Detailed Diagnosis and Treatment for TMJ Disorders

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, and Boise, ID, 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. 

What is a TMJ Disorder?

TMJ disorders involve swelling, malfunction, or pain in the TMJs, or the joints that connect your lower jawbone to your skull. The symptoms of TMJ disorder include: 

  • Stiffness in the jaw
  • Headaches
  • Pain and soreness
  • Clicking sounds in the jaw 
  • Popping in ears 
  • Teeth grinding 

When left untreated, TMJ can begin to affect your overall health. The condition can impact your ability to sleep and concentrate due to widespread, serious discomfort. 

What Causes TMJ Disorder?

Although the exact cause of TMJ 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 TMJ and surrounding 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 office has a very high success rate for treatment of TMJ disorders.

Diagnosis and Treatment

In order to effectively treat your disorder, we will first conduct a thorough evaluation of your symptoms to provide an accurate diagnosis. When visiting our office, we will ask you about your symptoms and examine your teeth, TMJs, and the surrounding structures. Based on your unique condition, we can recommend one of two non-surgical, therapeutic treatments. 

Mouth guards
Oral appliances are one of two non-surgical treatment options we offer at River Valley Advanced Dental & Implant Center. 

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.

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. 


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.

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. 

Why Visit Our Office for Your Treatment?

While Dr. Casagrande was attending dental school, he personally suffered from TMJ disorder. 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.

Find Relief Today

Seeking treatment for TMJ disorders can have several positive outcomes on your well-being, such as:

  • Improved sleep 
  • Full functionality of the jaws 
  • Recovered ability to eat solid foods 
  • Relief from jaw pain and headaches

Dr. Casagrande can provide conservative and personalized treatments for TMJ disorder to help you find the relief you deserve. If you are suffering from TMJ pain, call our office at (800) 874-4667 or contact us online to begin exploring your treatment options. 

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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Boise Office

403 S. 11th St.
Suite 200
Boise, ID 83704

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2105 Central Ave
Ste 100
Billings, MT 59102

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