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Gentling Dental Rochester MN, TMJ Treatment, TMD Pain
6 Answers to your questions about Dentures
1. What is TMJ?
TMJ is actually stands for temporal mandibular joint. Some people have been told or they think they have TMJ. What they really have is TMD, temporal mandibular disorder.
What treatment works best for TMD?
I am not sure there is a best treatment for TMD. But in our practice one of the easiest ways that we have found in over time to treat TMD is to start with some sort of splint therapy using splints (also called night guards or mouth guards). There is a wide variety of kinds of splints, mouth guards, night guards. The first type of splint that people can be familiar with or something you could buy from Target or Wal-Mart over the counter store, you get from your local drug store. It looks like a little boil and make your own athletic mouth guard. These can be okay and sometimes we do offer those to our patients but we have found that patients can start chewing on them a lot more at night time and actually aggravate a lot of the TMD symptoms that they might have.
The most common type of night guards or mouth guards that patients will get from their dentists are made of hard acrylic. They are sent to a laboratory so the patient would have models made of your teeth and most of these splints are made without looking at the system. Most of them are made without looking at how the jaw joint functions. Most of them look at just the tooth contact so they would make a splint to cover just one arch that could be the upper arch or the lower arch and they would then put them together. Fabricate the splint so it would be made in between jaw joints and it is just a protective covering against any occlusion, occluding that goes on with your teeth.
The problem with that is they are not taken in consideration the system as far as where the jaw joint is so these can also be fabricated on a machine called an articulator that mimics the jaw pattern so it has the jaw joints both sides. The dentist would then get records, the bite records to make sure that it is made in the correct position. So this splint could be made that way so if you are going to your dentist and you are having a splint made, you may want to ask how they are fabricating it. Do they use instrumentation or they just leave it up to the lab technician to make it with their hands.
One mouth guard is called the MAGO, the Maxillary Anterior Guided Orthotic which is a fancy name for this splint. The place we were learned to do this is called OBI, Orognathic Bioesthetic International and they just believe in making upper orthotics and the way that they treat their TMDs, you wear this 24 hours a day and you come back to the dental office to be seen many, many times and slowly adjust this in to the proper bite so they are looking at getting stable jaw joints and stable muscles on the occlusal plane of the splint, on how the splint hits.
Another type of night guard that you will only find in certain study clubs and organizations so less and less dentists are educated in how to make these, these are called the Tanner splints or the anatomical splints, these getting to be the key word there. And they are made somewhat like the MAGO but a little bit smaller, more sleek design, they are made with the idea of maybe replicating or discovering slowly together over time how your teeth hit together and what feels better in your mouth. As you slide your teeth to cross or hit on it, little tiny adjustments are made to correlate to make the teeth grinding symptoms disappear or obviously get better would be the goal.
Another night guard, mouth guard is the NTI appliance and this is unbelievably genius of an appliance. It is pretty simple if you think about it. It is a small piece of plastic. By the way you can check this appliance online. The website is headachehope.com or you can just Google NTI and Google and NTI will bring up so much information that you would be busy for hours. This is just a very simple appliance that just fits right on the edge of your front teeth and what's the difference between this little appliance and all the other appliances that we have is that there is no posterior contact, there is no hitting ability of the back teeth to touch together and what's great about that is it does not allow the masseter muscles and the temporalis muscles to allow teeth clenching.
The NTI appliance does not allow the masseter muscles or temporalis muscles here to clench it for maximum ability. We could do a little test, it's fun test you could do just yourself and just sit here and clench your teeth and you can feel your masseter muscles bulge or temporalis muscles bulge and if you put this appliance. You can actually take a pencil, between your teeth and then clench as hard as you can, you can't feel the intensity levels, the ability of the muscle that clench the maximum is not there. So this little appliance takes advantage of that. You have to be careful when you fabricate these.
You want to go to the dentist that does do many of these. There are a lot of parameters that need to be solid in place before you go home with an appliance like this, as you can understand and then there should be a follow up with these as well for retention and of course checking symptoms so that is the big way that most dentists that treat TMD, the best way to start there is also a physical therapy we refer to a physical therapist, of course medication is possibly a route that we will take but usually from the start this solves most of the TMD problems associated with teeth grinding and teeth clenching.
The three most critical steps to having a lifetime of healthy teeth.
1. Brush your teeth after every meal, at least three times a day. Floss at least once a day.
2. Eat a well-balanced diet. Good nutrition helps you maintain healthy teeth.
3. Have your teeth examined and cleaned every six months, more if you have gum disease or other conditions that place you at greater risk of oral health problems.
About the Author
Your questions about TMJ answered by Gentling Dental Care in Rochester MN. Great advice from 'what is the best mouth guard?' to 'what is TMD?'. For all your dental needs visit us at www.GentlingDental.com even at 3am in your pjs. Or call us at 507-288-7379
Dental Articulators: All Stone I Articulator- Pouring Up 1 (3 of 16)
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