TMD is a multifactorial complex dentofacial issue where it is often challenging to isolate one factor. Often there are multiple trigger factors exacerbating the issue. To identify these, our comprehensive examination involves going through your medical and trauma history, assessment of bite, examination of all muscles of jaw movement, head and neck, posture, airways and sleep hygiene analysis with a detailed questionnaire of daily routine to rule out probabilities of sleep apnoea treatment. A series of dental records involving photography, dental models and if necessary TMJ scans are acquired. At zen smiles, patients with acute pain are offered pain medications, Trigger-point an aesthetic injections specialized splints for immediate pain relief. Any cause of dental origin is ruled out. Long-term TMD management may involve using a mouth guard. Mouth guards are designed to allow the muscles to relax, decompress load off the TMJs, maintain ideal TMJ function, and thus reduce pain, clicking and locking. Treatment may involve working with a multi-disciplinary team. This may include referrals to health practitioners such as physiotherapists, sleep physicians and/or ear-nose-throat specialists.