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TMJ Treatment

Do you suffer from jaw pain, a clicking or stuck jaw, 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 help ease your pain so you can live life comfortably. 

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

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. 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

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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

Understanding TMJ and TMD

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?

Although the exact cause of temporomandibular disorder will vary between patients, most cases are caused by trauma to the jaw or surrounding joints. In addition, misalignment or orthodontic issues are common causes of TMJ conditions. 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 have also been identified as causes of joint disorders, as many patients grind their teeth to relieve stress. 

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 Billings, MT, 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. 

Diagnosis and Treatment

In order to effectively treat your disorder, your dentist will first conduct a thorough evaluation of your symptoms to provide an accurate diagnosis. When visiting our Billings dental office, we will ask you about your symptoms and examine your teeth, TMJs, and the 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.

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. 

Why Visit Our Billings Office for Your Treatment?

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. He understands firsthand the effects that TMJ disorders can have on your life and provides compassionate care for every patient.

Thanks to Dr. Casagrande's personal and extensive experience with TMJ disorder, our office has a very high success rate for treatment.

Oral appliances are one of the nonsurgical treatment options we offer at River Valley Advanced Dental & Implant Center

Affordable Financing Available

Treatment for TMJ disorder can cost anywhere between $500 and $1,500. Issues with the temporomandibular joint often fall under medical insurance instead of dental insurance, and sometimes they are not covered at all.

If your treatment isn't covered by your dental insurance or you do not have dental insurance, we accept CareCredit® and Lending Club® financing, which can split your treatment into affordable payments so you can get the relief you need.

What Others Say About River Valley Advanced Dental & Implant Center 5-Star Reviews


Jeff Malcho

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I have been a patient of Dr. Casagrande since 2003 and only have positive comments to share. The entire staff is friendly, professional, efficient, caring and experts in their field.

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Amberlee B

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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.

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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 dentist office so close by.

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