Our jaw joint is the most used joint in the body

The joint connects the movable lower jaw with the upper jaw, which is firmly "built into" the skull. It is in motion not only during biting and chewing, but also during speaking and swallowing.

 As long as it functions smoothly, we don't even notice the temporomandibular joint. But when it cracks and grinds when we chew or when we experience discomfort, we quickly become aware of its importance.

 On the one hand, the strong biting and chewing forces can cause severe damage to the natural teeth (abrasion) and to dentures. On the other hand, the position of the upper teeth determines how the temporomandibular joints are positioned through prolonged, firm biting. Thereby, the interaction of the entire chewing, neck, nape and shoulder musculature is also influenced and possibly deregulated.

So, if you suffer from facial pain, pain and noise in the jaw joint, pain in the masticatory muscles, ear pain, tinnitus, neck pain, mouth opening pain or night grinding of the teeth, it may well be that you are suffering from a so-called craniomandibular dysfunction (CMD syndrome).

What is the procedure for examining the temporomandibular joint?

The first step in diagnosing temporomandibular joint disorders is to take a detailed medical history.

This is followed by a manual functional and structural analysis of the masticatory muscles, the temporomandibular joints, the teeth and tooth position, and the soft tissues. In addition, an orienting examination of the neck and cervical muscles is performed, as well as the most important facial nerves.

If necessary, further diagnostic procedures are performed:

X-ray or DVT (volume tomography)

If during the clinical examination a suspicion of an arthritic change at the temporomandibular joints arises, X-ray or DVT of the temporomandibular joints may be necessary.

Magnetic resonance imaging (MRI)

If there are clicking or rubbing noises in the temporomandibular joint and mouth opening restriction, it may be necessary to obtain an MRI. This is an imaging procedure without X-rays to visualize the soft tissue portions of the temporomandibular joints, especially to check the position of the interarticular disc (discus).

Examination of body statics (note: we only perform this on children)

The temporomandibular joint, masticatory muscles, head posture, spine and pelvis are always interrelated. If there are disturbances in these areas, the CMD syndrome (Craniomandibular Dysfunction Syndrome) can develop.

One by one, pelvic, shoulder and head posture as well as leg length are evaluated and attention is paid to malpositions, and function and pain points are checked. If findings are detected, an accompanying physio-therapeutic treatment (manual therapy, osteopathy, craniosacral therapy) is scheduled.

Instrumental occlusion analysis and determination of the centric position of the temporomandibular joints

To determine whether there is a connection between malocclusion of the teeth and the jaws, a patient-faithful transfer of the bite situation into a chewing simulator is used.

 For this purpose, the spatial position of the maxilla in relation to the facial skull and the joint axis are transferred (using a bite fork and a facebow) into a

semi-individual articulator (chewing simulator).

 The movable mandible is assigned to the maxilla with a wax bite, the so-called "centric registration". In this case, the mandible should be in a relaxed position in the socket with the temporomandibular joint heads in the muscles.

The analysis of the examinations shows whether there is a difference between the clenching of the teeth in the ideal centric temporomandibular joint position and the habitual clenching of the teeth. If there is such a difference, the temporomandibular joint is not in the ideal position during habitual occlusion. The reason for this is often malocclusion of the teeth.

If this is the case, it can be the cause of many complaints such as jaw joint clicking, headaches, muscle pains, cervical vertebrae problems and tinnitus.

Afterwards, the results of the respective examinations are evaluated and the possible treatment options are discussed with the patient(s).

Note for persons with statutory health insurance

All examinations of the function of the temporomandibular joint and the body statics do not belong to the contractual dental services for statutorily insured patients.

Start with a preliminary consultation

In order to ensure an optimal and effective treatment, a consultative preliminary discussion and a comprehensive diagnostic survey are a prerequisite.

 A suitable and individually tailored course of treatment can only be determined for you after an exact diagnosis has been made and your individual wishes have been expressed. The necessary means of treatment and their costs will be arranged especially for you.

We are here for you

Where to find us

You will find us in Berlin-Mitte - in the former Scheunenviertel between Hackescher Markt and Rosenthaler Platz.


Mulackstr. 24

10119 Berlin

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Our opening hours

We are open on all weekdays for our patients; please note that different opening times apply on Tuesdays.

Mon 08.15 -12.30 / 13.30 - 17.30 

Tue 08.15 -12.30 / 14.30 - 19.30 

Wed 08.15 -12.30 / 13.30 - 17.30 

Thu 08.15 -12.30 / 13.30 - 17.30 

Fri 08.15 -12.30 / 13.30 - 17.30 

Sat We take a break

Sun We take a break

Ways of contacting us

Book an appointment? Questions about the treatment? Simply contact us directly here - we will reply promptly.

Of course, you can also reach us by phone at +49 30 420 260 0.

Contact our team