The temporomandibular joint (TMJ) powers everyday jaw movement like chewing and speaking.
If you’re noticing recurring jaw discomfort, Brighter Smiles Family Dentistry can perform a comprehensive dental exam to evaluate TMD and recommend care that fits your situation.
Treatment often starts with a custom night guard to reduce clenching or grinding, which can ease TMJ symptoms. If your symptoms are more severe, the team may recommend Botox injections of the facial muscles or physical therapy.
Common pain medicine and an ice pack on the jaw can provide temporary relief.
Common signs you might have TMD
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If you experience any of these symptoms, Dr. Fulton will do a comprehensive evaluation to determine the extent of your TMD. Based on her findings, she will discuss with you the best methods of treatment.
Possible problems with the TMJ include swelling, deterioration of the joint tissue, or damaged joint tissue which cushions the jaw bones during the opening and closing movement of the mouth. For these issues, TMJ Treatment is often sought. Common pain relievers and cold compresses can provide temporary relief for most cases of TMJ.
For more serious cases of TMJ, we will help you to identify TMD triggers to avoid and alternate treatments. Often, we will suggest using a mouth guard to relieve teeth clenching or grinding. For the most severe cases of TMJ, we may refer you for additional treatment such as Botox of the face muscles or physical therapy.
Frequently Asked Questions About TMD/TMJ Treatment

Expertise You Can Trust for TMJ Care in West Des Moines
Dr. Melani Fulton, DDS, leads your TMJ treatment with the same gentle, patient-focused approach she brings to every aspect of dentistry at Brighter Smiles Family Dentistry. A graduate of the University of Iowa College of Dentistry and a lifelong West Des Moines resident, Dr. Fulton blends advanced training with a deep commitment to her community.
She is an active member of the American Dental Association, Iowa Dental Association, Academy of General Dentistry, and American Orthodontic Society—organizations that emphasize continuing education and high standards in patient care.
For nearly 40 years, the practice has provided care to the West Des Moines community, ensuring TMJ patients are treated by a familiar, trusted team.
Whether it’s creating a custom mouth guard, discussing Botox therapy for severe symptoms, or guiding you through treatment options, Dr. Fulton and her staff are committed to making sure every TMJ patient receives personalized, informed care.
Join the Many Smiles We’ve Brightened!
Very friendly atmosphere and they take the time to explain everything to you. Always a great experience.
After moving from Mn to Iowa needing a Dentist Brighter Smiles was referred to us by our Son and his Fiancé. Made the Appointment and was very pleased with them .
Very friendly and knowledgeable.😊
Dr Fulton and her staff are wonderful. They are so personable. They listen to any concerns you have, and go above to make sure you are comfortable and happy when you leave. I highly recommend her for your dental needs.
Great place and great service. I have been using Brighter Smiles since they opened and have never once had an issue.
We had our first family visit with Dr. Fulton today! Everyone was fantastic! So happy with the service and quality of care!
First appointment with Dr. Fulton today. Enjoyed meeting her and found the treatment to be top notch!