Gentling Dental Rochester Mn, Tmj Mouth Guard Part2
5 Answers to your questions about TMJ Part 2
1. What is TMJ?
TMJ actually stands for temporal mandibular joint. Some people have been told or they think they have TMJ, that is actually an anatomical a part of our body. What they are really thinking is that they have is TMD, temporal mandibular disorder and that could be a variety of pain, symptoms, issues with the jaw functioning, issues with the muscles, headaches, teeth grinding, teeth clenching. In that case it can go on down. There is a variety of problems that can arise from TMD.
2. How do I know if I have TMD?
The best way to find out if you have TMD would be to go to a qualified dentist and have a complete examination done. Together you can sit down and talk about symptoms and what is going on and then talk about treatment options and there might be further information gathering needed. That would be the best way to get a start on discovering on what type of TMD you have and what is the best possible treatment that could be done.
3. I had an orthodontic treatment in the past, is it possible for me to have TMD now?
That is a tough question and it gets into a lot of philosophical discussions with dentists and orthodontists. What we find in our office, we have a variety of orthodontists in town, some take special attention on how the jaw joint seat in the fossa, how the jaw stays there. There is a lot of research that out there that goes out across the board on whether this is important or not.
What we find in our practice is that the orthodontics that is finished with anterior guidance. That means the orthodontics that finishes the case with a stable joint position, or a repeatable position, something that is pretty repeatable. But then also has some sort of anterior control over their front teeth touch in the anterior, we find those over time to be the most stable occlusions, we find those over time to be patients that do not report to us with TMD problems. We see that the patients that do not have multiple fractures in their teeth, have less pain symptoms, could be tooth pain, tooth sensitivities, they have less dentistry in general, which is very interesting.
Whereas if we find patients that maybe were finished with an orthodontics with an anterior open bite or an over jet in excess, we find over time in our practice, we find that those patients will have multiple needs for crowns in the back teeth, they may end up having root canals done. They may have teeth missing. This is again, this is in our practice. So I am not saying in general. So just because you had orthodontics, does not mean that the system is in a balance, so again if a bite is made and the jaw joint is not seated right, you can find pivoting in places off and with all this, we are assuming that there is teeth clenching and teeth grinding going on.
I want to make sure, with everything that I have been discussing so far, it is under the premises that we are assuming that there is some degree of teeth clenching or teeth grinding at night time and that is why we have appliance therapy. And that is why when orthodontics is done, we are going to assume that there is some degree of clenching grinding going on if the balance is not there, we can clench and grind and make things worse.
4. Are all mouth guards / night guards the same?
No, all mouth guards / night guards are not the same. We have patients that come to us and they said that they had a night guard before with the dentist and it did not work. There are so many different kinds of night guards. Every night guard should be defined by what it is doing and how it is affecting again we are going to assume clenching and or grinding our teeth at night time. Night guards are actually very different and what they can do for a patient is quite a bit different as well.
5. Who is qualified to treat TMD?
Any dental professional is qualified to treat TMD. There is not a Board certification in treating temporal mandibular disorders at this time. What you should look for in your dentist would be if they have a special interests in it. I would say that you two should ask a lot of questions, ask those questions, ask if they have taken extra courses to study the temporal mandibular disorders, study anatomy, study pain associated with the trigeminal neuralgia.
There are quite a few institutions out there, Panky Institution, Panky websites, panky.org, there is Dawson center, dawsoncenter.com, then there is also Spear Institute is another one that would have resources and outside of that there is so many excellent pain specialist that you can go to for continuing education. The bottom line is that anybody can treat TMD but you should be very curious as to what is their extra education that they have taken.
by: Rochester Professional
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