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Neuromuscular Dentistry

Neuromuscular dentistry differs from "traditional" dentistry in the emphasis that is placed upon the activity of the muscles that move the jaw. Unlike neuromuscular dentistry, traditional dentistry uses the position that the teeth come together and the position where the jaw joint is positioned in a joint space in the skull as a reference point to restore the teeth.

Neuromuscular dentistry recognizes that the muscles that move the jaw must be in a comfortable, relaxed position in order to not be in conflict with the teeth and joint.

Common symptoms that occur when teeth, jaws and muscles are in conflict include:

• Headaches
• Loose teeth
• Worn, chipped, or cracked teeth or fillings
• Clenching or grinding
• Ditched root grooves
• Pain or clicking and popping in joints
• Shoulder, neck, and back pain
• Numbness in arms and fingers
• Pain behind the eyes
• Facial pain
• Difficulty swallowing
• Pain and sensitivity in teeth
• Crowded teeth
• Receding gums
• Ringing or congestion in the ears

We utilize a number of sophisticated instruments in our practice of neuromuscular dentistry to find the position of the jaw where the jaws, teeth, and muscles operate in harmony.

The first goal of neuromuscular dentistry is to find the position of the jaw where the muscles are relaxed and at rest. This is a three dimensional position in space and is often irrespective to the position of the teeth.

We utilize a device called a Myo-Monitor to relax the muscles. It is a low frequency T.E.N.S. (Transcutaneous Electrical Neural Stimulation) unit. This device delivers a mild electrical impulse to the muscles that move the jaw. The rhythmic pulsing (once every 1.5 seconds) relaxes the muscles. In addition to relaxing the muscles, it sets up ideal muscle function by increasing blood flow, flushing out toxins. We often find that after 45 minutes of stimulation, the muscles are in their ideal position.

At this point we utilize the K-7, our computerized diagnostic equipment to record this position and transfer it to casts or models of your teeth.
The Computerized Mandibular Scanning Unit utilizes a magnet placed in front of your lower front teeth and a sensor array to measure and record this ideal position in three dimensions.
The Eight Channel Electro-myograph is used to verify that this new position results in decreased muscle activity. Muscle activity is measured by recording the amount of electrical activity in individual muscles.

Sonography is another parameter that is measured by our K-7. A set of sensitive microphones that look like headphones are worn over the joints. These measure joint sounds, pops, and where they occur in the opening and closing of the joints. These sounds can then be analyzed with respect to frequency which allows evaluation of joint damage.

Once we have verified the comfortable position of the lower jaw, we can fabricate an orthotic that allows the jaw to close to this ideal position. In this position, the muscles are at an ideal length and will not go into spasm. Muscles will heal, pain trigger points will go away, and joint capsules will heal. This orthotic is left in place for three months to stabilize the bite and insure that all symptoms are gone.

At this point a decision is made to wear the orthotic indefinitely, have orthodontics done to move the teeth to this ideal position, have one or two arches of teeth restored, or to adjust the bite to this ideal position. For more information on neuromuscular dentistry, please contact our office.

Click on the topics below for more information.

What is Neuromuscular Dentistry?

Neuromuscular Dentistry Diagnosis

Neuromuscular Dentistry Treatments

Neuromuscular Dentistry and TMD

July 19, 2004

Dr. Hedge:

Now that my total dental restoration is complete, I wanted to let you know how pleased I am with the outcome.

As you know, I originally came to you seeking some cosmetic work to give me a better smile. Little did I know that, in the process, you would completely cure the persistent headaches that I had always assumed ere the result of a 25 year-old injury.

Since you restructured my bite I haven't had any headaches and I get regular compliments on my new smile.

The process took much less time than I expected and everything was made easier by your friendly and attentive staff and the fact that you have been exactly on time for every visit. The hot towels and chocolate chip cookies didn't hurt, either.

I recommend your practice without hesitation.

Regards,

Ken Camp