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TMJ Care
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Temperomandibular Joint Care
Oral health is a window into your overall health, and orthodontic problems like misaligned teeth, difficulty chewing, or shifting jaws should be taken seriously. If orthodontic problems are left untreated, you may experience tooth decay, gum disease, and abnormal enamel wear.
With our specialized equipment, customized plans and evidence-based protocol We focus to enhance your oral hygiene, improving speech, and making eating more comfortable.
ConservativeTreatments
Tens Therapy &Ultrasound Therapy
Splints
MRI & CT Scan
Arthrocentesis
Bite Evaluation

A bite evaluation, also known as an occlusal examination, is a comprehensive assessment of how your upper and lower teeth connect when your mouth is closed or during a biting action. The evaluation checks for any discrepancies or abnormalities in your bite that could contribute to oral health issues.
A bite evaluation is crucial for many reasons. An abnormal bite, also known as malocclusion, can lead to a variety of issues that affect your daily life. These may include difficulty chewing, speech problems, jaw pain, or abnormal wear of tooth enamel. Moreover, malocclusion can result in temporomandibular joint disorders (TMD), a group of conditions characterized by pain and dysfunction in the jaw joint and muscles that control jaw movement.
During a bite evaluation, your dentist will ask you to bite down naturally to see how your teeth align. We might also take X-rays, perform a visual examination, to gain a more detailed understanding of your bite’s alignment and the relationship between your jaw joints, teeth, and facial muscles.
Correcting a bad bite, or malocclusion, can involve a simple bite adjustment or can require a more comprehensive balancing of contacts, or equilibration, until all of the teeth hit and function in a healthy manner. If the teeth are not positioned correctly, treatment can require orthodontics and other things.
Conservative Treatments
Physical Therapy Exercises
Physical therapy exercises can enhance jaw mobility, strengthen jaw muscles, and alleviate pain, while behavioral therapies are designed to help patients cope with their pain and may reduce stress, which is known to exacerbate TMDs.
Dental Appliances
Dental appliances, such as occlusal splints or bite guards, are another key component of the conservative treatment arsenal. These devices can help protect the teeth from grinding or clenching—common habits amongst TMD patients—and can contribute to reducing muscle tension and pain.
Pharmacological Treatments
Pharmacological treatments can play a role in the conservative approach, as long as they are used judiciously. Non-steroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants are often recommended to alleviate pain and muscle tension in the short term.
Adopt Healthy Habits
Encouraging patients to adopt healthy habits, such as maintaining a soft food diet, practicing good posture, and avoiding extreme jaw movements, can play a critical role in managing and possibly preventing the progression of TMDs
Tens Therapy &Ultrasound Therapy
Transcutaneous electrical nerve stimulation is one such treatment modality, i.e. useful in the management of TMD. It comprises of controlled exposure of electrical current to the surface of skin, causing hyperactive muscles relaxation and decreases pain.
Transcutaneous electrical nerve stimulation therapy is fundamentally the utilization of a device managing low voltage, pulsed electrical current as a two-phase, symmetric or asymmetric wave , electrodes are connected to the skin surface aimed to unwind hyperactive muscles and alleviate pain.
This is a device where a maximum of 3 treatments per week for a period of 15-20 minutes is recommended along with other supportive therapies.
Splints
Occlusal splints, known as night guards, orthotics appliances, and oral appliances, are used frequently in dental practices . A splint is a removable dental appliance that covers several or all of the upper or lower teeth. Constructed in a dental lab, splints are typically made of hard acrylic resin and molded from an impression of your teeth.
Reasons for proposing the use of a splint in treating your jaw problem
- The splint is intended to provide relief from pain and improvement jaw function so it can move smoothly.
- The splint is intended to be a first step in a multi-step procedure.Wearing it will produce changes in the bite and in jaw positions, which will require some form of major dental treatment, such as orthodontics, crowning teeth, etc. to establish a new permanent jaw position.
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Types of Splints
These are designed to improve the alignment of the upper and lower teeth, providing a stable bite surface.
These are used to reposition the lower jaw into a more natural position, which can help relieve pain and improve function.
These are made from softer materials and are often used for short-term relief or for patients who are sensitive to hard splints.
These are typically made from acrylic resin and are more durable and provide better support for the jaw joints.
These are a type of hard splint that allows for some movement of the jaw, which can be helpful for patients with unstable joints or disc displacement.
Arthrocentesis
Arthrocentesis is a simple, minimally invasive technique that can be used instead of more invasive procedures in patients with pain that fails to respond to conventional conservative measures.
Arthrocentesis is commonly defined as the lavage of the TMJ without viewing the joint space using sterile needles and sterile irrigants so as to reduce the pain by removing inflammatory mediators from the joint or to increase the mandibular mobility by removing intra-articular adhesions by means of hydraulic pressure from irrigation of the upper chamber of the TMJ.
TMDs, either inflammatory or noninflammatory, are typically associated with structural alterations in joint tissues, such as cartilage degradation and subchondral bone alterations secondary to the change in the articular loading.
Studies have shown that arthrocentesis can produce long-term relief of pain and dysfunction in patients with internal derangements of the TMJ.
Arthrocentesis is the first line procedure for the treatment of acute and chronic closed lock of the TMJ in internal derangement.
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