Comprehensive Aesthetic Dentistry

Neuromuscular Dentistry

Joint syndrome or dysfunction known as TMJ or TMD refers to the symptoms that develop when teeth, facial muscles, and temporomandibular joints are out of alignment.

TMJ or TMD is widespread ailment in North America

Most North Americans suffer from TMJ to some degree, and never suspect that their pain or symptoms are caused by problems with alignment in their jaw. It is the most often misdiagnosed ailment, and many people with TMJ are never treated correctly as a result.

Symptoms can include:

* Headaches / migraines
* Facial pain
* Neck and shoulder pain
* Tinnitus (ringing in the ears)
* Loose teeth (not caused by injury)
* Sensitive and sore teeth
* Worn or cracked teeth
* Jaw pain
* Limited jaw movement or locking jaw
* Clicking or popping in the jaw joints
* Numbness in fingers and arms
* Depression

Millennium Dental is one of the leading clinics in North America for treatment of neuromuscular disorders. We have a lab equipped with state-of-the-art technology which helps us determine if your symptoms are caused by jaw displacement (malocclusion) and calculate what your optimal jaw alignment should be.

We use computerized jaw tracking instruments to record movement, resting position, and path of closure. Electromyography is used to measure your jaw’s muscle function in both its stressed and relaxed positions, and also measures the jaw-to-skull relationship to see if there’s a structural imbalance. Sonography is used to record jaw joint sounds to detect any abnormalities. X-rays may be taken to help evaluate the condition and positioning of the joint.

If you are diagnosed with TMJ, we can determine the best course of treatment for your specific needs. Typically treatment will follow three steps:

1. Relieve muscle spasm and pain – The immediate priority is to provide relief of your symptoms. We relax muscles with a gentle massage of the muscles using ULF-TENS (Ultra Low Frequency Transcutaneous Electrical Neural Stimulation). The rhythmic pulsing relaxes the muscles by increasing blood flow and pumping out waste products, plus stimulates the body’s production of endorphins, a natural anesthetic.

2. Stabilize jaw alignment – Generally the next step is to fit you with a temporary device, an orthotic, to be worn over your teeth. We then make adjustments to re-shape the orthotic without adjusting the teeth until the bite is stabilized. Once symptoms are relieved and the bite has been stabilized, we will permanently adjust your bite to the correct position.

3. Permanent bite correction – There are a variety of ways to correct your alignment in a more permanent way. Four of the most common of these approaches are:

Coronoplasty/Equilibration – smoothing and reshaping the enamel of the teeth to correct your bite; does not require anesthesia and can be used when the bite is only slightly misaligned.

Removable Overlay Partials – orthotics that usually fit over the back teeth, designed to maintain an aligned bite.

Reconstruction – involves making the teeth higher by using crowns to realign the bite and provide permanent structural support for the jaw.

Orthodontics (Braces) – healthy teeth can be moved to the optimal position using braces.

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