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

  • Jaw or ear pain that worsens when chewing or talking

  • Morning jaw soreness linked to clenching or grinding

  • A feeling of tired or fatigued facial muscles

TMJ Treatment

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

The temporomandibular joint, or jaw joint, enables essential movements like chewing and speaking.

At Brighter Smiles Family Dentistry in West Des Moines, TMJ treatment focuses on keeping this joint healthy and pain-free.

Common symptoms include jaw or ear pain that worsens with chewing or talking, morning jaw soreness from clenching or grinding, and overall facial muscle fatigue.

If you notice these issues, schedule a comprehensive dental exam for a clear diagnosis.

At Brighter Smiles, your visit includes a full dental evaluation to assess TMD, identify any joint swelling or tissue concerns, and guide you toward the right treatment plan. Call (515) 225-2577 to book your appointment today.

A custom night guard is designed to reduce teeth clenching or grinding, which can often relieve TMJ discomfort.

Many patients find that wearing one helps protect their teeth and reduce morning jaw pain.

Chewing, extended talking, and nighttime clenching or grinding can make TMJ discomfort worse.

Knowing your triggers and limiting them is an important step toward reducing symptoms and finding relief.

Over-the-counter pain medicine and an ice pack placed on the jaw can offer quick relief for mild TMJ discomfort.

These methods work best when paired with your dentist’s recommended treatment plan for lasting results.

For more severe cases, Brighter Smiles may recommend a custom mouth guard, Botox injections in the facial muscles, physical therapy, or strategies to avoid TMD triggers. Each treatment plan is tailored to your needs.

Yes. Problems such as swelling, deterioration of joint tissue, or damage to the cushioning tissue in the jaw joint can contribute to TMJ disorders, making professional evaluation important.

Yes. Botox injections targeting the facial muscles are available as one of our treatment options for patients with more severe TMJ symptoms. Ask about Botox therapy during your consultation.

You can call Brighter Smiles Family Dentistry at (515) 225-2577 to schedule a comprehensive dental exam. Our office is located at 2501 Westown Pkwy Suite 1204, West Des Moines, IA.

Modern Dentistry, Gentle Care

Comfortable and Caring Dental Care for the Whole Family

Dr. Melani Fulton

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!

Sara Tolbert

Very friendly atmosphere and they take the time to explain everything to you. Always a great experience.

Sara Tolbert , via Facebook
Lorron Moffatt

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 .

Lorron Moffatt , via Facebook
Susan Strader Ohnysty

Very friendly and knowledgeable.😊

Susan Strader Ohnysty , via Facebook
Michelle Holtz

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.

Michelle Holtz , via Facebook
Sean Smith

Great place and great service. I have been using Brighter Smiles since they opened and have never once had an issue.

Sean Smith , via Facebook
Leah Wilson

We had our first family visit with Dr. Fulton today! Everyone was fantastic! So happy with the service and quality of care!

Leah Wilson , via Facebook
Ken O'Brien

First appointment with Dr. Fulton today. Enjoyed meeting her and found the treatment to be top notch!

Ken O'Brien , via Facebook