Dr. Moaiyad PachaSpecialist Orthodontics · Dubai

Focus area

TMJ and the jaw joint

Pain, clicking, locking and restricted opening of the jaw are common, and they have several different causes. This section explains how those causes are separated, what orthodontics can and cannot contribute, and what assessment in Dubai involves.

Jaw painClicking & lockingRestricted openingBruxism
A person holding the side of the jaw in front of the ear, where temporomandibular pain is typically felt

What the temporomandibular joint is

The temporomandibular joint (TMJ) connects the lower jaw to the skull just in front of each ear. It is unusual among human joints: there are two of them, they must move together, and a fibrocartilaginous disc sits between the two bony surfaces and travels with the condyle as the jaw opens. Both the joint itself and the muscles that move it can generate pain, and they do so in different patterns.

Temporomandibular disorder (TMD) is the collective term for problems affecting the joint, the muscles of mastication, or both. It is not one condition. Muscle-dominant pain, disc displacement with reduction, disc displacement without reduction, degenerative joint disease and inflammatory arthropathies all present differently and respond to different things — which is why an accurate description of the problem matters more than the label.

Symptoms that bring people in

  • Pain in front of the ear, in the cheek, the temple or along the jaw, often worse on waking or after chewing.
  • Clicking, popping or grating noises when opening or closing.
  • The jaw catching, or locking either closed (limited opening) or open.
  • A change in how the teeth meet, or the sensation that the bite has shifted.
  • Headaches in the temples, ear pain or fullness without infection, and tinnitus in some patients.
  • Awareness of clenching or grinding, or tooth wear noticed by a dentist.

How assessment works here

A clear full-coverage occlusal splint in place on the upper teeth
A clear full-coverage occlusal splint in place on the upper teeth
  1. History

    Where the pain is, what makes it worse, how long it has been present, whether the jaw has ever locked, parafunction, sleep, stress, trauma, and previous dental or orthodontic treatment.

  2. Clinical examination

    Range and path of opening, joint noises and where in the cycle they occur, palpation of the joint and of the masticatory muscles, occlusal examination and screening of the cervical spine and cranial nerves as indicated.

  3. Imaging where it will change the plan

    Imaging is not routine. It is taken when the clinical picture raises a question a scan can answer — suspected degenerative change, a history of trauma, or planning that depends on condylar position.

  4. Explanation and staged plan

    Which type of temporomandibular disorder best fits the findings, what conservative management is indicated first, and whether an orthodontic phase is worth considering afterwards.

Where it fits in the wider picture

Bruxism, disturbed sleep and airway problems appear repeatedly in patients with jaw symptoms. The relationships are real but not simple, and they run in more than one direction. Where a patient with jaw pain also reports loud snoring, unrefreshing sleep or daytime sleepiness, that is a reason to look at breathing as well — usually with a sleep physician — rather than to assume one explains the other.

A discreet daytime occlusal orthotic worn on the lower teeth

Reversible first, always

A discreet daytime occlusal orthotic worn on the lower teeth

Frequently asked questions

Will braces fix my jaw clicking?

Not predictably. Joint noise is common in the general population and often needs no treatment at all. Orthodontics changes tooth position and, with skeletal appliances, jaw relationships — it does not reposition a displaced disc. Where a clear occlusal or skeletal problem is contributing to symptoms, correcting it may help, but no orthodontic treatment should be sold as a cure for clicking.

Why not just wear a night guard?

A stabilisation splint is a reasonable first-line measure for many patients and is often exactly what is prescribed. The point of assessment is to know what the splint is for — protecting teeth from wear, reducing muscle activity, or as a diagnostic step before further treatment — and to review whether it is working, rather than leaving it in place indefinitely by default.

How long does jaw pain take to settle?

It varies widely. Muscle-dominant pain often responds within weeks to conservative measures; disc and degenerative problems follow their own course. Some people improve substantially, some improve partially, and a minority need ongoing management. Anyone offering you a timeline before examining you is guessing.

Do I need a CBCT scan of my jaw joints?

Only if it will change what is done. Cone beam CT shows bone well and soft tissue poorly, so it answers questions about degenerative change and condylar position rather than about the disc. It is justified case by case, because it involves ionising radiation.

Page last reviewed: 2026-09-10. This page is general health information about orthodontic care and is not a diagnosis, a treatment plan, or a substitute for an in-person clinical examination. Suitability for any treatment described here can only be established after a consultation, clinical assessment and the appropriate records. If you have symptoms that concern you, seek advice from a qualified clinician.

Appointments

Arrange a specialist orthodontic assessment in Dubai

Consultations take place at Manhal Medical Center, Al Safa 1, Dubai, in English or Arabic. Every assessment begins with a full clinical examination and, where indicated, 3D imaging — not a treatment quote.

Call Book an Assessment

Request an appointment

A short enquiry — the clinic will call or WhatsApp you back to confirm.

Sent to Manhal Medical Center to arrange your appointment. See the privacy policy.