Unresolved TMJ (or TMD) problems usually lead to compromised function of soft tissues (muscles, tendons and ligaments often far away from the TMJoint location). If both normal working and resting lengths of these soft tissues are affected, blood circulation is reduced. The lack of nutrient for these tissues results in premature fatiguing. The building up of waste products (mostly lactic acid) results in the development of "trigger points".
Although many of our TMD (temporomandibular joint dysfunction) patients have heard of the use of splints or orthotics in treating TMD, few are knowledgeable of just how effective this aspect of treatment can be if utilized properly. In fact, many doctors are not fully trained to integrate splint therapy to its full potential as part of a TMD treatment regimen. Consequently many TMD sufferers have not benefited much from previous splint treatment applications.
Temporal tendinitis has been called "The Migraine Mimic" because so many symptoms are similar to migraine headache pain. Symptoms include: TMJ pain, ear pain and pressure, temporal headaches, cheek pain, tooth sensitivity, neck and shoulder pain. Treatment consists of injecting local anesthetics and other medications, a soft diet, using moist heat, muscle relaxants and anti-inflammatory medications, and physiotherapy Only rarely (in approximately 4% of cases) is surgery needed.
This TMJ-like problem involves the stylomandibular ligament, at tiny structure that connects the base of the skull with the mandibular, or lower jaw. If injured, this structure can produce pain in as many as seven specific regions of the face, head and neck: the temple, the TMJ, the ear, the cheek, the eye; the throat, especially when swallowing, and the lower back teeth and jaw bone. Treatment of Ernest syndrome, which is successful about 80% of the time,
This equipment measures how well the joint functions while in motion. This is accomplished by placing headphones over the joints and recording the vibrations of either soft tissue (quiet, when disc is working properly) or movement of the articular joint cartilage. Sonography provides us with a picture on the extent of health or disease that is present in the joint.
This instrument measures and analyzes the electrical activity in the muscles that move the jaw at rest and during function. In health, muscles rest with low levels of electrical activity and function with high levels of balanced activity. EMG is a painless test, which is performed using surface electrodes, like band-aids on the face, forehead, side of the head and beneath the chin.
T-Scan II is a computerized timing and force evaluation of occlusion. The sensor is placed in the patient's mouth using a special handle. As the patient bites on the ultra-thin sensor, the T-Scan II software dynamically scans and displays the occlusion on a computer screen. The timing and force of the tooth contacts are shown in easily understandable color-coded contour images.
We rely heavily on TOMOGRAPHIC xrays. These allow us to take "slices" at certain angles of the temporomandibular joint when the jaw is at rest, or the jaw is clenching or when the jaw is wide open. Changes to the bones of the Temporomandibular joint such as osteo-degeneration, arthritis or fractures.