Will insurance cover braces for TMJ – Expert answers

Will insurance cover braces for TMJ – Expert answers

Hey there friend! If you’re reading this, chances are you’re wondering whether insurance will cover braces for TMJ. Well, I’ve got good news – the answer is not a straightforward yes or no. In this article, we’ll dive into what TMJ is, how braces can help, and what your insurance may or may not cover when it comes to TMJ treatment. So, let’s get started!

Will Insurance Cover Braces for TMJ?

If you suffer from TMJ (temporomandibular joint) disorder, you’ll know that the pain and discomfort can seriously impact your quality of life. Some people find that wearing braces can help alleviate TMJ symptoms, but will insurance cover the cost? In this article, we’ll explore the relationship between insurance and TMJ braces.

What is TMJ?

Before we dive into the issue of insurance coverage, let’s first clarify what TMJ is. TMJ refers to a group of disorders that cause pain and dysfunction in the jaw joint and the muscles that control jaw movement. This can lead to a range of symptoms, including:

  • Pain or tenderness in the jaw
  • Aching pain in and around the ear
  • Difficulty chewing or biting
  • Locking of the jaw joint
  • Popping or clicking noises when opening or closing the mouth
  • Headaches and neck aches

How do Braces Help?

For some people with TMJ, wearing braces can help alleviate symptoms by realigning the teeth and improving the bite. This can reduce strain on the jaw muscles and joints, leading to less pain and better functioning.

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There are several different types of braces that can be used for TMJ treatment. These include traditional metal braces, clear braces, and even Invisalign aligners. Your orthodontist will work with you to determine which type of braces is best for your specific needs.

Does Insurance Cover TMJ Braces?

The short answer is: it depends. The coverage you receive will depend on your specific insurance plan and the severity of your TMJ disorder.

Some insurance plans cover TMJ braces as a form of medical treatment, while others only cover them as a cosmetic service. If your TMJ is severe and impacting your ability to eat or speak, your insurance may be more likely to cover the cost of braces.

Before proceeding with TMJ treatment, it’s important to check with your insurance provider to see what coverage you are eligible for. You may need to provide documentation from your dentist or orthodontist showing that the treatment is medically necessary.

Alternative Treatment Options

If you find that your insurance does not cover TMJ braces, or if you are not a good candidate for braces, there are other treatment options available. These include:

  • Medications to reduce pain and inflammation
  • Physical therapy to strengthen the jaw muscles
  • Stress management techniques to reduce tension in the jaw
  • Surgical interventions for severe cases

Choosing the Right Orthodontist

Whether you choose braces or another form of treatment for your TMJ, it’s important to work with an experienced and qualified orthodontist. Look for an orthodontist who specializes in TMJ treatment and who has a proven track record of success. Don’t be afraid to ask for references or to research their qualifications online.


If you suffer from TMJ, wearing braces can be an effective way to reduce pain and improve your quality of life. While insurance coverage for TMJ braces will depend on your specific plan and the severity of your disorder, it’s worth exploring this option with your insurance provider. Be sure to research your orthodontist options and consider alternative treatment options if braces are not covered or not a good fit for your needs. With the right care and treatment, you can manage your TMJ symptoms and enjoy a better quality of life.
will insurance cover braces for tmj

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