Who treats TMJ: a TMJ specialist, a dentist or a physiotherapist?+
People often search for a "TMJ specialist", but several professions treat jaw problems. Dentists look after teeth, bite and night guards, and some have further training in jaw and facial pain. Physicians rule out medical causes and manage medication. Physiotherapists assess and treat the muscles, joint movement, neck and habits involved. For most muscle and joint jaw pain you can start with any of them, and it's common to work together. If you have tooth pain or a recent change in your bite, see your dentist first.
What does TMJ physiotherapy involve?+
A detailed assessment, then a mix of hands-on treatment, jaw and neck exercises, and practical changes to habits such as clenching, chewing and posture. Current guidelines for long-lasting jaw pain favour supervised exercise and hands-on therapy over irreversible treatments, though many studies are small, so we'll be straightforward about what to expect.
Do I need treatment inside the mouth?+
No. It's one option, used only when it suits your case and you agree. Many people do well with exercises and treatment from outside the mouth.
How much does it cost, and is it covered?+
The initial 60-minute assessment is $125 and 30-minute follow-ups are $75. Most extended health plans cover physiotherapy, and we direct bill major Canadian insurers. Call us at (905) 635-5711 and we can help you check your coverage before you book.
Do I need a referral?+
No. You can book directly online or by phone. Some insurance plans ask for a doctor's note for reimbursement, so it's worth checking your benefits booklet.
How many visits will I need?+
It depends on what we find and how long you've had it. Research trials have commonly used about 6 to 10 sessions, but that's not a target and some people need fewer. You'll get a realistic estimate after your assessment, and we'll review it as you go.
My jaw clicks but it doesn't hurt. Should I book?+
Usually not. Painless clicking is common and generally doesn't need treatment. Book if it starts to hurt, catches or locks, or if it's getting in the way of eating or talking.
Should I get a night guard or Botox?+
Those are decisions for your dentist or physician, and they're worth discussing with them. Guidelines and studies don't all agree on either for jaw pain. We're happy to work alongside whatever you and your dentist decide.
My jaw started hurting after a car accident. Can you help?+
Yes, we assess jaw pain after whiplash and concussion. We also treat car accident injuries and handle auto insurance paperwork. Call us first so we can look at how your jaw treatment fits with your claim.