My approach to treating Temporomandibular Disorders (TMD) diverges significantly from conventional methods, which often fall short in addressing the complexity of this condition. While conventional dentistry frequently treats TMD with medications like muscle relaxants and painkillers, according to Dr. Ira Shapira, my focus is on identifying and correcting the underlying physiological imbalances that cause the symptoms rather than simply managing them. This approach is rooted in the principles of neuromuscular dentistry.
A Holistic Perspective on TMD
The key difference lies in the breadth of diagnostic and treatment approaches. Conventional dentistry typically focuses on the teeth, bones, and gums. However, neuromuscular dentistry embraces a more holistic view. It considers the interplay of the teeth, jaw joints, muscles, and nerves that govern jaw movement and function. TMD is often a manifestation of a systemic problem that can impact the entire body.
Addressing the Root Cause
Instead of relying solely on medications, a comprehensive approach targets the root cause of TMD.
- Precise Diagnosis: Conventional approaches may not fully grasp the extent of the problem. The diagnostic process involves advanced technology to assess jaw function, muscle activity, and joint health. Tools like electromyography (EMG) measure muscle activity, sonography listens to joint sounds, and transcutaneous electrical neural stimulation (TENS) helps identify the jaw's optimal resting position.
- Achieving Optimal Jaw Posture: The goal is to determine the ideal, physiologically relaxed position for the jaw and then work to achieve that position, according to Frederick Stange, DDS. This involves relaxing the jaw muscles using a TENS unit, which helps eliminate lactic acid and promotes healthy blood flow and oxygen to the muscles. Once the muscles are relaxed, a diagnostic physiologic orthotic (bite splint) is used to gently guide the jaw into its correct position, according to Think Better Life.
- Comprehensive Treatment Options: Treatment may involve:
- Custom oral appliances to stabilize the jaw and promote proper bite alignment.
- Epigenetic orthodontics (e.g., DNA Appliance®) to stimulate natural bone growth and improve airway and dental arch development.
- Sphenopalatine ganglion blocks to address severe, treatment-resistant pain and anxiety, and promote autonomic nervous system balance.
- Physical therapy and exercises to strengthen jaw, neck, and shoulder muscles and improve posture.
- Lifestyle modifications such as dietary changes, stress reduction techniques, and sleep hygiene practices.
Addressing Interconnected Systems
TMD is deeply intertwined with other bodily systems.
- Airway Health: TMD and airway problems, like sleep apnea and snoring, are often related. Research has explored the connection between jaw position, airway obstruction, and whole-body posture, advocating for a "unified approach" to addressing these interconnected issues, according to I Hate Headaches.
- Whole-Body Posture: TMD can affect the entire body, from headaches and migraines to neck and back pain. A holistic approach evaluates the patient's posture and identifies how TMD may be impacting the alignment of the cervical spine (C1-C5), hips, and other structures. Research, including work by Dr. Jennifer Hobson with the Aqualizer, has shown how correcting jaw dysfunction can improve pelvic obliquity and overall posture.
- Neuromuscular Dentistry: This approach considers the teeth, jaw joints, muscles, and nerves to create a balanced bite. This focus on optimizing the relationship between the skull and mandible, reducing muscle strain, and improving neuromuscular function distinguishes it from conventional approaches.
Innovation and Patient Focus
A commitment to innovation sets this practice apart. It was one of the first in the country to offer the DNA Appliance® for TMD and sleep disorders. Dedication to ongoing education and adopting the latest technologies allows the practice to provide state-of-the-art treatment options.
The goal is not simply to manage TMD symptoms but to restore a patient's quality of life. By taking a holistic approach, delving into the underlying causes of TMD, and utilizing the advanced techniques of neuromuscular dentistry, the goal is to provide effective, long-lasting solutions that promote overall health and well-being.
