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1 – Myofascial pain involves discomfort or pain in the muscles that control jaw function. 2 – Internal derangement of the joint involves a displaced disc, dislocated jaw, or injury to the condyle. Rheumatic disease, such as arthritis, may also affect the temporomandibular joint as a secondary condition. Because more studies are needed on the safety and effectiveness of most treatments for jaw joint and muscle disorders, experts strongly recommend first using the most conservative, reversible treatments possible.
Because the most common jaw joint and muscle problems are temporary and do not get worse, simple treatment may be all that is necessary to relieve discomfort.
For many people with TMJ disorders, short-term use of over-the-counter pain medicines or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may provide temporary relief from jaw discomfort.
Your orthodontist may recommend an oral appliance, also called a stabilization splint or bite guard, which is a plastic guard that fits over the upper or lower teeth.
The conservative, reversible treatments described are useful for temporary relief of pain – they are not cures for TMJ disorders. Botox® (botulinum toxin type A) is a neurotoxin protein that is used to relax facial muscles.
By using this protein to target the muscles that cause TMJ, we are able to relax the musculature and provide relief in certain circumstances. It is held in place by a complex system of muscles and tendons that allow for its range of motion.  An imbalance of these muscles can lead to the teeth not meeting properly and forcing the jaw to shift positions. TMJ Syndrome can become quite painful and interfere with daily activities such as eating, concentration, sleeping, and any activity involving the neck and jaw.
Massage treatments for TMJ Syndrome is included as part of a full body massage and should not take longer then 10-15 minutes. The jaw is supported by a string of muscles, which guide it to ensure optimal contact of the teeth when the jaw is normally close.
The K7 above is a jaw-tracking device using electromyography to measure and record mandible function and masticators muscle status.
All these procedures are pain-free and will be perform under a tranquil atmosphere in our relaxation room with a chair massage, relaxing music and aromatherapy to induce a mind and body total relaxation.
Neuromuscular dentistry treats TMJ and related symptoms by correcting the bite and realigning the jaw. Patients of neuromuscular dentistry experience a range of benefits from decreased or eliminated pain and discomfort to better overall health, longer lasting restorations, leaving the patient with a great new smile.


Some people have other health problems that co-exist with TMJ disorders, such as chronic fatigue syndrome, sleep disturbances or fibromyalgia, a painful condition that affects muscles and other soft tissues throughout the body.
Rheumatic diseases refer to a large group of disorders that cause pain, inflammation, and stiffness in the joints, muscles, and bone. Conservative treatments do not invade the tissues of the face, jaw, or joint, or involve surgery. Your health care provider or a physical therapist can recommend exercises if appropriate for your particular condition.
When necessary, your orthodontist can prescribe stronger pain or anti-inflammatory medications, muscle relaxants, or anti-depressants to help ease symptoms. Used in small doses, Botox injections can actually help alleviate some health problems and have been approved by the Food and Drug Administration (FDA) for certain disorders.
Considering that this is one of the most frequently used joints in the body it is not surprising that dysfunction develops. If you cannot fit three fingers in your mouth without discomfort then you likely have a TMJ dysfunction. Bad habits such as grinding and clenching as well as chewing gum and nail biting can lead to symptom onset as well as periods of heightened stress, which leads to an increase in clenching and grinding. The therapist can provide stretches to maintain muscle length, gained through the treatment, as well as tips for re-learning how to open and close the mouth. Jocelyne Charest is able to provide all patients with cutting-edge technology for the complete diagnosis and treatment of bite dysfunction. The purpose of this procedure is to relax all the facial muscles around the jaw, the neck and the shoulders. On the left side, the muscle tension before the use of the TENS, and on the right hand side, much lower muscle tension after one hour of treatment with the TENS.
When the occlusion is in harmony with the muscles, it feels comfortable and we do not suffer any pain or discomfort. Many times, patients who have chosen to restore their teeth to the optimal jaw position are rewarded with a beautiful smile and a more youthful appearance.
These disorders share some common symptoms, which suggests that they may share similar underlying mechanisms of disease.
Reversible treatments do not cause permanent changes in the structure or position of the jaw or teeth. If a splint causes or increases pain, or affects your bite, stop using it and see your health care provider.


Another way to check for TMJ Syndrome is to place your index fingers just in front of your ears where you should be able to feel the joint; slowly open and close your mouth to feel for smooth and even motion, a positive reading is a sideways swing. Trauma can be caused by whiplash, falls, aggressive dental work, and fractures to the fascial or jawbones.
Using computer analysis, she is able to determine your ideal bite position and thus find balance between your facial muscles and your joints. But if the muscles must work under tension on a regular basis because of misalignment just to ensure a good contact between the upper and lower jaws, symptoms may develop.
Charest determines the optimal position of the jaw by measuring the relaxed position of the head and neck muscles, and then repositions the jaw to achieve those exact measurements. In fact when the bite is optimized, a patient's face will sometimes appear lengthened giving them the look of a person who had benefited from a facelift. Even when TMJ disorders have become persistent, most patients still do not need aggressive types of treatment.
Keep in mind the side with the most excessive motion is where the greater problem lies even if it is not the side you feel the most pain.
Poor posture also contributes, such as carrying the head too far forward or holding the phone between your ear and shoulder. The therapist will work into the patients scalp, above the ears treating the Temporalis muscles which provide the power for the jaw, the cheeks on both inside and outside of the mouth (wearing gloves), and for proper alignment, the deep lying medial and lateral pterygoids which lie next to your tonsils will also be treated. Depending on how long the symptoms have been present, or the cause of the condition, it can take several treatments to retrain the jaw. These include headaches, neck and shoulder pain, feeling of ear congestion, dizziness, and other symptoms not usually considered to be dental in origin. Poorly made or fitted mouth guards can also contribute especially if you already have a poorly aligned jaw when the aid is made since it will force the jaw to hold this position even when sleeping.
Although having these muscles treated may not fit into the idea of a relaxing treatment it is short and will allow for freer movement and pain relief. Medical devices, such as those used to aid in sleep apnea or respiratory devices, can also contribute. Since TMJ Syndrome is most often caused by uneven muscle tension surrounding the TMJ, massage can benefit greatly in many cases.




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