Neuromuscular Dentistry

To understand Neuromuscular Dentistry (NMD), it helps to first know a few things about your occlusion or “bite”. Your occlusion is the way that your upper and lower teeth fit together. The muscles of your head and neck posture your jaw and hold the lower teeth close to the upper ones. You don’t consciously hold your jaw in this position “programmed” in your brain. Even though the present position “programmed” by your brain seems like it would be the optimal position, it is not always the best one for you.

Neuromuscular Dentistry (NMD) is a term applied to techniques that expand upon the more traditional approach to dentistry that is more mechanically oriented. NMD places the occlusion where the muscles that control jaw position are at their best for optimal function and comfort.

How Muscles Affect Your Occlusion

Your jaw posturing muscles may be overworked in attempting to maintain your present “programmed” position, even when you think they are relaxed. This condition can lead to a variety of problems including a less than ideal bite, muscle pain or dysfunction, or jaw joint problems. The Neuromuscular Dentist determines the jaw position that is associated with relaxed posturing muscles and adjusts or alters your occlusion (bite) to that position.

How the Muscles Are Relaxed

Because the muscles controlling the jaw are subconsciously “programmed” by the brain, most individuals have difficulty consciously reaching a truly relaxed state. To help your muscles reach that relaxed state, a device called the Myomonitor is used to deliver gentle electrical stimulation to your muscles.

Getting the Bite Right

Now that your muscles are relaxed, the Neuromuscular Dentist will confirm and record the relaxed position of your jaw by placing a fast setting putty-like material between your teeth. The doctor can now compare your usual occlusion (bite) with the relaxed jaw position to evaluate if your jaw is presently in a near optimal position and determine whether the occlusion should be adjusted.

Neuromuscular Analysis and Your Restorations

When you are restoring just one tooth or few teeth, the Dentist will restore that involved tooth (teeth) in your current bite or jaw position. When you are restoring your smile with porcelain veneers, the veneers will also be restored in your current bite or jaw position. However, the information from the neuromuscular analysis will often be used to create a custom occlusal guard (e.g. “Anterior Deprogrammer”) that will assist in protecting your teeth, joint and investment. When you are restoring the entire mouth (often termed “Full Mouth Restoration”), the Dentist will usually create the new restorations in a more “ideal” neuromuscular bite or jaw position, utilizing a neuromuscular (“Orthotic Positioner”) appliance as a quide.

Neuromuscular Analysis and Your Restorations

When you are restoring just one tooth or few teeth, the Dentist will restore that involved tooth (teeth) in your current bite or jaw position. When you are restoring your smile with porcelain veneers, the veneers will also be restored in your current bite or jaw position. However, the information from the neuromuscular analysis will often be used to create a custom occlusal guard (e.g. “Anterior Deprogrammer”) that will assist in protecting your teeth, joint and investment. When you are restoring the entire mouth (often termed “Full Mouth Restoration”), the Dentist will usually create the new restorations in a more “ideal” neuromuscular bite or jaw position, utilizing a neuromuscular (“Orthotic Positioner”) appliance as a guide.

 

TMJ TREATMENT 

Myomoniter (TENS unit) – Myomonitor, a special trans-cuaneous electrical stimulating device allows us to determine what the best position for your jaw, joint, and teeth are. This amaxing technology guides us in restoring all or portion of your bite in the most neuromuscularly comfortable position.

BioJVA (Joint Vibration Analysis) – This system records the joint vibrations, quickly and non-invasively as they pass through the tissue. The results can help assess your TMJ health and aid in proper TMD and Orthodontic treatment, Dental Reconstruction as well as Sleep Apnea treatment.

T-Scan II – Treatment with utilization of the T-Scan can help improve the life of your teeth and cosmetic restorations, implants or treat TM disorders by analyzing the patients occlusal balance, force and timing. The patient bites down on an ultra-thin sensor that is inserted into their dental arch and then the computer will display the diagnostic information for the doctor to design an optimal treatment plan.