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In some instances, problems may exist before, during or following orthodontic treatment with the “sliding hinge” connecting the upper and lower jaws. Tooth positions and bite can be a factor in this condition. Tooth equilibration (selective tooth grinding) by your dentist may be recommended after appliances are removed to improve the occlusal relationship. TMJ problems are not all bite related. Most individuals that have a TMJ problem have never had orthodontic treatment. However, despite our best efforts, some patients have developed permanent jaw problems that require surgical or other additional treatment.