TMD Treatment – Phase 1

24 Jan
TMD Jaw Pain Treatment | Smiles By Bis

If you suffer with TMD, migraines or jaw pain, and have been diagnosed with a misalignment of your jaw that’s causing your symptoms, there are many treatment approaches that can prove useful in providing relief. The primary goal of TMD treatment is to properly align the jaw so that your jaw, nerves, and surrounding muscles are in proper position.
The first phase of TMD treatment often relies on an appliance, known as an orthotic, in order to provide relief of symptoms and establish ideal bite position, as well as align your jaw and teeth to proper balance. An orthotic is a specifically made appliance that is custom-made specifically for your unique condition.

What is an Orthotic?
Most patients suffering from TMD and looking for solutions and treatment wear an orthotic appliance made to the neuromuscular bite position. Unlike a “night guard”, the orthotic has a fully shaped biting surface with a clearly defined biting position. There are two types of orthotic: a Removable Orthotic, and a Fixed Orthotic.

A removable orthotic offers instant relief of pain and bite stabilization. Most patients who get this appliance feel better almost immediately. The appliance should be worn as much as possible in order to allow your muscles and nerves to relax and heal prior to moving forward with Phase 2 of your therapy.

Since a removable orthotic is made from hard acrylic, it can be used for a long time before moving forward with phase 2.

The fixed orthotic is not removed and looks like your own teeth. It does, however, require weekly adjustments until a stable bite is achieved. Each visit creates a better muscular balance in the orthotic position and most patients find that their symptoms continue to improve as their muscular relaxation increases.

Most patients find comfort and relief of symptoms during Phase 1 orthotic therapy. Fixed (or bonded) orthotics can chip and wear within a few weeks so neuromuscular therapy seeks to create a long-term solution to pain problems by creating a stable bite and then transitioning into a permanent solution of restorations as soon as possible. This can include a variety of treatment options including onlays, crowns, adjustments, and other dental treatments in order to establish a stable bite in the neuromuscular position.

Orthotic treatment by Dr. Agatha BisFixed Orthotic







Phase 2: Permanent Solution

Permanent treatment depends on many factors and is custom-fitted for each patient and each situation. Treatment options can vary widely and include adjustments, orthodontics, night guards, or other appliances, as well as Onlays, crowns, and many other ways to maintain and hold the proper jaw alignment once you are pain-free and stable. Your treatment will depend on your own unique situation and the severity of your jaw misalignment.

Oakville Dentist, Dr. Agatha Bis, DDS received her Doctor of Dental Surgery degree from University of Western Ontario in 1996. With over 25 years of clinical experience creating beautiful and healthy smiles, Dr. Bis offers a unique approach to dentistry, blending modern dental practices with the use of digital technology to optimize health outcomes.
With thousands of hours in post-graduate training, her unique focus and expertise in treating TMD and providing options in restorative dentistry, along with digital technology has led to helping numerous patients resolve chronic and debilitating dental challenges.

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