When it outlasts normal healing, usually three months or more. By then sensitized nerves, tight muscle and habit all hold it in place, so treating one alone rarely works.
Chronic Jaw & Facial Pain Relief
Pain that has lasted months does not fade on its own. We find what is driving it and treat it without surgery — jaw pain relief for Raleigh, Cary and Durham.
When Jaw and Facial Pain Becomes Chronic
In the head and face, pain rarely stays put. An overloaded jaw joint refers pain into the temples, ears, neck and shoulders, and broken sleep keeps the cycle running.
Dr. Charles Ferzli is a Diplomate of the American Board of Craniofacial Pain — the dentist Raleigh patients see for jaw pain that will not settle. Care starts by finding the driver: TMJ disorder, muscle trigger points or an irritated nerve.

What Keeps Facial Pain Going

TMJ Dysfunction & Bite Imbalance
Overloaded jaw joints and clenching refer pain to the temples, face and neck.

Myofascial Trigger Points
Tight, overworked muscles in the jaw, neck and shoulders refer pain outward.

Nerve Overactivity
Irritated pathways, including the SPG, amplify headaches and facial pain.

Prior Injury & Stress
Whiplash, sports impacts and ongoing stress sensitize tissue and prolong pain.
Steps of Treatment
Depending on the driver we use trigger point therapy, laser therapy, a SphenoCath nerve block or a custom oral appliance — no opioids, no surgery.
Early Relief & Stabilization (Weeks 2–6)
Targeted therapy drops muscle tension and calms irritated nerves, so meals, work and sleep feel manageable again.
Functional Recovery (Weeks 6–12)
As pain subsides we restore jaw mobility, posture and breathing efficiency, layering in simple home routines.
Long-Term Self-Management
Periodic check-ins and an easy maintenance plan prevent setbacks and keep you active without leaning on medication.

Why Choose Us?
Chronic Jaw & Facial Pain Relief is one of the specialized services we provide at the TMJ & Sleep Therapy Centre of Raleigh-Durham. Our focus is on identifying the root causes behind your symptoms and delivering safe, non-surgical solutions that support long-term health and comfort.
Start with a Simple TMJ and Sleep Screening
Do You Have TMJ?
Take our quick 2-minute assessment to find out if your symptoms may be related to TMJ disorder.
Take TMJ QuizSleep Apnea Risk?
Discover if your snoring, fatigue, or restless sleep could indicate sleep apnea with this brief screening.
Take Sleep QuizStart Your Path to Relief
Jaw and facial pain does not have to define your day. At the TMJ & Sleep Therapy Centre of Raleigh-Durham we pair gentle, evidence-based jaw pain treatment with routines that hold. Take the first step toward steadier comfort and better sleep.
(919) 323-4242 Message UsChronic Facial Pain Questions
For most patients, yes. Addressing the mechanics, calming the tissue and retraining the habits produces major improvement without an operation.
Many patients feel early relief within 2–6 weeks as muscle tension eases and sleep improves. More durable gains build over 6–12 weeks as joint loading normalizes.
Usually not. As inflammation drops and the mechanics improve, most patients taper under their physician’s guidance.