TMJ / TMD
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.

TMJ / TMD
TMD Symptoms
TMD Symptoms

To help diagnose a TMJ disorder, you want to look for the following symptoms that are generally related to TMD.


- Jaw Pain
- Jaw Clicking
- Limited Mouth Opening
- Jaw Locking
- Face Pain
- Eye Pain
- Ear Pain
- Neck Pain


If you are experiencing any of these symptoms, please call our office at (408) 340-6480 and we'll be happy to discuss them further and talk possible treatments that are available and would work best for you.

TMJ Treatment
TMJ Treatment Services
Jaw Tracking

This state-of-the-art jaw tracking system helps diagnose TMJ Dysfunction (TMD) by tracking the jaw movement.


Research shows that there are certain jaw movements which show very specific types of TMJ dysfunction. For example, limited opening and closing or locking, jaw opening deviations and deflections, and restricted side-to-side jaw movements. All of these indications are widely accepted and published criteria for diagnosing TMD.

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.

Electromyographic Analysis (EMG)
Electromyographic Analysis (EMG)

We use an Electromyographic Analysis (or EMG) to measure muscle activity on head and neck muscles both at rest and in function. This is done by placing computerized sensors on the skin allowing us to accurately monitor muscle activity.


Hyperactive muscles are common for patients experiencing pain symptoms associated with TMJ problems. Imbalances between right and left sides of the same sets of muscles are also typical. The EMG system is a safe and comfortable method do help detect such issues and getting to the root of a TMJ issue.

Headaches
Headaches

If you suffer from frequent head or facial pain, an incorrect bite may be the cause due to constant cranial muscle strain. Headaches from dental stress are a type of muscle tension headache. A tension headache may be on one or both sides of your head and feels like a dull, non-throbbing ache that can usually be relieved by aspirin.

When you swallow, your upper and lower jaw muscles must hold your jaw firmly against the skull. Between swallowing over 2,000 times a day and a poorly aligned bite, the jaw muscles can overwork causing muscle strain which in turn leads to a headache. People who suffer from migraine pain and chronic headaches clench their jaws in a balanced, centered position. This causes extremely intense muscular contraction, but little strain on the jaw. Nighttime jaw clenching usually goes unnoticed but it sets the stage for migraine pain and chronic headache pain.

Joint Vibration Analysis (JVA)

The Joint Vibration Analysis (or JVA) has been accepted by the American Dental Association to help provide a fast, non-invasive method to accurately diagnose TMJ function and demonstrate the severity level of the problem.

SCHEDULE YOUR APPOINTMENT

The Center for Advanced Dentistry would love to meet you and your family
and provide you with the dental care you need and give you all smiles you deserve!


By Phone
request appointment by phone
  • San Jose
  • (408) 340-6480

Center For Advanced Dentistry (Reviews)
Overall Dental Practice Rating - ★★★★★ 5 out of 5 based on 14 ratings.
Fourteen San Jose Dentist Reviews.

★★★★★
Super friendly and inviting office.... but I hear they're moving to an even better location two doors down!
The staff is welcoming and friendly, and Dr. Lim is awesome, makes you feel like family and you've known him forever.
Recently went in for impressions and WOW, they rocked it. I've had braces 3x and every time I swear they mix the paste wrong and choke me! Not here. They had just finished up some safety standard meeting with a trainer. It's always nice to know they're staying informed about sanitation and cross contamination to keep their patience safe.
Location is a little hard just because it's a divided road, you'll have to flip a u-ie if you're going back toward Santa Clara. Totally worth a visit.

★★★★★
The motto of this dental practice should be "come for the dental work, stay for the view!"
Seriously, this office has the most amazing view of the bay; it's up on the 6th floor above Union Street and from your little dental chair of doom one can enjoy sweeping views of the Golden Gate Bridge, Alcatraz, and the rest of the postcard perfect sights while biting down on that evil little piece of plastic to get your x-rays. We're talkin' a penthouse suite, big balla type view - if this was a hotel room it would be $1,000 a night. But instead of paying big bucks, I just have to put up with a little bit of scraping and grinding and I can enjoy it for FREE! (Thanks dental insurance!)
I've been coming here since I was a kid (when it was Dr. Bolan's practice) and somehow the fabulous views and kind staff always made getting my teeth cleaned much easier. My dental hygienist, Stephanie, is gentle, efficient, and detail oriented, and the front office staff are always pleasant and helpful.
Dr. Lim is the newest member of the practice (which used to include Dr. Keith and Dr. Chao) and I believe he has pretty much taken over for them. He is young, smart, knowledgeable, and easy to talk to. He's a prosthodontics and dental implant specialist, so since I basically just come in for cleanings and the occasional tiny cavity, it's kind of like having Thomas Keller fix you a grilled cheese sandwich - he's way too talented and educated for my minor dental issues, but he always treats me like I'm as important as anyone else.

★★★★★
Dr Steven Lim sold his practice to Dr Potesta-Knoll and Dr Knoll this past year but they're ALL awesome. I had Dr Lim remove a tooth for me in November and since he sold the practice he incorporated Dr Potesta-Knoll and Dr Knoll into my treatments. The transition was WAYYY easier than I was afraid (no one likes change) but they're all so nice and helpful. Dr Potesta always has a smile on her face and Dr Knoll was very warm and understanding to any little issues I had with my dental implant.
And their Nurses and support staff make appointments so simple and always glad to see me! Especially Sue who I've been dealing with since last year when she saw me through my worst!
Ada and Bella are also super duper real and they're so nice I don't think "nice" is the best way to define this team! And Dr Potesta has a few new nurses/support staff who I don't know the names of but I just don't think there's every been a grumpy person in that office.
Although I have no insurance coverage and I am paying for everything myself, they're one of the few that I will say, money well spent and well worth it!

★★★★★
Great service!! Friendly nice professional staff. Very gentle but still great, they make you feel very comfortable and welcome. If your looking for a nice reliable trustworthy spot this is it!

★★★★★
After feeling not very well attended to at my previous dentist, and having my wife be very happy with hers. I started considering switching to hers: Dr Lim.
Another reminder was the quality of her mouth guard (that Dr Lim made) compared to mine. Mine was just way cruder, bigger and I assume less comfortable.
So I switched. I have been there about 5 times now, and had both routine and substantial dental work done. Every time I have had the experience that Dr Lim and his staff are attentive, committed to quality work and a happy me, and able to deliver on both :)

★★★★★
Having lived in San Francisco for nearly 5 years, I can say with out hesitation that Steve Lim is the best dentist I have found, after visiting many. I found his practice being referred by a friend after I had a filling done by another dentist (I will not mention) which was causing me pain.
Dr. Lim identified the problem that my previous dentist had broken the filling and did not repair it correctly, he re performed the corrective procedure, and now it is better than it ever. I would enthusiastically recommend Dr. Lim and his friendly staff to any friend.

★★★★★
Dr. Lim and his staff are simply the best. I have had so much dental work done I feel like a professional critic by now! I have gone through oral surgeons, ortho's and prosthodontists and he is by far the best I have seen. He is honest, easy to talk to, and he listens. But most importantly, his work is really good. I received a dental implant from him that was painless, I was not even swollen the next day. I think I took one ibuprofen. He is completely comprehensive in his care, meticulous, and humble. He is the only dentist I see now.
It is so important to put you dental care in the hands of a true professional, I am grateful to have found him.

★★★★★
You won't find a better dentist, seriously, I know. I've moved many times and have had to jump around to many different dentists, but Dr. Lim and his staff are so good, that no matter where I end up, I'll always come back. The staff is super friendly and the teeth cleanings are not your normal run of the mill cleanings...they are seriously no joke! She takes her time and gets into every possible nook and cranny. I can't help but flash a huge smile every time I leave the office and walk down Union St. showing off what feels like a whole new set a squeaky clean teeth. Dr. Lim always remembers little things about me and treats me like I feel he would family. He's very personable and acts like he cares a lot. He always explains what he's doing and prepares me for what's to come next. The implant I had to get ended up being a far less scary procedure than I expected and couple years later, it still seems perfect. He walked me though the whole thing and even followed up after the procedure to see how everything was going, which again shows that he really cares about the patient and his work.

And the cherry on top is the incredible view!! It really doesn't get any better. Laying down on that super comfy leather recliner, having someone clean my teeth and enjoying the amazing view of the Palace of Fine Arts, the GG Bridge and the Bay makes me feel like I'm treating myself to a spa day! I actually look forward to my visits to Dr. Lim's office and go in a lot more regularly to get my teeth cleaned. Highly recommend a visit to Dr Lim's office...you won't be disappointed!

★★★★★
I used to dread going to the dentist especially for fillings but Dr. Lim is amazing. I couldn't feel a thing and I have a ridiculously low pain threshold!! Don't hesitate to see him...

★★★★★
Best dentist, Best dental hygienists, Best office staff, Best Location! Highest marks for this extraordinarily well qualified (academics, experience, specialized training in several areas of state-of-the-art dentistry) San Francisco dentist. Dr. Lim's dental practice is run with the patient's comfort and high quality care as first priority. You know you are being treated by a dentist and staff who are highly qualified and professional, as well as current on the latest in dental health and state-of-the-art dental procedures

★★★★★
I can only say positive things about Dr. Lim and his office. I had a couple of implants put in just yesterday and I wasn't even nervous at all. He did a fantastic job as always. I will never go to any other dentist office again! They have the newest technology equipment. The staff personnel is very professional and super nice. The office itself is super clean...even the restroom! Actually I was quite impressed with the restroom because it was/is exceptionally clean and all new. Thank you so much for all the great work you have already done and are going to still do!

★★★★★
We found Dr.Lim since his new office is located near us off Bascom. My husband went to him first came back raving about how great they were. I booked my appointment a week later. He was so right! They are awesome! They did such a great job cleaning and the Dr.even did a little extra sanding on one tooth that was chipped and causing staining. What I really loved most was how nice they were and that they didn't turn into a car dealership and just try to sell me garbage like my last dentist in Los Gatos. I highly recommend this office to anyone looking for a dentist.

★★★★★
I highly recommend Dr. Lim, as he is a world renowned prosthodontist - the best one in the Bay Area (trust me, I did my research!).
I've been going to his office for cleanings and cavity fillings for over 2 years before I decided to trust him with one of the most important things in my life - my smile make-over for my wedding. Dr. Lim did an amazing job! I used to always smile with my mouth closed, never showing my teeth. Now, my smile is so open and radiant. I'm not afraid of showing my pearly whites and I am constantly getting compliments on them. This literally made me a 'happier' person - I smile widely all the time!!!
Dr. Lim and his staff are caring and professional. Everyone who works at his office seem to genuinely enjoy what they do, and they are always cheerful and helpful. No one likes going to the dentist, but this place makes it as enjoyable as it can be. And if you're looking for a smile make-over, Dr. Lim is your guy!

★★★★★
Love this dentist office They are always so friendly and efficient! Dr. Lim is such a nice guy and knows his work.