How Sleep and TMJ/TMD Are Related

February 15, 2023

The Relationship Between Sleep and TMJ Pain Explained

Getting a good night’s sleep – approximately 7 to 8 hours for adults – is one of the keys to good health. Yet for millions of Americans suffering from the pain associated with TMJ/TMD, getting restful sleep can be a real challenge.


What is TMJ/TMD?

The letters TMJ stand for the temporomandibular joint that connects your jawbone to your skull, allowing your jaws to open and close. When the jaw muscles and joints making up this connection malfunction, this situation can lead to a chronic condition known as TMJ disorder, or simply TMD. 


The pain associated with TMJ/TMD can make many of your daily activities quite painful. These include chewing, swallowing, and yawning. This pain can also make it difficult to get a good night’s sleep. 


The Causes of TMJ/TMD

Determining the exact cause of TMJ/TMD can sometimes be difficult because it can be triggered by any number of things. These include trauma you may have suffered in the past or having an uneven bite. The misalignment of your neck and spine caused by the position in which you sleep can also be a contributing factor.


Still another possible cause is the condition known as bruxism – the habitual clenching of your jaws and grinding of your teeth that can occur during the day or while you are sleeping and totally unaware of the grinding that’s occurring..


Over time, the clenching and grinding associated with bruxism can damage both your teeth as well as any dental restorations you may have, leading to a misaligned bite. 


If, because of a misaligned bite, your upper and lower teeth are not closing and coming together properly, the muscles in your jaw may move the temporomandibular joints out of their proper position to force your teeth to come together. The end result can be the pain to the face and jaws associated with TMJ/TMD.


Sleep Apnea – A Possible Complicating Factor

 It’s estimated that approximately 22 million Americans suffer from sleep apnea. Briefly explained, this is a disorder that causes repeated interruptions in breathing from an obstruction in the upper airway, often caused by the collapse of the soft tissues at the back of the mouth.


Can sleep apnea cause facial pain? That certainly seems to be the case. According to recent research, about 43% of those with TMJ/TMD have sleep-related issues. 


Basically, when the airway collapses, the automatic response of the body is to push the jaw forward. And this constant back and forth motion can cause tension and stress on the jaw joints and pain.


Help is Available at Stephens Dentistry

The symptoms of bruxism and TMJ/TMD are very similar and include:

  • Pain or tenderness in the jaw or face
  • Frequent neck pain.
  • Frequent and severe headaches.
  • Pain in and around the ears.
  • Difficulty opening and closing your mouth. 


If you’re suffering these symptoms, bruxism could well be the root cause, and at Stephens Dentistry we can provide the help you need. 


To provide relief from bruxism and protection for your teeth, our doctors recommend a custom-designed NTI device.


NTI (nociceptive trigeminal inhibitor) is a type of mouth guard that prevents the clenching action associated with bruxism. No clenching, in turn, means not just less grinding of your teeth, but less tension on your jaws, less pain, and a more restful night’s sleep.


If you’re constantly suffering from the symptoms we have described, we urge you to schedule an appointment with us at Stephens Dentistry. Our dentists will be glad to explain the benefits of a custom-designed NTI device and help you determine if this is the right treatment option for you.

June 24, 2025
Pregnancy is a time of excitement, anticipation, and transformation. As your body adapts to nurture new life, your needs evolve—including your dental care. At Stephens Dentistry, we’re passionate about supporting expectant mothers through every stage of this journey. Understanding the connection between oral health and pregnancy is not just important for your smile, but for the wellbeing of both you and your baby.  How Pregnancy Impacts Oral Health Pregnancy brings about a surge in hormones, especially estrogen and progesterone, which can have a profound effect on your gums and teeth. Many women notice changes in their oral health during pregnancy, including increased sensitivity, swelling, or bleeding gums. These shifts aren't just uncomfortable—they can also signal conditions that need attention to safeguard your overall health. Pregnancy Gingivitis: What You Need to Know One of the most common dental issues during pregnancy is pregnancy gingivitis. According to the Centers for Disease Control and Prevention , up to 60–75% of pregnant women develop gingivitis, which is characterized by red, swollen, and bleeding gums. This occurs because hormonal changes heighten the body’s response to the bacteria in dental plaque. If left untreated, gingivitis can progress to periodontitis—a more serious gum infection that can cause tooth loss and has been linked to health risks beyond the mouth. Oral Health and Birth Outcomes The importance of oral health during pregnancy goes beyond comfort and aesthetics. Research has shown a significant link between maternal gum disease and adverse pregnancy outcomes, such as preterm birth and low birth weight. A systematic review published in the Journal of Dental Research found that women with periodontal disease may be more likely to deliver prematurely or have babies with low birth weights. Although more research is ongoing, the potential connection means that taking care of your gums and teeth is an essential part of prenatal health. Why Dental Care Shouldn’t Wait Some expectant mothers worry about dental treatments during pregnancy. The good news is that routine dental care—including cleanings and necessary treatments—are not only safe but recommended during pregnancy. The American College of Obstetricians and Gynecologists confirms that preventive dental work is important and can be performed safely, especially in the second trimester. Delaying care can allow small problems to become bigger ones, and untreated infections can pose a risk to both you and your baby. If you are planning to become pregnant, scheduling a dental checkup beforehand is an excellent way to get ahead of any issues. Practical Tips for Expectant Mothers Maintaining oral health during pregnancy doesn’t have to be complicated. Here are some tips to keep your smile healthy throughout your pregnancy: Brush and Floss Regularly: Aim to brush twice a day with fluoride toothpaste and floss daily. This helps remove plaque and reduce your risk of gingivitis. Eat a Balanced Diet: Focus on nutritious foods rich in calcium, vitamin D, and protein, which support both your oral and overall health. Manage Morning Sickness: If you experience vomiting, rinse your mouth with water or a fluoride mouthwash rather than brushing immediately afterward, as stomach acid can soften tooth enamel. Stay Hydrated: Drinking plenty of water helps wash away food particles and bacteria, and can also help combat dry mouth, which is common in pregnancy. Schedule Regular Dental Visits: Let your dental team know you are pregnant so they can tailor your care. At Stephens Dentistry, we take extra precautions to ensure your comfort and safety during each visit. Learn more about our preventive dental services . Recognizing When to Call Your Dentist While mild gum sensitivity is common, it’s important to reach out to your dentist if you notice persistent bleeding, swelling, or pain. These symptoms could indicate an infection that needs prompt attention. If you develop a dental emergency during pregnancy, don’t hesitate to contact your dentist—timely care is always the best choice for both you and your baby. Supporting Your Health at Stephens Dentistry At Stephens Dentistry, we’re committed to providing compassionate, personalized dental care for every stage of life—including pregnancy. Our team stays up-to-date on the latest guidelines and safety protocols to ensure you receive the best care possible. For more information on how we support our patients during pregnancy, visit our dental care for families page. Pregnancy is a beautiful journey, and your smile should be a part of it. Prioritizing your oral health is a gift to yourself and your growing family. If you have questions or want to schedule your next dental visit, contact our office —we’re here to help you every step of the way.
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