woman holding her jaw in pain

TMJ Treatment

Do you suffer from jaw pain, clicking when opening your mouth, or headaches?

Temporomandibular joint disorder (TMD) may be to blame, but there are TMJ treatments that can help. 

Dr. David Casagrande has firsthand experience with TMD and can effectively provide treatment in his Billings, MT, and Boise, ID, offices.

Are You Suffering From Jaw Pain? Contact a Doctor Who Understands

As someone who has experienced a temporomandibular joint (TMJ) disorder himself, Dr. David Casagrande has the personal knowledge and dedication to offer the very best TMJ treatment options. Contact our Billings, MT, practice today to request your initial TMD appointment.

When you go to Dr. David Casagrande, DDS you are treated with the utmost respect. They make sure everyone is comfortable and really accommodate to the needs of their patients. I am so grateful I have such a wonderful dentist office so close by. James Metz

TMJ and TMD What's the Difference?

People often mistake TMJ for the actual disorder. However, TMJ actually stands for temporomandibular joint, the jaw joints that connect your lower jawbone to your skull. TMD is the correct term for temporomandibular disorder. The TMJs allow your jaw to move so you can eat and speak. When you have issues with the TMJ, it can cause a host of symptoms and dental issues.

What Causes TMD? It Varies From Patient to Patient

The exact cause of temporomandibular disorder will vary between patients. Most cases, however, are caused by trauma to the jaw or surrounding joints. Contact our Billings, MT, practice to request your initial appointment. There, Dr. Casagrande can review your oral health to determine the cause of your TMJ disorder.

Other common causes of temporomandibular joint disorder include:

Misaligned Bite

Close-up of a man's teeth

When your bite is misaligned, you strain the temporomandibular joints and surrounding jaw muscles in an attempt to realign your teeth when speaking and chewing. 

Stress and Anxiety

Older man lying awake in bed at night

Many patients who are stressed or anxious suffer from teeth grinding, or bruxism. Jaw clenching and bruxism can put added strain on your jaw muscles and lead to TMD.

Medical Conditions

Patient receiving exam from doctor

Certain medical conditions like arthritis, autoimmune disorders, infection, or any condition that can affect your joints, can increase your risk of developing TMD. 

Thanks to Dr. Casagrande's personal experience and level of education, our Billings, MT, dental office has a very high success rate in the treatment of TMJ disorders.

Your Headaches or Migraines May Be TMD Our dental practice can help you find relief.

Sometimes, pain in the head, neck, sinuses, and shoulders is related to TMD. This results in temporomandibular disorders going undiagnosed. By treating the issues of the temporomandibular joints, the jaw can move naturally and reduce and alleviate headache-causing tension. 

Detailed Diagnosis and Treatment for TMJ Disorder Don't live life in pain. Call us today!

Our Billings, MT, offices provide diagnosis and non-surgical treatment for TMJ disorders. Our treatment is tailored to address your unique issues and provide you with long-lasting relief from your symptoms.

Dr. Casagrande takes his time with each patient to ensure that your issues are addressed so he can alleviate your pain and symptoms in the least invasive way possible.

Don't waste another day with painful TMD. Call us or request an initial consultation online today.

(406) 656-2000

inside of a dental exam room
"Dr. Cassagrande has been my dentist for the past 25 years.  In my opinion he is the best dentist in the state of Montana."

Diagnosing Your TMD How We Look At Your TMJ To Determine Treatment

In order to effectively treat your TMJ, your dentist will first conduct a thorough evaluation of your symptoms to provide an accurate diagnosis. You will first request a consultation at our Billings practice where we will review your symptoms and examine your teeth, TMJs, and surrounding structures. Your dentist may also recommend X-rays. These X-rays will allow you to get a better picture of your jaw and jaw joints.

Customized Treatment For Your TMD

Based on your unique condition, Dr. Casagrande can recommend one of several nonsurgical, therapeutic treatments.

bite splint and case

Splint Therapy

Splint therapy is a conservative method for treating TMJ disorder. Using detailed impressions of your teeth, we can create custom oral appliances that are worn during sleep — and, if necessary, throughout the day — to help alleviate your symptoms. These splints reposition your jaws to decrease pressure on sensitive tissues, realign your bite into a more comfortable position, and prevent teeth grinding.

woman sitting outside and smiling

Occlusal Adjustments

Occlusal adjustment is a cost-effective and simple procedure for treating TMJ disorder. If the shape or length of your teeth are causing you to have a misaligned bite, we can adjust the size and form of your teeth to provide more harmony in your bite. This procedure is safe and minimally invasive. 

person wearing braces


TMJ pain can be aggravated by misalignment, which causes you to shift your jaws in an attempt to realign your bite. Orthodontic treatment can realign your smile and alleviate the symptoms of TMJ disorder. Realigning your smile can prevent uneven wear to teeth that can further aggravate your condition.

doctor pointing to the TMJ on a model skull

Additional Treatment Options

Our office will always attempt to treat your TMJ disorder using safe, minimally invasive techniques before recommending oral surgery or more aggressive treatment options. If your condition is unresponsive to splint therapy, we may recommend more aggressive methods for treating TMJ, such as orthodontics and occlusal adjustments. 

How You Can Benefit From TMD Treatment

Many patients struggle with TMD without knowing it is the cause of their pain. Because of the wide range of symptoms, it is commonly misdiagnosed. Patients may turn to over-the-counter pain medications or muscle relaxants for relief just to have the pain return. 

Through the care of Dr. Casagrande, you can find long-term relief from your temporomandibular disorder.

Your Pain

Woman clutching jaw in pain

Headaches, jaw pain, neck pain, and toothaches, can all be relieved through effective TMD treatment. The chronic pain you've been dealing with can become a distant memory.

Improve Your Dental Health

Smiling woman pointing at teeth

When left untreated, TMD can negatively affect your oral health. TMD treatment can help your jaw stay in alignment and prevent wear and tear on your teeth.

Enhance Your Quality of Life

Older couple jumping on a bed

The pain and discomfort associated with a TMJ disorder can cause stress and irritability. Imagine the relief you'll feel while living your life without chronic headaches or muscle pain. 

Why Visit Our Billings Office for Your Treatment? We Provide Personalized and Experienced Care

While Dr. Casagrande was attending dental school, he personally suffered from TMD. He dealt with these symptoms for many years, and his condition motivated him to learn everything he could about TMJ and the innovative treatments used to alleviate the symptoms.

Dr. Casagrande understands firsthand the effects that TMJ disorders can have on your life and provides compassionate care for every patient. Thanks to his personal and extensive experience with TMJ disorder, our office has a very high success rate for treatment. Contact our Billings, MT, practice to start the process of finding relief.

What Is the Cost Of TMD Treatment?


Treatment for TMJ disorder can cost anywhere between $500 and $1,500. Your cost will depend on the extent of damage to your TMJ, teeth, and overall oral health. Our Billings practice does accept insurance and we also provide financing options. 

"Dr. Casagrande and his staff always go above and beyond to provide me with quality dental care. I have had a great overall experience with Dr. Casagrande as my dentist these past 5 years."
Dr. David Casagrande

River Valley Advanced Dental & Implant Center

Dr. David Casagrande is a renowned prosthodontist who has been caring for the most complex cases for more than 40 years. He is a member of various professional organizations:

  • Montana Dental Association
  • American Dental Association
  • American College of Prosthodontists
  • The Academy of Osseointegration

To discuss your oral health concerns with our team, request a consultation online or call us at (406) 656-2000.

Message Our Staff

When you go to Dr. David Casagrande, you are treated with the utmost respect. They make sure everyone is comfortable and really accommodate the needs of their patients. I am so grateful I have such a wonderful Prosthodontist office so close by.

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Google map image of our location in 2105 Central Ave Ste 100 Billings, MT

Billings Office

2105 Central Ave
Ste 100
Billings, MT 59102

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Boise Office

403 S. 11th St.
Ste 200
Boise, ID 83702

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