Restoring Better Sleep and Jaw Health
Do you wake up in Nashua with a sore jaw and a feeling of pure exhaustion, no matter how long you slept? You might be dealing with two interconnected conditions: sleep apnea and TMJ disorder. While they seem separate—one affecting your breathing, the other your jaw—they often fuel a frustrating cycle of poor sleep quality and chronic pain.
The good news? You don’t have to manage this alone. For residents of Nashua, Hudson, and Milford, understanding this link is the first step toward a restful night and a pain-free day. Contact our Nashua sleep clinic near you at (603) 237-1124 to schedule your sleep apnea consultation with our sleep apnea dentist in Nashua.


What Is Obstructive Sleep Apnea?
Obstructive Sleep Apnea (OSA) is far more than loud snoring. It’s a serious sleep disorder where your breathing repeatedly stops and starts due to a blocked airway. Each pause, called an apnea, jolts you out of deep sleep—even if you don’t remember it. This leads to the hallmark symptom: excessive daytime sleepiness.
Common risk factors include weight, a narrow airway, and lifestyle habits. Left untreated, it can impact your heart health, mood, and well-being.
What Is TMJ Disorder?
The temporomandibular joint (TMJ) is the complex hinge connecting your jawbone to your skull. TMJ disorder (TMD) causes jaw pain, clicking sounds, difficulty chewing, and that familiar locking sensation. This orofacial pain is often worsened by teeth grinding (sleep bruxism) and jaw clenching.


How Sleep Apnea and TMJ Pain Feed Each Other
Why do these two conditions so often appear together? It’s a classic case of a vicious cycle.
- How Sleep Apnea Worsens TMJ Pain: When your airway collapses during an apnea event, your brain panics. It sends a signal to your jaw muscles to clench and move, attempting to reopen the airway obstruction. This instinctive action is a primary cause of sleep bruxism. The constant grinding places immense strain on your temporomandibular joint, leading to inflammation, muscle tension, and the first onset of TMD symptoms.
- How TMJ Disorder Robs You of Sleep: Constant jaw pain and discomfort make it nearly impossible to get comfortable. This chronic pain can prevent you from falling asleep or pull you out of deep, restorative sleep stages, directly degrading your sleep quality and mimicking the fatigue of OSA.
Are You at Risk? Shared Symptoms Nashua Residents Shouldn’t Ignore
The overlapping symptoms can make self-diagnosis tricky. Do you experience any of these?
- Waking up with jaw pain, facial soreness, or morning headaches
- Chronic fatigue and brain fog, despite a full night in bed
- Noticeable teeth grinding or jaw clenching (a partner may hear it)
- A clicking, popping, or locked jaw
- Loud snoring or gasping for air during sleep
- Neck and shoulder tension
If this sounds familiar, a professional evaluation is crucial. Landmark research like the OPPERA prospective cohort study has established clear risk profiles, showing that factors like genetic predisposition and stress create a high likelihood of developing TMD.


Meet Your Nashua Sleep Apnea Dentist—Stephen Ura, DMD, D.ABDSM
When seeking care for interconnected issues like sleep apnea and TMJ disorder, it’s essential to have a skilled provider. At the Center for Dental Sleep Health, Dr. Stephen Ura specializes in the relationship between oral health and sleep.
As one of the few dentists in New Hampshire with Diplomate status from the American Board of Dental Sleep Medicine (D.ABDSM), he demonstrates a commitment to excellence in treating sleep-disordered breathing with oral appliance therapy. Dr. Ura focuses on effective, comfortable CPAP alternatives and solutions for teeth grinding and jaw pain. He conducts thorough evaluations and creates personalized treatment plans for each patient from Nashua, Hudson, and Milford.
Why Choose a Diplomate?
Choosing a board-certified dental sleep medicine expert means you’re selecting a provider who has passed rigorous examinations and meets the highest standards of care set by the national governing board. You can trust that you are receiving care based on the latest research and proven clinical protocols.
Diagnosis at Our Nashua Dental Sleep Medicine Practice
Getting an accurate diagnosis is the key to breaking the cycle. At the Center for Dental Sleep Health in Nashua, Dr. Stephen Ura specializes in dental sleep medicine. The process involves:
- Comprehensive Review: We discuss your medical history, sleep habits, and symptoms.
- Physical Examination: Dr. Ura performs a detailed physical examination of your jaw, checking for tenderness, range of motion, and jaw alignment.
- Advanced Imaging: If needed, we may use tools to visualize your joint and identify any structural abnormalities.
- Sleep Study: To formally diagnose sleep apnea, we can facilitate a sleep study, which can often be done comfortably at home.


Tailored Treatment Options for Lasting Relief Near You
There’s no one-size-fits-all solution. We create a personalized plan that addresses both conditions simultaneously. Treatment options at our Nashua office include:
- Oral Appliance Therapy: The cornerstone of our approach. We create custom-fit oral appliances, similar to mandibular advancement devices, that gently position your lower jaw forward during sleep. This keeps your airway open to prevent apneas and significantly reduces the forces of grinding, protecting your jaw joint.
- CPAP Alternatives: For many, these devices are a more comfortable and portable CPAP alternative.
- Physical Therapy and Jaw Exercises: Targeted physical therapy and jaw exercises can improve mobility, strengthen supporting muscles, and alleviate symptoms.
- Lifestyle Modifications: We provide guidance on sleep position adjustments, stress reduction through deep breathing, and diet changes to support your jaw health.
In severe cases involving significant structural abnormalities, we can discuss further interventions.
Frequently Asked Questions
Is it common to have both sleep apnea and TMJ?
Yes, it’s very common to have sleep apnea and TMJ disorder at the same time. The physiological link is strong. Many of our patients from Hudson, Milford, and across Nashua present with both conditions, and treating them together is often the most effective path to relief.
Can a dentist in Nashua really treat a sleep disorder?
Absolutely. As a qualified practitioner in dental sleep medicine, Dr. Ura has received advanced, accredited training specifically focused on managing sleep-disordered breathing with oral appliance therapy, a first-line treatment for moderate OSA.
Can coexisting sleep apnea and TMJ disorder increase the risk of other health issues?
The combination of sleep apnea and TMJ disorder can potentially exacerbate symptoms and lead to complications. It’s important to address both conditions to reduce the risk of associated health problems.
What if my TMJ pain is severe? What are my TMJ treatment options?
Your physician always starts with the most conservative, noninvasive options first, like oral appliances and physical therapy. The goal is to manage the underlying causes—the sleep apnea and bruxism—which often resolve the TMJ pain. We only explore further options if necessary.
Will an oral appliance help my jaw pain and my snoring?
In most cases, yes. By preventing the jaw from clenching and the airway from collapsing, the appliance directly targets the root causes of both issues.
Ready to Reclaim Your Sleep and Comfort? We’re Your Local Solution.
You deserve to wake up feeling refreshed and pain-free. If you’re in Nashua, NH, or the surrounding areas like Hudson or Milford, and are tired of the cycle of fatigue and jaw pain, we are here to help.
Contact the Center for Dental Sleep Health, your local sleep dentist in Nashua, for sleep apnea and TMJ disorder consultation today at (603) 886-4300. We offer diagnoses and customized treatment plans tailored to your life. Take the first step toward better sleep and better health.
