Mild Damage of the TMJ

MINOR DAMAGE to chewing system is over contracted chewing muscles for long periods time with beginning (minor) damage disc condyle complex.

General dentist should learn to diagnose and treat early damage to TMJ. A dentist would need to study early hints to overcontraction of chewing muscles, read early joint noises, record tension headache freqency, evaluate tension in muscles, evaluate early signs destructive grind, and record traumas to TMJ.

You cannot treat a disease that you do not know. Dental education did not prepare you for chewing system damage. Oh, we are great cavity and gum disease detectors, but are nearly blind to joint & muscles of chewing system.

Dental schools educated on caries and gum disease, but I had no training grinding/clenching disease or joint & muscle health.

Grinding-clenching destroys all structures of chewing system; muscle, jaw joint, bone support, teeth.

Dentist are left in dark about the most destructive force in oral cavity, destructive grinding. Yet, we can gloriously reconstruct it with latest in technology & reconstruction skills.

This early damage comes form clenching/grinding and tension in muscles. Occasionally, neck discomfort or traumas may aggravated the chewing muscles. The jaw joint typically has sustained only minor damage.

General dentist should manage minor TMJ damage & moderate chewing muscle inflammation. In minor damage cases, the collection of the varied subtle hints in four tissues of chewing system. Dentist training primarily looks at wear on teeth as number one hint of TMJ damage, but at this early stage the wear is not indicative of TMJ damage. The four tissues of chewing system must be tested and examined to determine the extent of damage in order for dentist to start educating patient to potential damage; so that, preventive therapies can be installed to prevent destruction of chewing system.

Below are examples of Mild Damage to the TMJ 1) clicking 2) progression clicking 3) Tight, stiff, or sore jaw muscles 4) mild wear teeth 5) episodic sore teeth 7) tension headaches 8) chewing fatigue 9) sensitivity 10) moderate wear 1st molar

Use of conservative therapies could be helpful in mild TMD 1) If successful, you don't need referral 2) If unsuccessful, then a referral is necessary to Orofacial pain specialist 3) Conservative therapies should be implemented by patient/dentist at any level damage 4) insurance companies require these CT tools to be 1st line of care before orofacial pain specialist referral

Conservative therapy for mild jaw joint damage includes:

  1. Avoid chewing gum
  2. Hot compress
  3. Low chew diet
  4. Massage jaw muscle
  5. Ibuprofen 3-4 per day
  6. Relax-quiet time-relax-prayer
  7. Wear biteguard if it helps
  8. Avoid opening wide
  9. No open mouth procedure
  10. Avoid opening wide
  11. Chew both sides
  12. Reduce sugar & stimulants
  13. Reduce stress & anxiety

Mild Jaw Joint Damage examples include: 1) Damage: a) Mild Tearing Lateral Ligament, b) Moderate muscle inflammation 2) Causes: a) Tension muscles, b) Grind/Clench, c) Maybe: Trauma, Neck 2) Minor causes: Dual bites, Malocclusion, Pain system, Open Lock

Appliance therapy for mild damage includes: 1) Biteguard: mostly protects teeth 2) Hybrid: protects teeth and some protection muscles & joints

Caution: Do not treat a moderate to severe damage TMJ. As a caring dentist you want best outcome for patient. If you encounter, please refer to Orofacial pain specialist for treatment. 1) restricted opening, 2) frequent jaw pain, 3) post filling jaw pain, 4) sudden bite changes, 5) atypical toothache, 6) earaches w/o infection, 7) moderate clench/grind, 8) frequent broken fillings 9) chip tooth 10) broken porcelain 11) adjust every crown 12) worn broke nighguards 13) open locks 14) high anxiety 15) broken teeth 16)bone buttressing

MINOR DAMAGE to chewing system is over contracted chewing muscles for long periods time with beginning (minor) damage disc condyle complex.

General dentist should learn to diagnose and treat early damage to TMJ. A dentist would need to study early hints to overcontraction of chewing muscles, read early joint noises, record tension headache freqency, evaluate tension in muscles, evaluate early signs destructive grind, and record traumas to TMJ.

You cannot treat a disease that you do not know. Dental education did not prepare you for chewing system damage. Oh, we are great cavity and gum disease detectors, but are nearly blind to joint & muscles of chewing system.

Dental schools educated on caries and gum disease, but I had no training grinding/clenching disease or joint & muscle health.

Grinding-clenching destroys all structures of chewing system; muscle, jaw joint, bone support, teeth.

Dentist are left in dark about the most destructive force in oral cavity, destructive grinding. Yet, we can gloriously reconstruct it with latest in technology & reconstruction skills.

This early damage comes form clenching/grinding and tension in muscles. Occasionally, neck discomfort or traumas may aggravated the chewing muscles. The jaw joint typically has sustained only minor damage.

General dentist should manage minor TMJ damage & moderate chewing muscle inflammation. In minor damage cases, the collection of the varied subtle hints in four tissues of chewing system. Dentist training primarily looks at wear on teeth as number one hint of TMJ damage, but at this early stage the wear is not indicative of TMJ damage. The four tissues of chewing system must be tested and examined to determine the extent of damage in order for dentist to start educating patient to potential damage; so that, preventive therapies can be installed to prevent destruction of chewing system.

Below are examples of Mild Damage to the TMJ 1) clicking 2) progression clicking 3) Tight, stiff, or sore jaw muscles 4) mild wear teeth 5) episodic sore teeth 7) tension headaches 8) chewing fatigue 9) sensitivity 10) moderate wear 1st molar

Use of conservative therapies could be helpful in mild TMD 1) If successful, you don't need referral 2) If unsuccessful, then a referral is necessary to Orofacial pain specialist 3) Conservative therapies should be implemented by patient/dentist at any level damage 4) insurance companies require these CT tools to be 1st line of care before orofacial pain specialist referral

Conservative therapy for mild jaw joint damage includes:

  1. Avoid chewing gum
  2. Hot compress
  3. Low chew diet
  4. Massage jaw muscle
  5. Ibuprofen 3-4 per day
  6. Relax-quiet time-relax-prayer
  7. Wear biteguard if it helps
  8. Avoid opening wide
  9. No open mouth procedure
  10. Avoid opening wide
  11. Chew both sides
  12. Reduce sugar & stimulants
  13. Reduce stress & anxiety

Mild Jaw Joint Damage examples include: 1) Damage: a) Mild Tearing Lateral Ligament, b) Moderate muscle inflammation 2) Causes: a) Tension muscles, b) Grind/Clench, c) Maybe: Trauma, Neck 2) Minor causes: Dual bites, Malocclusion, Pain system, Open Lock

Appliance therapy for mild damage includes: 1) Biteguard: mostly protects teeth 2) Hybrid: protects teeth and some protection muscles & joints

Caution: Do not treat a moderate to severe damage TMJ. As a caring dentist you want best outcome for patient. If you encounter, please refer to Orofacial pain specialist for treatment. 1) restricted opening, 2) frequent jaw pain, 3) post filling jaw pain, 4) sudden bite changes, 5) atypical toothache, 6) earaches w/o infection, 7) moderate clench/grind, 8) frequent broken fillings 9) chip tooth 10) broken porcelain 11) adjust every crown 12) worn broke nighguards 13) open locks 14) high anxiety 15) broken teeth 16)bone buttressing

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Pearls of Pain

Orofacial Pain Specialty
1) Moderate-Severe Jaw Joint Damage 2) Blend medicine & dentistry 3) Destructive Parafunction 4) Protector Expensive Cr-Br & Implants 5) Diagonstic Clearinghouse 6) Chronic pain speciality 7) Save teeth from 3rd disease
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