UAE, Dubai, Citywalk Building 23A - Dubai - ОАЭ
Accurate diagnostics – effective treatment
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Once and for all, following the protocols of the Vienna School of Gnathology.
We will eliminate clicking sounds in the ear area, as well as pain when opening the mouth
Even if you've been told that surgery is unavoidable.
without surgeries or invasive procedure
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Where we will identify the true cause of your issue and develop a step-by-step treatment plan without surgery
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Regain confidence in every conversation and smile.
Forget about painful clicks, joint lock, and the inability to eat normally.
Венская школа гнатологии (VieSID) — это одна из самых известных в мире школ, основанная профессором Рудольфом Славичеком. Она внесла значительный вклад в развитие диагностики и лечения нарушений окклюзии и височно-нижнечелюстного сустава (ВНЧС)
A sensation of "locking" in the joint – an inability to fully open or close the mouth for several seconds or minutes
Anxiety due to the inability to fully open the mouth
A clicking and popping joint (clicking in the area of the ear)
Chronic pain in the maxillofacial region
Dental pain radiating to the ear or neck
Self-consciousness due to the "unnatural" sound of the jaw
Headaches associated with TMJ dysfunction
Restrictions in food consumption, especially with hard foods, and even discomfort while kissing
Deformation and asymmetry of the face
You have likely encountered the consequences of temporomandibular joint (TMJ) dysfunction.
What should I do? Maybe just leave everything as it is?
Dubai
34 years old
Natalia Anatolyevna
"I’m tired of this pain. The clicks and discomfort in my jaw have become my everyday reality. Sometimes I feel like I can’t live normally anymore. Why can’t I just eat peacefully, speak without pain, or not constantly think about how to open my mouth?"
Don't wait for the symptoms to worsen
Даже если вам говорили, что без хирургии не обойтись
Any questions? Write to us
How many times have you found yourself thinking about this—during a dental appointment or at the moment when the pain returns? Perhaps it seems like you can just endure it? That it’s not critical yet and you can wait a bit longer?

But the reality is: the longer you wait, the harder it becomes to restore the temporomandibular joint (TMJ) to its normal function. Advanced TMJ dysfunction is not just about clicking sounds and discomfort; it poses a risk of chronic pain, limited mobility, and complex treatment.

Experience 15 years
Founder of the DentalDate network
Orthodontist-gnathologist
Liliya Zhernova
What happens if TMJ disorders are not treated?
Даже если вам говорили, что без хирургии не обойтись
Stress, irritability, and a decline in quality of life.
Headaches, neck tension, and postural problems
Bite issues and tooth wear
Risk of the mouth not being able to open
Chronic pain and stiffness
Clicks and joint locking
1/10
To assess the condition and determine the treatment strategy, condylography was performed, followed by the initiation of splint therapy. After 1.5 months of splint use, significant improvement was noted: the mouth opening increased to 40 mm, and the intensity of pain was markedly reduced.

Further observation and treatment adjustments are recommended based on the patient’s progress.
The patient presented with complaints of restricted mouth opening and pain in the right temporomandibular joint (TMJ). At the initial examination, the maximum mouth opening was 21 mm.
MRI findings revealed a diagnosis of complete anterior disc displacement without reduction in the right TMJ.
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
2/10
Treatment:
Based on the diagnostic findings, the therapeutic mandibular position was determined, ensuring the most stable function of the TMJs. To maintain this position, a custom splint was fabricated for the lower jaw to provide proper joint positioning.

After initiating splint therapy, significant improvements were observed:
• The clicking sound in the left TMJ disappeared.
• A follow-up MRI during splint therapy confirmed disc repositioning in the left TMJ.

Further Treatment Plan:
1. Fabrication of temporary overlays on the posterior teeth in the therapeutic position.
2. Repeat orthodontic treatment to stabilize the achieved result and restore functional and aesthetic occlusion.
3. Ongoing monitoring and therapy adjustments as needed.

Thus, a thorough diagnostic approach and comprehensive treatment plan not only eliminated the patient’s symptoms but also created conditions for the long-term stabilization of the TMJs.
Complaints:
The patient presented with complaints of a loud clicking sound in the left temporomandibular joint (TMJ), which appeared after orthodontic treatment performed at another clinic.

Diagnostics:
A comprehensive diagnostic assessment was conducted to evaluate the condition of the TMJs and occlusal relationships, including:
CT scan of the head – to assess bony structures,
MRI – to visualize the joint discs and soft tissues,
Functional analysis – to evaluate the biomechanics of the mandible,
Condylography – to determine the therapeutic position of the mandible.
Clinical Case
Что анализируем?
Открывание и закрывание рта.
Боковые и передне-задние смещения челюсти.
Жевательные движения, глотание.
The diagnostic findings revealed:
Left TMJ: complete ventral disc displacement with reduction upon mouth opening (explaining the clicking sound).
Right TMJ: complete disc displacement without reduction upon mouth opening.
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
3/10
Based on the findings, a custom splint was fabricated to ensure proper joint positioning. When the splint was placed in the oral cavity, the disc repositioned itself, completely eliminating the clicking sound. However, this is only a temporary solution, requiring further stabilization of the joint.

For a definitive resolution of the issue, the patient is advised to undergo repeat orthodontic treatment or fabrication of stabilizing overlays, considering the physiologically correct jaw position.
The patient previously underwent orthodontic treatment at another clinic. After completing the treatment, she developed a subluxation of the temporomandibular joint (TMJ), accompanied by a pronounced loud clicking sound when opening her mouth.
1. Кондилография
Что анализируем?
Открывание и закрывание рта.
Боковые и передне-задние смещения челюсти.
Жевательные движения, глотание.
To thoroughly assess the condition of the joints and identify the cause of the symptoms, a comprehensive diagnostic evaluation was performed, including condylography, which allowed us to pinpoint the exact moment of disc displacement
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
4/10
Before fabricating the splint, we perform the Test- Bite —a method that allows us to assess the correct future position of the lower jaw, known as the therapeutic position.

Testing process:
1. The patient opens her mouth – a clicking sound occurs.
2. We place temporary bite plates.
3. The patient closes her mouth, then opens it again – the clicking disappears as the TMJ disc fully repositions.

This test helps confirm the accuracy of the chosen therapeutic position and ensures stable joint function before starting the main treatment.
The patient visited the clinic with a complaint of a loud clicking sound when opening her mouth, as well as concerns about the aesthetics of her smile.
Что анализируем?
Открывание и закрывание рта.
Боковые и передне-задние смещения челюсти.
Жевательные движения, глотание.
To determine the cause of these issues, we conducted a functional diagnosis, including condylography, and identified the moment when a subluxation of the temporomandibular joint (TMJ) occurs, accompanied by a pronounced clicking sound.
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
5/10
Patient D. presented with complaints of clicking and pain in the jaw.

Treatment Plan:
• Initial consultation;
• Condylography for visualizing the location of the disc displacement;
• Use of bite tests to determine the therapeutic position of the mandible;
• Fabrication of a repositioning splint to reposition the disc;
• Conducting MRI of the TMJ for precise monitoring of the disc position;
• Transferring the splint position to overlays;
• Fixation of the bracket system;
• Wearing elastics – a mandatory step in proper orthodontic correction;
• Removal of the system at the patient's request, prior to the planned term.
Что анализируем?
Открывание и закрывание рта.
Боковые и передне-задние смещения челюсти.
Жевательные движения, глотание.
TMJ treatment is the pinnacle of gnathology. This is a complex process that requires the coordinated efforts of a highly qualified team and full patient engagement at every stage.
Treatment Outcome: The discs are in the correct position within the joint, protecting it from degeneration (arthritis, osteoarthritis). The occlusion has been normalized, and the teeth now maintain the joint in the correct position – the splint and overlays are no longer required.
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
6/10
After stabilizing the lower jaw position, positive changes in the patient’s profile were observed, confirming the effectiveness of the chosen treatment approach.
The patient visited the clinic for orthodontic treatment. However, diagnostics revealed that her lower jaw was in a distal (retruded) position, which caused significant pain in the temporomandibular joint (TMJ) when opening her mouth.
1. Кондилография
Что анализируем?
Открывание и закрывание рта.
Боковые и передне-задние смещения челюсти.
Жевательные движения, глотание.
To address this issue, a comprehensive diagnostic assessment was performed, and a repositioning splint was placed. This appliance helps move the lower jaw into a physiologically correct position. This stage served as a diagnostic and preparatory phase before starting orthodontic treatment.
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
7/10
A comprehensive diagnostic assessment was conducted, including a minor functional analysis—a complex set of diagnostic procedures necessary for gathering complete data to develop an accurate treatment plan.

This analysis included:
1. Muscle palpation to assess muscle tone and detect functional abnormalities.
2. Cephalometric X-ray analysis to obtain precise measurements of the upper and lower jaw bones, calculate tooth inclinations, and evaluate facial height.
3. A full photo protocol of the teeth and face for further analysis.
4. Impression taking or intraoral scanning to create models for laboratory analysis, followed by mounting them in an articulator to assess occlusion not only in the closed position but also during various jaw movements, evaluating both external and internal aspects.

After this, condylography was performed.

Condylography is an instrumental diagnostic method for assessing the temporomandibular joint (TMJ). It provides a graphical recording of lower jaw movements, specifically tracking the joint path relative to the hinge axis (the center of the joint head).

This step is part of a more extensive functional analysis performed for patients with TMJ dysfunction. The most common complaints among these patients include clicking in the joint, pain when opening the mouth, chronic headaches, muscle spasms, and jaw locking upon opening, often caused by a misaligned bite.

Based on the diagnostic findings, a repositioning splint was fabricated, followed by overlays on the teeth to maintain the correct jaw position.

Only after stabilizing the jaw position was the orthodontic treatment initiated with the placement of braces.
The patient initially consulted an orthodontist with complaints of a misaligned bite and facial asymmetry. She also reported a mild clicking sound on the right side when closing her mouth.
The before/after results are impressive. This transformation was achieved by normalizing the position of the lower jaw and bite height.
Что анализируем?
Открывание и закрывание рта.
Боковые и передне-задние смещения челюсти.
Жевательные движения, глотание.
An MRI scan was performed, revealing a slight disc displacement on the right side, while the disc on the left side was in its correct position.
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
8/10
A test bite is a kind of “preview” of the correct future jaw position. Using condylography tracking, the therapeutic jaw position is determined—one in which there is no joint compression—and muscle palpation is performed. The procedure takes approximately 1.5 to 2 hours.

After this stage, it becomes possible to fabricate a splint or place overlays for further orthodontic correction.

One of the most interesting aspects is that the patient can see how their face will change by the end of treatment. In this case, the patient’s facial asymmetry was corrected, and facial muscles were relaxed.

Our doctors are not advocates of surgical intervention, which is why we offer patients an alternative approach focused on working with the joint, lower jaw position, and dental alignment.
The patient came to the clinic with complaints of clicking in the jaw joint, jaw locking that made it impossible to open her mouth, chin deviation to the right, and facial asymmetry. Her main goal was to improve the aesthetics of her smile and face.
Facial asymmetry, joint pain, and difficulty opening the mouth—does surgery have to be the only solution?
Что анализируем?
Открывание и закрывание рта.
Боковые и передне-задние смещения челюсти.
Жевательные движения, глотание.
The team of doctors at DentalDate conducted an in-depth diagnostic assessment, including MRI, CT, cephalometric X-ray analysis, and condylography. After gathering all necessary data, the treatment process began with test bites.
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
9/10
After a comprehensive diagnostic assessment, a splint was fabricated, on which the clicking and headaches disappeared.

A follow-up MRI confirmed the complete repositioning of the joint discs on both sides.
Facial transformation, profile improvement, adaptation of the lower jaw to the correct position, normalization of bite height, relaxation of the facial and oral muscles. Headaches disappeared, and the joint discs were fully repositioned.

The patient came to the clinic with complaints of clicking in the right temporomandibular joint and a desire to achieve a beautiful, even smile.
1. Кондилография
Что анализируем?
Открывание и закрывание рта.
Боковые и передне-задние смещения челюсти.
Жевательные движения, глотание.
MRI results revealed disc displacement on both sides, with a complete dislocation on the right side that did not reposition on its own.
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
10/10
The patient presented with complaints of significant discomfort, a prominent clicking sound on the left side of the temporomandibular joint (TMJ), and noticeable lateral deviation of the mandible during mouth opening.
Что анализируем?
Открывание и закрывание рта.
Боковые и передне-задние смещения челюсти.
Жевательные движения, глотание.
Furthermore, as part of the diagnosis, a test bite procedure was performed. This is a critically important step during which we were able to record the precise mandibular position where the clicking sound was absent ("capture the click"). Accurate determination of the therapeutic position enabled us to fabricate a custom-made splint, fully adapted to the patient's anatomical and functional characteristics.

Following the initiation of splint use in the therapeutic position, the patient reported a complete disappearance of the clicking sound. This indicates successful restoration of normal interaction of the TMJ elements and confirms the effectiveness of a conservative approach to treating joint dysfunctions using individually fabricated splints.

In conclusion, a comprehensive approach, including functional diagnostics, condylography, and the test bite procedure, allows for the precise identification of the dysfunction's nature and the development of the most effective treatment plan tailored to each patient individually.
For a thorough diagnosis, a comprehensive functional analysis was performed using condylography. This allowed for a detailed examination of mandibular movements, the identification of discoordination of articular elements, and the confirmation of signs of disc displacement with subsequent reduction. Thanks to condylography, we accurately determined the coordinates of the pathological movement and the location of the clicking sound's origin.
Here are just a few stories from our patients who sought treatment for TMD (temporomandibular disorders)
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One visit to the clinic will bring you closer to resolving your issue
Transparent cost calculation – payment stages without hidden fees.
Diagnosis and analysis of symptoms - the precise cause of the issue.
Clarification of all options – no guesswork, with prognosis.
Personalized treatment plan – optimal methods and timelines.
Modern Technologies:
- Condylography
- Computed tomography of the head and joints
- Cephalometric radiography (lateral and frontal)
- Digital Gamma – digital modeling of the proper joint position
- 3D smile design
Schedule a consultation with our orthodontist-gnathologist, a dentist with over 15 years of experience, to learn more:
Duration of Diagnosis: Up to 2 hours.
Duration: 1–6 months
5. Occlusogram
Stage 2: Data Analysis (without the patient)
It all begins with an initial consultation
Stabilization of the temporomandibular joint (TMJ) function before the next stages.
Result:
Result:
A graphical representation of the movements of the temporomandibular joints (TMJ) on the right and left sides for detailed analysis.
Duration: 1–1.5 hours.
Consultation Outcome:
  • Preliminary Diagnosis.
  • Explanation of Treatment Phases.
  • Answers to All Questions.
  • Calculation of the necessary mandibular displacement.
  • Determination of the treatment volume.
Result:
Now let's discuss in detail how the treatment of temporomandibular joint disorders (TMJ) is carried out and what contributes to the outcomes.
Photo documentation of the teeth and face for subsequent analysis.
What do we identify?
Occlusal interferences.
Functional disorders during mastication.
Why?
To model the position of the jaws.
To assess true dental occlusion and functional characteristics.
4. Data Transfer to the Articulator
2. Cephalometric Analysis (Slavicek, Sato methodologies)
Symmetry and position of the jaws relative to each other.
Optimal position of the mandible.
What are we determining?
3. Cephalometric Radiography with Markers (CRG)
Position of the jaw relative to the skull.
Individual occlusal height.
What do we identify?
Based on the data from condylography, the following is calculated:
Individual trajectory of the condylar head's movement.
Possible structural changes in the TMJ.
Stage of arthritic processes (if present).
2. Analysis of Joint Pathway
Palpation of muscles – identification of areas of hypertonicity and asymmetry.

Diagnostic wax records occlusal contacts.
CT (computed tomography) – assessment of condylar heads, compression, and osteoarthritis.
3. Additional diagnostics
4. MRI Referral (if necessary)
Condylography – trajectories of condylar movement.
Occlusogram – identification of improper contacts.
Visualization of the articular disc and soft tissue structures.
Why?
What are we evaluating?
Photoprotocol of teeth and face – occlusal and aesthetic parameters.
1. Comprehensive Analysis of All Parameters
Restoration of occlusion and preservation of results for a lifetime.
Stabilization of jaw position.
Elimination of TMJ dysfunction.
Stage 4: Splint Therapy
What is a splint?
A repositioning splint for stabilizing the new jaw position.
Relieves subluxations, clicks, and pain.
Stabilizes the joint without moving the teeth.
Worn continuously (except during meals).
How does it work?
How does the procedure work?
Placement of test overlays – temporarily alters occlusion.
Assessment of muscle, joint, and facial responses.
Monitoring of relaxation and adaptation.
Result:
Selection of the most physiological and comfortable position for the mandibular jaw.
Duration: 1–2 hours
Trial adjustment of jaw position using occlusal pads.
Stage 3: Test Bytes
Conclusion
Schedule a consultation to discover your personalized treatment plan
Functional diagnostics and comprehensive treatment allow for:
1. Analysis of Dental Condition
Stage 6: Final Prosthetic Reorganization
Old fillings, restorations, crowns.
Enamel defects, occlusal discrepancies.
Ceramic restorations (veneers, crowns, inlays).
Composite restoration (minimal intervention).
2. Occlusion Restoration
3. Final Stabilization
Complete restoration of the TMJ balance.
Aesthetically and functionally correct occlusion.
Durability, stability, and comfort.
Result:
1. Stabilization of the splint position
Temporary overlays on the molars maintain the new position.
Stage 5: Orthodontic Phase
Stabilization of occlusion.
Restoration of the occlusal height.
2. Orthodontic treatment (braces, aligners)
3. Final correction with elastics
Complete occlusion of the teeth.
Final repositioning of the disk.
  • Complete unloading of the joint.
  • Proper occlusion without muscle overload and temporomandibular joint (TMJ) strain.
Outcome:
1. Condylography
This method records the movement of the mandible using a German-Australian condylograph fixed to the patient's head.
Stage 1: Comprehensive Diagnosis
What do we analyze?
Mouth opening and closing.
Lateral and anteroposterior jaw displacements.
Masticatory movements and swallowing.
During the initial consultation, we perform:
A comprehensive examination of the oral cavity and teeth with magnification (microscope/binoculars).
Palpation of the masticatory muscles – determining which muscles are engaged, identifying any areas of tenderness and asymmetry.
A detailed medical history collection (dental and general health).
If braces or aligners are placed without a diagnosis of the temporomandibular joint (TMJ), serious complications may arise.
Gnathology – The Foundation of a Proper Bite
“Aligning teeth without a TMJ diagnosis is like building a house without a foundation.”
After the TMJ diagnosis, we select a solution that not only restores joint functionality but also creates a beautiful smile.
In our clinic, any treatment begins with precise diagnostics:
A Healthy Bite – It’s Not Just Aesthetics, But Also Functionality
Why Should Orthodontic Treatment Begin with Gnathology?
The TMJ is crucial for the proper functioning of the jaw and the entire dentofacial apparatus. If it is not taken into account, any changes in the bite can disrupt the balance and lead to dysfunction.
Даже если вам говорили, что без хирургии не обойтись
Ultrathin Veneers: Flawless Smile for a Lifetime
Lifespan – indefinite
Maximum durability without damaging the enamel
Ultrathin ceramic veneers – natural aesthetics
Correction of the shape, color, and size of teeth without complicated procedures
A comprehensive approach to treatment is applied:
Modern aligners and braces without discomfort
Teeth alignment without overloading the joints
Improvement of the bite and facial harmony
Orthodontics: Correcting the Bite with Consideration of the TMJ
Early diagnosis prevents complex issues in the future
•Safe removable and fixed appliances
Comfortable treatment without stress for the child
Pediatric Orthodontics: Unique Protocols for a Healthy Smile from Childhood
About Dental Date Clinic
Dental Date is a premium clinic that combines modern technology, a European approach, and the expertise of our doctors.
European-level doctors — training at the Vienna School of Interdisciplinary Dentistry, over 10 years of experience, 10,000+ successful cases
Comprehensive diagnosis of the TMJ and occlusion — condylography, 3D analysis, photographic protocol
Function + aesthetics — orthodontics, veneers, comprehensive TMJ treatment
Premium service — clinic located in the heart of Dubai (City Walk), personalized approach, precise appointment times
Modern technologies — digital scanners, microscopic dentistry, precision techniques
Dental Date — health and aesthetics in one solution.
Why choose us?
Reviews from our beloved clients
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Trust the health of your smile to a team of professionals with an average of 10+ years of experience
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Orthopedic dentist, general practitioner
Bianca Prael
Anastasia Mordanova
Pediatric dentist, therapist
Denis Nikitin
Surgeon-implantologist, orthopedist-gnathologist
Therapist-microscopist / endodontist
Vera Demidova
Oleg Mordanov
Orthopedist-gnathologist
Orthodontist-gnathologist, therapist
Rita Jafarova
Ksenia Islamova
Implant surgeon / microscopist
Orthodontist-gnathologist
Valeria Kozachenko
Julia Savitskaya
Orthodontist-gnathologist
Liliya Zhernova
Owner of DentalDate, Medical Director, Orthodontist-gnathologist, therapist
Orthopedic dentist, general practitioner
Bianca Prael
Anastasia Mordanova
Pediatric dentist, therapist
Denis Nikitin
Surgeon-implantologist, orthopedist-gnathologist
Therapist-microscopist / endodontist
Vera Demidova
Oleg Mordanov
Orthopedist-gnathologist
Orthodontist-gnathologist, therapist
Rita Jafarova
Ksenia Islamova
Implant surgeon / microscopist
Orthodontist-gnathologist
Valeria Kozachenko
Julia Savitskaya
Orthodontist-gnathologist
Liliya Zhernova
Owner of DentalDate, Medical Director, Orthodontist-gnathologist, therapist
Your comfortable premium dentistry: style, quality and privacy at every step
Just leave your contact details and we will contact you
By clicking the button you agree to the privacy policy
Liliya Zhernova
Orthodontist-gnathologist
Experience 15 years
Founder of the DentalDate network

Schedule a consultation and receive a personalized treatment plan
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UAE, Dubai, Citywalk Building 23A - Dubai - ОАЭ
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