Tmj Treatment Beaverton Or
Comprehensive TMJ Diagnosis and Treatment by Orofacial Pain Specialists
Living with Jaw Pain, Clicking, and Headaches Is Not Normal — and It Is Not Something You Have to Accept
If your jaw clicks every time you open your mouth, if headaches have become so routine you have stopped mentioning them to your doctor, if chewing a meal feels like a chore, or if you wake up with a jaw so tight you can barely open it — you are dealing with a temporomandibular disorder. TMD affects the temporomandibular joint (the hinge connecting your lower jaw to your skull), the muscles of mastication, or both. It is one of the most under-diagnosed and mismanaged conditions in healthcare, partly because it crosses the boundaries between dentistry, medicine, and physical therapy, and partly because many practitioners lack the training or imaging to diagnose it accurately.
At Aloha Dental Specialty Center, TMJ disorders are not an afterthought — they are a clinical focus. Dr. Gvozden brings oral and maxillofacial surgery training including TMJ arthrocentesis, joint injection, and surgical joint management. Dr. Ostovar contributes prosthodontic expertise in occlusal analysis, splint therapy, and bite rehabilitation. Together, they offer something rare: a comprehensive TMJ program that integrates surgical and non-surgical approaches under one roof. Your evaluation begins with a thorough clinical examination and CBCT 3D imaging of both joints, giving us a clear picture of condylar morphology, disc position, joint space, and degenerative changes.
We know that many TMJ patients have been to multiple providers, tried multiple treatments, and been told variations of "just learn to live with it." That is not an acceptable answer. Evidence-based TMJ treatment — when properly diagnosed and sequenced — provides meaningful relief for the vast majority of patients. Our approach is systematic: diagnose the specific disorder subtype, start with conservative reversible treatments, and escalate to minimally invasive procedures only when conservative measures have been given a fair trial. We do not rush to surgery, but we do not avoid it when it is indicated.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite A, in Beaverton, Or 97003egon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his fellowship-trained expertise and predictable results.
We handle the complex surgical phases and coordinate closely with your general dentist for seamless continuity of care from start to finish.
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Understanding TMD: Classification, Prevalence, and Evidence-Based Management
The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) system classifies TMD into distinct subtypes including myalgia, arthralgia, disc displacement with and without reduction, degenerative joint disease, and subluxation. Epidemiologic research estimates that 5 to 12 percent of the adult population has clinically significant TMD, with women affected three to four times more frequently than men. A Cochrane review of TMD management found that conservative therapies — splint therapy, physical therapy, and behavioral modification — provide clinically significant pain reduction in 75 to 85 percent of patients. For refractory cases, arthrocentesis achieves successful outcomes in 80 percent of patients with closed lock or persistent joint pain.
Why Choose a Specialist?
Dr. Jovan Gvozden received TMJ-specific surgical training during his oral and maxillofacial surgery residency, including arthrocentesis, arthroscopy, and open joint procedures. Dr. Merat Ostovar brings prosthodontic expertise in occlusal analysis, splint design, and functional rehabilitation. Their collaboration provides patients with access to the full spectrum of TMJ care — from conservative splint therapy through minimally invasive joint procedures — coordinated by two specialists who evaluate every case together.
Schedule Your Appointment Today
Book a consultation with our board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 7 AM to 7 PM, Saturday and Sunday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
A Note from Your Dental Team
In my experience, the patients who get the best results from tmj treatment beaverton or are those who come in with realistic expectations and follow their post-treatment instructions carefully. I’d rather spend extra time explaining what to expect than have a patient be surprised later.
“Every patient I see has a different story, a different set of concerns, and a different definition of what ‘success’ looks like. That’s why I don’t believe in one-size-fits-all treatment plans. When you come in for a consultation, I’ll listen first, examine second, and recommend third.
I also won’t recommend a procedure you don’t need. If your tooth can be saved with a filling instead of a crown, I’ll tell you that. If watchful waiting is appropriate, I’ll explain why. My job isn’t to sell treatment — it’s to give you my honest clinical judgment so you can make an informed decision.
If you have questions about whether this treatment is right for you, or if you’ve been told you need this procedure by another dentist and want a second opinion, call us at (503) 822-0096. We’re happy to take the time to explain everything — no rush, no pressure.”
— Dr. Merat Ostovar & Dr. Jovan Gvozden | Aloha Dental Specialty Center, Beaverton, OR
I know many patients feel anxious about dental procedures — you’re not alone in that. What I hear most often after treatment is: “That was so much easier than I expected.” We’re here to make this as comfortable as possible for you.
Are You a Candidate for TMJ Treatment Beaverton OR?
As with any dental procedure, there are potential risks including infection, temporary discomfort, and in rare cases, complications that require additional treatment. We minimize these risks through 3D imaging, sterile protocols, and careful case selection. During your consultation, we’ll discuss any specific risks related to your individual situation.
Most patients in good general health are candidates for tmj treatment beaverton or. However, certain factors may affect your eligibility or require modifications to the treatment plan:
- Medical conditions: Uncontrolled diabetes, autoimmune disorders, or blood-thinning medications may require coordination with your physician before treatment.
- Bone quality: For tmj treatment beaverton or involving the jawbone, adequate bone density is essential. A CBCT 3D scan during your consultation determines this precisely.
- Smoking: Tobacco use significantly impairs healing. We strongly recommend quitting 2-4 weeks before and after any surgical procedure.
- Age: There is generally no upper age limit. What matters is your overall health, not your age. We have successfully treated patients in their 80s and 90s.
The only way to know for certain is a consultation with our board-certified specialists. Call (503) 822-0096 to schedule your evaluation — we’ll tell you honestly whether this is the right treatment for your situation.
Typical Healing Timeline:
Days 1-3: Initial healing, mild swelling managed with ice and medication. Days 4-7: Swelling subsides, gradual return to normal diet. Weeks 2-4: Soft tissue heals completely. Months 2-6: Bone remodeling and full integration (for surgical procedures). Individual recovery varies — we provide detailed post-op instructions specific to your procedure.
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed by our dental specialists: March 2026. Clinical information on this page reflects current evidence-based dental practices.
Our TMJ/TMD Treatment Options
Frequently Asked Questions
How long does TMJ treatment take to show results?
Most patients experience noticeable improvement within 2-4 weeks of starting stabilization splint therapy. Full resolution of chronic TMJ symptoms typically takes 3-6 months of consistent treatment including splint wear, jaw exercises, and lifestyle modifications. Botox injections for TMJ muscle pain provide relief within 7-14 days. Complex cases involving bite reconstruction take longer.
What causes TMJ disorders?
TMD is multifactorial. Contributing factors include jaw trauma, teeth grinding and clenching (bruxism), arthritis, malocclusion, stress and muscle tension, joint hypermobility, and hormonal influences. Most cases involve a combination of several factors rather than a single cause.
What does a TMJ evaluation involve?
Our evaluation includes a detailed symptom history, clinical examination of jaw range of motion, joint sounds, muscle palpation of the masticatory and cervical muscles, occlusal analysis, and CBCT 3D imaging of both TMJ joints. This takes approximately 60 to 90 minutes.
Will I need surgery for my TMJ disorder?
Most TMJ disorders respond to non-surgical treatment. We always start with conservative, reversible therapies — splint therapy, physical therapy referral, medication, and behavioral modification. Surgery or arthrocentesis is considered only when conservative treatment has been given an adequate trial without sufficient improvement.
How long does TMJ treatment take?
Initial improvement with splint therapy is often noticeable within two to four weeks. A full conservative treatment course typically runs three to six months. Some patients need ongoing maintenance with night guards or periodic splint adjustments. We set realistic expectations at your first visit.
Can TMJ disorder cause headaches?
Yes. Tension-type headaches and even migraine-like headaches can be triggered or worsened by TMD. The temporalis and masseter muscles — primary muscles of mastication — refer pain to the temples and forehead when they are in chronic spasm or carrying trigger points.
Does stress make TMD worse?
Significantly. Stress drives unconscious jaw clenching and grinding, which overloads the TMJ and fatigues the masticatory muscles. Stress management is a legitimate and important component of TMJ treatment, not just a dismissive suggestion.
Can you treat TMJ disorder with Botox?
Yes. Botulinum toxin injections into the masseter and temporalis muscles can reduce clenching force and provide significant pain relief for TMJ-related myalgia and bruxism. We offer Botox as part of our TMJ treatment protocol when muscle hyperactivity is a primary contributor.
What is a TMJ splint?
A TMJ splint (also called an occlusal appliance or orthotic) is a custom-fabricated device worn over the teeth to reposition the jaw, reduce muscle strain, and protect the teeth from grinding forces. It is not a generic night guard — it is designed based on your specific TMJ diagnosis.
My jaw clicks — does that mean I have TMD?
Clicking indicates disc displacement with reduction — the disc moves out of position and snaps back when you open. Not all clicking requires treatment, but it does warrant evaluation because some cases progress to locking. We assess whether your click is stable or progressing.
Do you take dental insurance for TMJ treatment?
Dental insurance coverage for TMJ varies widely by plan. Some plans cover splint therapy and imaging. Medical insurance may cover TMJ-related procedures as well. We verify both dental and medical benefits and maximize your coverage.
I have been to other dentists for TMJ and nothing helped — why would this be different?
Many general dentists address TMJ with a generic night guard and hope for the best. Our approach is diagnostically driven — we identify the specific TMD subtype and target treatment accordingly. A myalgia patient needs different treatment than a patient with degenerative joint disease.
Can children develop TMJ disorders?
Yes, though it is less common than in adults. Adolescents, particularly girls, can develop TMD related to orthodontic changes, trauma, stress, and joint growth disturbances. Early evaluation prevents progression.
What imaging do you use for TMJ evaluation?
CBCT 3D imaging provides detailed visualization of the condyle, fossa, joint space, and any bony changes such as erosion, osteophytes, or flattening. This is far superior to standard X-rays for TMJ assessment. MRI may be recommended for soft tissue and disc evaluation when needed.
How much does a TMJ evaluation cost?
A comprehensive TMJ evaluation including clinical examination and CBCT imaging typically ranges from $300 to $500. Treatment costs depend on the diagnosis — splint therapy, Botox, arthrocentesis, and other interventions each have different fee ranges. We provide transparent pricing before treatment.
Your TMJ Treatment Beaverton OR Treatment Steps
- Consultation & Exam: Comprehensive tmj treatment beaverton or evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Board-certified specialist reviews findings and presents your personalized options. Our procedures maintain a 95%+ success rate, backed by advanced 3D imaging and evidence-based protocols.
- Treatment: Procedure performed with comfort options including IV sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination to ensure optimal healing.
Tired of Living with Jaw Pain? Call (503) 822-0096 for a Comprehensive TMJ Evaluation
Call our Beaverton office or request an appointment online. We look forward to helping you.
Clinically Reviewed by Dr. Merat Ostovar, DMD
Doctor of Dental Medicine | Implant & Specialty Dentistry | 15+ Years Experience
Aloha Dental Specialty Center — Serving Aloha, Beaverton, Hillsboro & Greater Portland
Last updated: March 19, 2026