Our Ottawa dentists diagnose and treat the common jaw joint disorder (TMD) with neuromuscular treatment options to help relieve symptoms and address its underlying causes.
TMJ (Temporomandibular Joint) is the hinge that connects your jaw to the temporal bones of your skull. TMD (Temporomandibular Joint Disorder) is the dysfunction of this joint that causes issues with your jaw and face.
The temporomandibular joint (TMJ) is complex and is often subjected to pressure when we bite and chew.
This makes it vulnerable to dysfunction, which can cause symptoms collectively known as TMJ Syndrome or TMJ. Common symptoms by body part include:
If you have TMD, you may feel these symptoms in your teeth and gums:
If you have TMD, you may feel these symptoms in your head:
If you have TMD, you may feel these symptoms in your ears:
If you have TMD, you may feel these symptoms in your throat:
If you have TMD, you may feel these symptoms in your eyes:
If you have TMD, you may feel these symptoms in your face and jaw:
If you have TMD, you may feel these symptoms in your neck and shoulder:
Injury, stress, jaw clenching, inflammation and other factors can change our bite. This causes a ripple effect throughout the body. Your posture may change and symptoms such as pain, stiffness and reduced mobility can occur.
Your TMD disorder symptoms can improve with treatment from our Ottawa dentists. Benefits of treatment can be broken into two categories, including functional and aesthetic.
The functional benefits stem from the creation and maintenance of an optimal occlusal relationship between the upper and lower jaws and teeth. The re-establishment of optimal occlusion (bite) effectively eliminates the Temporomandibular Joint Disorder (TMD) symptoms. Many people suffering from TMJ disorder have accepted chronic pain and discomfort as part of their lifestyle. However, we may be able to eliminate this with treatment, even if other treatment approaches have been unsuccessful in the past.
Above and beyond the elimination of the TMD symptoms, the functional benefits also extend to the actual pressure and wear that is exerted on the existing teeth and/or restorations. Having the teeth and jaw optimally aligned reduces the wear and tear that the teeth and restorations are subjected to, effectively increasing their lifespan.
With respect to aesthetic benefits, these are traditionally associated with a reconstructive course of treatment. With other types of TMD treatments, there may be a slight aesthetic improvement that arises from the changed orientation of the teeth and jaw, but those courses of treatment are primarily designed to address the TMD symptoms, not the aesthetics.
With the reconstructive treatment approach, the end results are typically spectacular. It is commonly referred to as a “smile makeover”. The smile can be transformed to look stunning and natural, but the effects of a Gneuromuscular approach to a “smile makeover” are not limited to the teeth alone. Often, the change in the position of the teeth and jaw will have a rejuvenating effect on the eyes and rest of the face. This change is particularly apparent when a smiling. When someone suffering from TMD smiles, their eyes typically squint and it seems as though the smile is forced or painful. When the TMD is addressed, the squinting disappears, and the smiles take on a more natural and livelier feel.
Certainly, the focus with our patients is placed first and foremost on allowing them to resume a pain free life. The elimination of the chronic symptoms is always the top priority but sometimes our patients take advantage of the opportunity to create the smile that they have always dreamed of.
Find out more by booking a consultation with our Ottawa dentists.
If you are suffering from the symptoms above, fortunately, Ottawa Dentistry can help. We are proud to offer the following TMD neuromuscular treatment options for patients:
ULF-TENS technology is used to relax the muscle spasms in the Temporomandibular Joint. Since the optimal occlusion (bite) occurs when the muscles are completely relaxed, the TENS unit allows us to establish the approximate optimal spatial relationship between your jaws and teeth.
The K7 Evaluation System measures the viability of the bite while the muscles are relaxed, and the jaw is expertly manipulated. The Myotronics K7 Evaluation System provides Dr. Nguyen with objective measurements of the mandibular path of closure, muscle activity and the amount of vibration that occurs when opening and closing.
Using a thorough analysis of the data that the system collects, he can identify with a fair degree of certainty what occlusal position is optimal.
A temporary orthotic device can be used to stabilize and "test" a bite (occlusion). This orthopedic appliance is designed to correct the old, harmful habits of jaw malposition that have developed over the years to compensate for the malocclusion (poor bite) of the teeth.
The appliance is designed to be comfortable to wear and virtually invisible. The orthotic is developed with the exact occlusal (bite) specifications that are identified with Gneuromuscular approach using the ULF-TENS and K7 Evaluation System.
In instances where a minor irregularity in the occlusion (bite) is caused by the interference of a slightly protruding or poorly shaped tooth or teeth, some enamel from the affected area(s) can be reshaped to achieve optimal occlusion. This procedure is only applicable to cases that require very minor adjustments.
This device can help patients achieve an optimal bite (occlusion), minimize stress placed on affected teeth and reduce the rate of wear. The name is slightly misleading since the removable overlay partials are essentially permanent orthotics that are bonded to the back teeth.
This tool that can be used as a more permanent step after the temporary orthotic validates that the selected occlusion is in fact optimal.
In some cases, the Temporomandibular Joint Disorder (TMD) is the result of several severely worn or broken teeth that may have extensive decay. In those instances, fixing the bite with removable overlay partials is simply not enough and a more comprehensive treatment plan is required.
In those cases, there may be several steps involved in the overall course of treatment. First, the optimal occlusion (bite) is identified using the ULF – TENS unit in conjunction with the K7 Evaluation System. ).
Next, the recommended occlusion will be tested using a temporary orthotic.). Third, as the occlusion is established with absolute certainty, a comprehensive treatment can be created to help maintain the healthy occlusion.
This will require a combination of dental services that may include the placement of dental implants (titanium components resembling a screw that are surgically placed into the jaw bone), root canal therapy, dental bridges and/or dental crowns.
In some instances, Dr. Nguyen can recommend an orthodontic approach, using In-Ovation® Low-friction esthetic braces or SureSmile® braces, to achieve optimal occlusion (bite). This may be the least intrusive approach and can have the same dramatic results of simultaneously eliminating the Temporomandibular Joint Disorder (TMD) symptoms and improving the aesthetic appeal of the smile.
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