with Dr. Priya Mistry and a Deep Dive into Neuromuscular Dentistry
In this episode of The Unclenched Podcast, Dr. Priya Mistry explores the realities of TMJ treatment—from the frustrations of insurance limitations to the importance of personalized, whole-body care. Through relatable patient stories and practical advice, she sheds light on the often-misunderstood world of jaw disorders and shares how neuromuscular dentistry can change lives.
Insurance and TMJ: Why Coverage Falls Short
A recurring frustration for patients seeking TMJ treatment is insurance—or rather, the lack of meaningful coverage. Dr. Mistry discusses how both dental and medical insurers often pass the buck, labeling TMJ care as the other’s responsibility. The result? Many necessary treatments go uncovered. She encourages patients to view insurance as more of a “coupon” than a solution, and to consider alternative payment options when it comes to their health and comfort.
Not All Appliances Are the Same: Night Guards vs. TMJ Orthotics
While traditional night guards are designed to protect the teeth from grinding, they often fall short when it comes to addressing muscle tension and joint dysfunction—two core components of TMJ disorder. Dr. Mistry emphasizes the difference between these generic guards and custom TMJ orthotics, which are crafted based on precise jaw measurements to help realign the bite and reduce muscle strain.
She also critiques the one-size-fits-all approach that many patients receive with traditional night guards. In contrast, neuromuscular dentists use data-driven measurements and technology to create orthotics that target the root cause—not just the symptoms.
When TMJ Masquerades as a Toothache
One of the most surprising insights shared in this episode is how TMJ-related muscle tension can cause referred painthat feels like a dental problem. In many cases, this leads to unnecessary treatments like root canals or fillings. Dr. Mistry recounts a case in which a patient’s “tooth pain” was actually being caused by inflamed jaw muscles—and once the muscle issue was treated, the pain vanished.
A Holistic Approach to TMJ: Neuromuscular Dentistry in Action
Dr. Mistry explains how neuromuscular dentistry takes a comprehensive approach to TMJ, considering the relationship between:
- Muscle balance
- Posture and head positioning
- Bite alignment
- Joint health
Treatment plans may include orthotics, DTR (Disclusion Time Reduction), or orthodontics depending on the patient’s needs. She emphasizes that there’s no cookie-cutter solution when it comes to jaw disorders. Every treatment plan must be tailored to the patient’s anatomy, history, and symptoms.
Virtual Consultations: Guidance from Anywhere
To help more people explore whether their symptoms might be TMJ-related, Dr. Mistry offers virtual consultations. These online appointments are a valuable first step, helping patients understand their symptoms, explore potential treatment paths, and decide whether to move forward with in-person care.
While virtual consults are not replacements for a clinical exam, they provide peace of mind and a roadmap for next steps, especially for those traveling from out of town.
Addressing Bite Changes After Orthotic Treatment
A common concern among patients undergoing orthotic treatment is whether their bite will change—and what that means. Dr. Mistry encourages patients to reframe the question. If the previous bite contributed to pain and dysfunction, why aim to return to it?
Instead, long-term comfort may require orthodontics, restorative dental work, or DTR therapy to stabilize a healthier, more functional bite. The ultimate goal isn’t just short-term relief—it’s lasting transformation and freedom from pain.
Final Thoughts: TMJ Treatment Is Personal
Dr. Mistry’s holistic and compassionate approach reminds patients that TMJ care is more than just treating the jaw—it’s about restoring whole-body balance and well-being. Through advanced tools, one-on-one education, and a dedication to custom care, she continues to guide patients toward lasting relief, even when the system doesn’t make it easy.
Dr. Priya Mistry is a TMJ-focused dentist based in Vancouver, WA. At TMJ Dental Doc, she specializes in treating jaw disorders through neuromuscular dentistry and collaborative care. Her podcast, The Unclenched Podcast, offers insight and hope for patients navigating complex pain conditions.
