Any advice on treatment for TMJ, asymmetry, midline misalignment, wider smile, gummy smile, possibly posture? (Photos)

You have a forward head posture and a narrow maxilla with Dark Buccal Corridors.

Three Dimensional Expansion would definitely be by first recomendation for treatment. Depending on the severity of jaw pain and other related symptoms a neuromuscular orthotic may improve conditions rapidly.

It appears you have forward head posture and may want to also be evaluated for paradoxical breathing and upper cervical issues.

You are on the right track. Your TMJ problems are NOT caused by your clinching and grinding. They are caused by unhealthy TMJ's rsulting from an unhealthy bite. You are correct to say that the clinching and grinding do cause the adverse symptoms you are experiencing: headaches, migraines, neck aches, back pain, anxiety, depression, chronic fatigue, tinnitus, ear pain, dizziness, facial pain, etc. are all common symptoms and you would NOT experience any of these symptoms if you did not clinch and grind but the root of your problem is the bad bite causing compromised TMJ's.

While it is impossible to diagnose and offer treatment for TMD without the aid of a CT scan, generally speaking you have to change your bite to improve the health of your TMJ's. This is generally done by developing both the upper and lower jaws forward and expanding your dental arches. The DNA appliance will develop your upper jaw in both a forward and side-to-side direction. The FAGGA will develop your upper jaw forward. The mRNA appliance will develop your upper jaw like the DNA but will also reposition your lower jaw forward.

Hope this helps, good luck!

Usually, DNA appliance treatment stops mouth breathing and snoring, and TMJ pain. The result is better airflow through the nasal spaces and mouthimproved bite function and fit of the teethimproved tongue space and posture.Thanks