Because TMJ, more appropriately “TMD” (TemporoMandibular Disorder), symptoms can be so varied and mimic so many other conditions, the most important step in evaluating for TMD is to make a proper diagnosis. Once diagnosed, treatment is often approached in a multi-disciplinary manner.

Again, however, because of the vast and varied number of possible symptoms, a dentist specially trained in the diagnosis and treatment of TMD is necessary to prescribe an appropriate treatment protocol a patient's particular situation. Most patients require an oral orthopedic appliance (or splint), designed specifically for each patient’s diagnosis. These appliances serve to orthopaedically alleviate stresses upon the joints, improve the function of the joints and muscles, reduce inflammation and resolve pain. This splint is made of clear acrylic and usually fits over the upper teeth.

  A common component of TMD therapy includes physical therapy modalities (i.e. ultrasound, massage, exercise therapy, transcutaneous (TENS), electrical stimulation, cryotherapy, moist heat myotherapy, and posture training) and the development of an individual home exercise and pain reducing plan. Patient education on how to protect the temporomandibular joints and associayed muscles and how to prevent future exacerbations will be provided. In some cases, when indicated to help relax muscles, manage pain, and help reduce stress, medications (i.e. anti inflammatory and muscle relaxants), muscle injections of local anesthetics into trigger areas and stress reduction techniques (i.e. bio-feedback) are also incorporated into the treatment plan.

Once the symptoms are alleviated and the jaw and muscles are stabilized (healed to their best potential), the patient is usually provided with a nightguard. In a very small percentage of instances, after conservative treatment (splint and physical therapy), some dental treatment (crowns, orthodontics, or surgery) may be indicated.

 

 
This video is about: “TMJ Treatment”
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