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TMJ Problems & CMD in Hanau: Diagnosis & Splint Therapy

Modern Treatments Such as Botulinum Toxin (Botox) in CMD Therapy

A harmonious interaction between teeth, muscles, and temporomandibular joints is the foundation of well-being and health. However, stress, misaligned teeth, or changes to dental prostheses can quickly throw the sensitive craniomandibular system (CMS) out of balance. The result is what’s known as craniomandibular dysfunction (CMD), which often manifests as painful tension and premature wear.


At our dental practice in Hanau, we address this complex condition with in-depth expertise: In addition to traditional treatment methods, we also utilize modern approaches—such as targeted treatment with botulinum toxin (Botox)—for cases of severe muscle hyperactivity. Through precise diagnostics, we identify the root cause of your symptoms to help you regain your quality of life in the long term.

Kiefergelenksprobleme auch TMJ disorder - erfahren Sie wo der Schmerz herkommt

Bruxism – When Teeth Grinding Becomes a Problem

Bruxism refers to the unconscious, usually nocturnal grinding or clenching of the teeth. The enormous pressure exerted on the periodontium and the temporomandibular joints rarely goes without consequences. Typical signs and symptoms that we can effectively help you with include:

According to US studies 30% of the population are either grinding or pressing with their teeth at night.

Pressure & Wear:

Increased, visible loss of tooth structure (attrition), loosening of teeth, or cracks in dental restorations.

Pain & Tension:

Morning jaw pain, chronic headaches, migraines, and persistent muscle tension in the throat, neck, and shoulder areas.

Early warning signs:

Clicking or grinding noises during chewing, as well as noticeable limitations when opening the mouth.

Do you suffer from these symptoms? Let’s work together to find the cause. Phone consultation in Hanau:

EIn Icon zur visualisierung des Themas Kiefergelenksprobleme

Our Treatment Approach: Step by Step Toward Relief

Every successful TMD treatment is based on a precise diagnosis. At the start of treatment, we perform a manual functional analysis and assess the clinical functional status of your jaw. If necessary, we use additional imaging techniques (such as an MRI) to accurately evaluate structural changes. We then create your personalized treatment plan.

Die Funktionsanalyse des Kiefergelenks

Zu Beginn der Behandlung wird mit einer manuellen Funktionsanalyse und einem klinischen Funktionsstatus die beteiligten Körperstrukturen genauer untersucht. Anhand der Befunde können Verdachtsdiagnosen ausgeschlossen und weitere diagnostische Verfahren (z.B. MRT) in Erwägung gezogen werden.

Stage 1: Conservative Basic Treatment

The initial focus is on proven, gentle measures. These include custom-made bite splints (bruxism splints) fabricated in a laboratory, which protect your teeth and guide the temporomandibular joints into a relaxed position. In addition, we work closely with specialized physical therapists to provide you with targeted movement and relaxation exercises for everyday life.

Stage 2: Modern Extension – Botulinum Toxin (Botox) for Severe CMD

If conservative treatments fail to provide sufficient relief over an extended period and painful muscle hyperactivity persists, we offer an innovative extension of care at our practice: targeted Botox therapy for CMD.

Botulinum Toxin in CMD Therapy

Following a successful continuing education course led by Dr. Soekamto and Dr. Philipp Hericks (“Botulinum Toxin in CMD Therapy”), we use this proven medication to gently reduce the tone of overactive masticatory muscles. We administer botulinum toxin with the utmost care and in strict accordance with medical indications—always as a customized component of a holistic treatment plan.

How does Botox work for jaw problems?​

Targeted relief:

Botulinum toxin type A is precisely injected into the affected muscle areas, significantly reducing involuntary, painful muscle tension. Teeth, joints, and dental prostheses are effectively protected from excessive strain.

Effect & Duration:

The relaxing effect begins after a few days and typically lasts three to six months. Experience has shown that the injection needs to be repeated about two to three times until a harmonious muscle balance and lasting relief from symptoms are achieved.

Scientifically proven:

The efficacy of botulinum toxin type A for bruxism and myofascial jaw pain has been scientifically proven and is explicitly supported by the current AWMF S3 guideline “Diagnosis and Treatment of Bruxism.”

Want to finally wake up pain-free again?

Do you suffer from teeth grinding, jaw pain, or chronic tension? Let’s work together to find the cause. As your experts in CMD therapy and modern treatments in Hanau, we’d be happy to provide you with empathetic advice on your options.

Frequently Asked Questions (FAQ) About CMD & Botox Therapy in Hanau

Treatment for bruxism and CMD with botulinum toxin is billed according to the German Dental Fee Schedule (GOZ). Since this is a highly specialized, modern form of therapy, statutory health insurance plans usually do not cover the costs. However, private health insurance or supplemental dental insurance often reimburses the treatment in full or in part, depending on the plan. Before starting therapy, we will, of course, provide you with a transparent cost estimate at our practice in Hanau.

No, you can undergo physical therapy with any therapist of your choice. However, since successful TMD therapy requires an interdisciplinary approach, we work closely with specialized physical therapists and osteopaths in Hanau and the surrounding region. We’d be happy to recommend practices that have many years of experience treating patients with temporomandibular joint disorders (TMD).

The treatment is virtually painless and is well tolerated by most patients. Dr. Soekamto and Dr. Hericks use extremely fine needles for the injection, so you’ll feel only a slight prick. The treatment takes just a few minutes, and you’ll be able to resume your normal activities immediately afterward.

We always begin with a comprehensive and thorough diagnostic evaluation. We perform a manual functional analysis to determine the extent of the dysfunction and assess whether conservative splints or modern procedures are appropriate for you. You can easily schedule a consultation by phone or through our online appointment calendar.
Do you have questions about splint therapy or the new options for botulinum toxin treatment for CMD? Our team will take the time to provide you with a detailed evaluation.