TMJ Therapy

The patient scheduled an initial visit for a chief complaint of waking up in the middle of the night and in the morning with jaw pain that radiated all the way up to her temples. The patient disclosed a previous history of TMJ and Dr. Patel was able to confirm a diagnosis of TMJD, during an examination and further testing. She presented with a displaced disk in her jaw joint, decay and wear of teeth due to her grinding and clenching. It was recommended that she wear an NTI device. This prevents the top and bottom teeth from making contact, eliminating the possibility of clenching or grinding. The NTI also reduces stress on the joint which relieves pain. She was fitted for the appliance, given proper home care instructions and was seen for follow up visits to ensure the device was assisting properly in her TMJD recovery.

The patient was experiencing jaw fatigue, headaches, and night time grinding/clenching. He presented with chipping restorations, breaking teeth, decreased range of motion and sensitivity to temperature. Dr. Patel diagnosed him with TMJD (Temporomandibular Joint Disorder), secondary to parafunction from his grinding and clenching. A treatment plan was provided to try appliance therapy with a night guard to help alleviate his symptoms and prevent any further damage. Once all of the necessary restorations of his teeth were complete, a night guard was specifically molded to fit his mouth. He was able to utilize the guard to help with his grinding and clenching, as well as prevent any long term side effects.