15160 NW Laidlaw Rd, Suite 250, Portland, OR 97229 (310) 745-1427 info@pdxtmjdentalsleep.com

Specialized Clinical Care

Conditions that are frequently misdiagnosed or underserved in general dental and medical settings. We specialize in exactly these.

Sleep-Related Breathing Disorders 01

Sleep-Related Breathing Disorders

Obstructive sleep apnea and upper airway resistance disorder cause your airway to partially or fully collapse during sleep, depriving your body of oxygen and disrupting rest throughout the night.

Loud snoringWaking gaspingDaytime fatigueMorning headaches
Bruxism - Clenching and Grinding 02

Bruxism (Clenching & Grinding)

Involuntary clenching or grinding of teeth — most often during sleep — causes accelerated tooth wear, jaw muscle fatigue, and morning pain, frequently linked to stress and airway dysfunction.

Worn teethJaw sorenessTight musclesTooth sensitivity
Facial Pain 03

Facial Pain

Persistent or recurring facial pain can arise from muscles, joints, nerves, or a combination — often mimicking toothache, ear infection, or sinus pressure and going undiagnosed for years.

Facial achingJaw sorenessReferred painTender muscles
Chronic Facial Pain 04

Chronic Facial Pain

Persistent facial pain that doesn't respond to standard dental or medical treatment often has a musculoskeletal or neurological origin. Accurate diagnosis is the essential first step toward relief.

Burning mouthAtypical painPost-proceduralUndiagnosed facial pain
Tension Headaches and Migraine-Related Pain 05

Tension Headaches & Migraine-Related Pain

Many chronic headaches originate in the jaw, bite, or cervical muscles — not the brain. Identifying and treating the orofacial source can significantly reduce headache frequency and severity.

Frequent headachesTemple pressureChewing-triggeredMorning pain
TMJ Disorders 06

Temporomandibular Joint (TMJ) Disorders

Dysfunction of the joint connecting your jaw to your skull causes pain, clicking, and limited movement — among the most common and most undertreated chronic pain conditions in adults.

Jaw clickingFacial tensionEar painDifficulty chewing
Myofascial Pain and Neuralgia 07

Myofascial Pain and Neuralgia

Myofascial trigger points and orofacial nerve pain are frequently misdiagnosed as dental or sinus infection. Identifying the true source — muscular, trigeminal, post-herpetic, or post-procedural — is the essential first step toward lasting relief.

Trigeminal neuralgiaBurning or shooting painElectric shock sensationPost-procedural pain

Therapeutic Solutions

Every treatment plan starts with the most conservative, reversible options available. We never recommend anything more involved until it's truly necessary.

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Night Guards & Splints

Custom Oral Appliances

Precision-fitted night guards and splints that reposition the jaw, protect teeth from grinding, and reduce TMJ load — the most effective conservative treatment for most patients.

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Jaw Exercises & Mobility

Precision-Guided TMJ Therapy

Structured jaw exercises and movement therapy designed to restore normal joint function, reduce inflammation, and rebuild strength in the supporting musculature.

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Pain Relief & Muscle Release

Trigger Point & Myofascial Management

Targeted treatment of muscular trigger points in the jaw, face, and neck — addressing the root source of referred pain commonly misdiagnosed as dental or sinus problems.

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Bite & Alignment

Occlusal / Functional Optimization

Assessment and correction of bite alignment issues that contribute to TMJ dysfunction, muscle overload, and chronic pain — using minimally invasive approaches.

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Snoring & Sleep Apnea

Customized Sleep Appliance Therapy

FDA-cleared oral appliances for snoring and obstructive sleep apnea — an effective, travel-friendly CPAP alternative for mild-to-moderate cases, coordinated with your sleep physician.

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Habits & Lifestyle

Behavioral & Stress Management Guidance

Education and clinical guidance on parafunctional habits, stress-related jaw clenching, posture, and lifestyle factors that directly contribute to TMJ and orofacial pain.

How Your Care Works

1

Initial Consultation

A thorough 60–90 minute appointment covering your full history, symptoms, prior treatments, and goals. No rushed screening — we take the time to understand your complete picture.

2

Diagnosis & Planning

We review your records, imaging if needed, and sleep studies where applicable. You receive a clear diagnosis and a written treatment plan with realistic expectations.

3

Treatment & Follow-Up

Treatment starts conservative. Dr. Ramanna monitors your progress closely, adjusting as needed and coordinating with any other specialists involved in your care.