First, it is important to seek out a dentist who has had additional training and focus in the diagnosis and treatment of jaw joint disorders. In general, dental school does not prepare graduates well in this area. For those doctors who have completed additional training, most start with conservative treatment. It is important to determine the proper diagnosis and then treat based on the diagnosis. The use of splint therapy along with physical or message therapy would be one form of conservative treatment. The splint, or orthotic, allows the jaw joints to rest in a neutral position, providing biofeedback for muscle relaxation. Depending on the issue your doctor will see you every few weeks to adjust the orthotic as your joint heals. The use of physical therapy or message therapy modalities allow for the release of tense muscles, strengthening of supporting muscles and additional biofeedback. Together the orthotic and therapy provide the best conservative approach to treatment of TMD. Surgery should be reserved as a last course of treatment.