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Nearly a third of the population
suffers from some form of craniomandibular (CMD) / temporomandibular
disorder (TMD) which may include head, neck, and facial pain
symptoms. Unfortunately, many of these sufferers are misdiagnosed
with everything from migraines and tension headaches to
neuritis, neuralgia or even psychosomatic illness. As the true
cause goes unrecognized, patients may be led to prolonged drug therapy,
labeled as hypochondriacs, or dismissed as incurable.
Common among these symptoms
are:
- Chronic headaches
- Ringing ears
- Ear congestion
- Facial pain
- Clicking/popping jaws
- Neck pain
- Clenching/grinding
- Dizziness
- Shoulder/back pain
- Limited jaw opening or locking jaws
We study the Muscles, Teeth, &
Joints
Cranio-facial dentistry focuses on the
role muscles play between teeth, bone, and alignment of the jaws.
Physical and emotional stress can also be a factor in tight, tense muscles
which reduce the adaptive capabilites of the jaw. Often, the patient
cannot voluntarily relax the muscles that are held in constant
tension. Muscles may be in a constant state of hyperactivity.
This is the result of subconscious programming (pro-prioception) or
because they are in the self-perpetuating 'pain-spasm-pain'
cycle.
Differential Diagnosis and
Facial Technology
A common complaint of the jaw pain patient is often a
feeling that the teeth and jaw don't fit together or feel normal when
eating.
This condition normally associated with
dental problems is often encountered in patients with a history of head,
face, or neck trauma. The injury causes a partial or complete
dislocation of the Temporo-Mandibular Disc which interfaces between the
mandibular condylar head and the cranial fossa. When
dislocated the disc no longer supports this joint interface resulting in
an overclosure of the joint space, which in turn causes a change in the
patients occusal tooth position.
As a result of the similarity of the
symtoms a differential diagnosis is required to properly define the
causation, evaluate the injury, and determine treatment
options.
We utilize a wide range of diagnostic
methods which are available to identify these problems. Each method
is used only as needed for each indivual case. These tests might
include:
- Computerized Tomographic X-ray Scanning (CT Scan)
- Special radiographic studies
- JVA - Joint Vibration Analysis
- EMG - Electromyography
- JT-3 - Computerized Mandibular Scanning
- T-SCAN II - Occlusal Analysis
Working together with the physician and other health
professionals brings effective 'team management' to the patient to correct
the problem. |