Jaw Pain

Have Jaw Pain or Jaw Clicking?
That clicking or grinding sound you here when you open your mouth may be associated with TMD or Temporomandibular Dysfunction. It is a common condition affecting the jaw joint Temporomandibular Joint (TMJ). We offer relief from these symptoms through non-invasive procedures and appliances.

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Causes of TMJ/TMD

There are many causes for TMD such as:

1. Unbalanced occlusion or 'Bad Bite'
2. Stress (emotional or work/school related)
3. Injury or trauma (this could have been an injury as obvious as a blow to the jaw with a fist or something as subtle as a whiplash injury with direct trauma to the head or jaw.)
4. Teeth grinding or Bruxism

A 'Bad Bite' could be caused by any of the following:

1. Missing teeth
2. Crowded or 'crooked' teeth
3. Worn down teeth
4. Old crowns and bridges
5. Unbalanced dentures

When teeth are missing, or out of alignment, it causes the jaw to shift positions and the muscles to work harder to chew, swallow, bite, etc. and eventually will cause: muscle spasms, tension and pain.

Muscle tension and misplaced TMJ could cause the TMJ disc to be pulled out of place which will result in pain, clicking and popping in the TMJ.

If the disc is displaced for a long time, the bones will start rubbing against each other and some damage will happen to the bone, this is called Osteoarthritis.

If there is inflammation in other joints or bones of the body, it is called Osteoarthritis (Arthritis) which may involve the jaw bone and the TMJ. Some damage to the bone may be evident on the x-rays.

Bite Splints
Bite Splints

Bite splints (plates) are effective in relieving TMD symptoms.


A bite splint provides an acrylic platform to bite against. Some bite plates move the mandible to a new position.


Generally, splints are worn part-time and for most people night time seems to be the best time to wear them.

NTI-TSS System
NTI-TSS System

The NTI-TSS System is a type of mouth guard that is placed on the patient's upper teeth. This lets the lower jaw rest in its proper place and causes the teeth to subside from being able to clench together.

If you experience chronic headaches, please ask your doctor because the NTI-TSS System could work for you.


Framingham Dentist Ratings - Dr. Madani
Overall Dental Practice Rating - ★★★★★ 5 out of 5 based on 9 ratings.
Framingham Dentist Reviews.

★★★★★
Dr. Madani is a wonderful dentist! He is very skilled and knowledgable, and I feel very confident and comfortable with him; I know I'm in good hands. His warmth and friendliness put me right at ease, and his whole staff is always so friendly. My family feels the same way. Harriet Shapira

★★★★★
Thank you so much for 15 years of the most outstanding dental care a patient could ever receive. your skill at diagnosis, compassion, hands of pure gold, easy-to-understand explanations and fabulous 'chair-side' manner which immediately puts even the most fearful patient at ease all combine to make seeing you a pleasurable experience. how many people can say that they actually ENJOY going to the dentist and emerge with perfect results every time?? You are one of a kind.

★★★★★
I just wanted to drop you a note to say thank you so very much for my lovely smile. I get so many compliments on my teeth thanks to you. You did a job well done, and for all your patience, and time, I'm not afraid of the dentist anymore! Thanks to you and the staff.

★★★★★
Thank you for all the good work throughout all those years we had spent as your patient. Many Thanks for everything your happiness, good spirit, and above all your excellent job.
We are going to miss you guys.

★★★★★
Dear Dr. Madani, I just had to thank you again for my happy birthday ballon. I want to thank you for your kindness, patience, your good heart, your expertise in the care you've given me. I hope your future along with your beautiful bride will be blessed with happiness, good health and success in all your endeavors. Lucky me to have someone so sympathetic to my needs and the help you've given me in so many ways. You really are a great representative for the Gentle Dental Assoc. P.S. The dental assistants and the girls at the front desk are all sweethearts too.

★★★★★
Thank you for helping create the perfect smile for my wedding day!

★★★★★
I saw Dr. Reza Madani for the consultation of a difficult big bridge replacement. This problem has existed for a few years, but I never understood completely all the issues. Dr. Madani went through this problem area tooth by tooth using my x-rays and even drawing pictures for a better understanding. he patiently explained to me all the options, advantages and disadvantages of every option. When I left the Centre Street office I though it was my best dental appointment - and I have had quite a few of them over my lifetime! I also liked very much the supportive team - receptionist, assistant, hygienist - who are professional and friendly. I really recommend this place.

★★★★★
I really appreciate for the treatment of my front teeth .... even for free. It was the niggest complex but I can smile confidently now. Thank you so much! I'm going back to Virginia tomorrow to finish my college degree. Thanks for helping and being kind to my parents. My family really likes you haha.

★★★★★
I can tell that this crown is stable and after a week, it is solid and feels great! Dr. Madani also suggested I wear a night guard to protect my crown (since I grind my teeth at night) which I have done.
I also want to say that Imelda O'Connor, the Office Manager is a wonderful and efficient manager and should also be commended. She was able to coordinate with the JP office to work out the financial issue in regard to solving my crown problem. It is a true pleasure going to this Gentle dental office and I will recommend it to all my friends. The entire staff there; Dr. Lozada and Dr. Madani's assistants are wonderful as well.
This has been a great experience for me, a woman who has had many tedious and painful visits to dentists over the past 5 years. Presently I am unemployed and not able to afford the additional dental care I would love, since the medical insurance I am paying is quite high, but I hope to be working full time soon and will be sure to make an appointment at Gentle Dental West Roxbury for my overdue cleaning. I have always tried to keep up my dental appointments because I know that it is very important for overall health.