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What causes TMJ pain?
The TMJ or Temperomandibular Joint is the "hinge" that functions when the jaw opens and closes. There are many theories and practices to treating TMJ pain. Every TMJ dentist will have his or her own theory on TMJ treatment. People will often report neck and upper back pain, headaches, sore muscles and even migraines. Neuromuscular dentistry practices under the premise that when the teeth are shortened (either by wear, grinding, old age, clenching or even the cumulative effects of large amounts of dentistry) then the jaw over-closes causing stress and pressure in the TMJ. By restoring the vertical dimension to the teeth or by positioning a carefully fitted dental orthotic, optimal health and function is restored to the TMJ. Many people suffering from TMJ pain have found relief using the techniques and theories of neuromuscular dentistry.
Who has neuromuscular problems?
Anyone can experience neuromuscular problems usually known as TMJ pain. Typically, those who were born with poor jaw position or improper bite (malocclusion) begin to experience problems in their teen years. Others who have had a history of teeth grinding may begin to have symptoms in their mid-40's or even earlier. Problems that can be addressed with neuromuscular dentistry include broken or missing teeth, as well as old, decaying dentistry and TMJ pain. When there is an imbalance in the muscles that open and close the jaw and/or bite then tension is created causing pain.
What are the treatment options for neuromuscular problems?
Fortunately, there are great ways to address neuromuscular problems. Neuromuscular issues require a neuromuscular approach and solution. Dr. Marnie uses a computerized diagnosis called a Myotronics Tens to relax the muscles and then a Myotronics K7 to determine ideal occlusion. Treatment options include a dental orthotic that temporarily repositions the bite the same way as bite guard therapy. The other more fixed solution is the ideal restoration of each tooth (Full Mouth Restoration). Dental orthotic therapy always precedes Full Mouth Restoration. Both approaches seek to alleviate pain and tension in the jaw, head and neck.
What does Full Mouth Restoration entail?
Full Mouth Restoration is the complete restoration of each and every tooth to an optimal shade, length, shape and position. This technique involves a preliminary information-gathering visit. Dr. Marnie uses special computer diagnostic equipment to relax the jaw muscles. Once Dr. Marnie knows where the muscles and jaw are most comfortable, this information is used to make a dental orthotic that supports the comfortable position. Once comfort is established with the dental orthotic, the next visit is called the preparation. At this visit, she removes old dentistry and prepares each tooth. Guests leave the office with temporary restorations that position their teeth like the dental orthotic. Three to four weeks later, Dr. Marnie removes the temporaries and permanently "seats" each restoration.
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