TMJ/TMD Treatment

The temporalmandibular (TMJ) joints are located near the ear, at the top of the lower jaw. These joints allow movement of your jaw.

TMJ disorders are caused by injury, arthritis or habits such as grinding the teeth at night. These disorders may produce some of the following symptoms:

  • Earaches
  • Headaches
  • Clicking or grating noises with jaw movement
  • Pain opening or closing the mouth
  • Limited movement of the jaw

Not all discomfort of the jaw is the result of a TMJ disorder. In many cases, stress causes the muscles in the jaw to tense, resulting in symptoms similar to those characteristic of a TMJ disorder. Special imaging techniques may be needed to properly diagnose jaw problems and correct them accordingly.


The necessary course of treatment is dependent on the specific diagnosis and severity of the damage to the joint. Oftentimes, a night guard that prevents clenching and grating of the teeth during the night is effective in treating TMJ problems.

Night guards are fashioned to fit your bite by taking an impression of your teeth. This impression is then sent to a lab where your night guard will be constructed.

NTI-tss Plus™


Brea Ranch Dentistry has a simple solution for treating headaches, even migraines. It’s called the NTI-tss Plus™.

Over 29 million Americans suffer from migraines. The NTI-tss Plus™ is an FDA approved migraine prevention option. It is a small nightguard that comfortably fits over your front teeth. Its patented design keeps your canines and back teeth apart.

This separation minimizes the intensity of your night-time clenching forces by almost 70%. Originally developed to prevent migraine pain, the NTI-tss Plus™ is proven to be a superior alternative to full coverage bite guards.

To demonstrate how the NTI-tss works, touch the muscles of the temples while biting down on a pencil with the back teeth as hard as possible. The temporal muscles will bulge and intensely contract.

Now bite down on a pencil with only the front teeth. Those same temporal muscles remain relaxed. This diminished clenching intensity prevents a hyperactive nerve response, and thus, prevents migraines.

FDA Approved

The NTI-tss Plus™ is FDA approved for the prevention of migraine headaches. In a clinical trial, 82% of NTI-tss users experienced a 77% reduction in migraine events…with no medical side effects.

More Effective

Full-coverage bite guards can actually increase clenching activity for some patients by providing an ideal clenching surface for canines and molars. The NTI-tss Plus™ slightly separates your back teeth and reduces clenching intensity by nearly 70%.

More Comfortable

The NTI-tss Plus™ is smaller, less bulky and won’t trigger a gag reflex like some other commonly used appliances. Because it is more comfortable, we have found that our patients actually wear it.

How does it work?

During sleep, everyone clenches their teeth. For many, clenching and grinding causes migraine or tension-type headaches. The NTI-tss Plus™ reduces clenching by not allowing the canine or back teeth to touch. This diminishes muscle contractions in the head and face. Intense muscle activity can cause headaches and migraines.

What is it?

A small, clear dental nightguard that only covers your front teeth. Due to its small size, it is comfortable to wear while you sleep. The NTI-tss Plus™ is custom fabricated to be worn on either your upper or lower teeth. It is made using a safe, non-toxic thermoplastic and does not contain Bisphenol A.

How do I get the NTI-tss Plus™?

As a provider of the NTI-tss Plus™ therapy, we are happy to discuss whether this appliance is right for you. If you or someone you know suffers from migraine headaches, please be sure to inform us as the NTI-tss Plus™ may be a viable treatment to diminish and even eliminate this debilitating problem.

Will my insurance cover this?

Some insurance plans will. Consult your dental and medical insurance companies for details on coverage.