top of page

Our Story

Introducing Zoya's Orofacial Pain & Dental Sleep remedies PLLC

Zoya's Orofacial Pain & Dental Sleep Remedies practice is based on providing the best TMD, Orofacial pain and dental sleep care to patients in the memory of a beautiful soul named Zoya. Zoya fought a courageous battle against Ewing's Sarcoma that included numerous chemotherapy sessions, a resection, a reconstructive surgery of her right hip and a bone marrow transplant. The cancer won this battle but during her short time, she taught patience, determination & endurance to all those around her. 

She once mentioned that she wanted to be a cancer doctor, but then followed up by saying, "Actually I want to become a nurse. I know how much it hurts when they put a needle in my port. I will make sure that no child will hurt any more". 

​

We want to share the spirit of Zoya for the betterment of our patients and society. 


It is with this intention that Zoya's Orofacial Pain & Dental Sleep Remedies was started, so that TMD, Orofacial pain & Dental sleep apnea patinets can get the best care possible following a multimodal aproach.  TMD Orofacial Pain & Dental Sleep Remedies is a 13th CODA accredited subspecilaity in Dentistry. Please help us in realizing Zoya's dream. 

                                Services Offered 

TMD Managements 

Problems of the TMJ can be divided into four basic subcategories.

1. Arthralgia, arthritis, and arthrosis are among the most common conditions that affect the TMJ often observed on palpation & with function.

2. Dysfunction of the TMJ (clicking & episodic locking) may also be seen in all age groups.

3. Recent Restricted Motion of the TMJ (closed locking).

4. Treatment of Open Locking (luxation) and hypermobility (subluxation) may be manifestions of dislocation.

For each subcategory, there is a specific step-by-step protocol we recommend where the interventional procedures are used. 

Headaches (TTH, Migraines, TACs) 

Identification of headaches followed by multi modal approach. 

Headaches can present in various age groups and have a significant burdeon on the health care system in in terms of insurance, affecting the psychological status in addition to lost work days of the victim as well as families being affected. We provide screening of all headaches and initial management specific to each case. Often times imaging is required, to rule out structural lesions. Patients may also need psychological counselling so we work in collaboration with radiologists, health psychologists, and most importantly, headache specialists to provide ideal treatment specific to every patient. Often times there is need for immediate action, so we screen for all possible red flags of headaches. We always include screening for Myofascial trigger points as a possible risk factor in headaches.

Myofascial Trigger Point TrP Injections

A trigger point is a painful area within a taut band of a muscle, that when squeezed generates local & referred pain sensations. The cause of taut band is hyperactive motor nerve branch, which generates sustained contraction in the muscle fibers attached to motor end plate that the nerve branch supplies. Our understanding of TrP allows identification of referaal patterns.

Active TrP is painful spontaneously and produces referred pain when squeezed.

Latent TrP is not painful spontaneously and does not produce referred pain when squeezed. 

MAD devices for mild-moderate OSA (Obstructive sleep apnea)

Obstructive sleep apnea (OSA) comprises of  repetitive pauses or reductions in breathing during sleep, due to collapse of the upper airway when the muscles of the upper airway (including tongue, soft palate) become relaxed during sleep narrowing significantly or completely blocking the airway, and preventing breathing usually accompanied by reduction in blood oxygen levels and followed by an awakening to breathe resulting in chronic tiredness and fatigue.

  If left untreated, OSA can result in a growing number of health problems, including: High blood  pressure, stroke, heart failure, irregular heart beats, and heart attacks. We need to treat the cause and not the outcome.

The gold standard for OSA is CPAP, but in patients who are unable to tolerate CPAP, we use MAD (mandibular advancement devices) to help open up the airway by sliding mandible forward. 



Burning Mouth Syndrome

Burning mouth syndrome presents as continuous burning anterior 2/3rds of the tongue often times including lips. It may manifests as burning pain, taste loss/distortion and abnormal sensation in oral cavity. This is a chronic neuropathic pain disorder & needs both pharmacological as well as psychologic managemnet.

Bruxism/ Teeth grinding

With life stressors & occupations, We often times unconsciously are  clenching and grinding our teeth. Our teeth need to be protected from  with appliances/devices to  decrease unnecessary stimulation to the higher centers in brain. 

Persistent Dentoalveolar Neuropathic  Pain

We often see in our practice that patients who start having dental pain, starting with just a filling that doesn't get better, end up having a root canal, but remain in pain. Even after tooth extractions, the pain often remains. For such pain, the treatment is patient specific and unique to everyone. 


Neuralgia Pain

Neuralgic pain typically presents as brief sharp, shooting, shock like pain. It can be felt in the jaw, throat, back of our head (occipital) region. We provide complete diagnostic work up followed by comprehensive treatment in colloboration with a neurologist & health psychologist. 

 

Hijama wet cupping/ Toobin

 Hijama is a practice used in traditional medicine in several parts of the world especially in the Islamic world and China. Negative pressure is created using glass, plastic or ceramic. Wet cupping includes skin pricking while dry cupping doesn't include skin pricking.

 

Basic Hijama Pack;

$100, 9 cups

General session;

$150, 13 cups

Advanced session;

$200, 19 cups

Health Combo Pack;

$250, 25 cups

Ruqayya Hijama

$300, 29+cups

Head cupping/ hijama; 50$

It may be added to any of the above pacakages.

  

References: 

1. https://nccih.nih.gov/health/cupping 

2. http://en.wikipedia.org/wiki/Cupping 

3. Lauche R, Spitzer J, Schwahn B, Ostermann T, Bernerdy K, Bernardy K, Cramer H, Dobos G, Langhorst J.Efficacy of cupping Therapy in patients with the Fibromyalgia syndrome- A randomized placebo controlled trial. Sci Rep. 2016 Nov 17;6:37316

Physical Therapy, Health Psyc​hology

It has been seen that home based physical therapy has been very helpful in relaxing muscles, and helping patients cope with TMD Orofacial pain. When pain persists for extended periods, months to years, it affects our brain, it can make us anxious and depressed. Each physical therapy and psychology consult is focused to patient specific needs and conditions. Our   multimodal aproach including physical therapists and health psychologists helps manage various aspects of chronic pain.  

Acupuncture for TMD, Orofacial pain, Dental anxiety & Headaches
Initial consltation  $300
Follow-up Treatments $250

Acupuncture Tools

Membership Plans

Zoyas Orofacial Pain & Dental Sleep Medicine PLLC offers membership-based, concierge service for patients whose insurance is out of network. 

      $1800 annually, or $150/month, per person, with discounts for couples and those who pay annually.                                                        New patients pay a one-time $100 registration fee. 

 We accept patients without regard to their prior conditions or medical history followed by approval process for their membership. Membership ensures that there are no additional charges for office visits, virtual care, or any other communication. This means there are no co-pays.

The membership model allows us to limit the number of patients in our panel, so appointments are easier to schedule including same day/next day availability for urgent matters. Patients appreciate that We are accessible between office visits for quick questions or advice, and We appreciate the opportunity to get to know our patients without feeling rushed.

Initial Screening, Appointments, Treatments Requests

We give personalized service to every patient. Initiial Consultation after request is available within 3 - 5 business days , caters for flexible schedules/ after hours and extremely friendly staff.

Educational  Orofacial Pain Prevention Consults


We have a consult available  specifically focused on the  Do's & the Dont's of Preventive Orofacial Pain, covering the educational, nutritional, and various  aproaches of  preventing headaches, sleep apnea, by providing unique self care. 

Telemedicine  Apointments 

It is not always possible to make it to the doctor, so we offer telemedicine appointments so that our patients can reach out to us, making sure they keep us informed and follow up on their treatment plans. 

Want to contribute to Research & Science? 

The importance of teaching and research in any disciple of life is inevitable. Sharing unique cases & being a part of research helps us understand not only the disease's processes,  but also formulate evidence based treatment modalities. If you would like to be part of any ongoing  research, please contact us.

bottom of page