TMJ Treatment
and Joint Analysis

TMJ Treatment
and Joint Analysis

If you are experiencing jaw pain, difficulties chewing, opening your mouth, or have had a history of pain, noises in the joint or have difficulty opening your mouth wide, you may suffer from TMJ Disorder.

Schedule a consultation to get the help you need. The most common symptom is pain or achiness radiating from your TMJ, but other common symptoms include, headaches, clicking or grinding sounds when moving your jaw, or locking of the jaw.


How TMJ treatment can help

This joint is a small, intricate part that connects your lower jaw to the base of your skull. If the TMJ or surrounding muscles become irritated, inflamed, or damaged it can result in discomfort, pain or even improper growth of the jaws during development. During every examination at Expertise Dental our doctors will check your joint and ask you about any symptoms.

If you need a detailed extensive exam for your joint, Dr. Swanson will help determine which treatment option will be best for you. We use 3D CBCT Imaging to aid in examining you and if need be, we will send you for an MRI. We will conduct a clinical evaluation of your bite, your joint and the muscles associated with the joint.

We may recommend a custom designed orthotic or appliance, use of anti-inflammatories, neurotoxin therapy, physical therapy and/or chiropractic care . We will work with our team of surgeons if need be, but only 5-10% of all TM joint issues are surgical. This means we can use therapies to help this joint and muscle complex heal over time. Once we know the origin of your TMJ discomfort we can begin treatment.

Treatment options for TMJ Disorder

An occlusal guard, orthotic, or deprogrammer will be used depending on the cause of your pain and discomfort. The appliance we choose will take the strain off your temporomandibular joint, allowing the muscles and tissues to calm or become less inflamed. Some appliances we use will shift the position of your jaw to stabilize the joint.

Occlusal Equilibration, analyzing and balancing your bite, or restorations to build a better bite, may be recommended. Possibly orthodontics, or Invisalign, to get the teeth in a better bite position, may be prescribed to help stabilize your joint issue, and have a healthy balance.


Melissa Minger Swanson DMD,FAGD

Meet Dr. Swanson

For TMJ Treatment

Dr. Swanson focuses on treating patients with Complex Esthetic issues, TMJ disorders and Occlusal issues, Airway Health, Wellness, and Preventive Care. She is a residency-trained general dentist with an emphasis on advanced comprehensive adult care. Her passion for dentistry shines through her detailed work, the genuine care with which she treats her patients, and her love of working with interdisciplinary teams.

She enjoys using state-of-the-art technology to evaluate and treat TMD, craniofacial growth, and airway. She completed a Sleep Medicine residency at the University of the Pacific in San Francisco in 2016 which allows her to incorporate working with physicians and multidisciplinary groups to address breathing issues, airway health and overall wellness, into her practice.

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Dr. Amanda Seay

Dr. Amanda Seay

Cosmetics and Restorative Dentistry
Dr. Amanda Seay received her dental degree from the elite New York University College of Dentistry, a global leader at the forefront of cosmetic and restorative esthetics. She is a clinical instructor at the Kois Center and has also published articles covering the art and techniques of esthetic dentistry and dental materials...
Dr. Tony Mennito

Dr. Tony Mennito

Advanced General Dentistry
Dr. Tony Mennito graduated from Temple Dental School in 2003 and moved to Charleston the following week as his wife, Sarah, was beginning her Pediatric residency at MUSC. Dr. Mennito practiced 90 minutes away in Bamberg. Their son, Sam, was born in 2007, and in 2009 he began teaching at MUSC College of Dental Medicine...
Dr. Melissa Minger Swanson

Dr. Melissa Minger Swanson

Advanced General Dentistry

Dr. Swanson graduated from the Medical University of South Carolina in 2007 and went onto complete an Advanced Education in General Dentistry residency at the University of Florida. Her focus is treating complex dental problems, esthetic concerns, TMD issues, sleep issues, and wellness. She was awarded her Fellowship in the Academy...

Dr. Adamo E. Notarantonio

Dr. Adamo E. Notarantonio

Advanced General Dentistry
Dr. Adamo Notarantonio is a graduate of the State University of New York at Stony Brook School of Dental Medicine (2002), where he received honors in both removable and fixed prosthodontics. Dr. Adamo was Accredited by the American Academy of Cosmetic Dentistry in 2011, and received his Fellowship in the AACD in 2018...

Two locations to serve you:

Mt. Pleasant:

3404 Salterbeck Street, Suite #202 Mount Pleasant, SC 29466

Mon - Thu: 8:30am - 4:00pm

West Ashley:

776 St. Andrews Blvd. Charleston, SC 29407

Mon - Wed: 8:30am - 4:00pm

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