Things Dr. Francisco Mesa Checks During a TMJ Visit

September 17, 2025

Jaw pain, popping sounds, or stiffness can sneak up at the worst times. Maybe your jaw locks up during a meal, or mornings begin with an aching face. It is easy to brush off, but these signals may point to something deeper. A visit with a TMJ specialist in Virginia, such as Dr. Francisco Mesa, is often the first real step toward feeling better and finding answers.


Dr. Francisco Mesa does not just focus on the sore spots. He listens and checks how your whole jaw system is performing—from muscles to teeth to how the bite lines up. Along with Dr. Tregaskes, he spends time putting together how all these small parts fit. The visit is never rushed or just on the surface. They aim to understand what is happening behind the pain, so you get full support.


What Brings You In: Listening to Symptoms and Pain Patterns


The start of every TMJ visit is a conversation. Dr. Francisco Mesa begins by really listening. What kind of pain brings you in? Are you getting clicking when you eat, or does tightness pop up at certain times of the day? He wants to know how long the symptoms have stuck around and if they are tied to certain habits or activities.


Pain is sometimes worse in the morning or after using the jaw a lot. These patterns help reveal the root problem. Dr. Tregaskes listens for clues about daytime and nighttime behavior. Things like clenching your jaw during stress, grinding your teeth as you try to sleep, or always eating on one side are important pieces of the puzzle.


Real listening is a big part of every visit. It sets up a focused direction for testing and lets both doctors tune into what matters most for you.


Checking Jaw Movement and Function


After the chat, Dr. Francisco Mesa watches how your jaw actually moves. How wide can you open your mouth? Does anything feel stuck or shift as it opens? Small popping or cracking sounds might not seem like much, but they can show where the joint is struggling.


Dr. Tregaskes gently checks the jaw joints and the muscles nearby, feeling for areas that are stiff or painful when pressed. He watches for uneven motion, catches signs of locking, and listens for clicks as you move.


Going step by step like this makes it easier to decide if the joint or muscles nearby are at fault. The answers help direct the rest of your care.


Looking at Bite Alignment and Tooth Wear


Bite plays a bigger role with TMJ trouble than most expect. Dr. Francisco Mesa checks how your upper and lower teeth connect. If the bite does not line up perfectly, you can get pressure building up on one side more than the other.


Signs of biting or clenching on one side show up as flat spots, small chips, or uneven enamel. Dr. Tregaskes looks for these worn-down areas and sees if something does not feel right to you. Bite analysis tools may come out if things look off—but often, it’s a sharp eye and hands that spot what is happening. JNT Dental uses 3D digital scanning to analyze bite and jaw positioning, helping reveal small misalignments early on.


These checks help match complaints of pain or grinding with real patterns in your daily bite.


Examining Head, Neck, and Facial Muscles for Hidden Strain


Not all TMJ problems begin in the joint. They often come from strain and tightness in nearby muscles. That is why Dr. Francisco Mesa checks for knots or tension by feeling along your temples, cheeks, neck, and even beyond into the shoulders.


Nerves and tension can spread further than you would think. A stiff neck may lead to a jaw that works too hard or a headache that just lingers. Dr. Tregaskes pays attention to posture and how you hold your body. Sometimes, something as simple as slouched shoulders or holding the head awkwardly during work can add stress to the jaw muscles.


He checks for signs that clenching might be happening all night without you noticing. Looking at all these pieces together helps explain why pain might hit you in one spot but really starts somewhere else.


Pain Patterns Can Point to Bigger Sleep Issues


TMJ problems can bring sleep troubles, too. Many never realize how much clenching or grinding teeth at night adds to their problem. Dr. Francisco Mesa checks for patterns where tightness seems worse in the mornings—it could mean sleep strain is part of the issue.


Jaw pain sometimes ties in with breathing problems at night. If rest does not leave you refreshed, or if you deal with headaches and jaw tightness first thing, it could all be connected to jaw position or airway blockage during sleep.


Dr. Tregaskes is careful to connect these night patterns with daytime pain. If you are waking tired, getting frequent headaches, or your jaw feels worst when you wake up, it may be time to check for more than just joint strain. For those cases, they will discuss if a CPAP alternative or jaw device might offer comfort and relief, especially if bad sleep is part of your TMJ pattern.


Why a Careful TMJ Check Really Matters


Everyday life with a sore jaw or clicking joint can add up fast. Chewing, talking, and yawning should not be a chore. A TMJ doctor in Virginia like Dr. Francisco Mesa takes time to look closely at every angle, so no detail is missed. Backed by Dr. Tregaskes and modern digital scanning, you get a complete picture—from bite to muscle to habits.


Their careful, step-by-step method means you do not have to keep struggling while waiting for things to get worse. Early focus on joint movement, bite, muscle tension, and sleep brings long-term relief into reach. With both hands-on insight and top dental technology, TMJ discomfort in Virginia can finally start to make sense—and change for the better.


Jaw tightness, clicking, or pressure that keeps coming back might mean your bite, muscles, or sleep are being affected in ways you haven’t noticed yet. At JNT Dental, Dr. Francisco Mesa and Dr. Tregaskes take time to look at how everything works together so we can better understand what’s behind your discomfort. Learn what to expect from a visit with a TMJ specialist in Virginia and take a step toward feeling more at ease each day.

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