with TMJ problems. Her treatment for this condition has basically given me my life back. The TMJ condition causes many different health issues such as migraines which was dominating my life, since Dr. Green has corrected this condition I have been able to actually function in life more normally. I am so grateful to have found her and the entire team at Springfield Smile Doctor
— Rebecca Z. via Patient Connect ★★★★★

Treat TMD disorder, migraine headaches, and chronic pain non-surgically with a physiologic dentist.

TMJ pain does not have to rule your life. 

Please fill out this brief contact form. A smile doctor team member will be in touch to help answer any questions or help you make a reservation with TMJ dentist Dr. Green and her highly-trained smile team.