TMJ and TMD Treatment
“TMJ” stands for the temporomandibular joints, which are the small joints in front of each ear that attach your lower jaw to your skull. They allow you to open and close your mouth, chew, speak, and swallow. TMJ disorders can be caused by a variety of factors, including major trauma such as an auto accident, teeth-clenching, or systemic joint disease like rheumatoid arthritis.
There are different types of TMJ problems that respond to a number of TMJ treatment methods, ranging from very conservative therapies to more aggressive approaches. Our multi-specialty dentists at Back Bay Dental Care are highly skilled in TMJ treatments. Together we’ll work closely with you to determine the best course of TMJ treatment to alleviate your pain.
Back Bay Dental Care’s Dr. Robert Kerstein treats TMJ without using TMJ appliances. He hasn’t used them since he began researching TMJ with the T-Scan III Occlusal Computer in 1984.
Computer guided, appliance-free, TMJ treatment has been shown to be much faster, and a more effective, and permanent TMJ treatment, than any mouthguard or appliance-based TMJ treatment.
Dr Kerstein uses Digital Occlusal (Tooth) Contact Force and Time data to correct a TMJ patients’ bite so precisely, that most patients do not even wear a nighttime sleep appliance for clenching or bruxing of their teeth.
To have rapid significant symptom resolution, most TMJ patients rarely need:
- Oral appliances
- TENS deprogramming
To learn more about TMJ and to schedule a consultation, please request an appointment with our office today.
“TMJ” stands for the Temporomandibular joints, which are the small joints in front of each ear that attach your lower jaw to your skull. They allow you to open and close your mouth, chew, speak, and swallow.
There are different types of TMJ problems that respond to different methods of treatment. The multi-specialty dentists at Back Bay Dental Care are highly skilled in treating TMJ and can create a custom appliance to help alleviate your pain. There are no needles, no drugs, no tools in your mouth, just a proven solution to your TMJ symptoms.
Get Rid of Your TMJ Pain Without Using a Mouthguard Appliance
There is exciting new computer-guided TMD or TMJ Pain Treatment developed by Boston Prosthodontist, Dr. Robert Kerstein, that has been proven to be much faster, and a more permanent a solution to TMJ Symptoms, than Mouthguard and Appliance-based TMJ and TMD Treatment.
Dr. Robert Kerstein, the longest standing researcher, author, and user of Computerized Occlusal Analysis Technology (since 1984), has developed a computer-guided TMJ Treatment that offers patients such effective TMJ Pain improvements, that his patients rarely need Nightguards, Mouthguards, oral appliances, or deprogramming appliances…even if they grind their teeth!
No Niteguards, Mouthguards, or NTIs are used in the treatment at all.
Over the past 27 years, Dr. Kerstein has become the leading author in the field of computerized Occlusal Analysis, by studying Prosthodontics (1983-1985; Bridgework, Caps, Implant Restoration, Complete and Partial Dentures) at Tufts University School of Dental Medicine at the same time computerized occlusal analysis was born at Massachusetts Institute of Technology (also in Boston). The first T-Scan I System made its way to Tufts and to Dr. Kerstein in 1984, where he studied and treated dental students, faculty, and administrative staff who suffered with chronic Headaches and TMJ Pain from 1985 thru 1998.
From the research data gathered at Tufts, combined with numerous peer-reviewed publications about computer-guided TMJ Treatment (See Publications and Manuscripts web page), a non- Mouthguard and non-Appliance, computer-guided TMJ Pain Treatment has evolved.
Up until the time of the development of the T-Scan system, Mouthguards were necessary because the true cause of TMJ or TMD Pain was not understood by Dentists. A Mouthguard sits between teeth to stop them from touching. This often helped TMJ pain, as long as the patients had their Mouthguard or Appliance in place. Once they removed the Appliance or Mouthguard, the TMJ Pain and Symptoms would occur again. Mouthguards were helpful because they lessened pain by blocking the teeth from touching each other.
But with the T-Scan System, a TMJ Dentist can see tooth contact minute Time and Force Occlusal Problems that can’t be seen without using a T-Scan. And these same Time and Force Occlusal Problems can’t be seen with Articulating Paper either….
Dr. Kerstein’s research has repeatedly shown that these minute Time and Force Occlusal Problems “fire” a patient’s nervous system and jaw muscles through the very tooth sockets the back teeth sit in. As back teeth touch each other while a patient chews, eats, or grinds their teeth, opposing teeth push each other in and out of their sockets. These socket compressions go on unknown to the patient and happen thousands of times through the day, all the while, excessively firing the jaw muscles of a TMJ Patient into a state of Chronic TMJ Pain.
However, recorded T-Scan data allows a Dentist to know exactly what is wrong with the Time and Force issues, the bite Balance, and the tooth contact Forces within a TMJ patients’ entire mouth. By using this information and correcting these Time and Force Occlusal Problems with computer-guidance, the amount of tooth socket compression can be precisely controlled so that the tooth sockets stop firing the jaw muscles. In most patients, many of the TMJ Pain and Symptoms go away within the first week after treatment has begun….
And that’s without wearing a Mouthguard or Appliance!!!
Demographic analyses shows that over 15 million Americans suffer with some form of bite disorder. Prior to the development of this computer program and Disclusion Time Reduction treatment, patients with bite problems were forced to wear cumbersome and unattractive mouth acrylic splints. These plastic bite guards interfere with sleep, work, social interactions, and eating. However, they were all that was readily available to a sufferer of a bite problem. Because of this modern computerized treatment advance, many patients no longer need to wear, sleep with, and depend upon, cumbersome mouth splints, nor are they forced to see numerous medical practitioners. And, most importantly, the patients do not have to live with their pain.
Disclusion Time Reduction uses state of the art computer analysis of a patients’ bite to assess the time a patients back teeth are engaged in chewing or grinding function. Published studies reveal that if this time factor is prolonged, back teeth can create very high levels of muscle contractions in a patients jaw, face, head, and neck. These contractions are the main cause of symptoms like facial pain, tired jaws, grinding of the teeth during sleep, frequent headaches, and neck spasm. By shortening the time factor to under .5 seconds (hence the name Disclusion Time Reduction through a variety of dental procedures that can be performed on the bite, these muscle contractions are effectively reduced. Symptoms often begin to abate in the first week after the first treatment appointment. Treatment time is usually 1-3 months, with a lasting effect for years in most cases. A published 9 year recall study (Cranio, 1995; 13(2):105-115) has shown that, once performed properly, Disclusion Time Reduction provides a patient with a much more comfortable life whereby most patients no longer need splints, soft food diets, chiropractors, and physical therapists. Additionally, and most importantly, long term medication use was cut by Disclusion Time Reduction in all categories of medication use (pain, anti-inflammatory, muscle relaxant, and headache) by over 90%.
Here is a Youtube video of a patient who had TMJ pain and used Mouthguard and Appliances for years before having Dr. Kerstein’s Computer-guided TMJ Pain Treatment.