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TMJ Treatment


Model skull with TMJ disorder at dentist office in Davis, CA.If you are experiencing jaw pain or discomfort, at Keith Grote, DDS, we have experience treating issues that affect the alignment of your jaw and temporomandibular joint (TMJ).

Dr. Grote will examine your TMJ for irregularities during your comprehensive or periodic exam in order to detect signs of temporomandibular joint disorder (TMD).

What Does the Temporomandibular Joint Do?

The purpose of your TMJ is to allow your mouth to move both up and down and side to side. When it is properly aligned, your teeth meet in their optimal bite position, allowing regular functions such as chewing and speaking to occur properly and without discomfort.

Normal TMJ function is essential not only for chewing and speaking, but for overall comfort in your jaw. When your TMJ is misaligned, you may experience headaches, extreme pain in the jaw, and ear or sinus infections. We can identify and treat these alignment issues so that you do not experience additional concerns associated with TMD.

How is TMD Treated?

There are several treatment methods available to treat TMD.

Custom created mouthguards are crafted using a special machine that tracks the movements of your jaw. While you sleep, the mouthguards work at realigning your jaw and over time, they can permanently align your jaw to its optimal position. Full mouth restoration is an option for some patients. Full mouth restoration may be best suited for patients whose TMD cannot be treated with traditional mouthguards, or who have additional cosmetic concerns.

Dr. Grote has extensive experience in helping to reduce pain and perfect your smile. We will work closely with you to determine the treatment plan that is most ideally suited to your individual needs.

Sleep Apnea


Sleep apnea is a condition that affects how you breathe when sleeping. During sleep, normal breathing can be interrupted for 10 seconds or more hundreds of times during a single night. Untreated sleep apnea prevents you from getting enough deep, restorative sleep. Without enough deep sleep you may be sleepy, lack mental sharpness and be less productive. Long term health effects can be serious, including weight gain, high blood pressure, heart disease and diabetes.

Signs of sleep apnea


•  Loud, chronic snoring
•  Insomnia
•  Breathing pauses for long periods
•  Waking up often at night
•  Forgetfulness, irritability, depression

Home treatments for light sleep apnea
•  Avoid sleeping on your back, because your tongue is more likely to block your airway
•  Elevate your head using extra pillows or a body wedge
•  Open your nasal passage via breathing strips, saline nasal flush, or a nasal dilator
•  Lose weight
•  Exercise

Treatments for moderate to severe sleep apnea
•  Talk to a doctor trained in sleep apnea
•  Use supplemental oxygen while sleeping
•  Use a CPAP (Continuous Positive Airflow Pressure) machine
•  Oral appliances made by Dr. Grote's office to help keep your airway open

If you think you may have sleep apnea, please give us a call. We can help identify and diagnose the severity of the sleep apnea and discuss the best treatment options for your unique situation.

635 Anderson Road
Davis, CA 95616-3505
Phone: 530-756-8800
Fax: 530-758-9418
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