TMJ
Jaw Stabilization Prior to Orthodontic Treatment or Full Mouth Reconstruction
Jaw stabilization is essential for successful orthodontic treatment and full mouth reconstruction. Without proper stabilization, patients may experience TMJ symptoms such as jaw pain, neck pain, headaches, clicking and popping, facial pain, tinnitus, vertigo, ear discomfort, and chewing difficulties. These symptoms often stem from improper jaw alignment and muscle tension.
At our practice, we emphasize proper function and long-term stability. The need for braces or full mouth reconstruction often indicates stems from an underlying muscle dysfunction, which must be addressed as the root cause to ensure effective treatment. Since muscles account for approximately 90% of pain related to jaw dysfunction, achieving optimal muscle function is critical for minimizing discomfort and promoting a successful final clinical outcome.
It is common for patients to develop TMJ symptoms after having braces or having full mouth restorations placed, often due to a lack of stabilization of the jaw joint at the outset. Blindly moving or changing the bite/teeth position without understanding jaw dynamics and taking into account the muscles is a risky strategy that can lead to complications.
Before making any permanent changes to the bite, we utilize a Gneuromuscular (GNM) orthotic splint. This device allows us to “test drive” the jaw in an optimal position, enabling us to observe potential symptoms (or resolution of symptoms related to existing bite issues) and adjust the treatment plan accordingly. This proactive approach enhances precision and comfort and reduces the risk of complications.
A GNM orthotic stabilizes the jaw joint and associated muscles by providing support that repositions the jaw into a natural alignment. Joint stabilization typically takes 3 to 12 months and may require additional treatments from a chiropractor or myofunctional therapist for optimal results. We often times see changes in posture , airway volume and facial symmetry when an orthotic is in place.
Once the jaw is stabilized, patients can move into a Phase 2 treatment, which typically involves orthodontics, restorative procedures, or a combination of treatments tailored to the patient’s goals and optimal clinical outcomes. This structured approach ensures that treatments are both effective and sustainable, paving the way for long-term oral health and stability. If you are going to invest this much time and money into your dentistry you want to make sure you are doing it right the first time!