Treatments
Our Approach to Treatment
Appropriate treatment begins with accurate diagnosis. Before any treatment is recommended, a comprehensive examination is completed and a working diagnosis is established. The most suitable treatment option is always determined by the findings of that diagnostic process.
At Dr. Cruz’s practice, conservative and non-surgical approaches are prioritized. Treatment is directed at the underlying cause of symptoms, not only symptom management.
Dr. Yolanda Cruz is a general dentist. All services described on this page are provided within the scope of general dentistry.
TMJ/TMD Treatment
Chronic TMJ/TMD is a multifaceted condition involving the joints, the surrounding muscles, the nervous system, and the bite. Effective treatment must consider each of these elements. Dr. Cruz approaches TMJ/TMD as both a musculoskeletal and neurological condition, working to reduce joint stress, address inflammation, and support the nervous system’s return to a less sensitized state.
Treatment options available at this practice include:
- Custom oral appliances (orthotic splints) to decompress the TMJ and address joint pathology
- Botox injections to the masseter and temporalis muscles for muscle-related TMD and bruxism
- Fotona laser therapy to reduce inflammation and support tissue healing
- Weber laser and helmet low-level laser therapy for pain management
- Joint Vibration Analysis (JVA) for diagnostic assessment and treatment monitoring
- T-Scan occlusal analysis to identify bite imbalances
- 3D cone beam imaging (CBCT) for hard tissue evaluation
- Short-term anti-inflammatory support when indicated
- Dietary guidance during flare-up periods
- Jaw exercises and postural retraining
- Patient education and self-management strategies
A Note on Surgery
Arthroscopy, arthrocentesis, and jaw surgery are procedures reserved for a small minority of severe and refractory cases. These are performed by oral and maxillofacial surgeons and are considered only after conservative options have been fully explored. Dr. Cruz will refer patients for surgical consultation when clinically appropriate.