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Specialty condition · Temporomandibular disorders

TMJ disorders — scientific diagnosis and stepwise treatment

Jaw pain, clicking, restricted opening, bite-related headaches — all symptoms of TMJ disorders. Dr. Mohamed Bamashmous approaches these scientifically: comprehensive exam + CBCT or MRI when indicated, then a stepwise plan from occlusal splints to orthodontic intervention if needed.

A translucent 3D anatomical rendering of a human skull in profile, with the temporomandibular joint (TMJ) glowing in warm gold and concentric ripple lines emanating from the joint area — diagnosis and treatment of TMJ disorders.
TMJ disorders: pain originating from the joint that radiates to the ear and temple — precise diagnosis followed by stepwise treatment.

The six most common symptoms

Pain in the jaw, ear, or temple area. Clicking or grinding sounds on opening/closing. Restricted full opening (under 35–40 mm). Morning headache associated with bruxism. Pain in chewing muscles. Morning stiffness easing within the first hour. Two or more of these symptoms persisting more than 3 weeks warrants specialist evaluation.

Our diagnostic protocol at AQUA

90-minute first visit: detailed history, physical exam of joint and muscles, opening range measurement, photographic recording of jaw movement, panoramic + cephalometric X-rays. Moderate-severe cases may need TMJ CBCT or MRI for disc evaluation. Diagnosis determines whether the cause is muscular, articular, or mixed — each has a different treatment protocol.

Stepwise treatment

Stage 1 (conservative): patient education about habits (one-sided chewing, daytime clenching), muscle physiotherapy, sometimes short-term analgesics. Stage 2: custom occlusal splint (Stabilization or Anterior Repositioning) worn at night for 8–12 weeks. Stage 3 (for occlusal cases): orthodontic treatment with Invisalign or braces to correct bite if needed. Surgery is very rarely indicated.

Cost in Jeddah 2026

Initial diagnostic consultation ~600–900 SAR. Custom occlusal splint 1,800–3,500 SAR (including 6 titration visits over 12 weeks). Physical therapy 250–400 SAR/session. Orthodontic treatment if needed: case-dependent (12,000–32,000 SAR). Most private insurance plans cover 50–70% of a diagnostic occlusal splint with a medical report.

Treating consultant

Dr. Mohamed Bamashmous

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