A generic nightguard protects teeth from wear. A custom appliance is engineered to guide jaw position and stabilize the TMJ, so it also reduces pain, clicking and headaches.
Oral Appliances for TMJ
A custom TMJ splint repositions the jaw, calms clenching muscles and protects your teeth. Fitted by Dr. Charles Ferzli for patients across Raleigh, Cary and Durham, NC.
TMJ Appliances, Not Sleep Appliances
Oral appliances are custom-fabricated devices that reposition the jaw and reduce joint strain. The one on this page is a TMJ splint, or bite orthotic: it treats the joint, the bite and the clenching behind them.
Snoring or obstructive sleep apnea calls for a different device, a mandibular advancement device, covered on sleep appliances and snoring treatment.

When To Seek This Treatment

Daily Jaw Pain or Fatigue
Soreness or tightness in the jaw that worsens with chewing or talking.

Clicking, Popping, or Locking
Joint noises or brief locking that signal TMJ instability.

Morning Headaches
Tension or migraine-style headaches linked to nighttime clenching.

Tooth Wear or Fractures
Flattened, chipped, or sensitive teeth from bruxism (grinding).
Our Non-Surgical Approach
Medication masks pain without correcting bite stress, and a drugstore tray protects enamel while doing nothing for jaw position — so the clicking and headaches return. A splint planned around your own joint is different, and pairs with laser therapy or trigger point therapy.
Precision Fit
Digitally planned and custom fabricated for comfort, durability and predictable results.
Jaw Stabilization
Optimizes joint loading and reduces strain on ligaments and muscles.
Clenching Control
Redistributes bite forces to protect teeth and calm overactive muscles.
Comprehensive Care
Paired with laser therapy, trigger point work and habit coaching for lasting relief.

Why Choose Us?
Oral appliance therapy 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 QuizRealign, Protect, and Relieve TMJ Pain
You don’t have to live with daily jaw pain or headaches. At the TMJ & Sleep Therapy Centre of Raleigh-Durham, custom oral appliances help restore healthy function and comfort, without surgery. Schedule your consultation today and start feeling better.
(919) 323-4242 Message UsOral Appliance Questions
Many patients improve within days to weeks as muscles relax and joint loading evens out. Complex cases need adjustments over several visits to fine-tune comfort.
Nighttime wear controls clenching and morning headaches; some patients also benefit from a lightweight daytime orthotic. We prescribe the schedule your condition calls for.
Appliances are reversible. They support healthier jaw function without permanently altering your natural teeth; any restorative change is discussed separately.