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TMJ As with any medical condition, developing an appropriate diagnosis is not only necessary but critical to the proper case of TMJ. Stating that one has “TMJ” or a TMJ problem is perfectly acceptable for the physician, medical specialist, and dentist. However we are focused on developing the proper diagnosis of your TMJ problem. We evaluate the specific structures of the joint as in the disc and bone for growth, position, deformation, and degeneration. We must also evaluate the supporting structures for evidence of infection, swelling, and for any abnormalities. Once an appropriate diagnosis is determined, then the proper treatment consideration can be presented and discussed. Most commonly are the use of “bite guards”, “occlusal splints”, and mouthpieces. Occlusal splints are used to properly align your bite and protect the TMJ and muscles from overload and incoordination. These must be customized and are very different for each patient. It has become increasingly popular to purchase over the counter bite guards at the pharmacy or even in magazines. Some have even suggested sports type of guards. These are inappropriate and can even place more strain on the TMJ and could cause more muscle pain and increase a grinding habit. Treatment does not only utilize an occlusal guard. There are other affected strains or areas to be delt with. Proper neck position, dental (teeth) support, and muscle function are all necessary for long term stability. If a dysfunction occurs within the TMJ and there is a possibility of causing growth changes as in a developing child, then surgical correction is not only advised but would be the treatment of choice. There are surgical techniques that would return your condition to normal and encourage continued proper growth for long term pain relief, stability, and function. |
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