
If your jaw aches when you wake up, clicks when you yawn, or you've been chasing headaches nobody can explain, you might be someone that could find relief with TMJ treatment and bite correction.
Dr. Brandon Prior, Dr. Andrew Hartman, and the team at 100 West Dental in Ballwin treat the temporomandibular joint, the hinge connecting your lower jaw to your skull, by figuring out why it's struggling in the first place. The goal: get you out of pain and protect your teeth from the wear a misaligned bite quietly causes over the years.
What sets this care apart is the diagnostic-first habit. Before anyone reaches for an appliance or adjustment, we look at how your bite fits, how your jaw moves, and whether muscle tension or your airway is feeding the trouble. If you've been living with jaw tension or morning headaches, call (636) 585-0100 to set up a consultation, or start with a virtual consult if you'd rather talk it through first.

Whether you connect virtually first or come straight in, the process rests on one idea: understand the cause, then treat it. Jaw pain, headaches, and broken sleep often trace back to the same source, and treating one while ignoring the others tends to buy only short-lived relief, which can get frustrating pretty quickly.
During the evaluation, we look at:
Treatment follows what the exam shows. For some that's a custom oral appliance to reposition the jaw and take pressure off the joint. For others it's an occlusal adjustment, a careful reshaping of how your teeth contact so your bite stops fighting itself. More involved cases get a phased plan addressing several factors over time.
Because jaw pain and disrupted sleep so often overlap, our evaluation may connect to airway and sleep apnea care when breathing is part of the picture. If your bite is the driving factor, options like Invisalign can help realign how your teeth meet, and for complex cases we may fold TMJ care into a broader full mouth rehabilitation plan.
When the right cause gets addressed, most people notice several things shift:
When bite alignment is a factor, clear aligner treatment can become part of the answer.

You may be a good candidate if this pattern sounds familiar:
Symptoms alone don't confirm anything, since several of these overlap with other conditions, which is why the evaluation comes first.
If your discomfort is mild and only shows up after a stressful week, it may settle on its own, and we'll tell you that plainly rather than steer you into treatment you don't need. Persistent pain, locking, or visible tooth wear is worth a closer look, and worn or shifting teeth sometimes point toward bite alignment with Invisalign.
Clenching and grinding can also disrupt your sleep, which may connect to sleep apnea treatment worth discussing during your visit.
TMJ care is a process, not a single appointment, and knowing that upfront makes it easier to plan around your life.
Your first visit is about understanding what's going on — a clinical exam, a real conversation about your symptoms, and a review of how your bite fits and your jaw moves. Dr. Prior or Dr. Hartman builds a plan specific to your case, which sometimes means gathering a few more diagnostic records before active treatment begins.
How long this phase runs depends on:
Many people feel early relief within the first several weeks of consistent appliance use. A stable, lasting result usually takes longer — often a few months.
Brief follow-up visits along the way let us make small adjustments and confirm your jaw is settling the way it should. Day-to-day disruption stays minimal. This process asks for patience more than time off.
You don't need to do much to get ready. Before your visit, think through a few details like:
Bring both your dental and medical insurance cards along too.
Aftercare depends on your plan, but a handful of habits protect your progress:
If something feels off between visits, tell us. Catching a small issue early is almost always simpler than waiting, and if your symptoms point to a related concern, we may fold sleep and airway care into the bigger picture.
The cost of TMJ treatment varies with how complex your case is and which approach fits, so there's no single price because there's no single solution. What we can promise is a clear picture before you commit to anything.
Coverage depends on your plan and how the treatment is classified. Some parts of TMJ care may fall under dental insurance, some under medical, and sometimes both apply, which is why it helps to check each policy.
We accept many major plans, including Aetna, Delta, Cigna, MetLife, and Guardian, and we'll help you sort out what your coverage may apply. To see the full list of accepted insurances, visit our Be Our Guest page. A few things worth knowing:
For patients without insurance, our in-house 100 Club membership is another way to make care simpler, with 15% off general treatments and no deductibles or yearly maximums.

If you've already been handed a night guard and sent on your way, you know that managing symptoms and treating the cause aren't the same thing. Our care starts with the question a lot of providers skip: why is this happening?
The whole practice is built around functional, airway-aware dentistry, so jaw trouble never gets examined in isolation. Dr. Prior brings hundreds of hours of continuing education each year and a teaching role training other dentists across the St. Louis area, and the office uses Cone Beam 3D imaging and digital scanning to see your bite and joint with real precision. No white coats, no corporate stiffness, just careful work and straight talk.
Learn more about our approach to TMD management and how functional dentistry looks at the whole picture.
We serve Ballwin and the greater St. Louis region from our office at 13759 Manchester Road, looking at every case with the full picture in mind rather than the single symptom that brought you in.
It depends on your plan and how the treatment is classified. Some plans cover diagnostic work or oral appliances; others file TMJ care under medical rather than dental benefits. We accept many major plans, and you can review the full list on our Be Our Guest page. Check both policies, and our Ballwin team will help you make sense of what applies.
Yes. When the jaw doesn't track properly, the surrounding muscles overwork to compensate, and that tension radiates into the temples, neck, and shoulders. Headaches managed for years can have a structural cause.
A night guard protects your teeth from grinding, which matters if clenching is wearing them down. But it doesn't change the bite mechanics or muscle dysfunction driving the problem underneath, so the pain often continues. Real TMJ treatment addresses those causes directly. A guard can be one useful piece of a larger plan, but on its own it usually isn't the fix.
It can. If you've noticed both jaw discomfort and poor sleep, mention that pattern during your evaluation so we can look at the two together. How your bite and airway function often ties directly into how well you sleep, which is why our sleep apnea care and TMJ treatment often go hand in hand here.
Occasional soreness after a tense week often resolves with rest. Pain that's persistent, changes how you chew or open your mouth, or comes with clicking and locking is worth evaluating. Catching it early usually means simpler care.
Not necessarily. Some people use an appliance only during a treatment phase; others keep one for nighttime protection long term, especially when grinding is part of the picture. We'll explain what makes sense for your case during a consultation with Dr. Prior or Dr. Hartman.
A TMJ evaluation here starts with a diagnostic conversation, not a treatment commitment. You'll describe what you're feeling, ask your questions, and understand what's going on before any decisions get made.
Our team, including Dr. Prior and Dr. Andrew Hartman, is here to help you get real answers.
Call us at (636) 585-0100 to set up your evaluation. We're at 13759 Manchester Road in Ballwin, and we gladly welcome patients from across the greater St. Louis region.
