TMD/TMJ Pain Relief
Dr. Oshetski offers a 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. Oshetski received this treatment himself and he was so amazed at the results that he trained with Dr. Kerstein to offer this revolutionary treatment to his own patients.
TMJ disorders develop for many reasons. You might clench or grind your teeth, tightening your jaw muscles and stressing your TM joint. You may have a damaged jaw joint due to injury or disease. Injuries and arthritis can damage the joint directly or stretch or tear the muscle ligaments. As a result, the disk, which is made of cartilage and functions as the “cushion” of the jaw joint, can slip out of position. Whatever the cause, the results may include a misaligned bite, pain, clicking, or grating noise when you open your mouth, or trouble opening your mouth wide.
If you are experiencing any of the symptoms mentioned, take the next step and schedule a consultation with Dr. Oshetski.
No Niteguards, Mouthguards, or NTIs are used in the treatment at all.
Demographic analyses show that over 15 million Americans suffer from 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 (DTR) for TMD Pain Treatment
Disclusion Time Reduction (DTR) uses state of the art computer analysis of a patients’ bite to assess the time a patient’s 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 DTR 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 nine year recall study (Cranio, 1995; 13(2):105-115) has shown that once performed properly, DTR 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 DTR in all categories of medication use (pain, anti-inflammatory, muscle relaxant, and headache) by over 90%.
Disclusion Time Reduction (DTR) Frequently Asked Questions (FAQ)
What is Disclusion Time Reduction?
Disclusion Time Reduction treatment utilizes sophisticated bite sensor and muscle sensors to measure and adjust the bite to correct muscle-based (myogenous) bite disorders.
What is muscle-based bite disorder or myogenous TMD/TMJ?
Myogenous TMD/TMJ relates to the symptoms caused by excessive muscle contractions and related disease these jaw muscles cause. When overused, jaw muscles are in spasm and are not getting enough oxygen causing lactic acid to build. These muscles are then shortened and chronically tense and painful. Tense muscle pull the the jaw into abnormal positions and create abnormal pressure on the head where they attach causing imbalance. Disclusion Time reduction is specific for correcting muscle-based TMD/TMJ and alleviating the imbalance.
What symptoms does a “bad bite” cause?
A “bad bite can cause an alarming number of symptoms in patients. Symptoms can range from migraines, to jaw, head and neck pain. Most commonly, bad bite patients have sensitive teeth, tense and painful jaw and headaches in the temples and behind the eyes. Other symptoms include sinus pain, ringing in the ears, jaw popping and dizziness.
What causes a “bad bite”?
The most common causes of bad bites are: new crowns or fillings that were not adjusted properly, orthodontics, and unmeasured bite adjustments or equilibrations (teeth adjustments without digital technology).
How does a “bad bite” cause these symptoms?
Interestingly, when the natural protective function of protective the canines, or “eye teeth” are not engaged, the molar teeth are able to grind which causes a significantly higher muscle firings and related symptoms of muscle and head pain. When the canines are properly engaged and the back teeth fit together, the body disables the excessive firing to the muscles.
What does a “bad bite” also cause?
Besides pain and symptoms, a “bad bite” can also cause cracking, excessive tooth wear, chipping of teeth, gum recession and root sensitivity. DTR is also advantageous to patients without pain to correct a destructive bite.
Does this “bad bite” effect people differently?
Yes, Woman are 4 times more susceptible and likely to have symptoms versus men with “bad bites”.
How are Migraines effected by DTR treatment?
Migraine patients should all have their bite evaluated by an expert in DTR. The medical and dental field have yet to properly rule out the influences of myogenous TMD/TMJ on migraines. Migraine headaches are influenced by many factors, however if a migraine patient is a candidate for DTR and adjusted, the frequency and severity of migraines typically lessen. This allows for less medication, hospitalization and lost days. Some migraine patients have reported complete resolution.
How are these symptoms traditionally treated?
Anti-inflammatory medications (Advil or Aleve) are very common as patients often wake up with headaches. Anti-depressant medications, physical therapy, bite splints and night guards are also used. In severe cases such as migraines, invasive surgeries are often performed without resolution. Unfortunately, these bite disorders are not well diagnosed or effectively treated by the average dental provider and often patients have chronic discomfort and reliance on medications.
What are the advantages of Disclusion Time Reduction over other TMJ therapies?
DTR is the only measurable or objective evaluation of how your bite affects your muscles and influences your symptoms. It differs from other bite adjustments or (equilibrations) in its high accuracy, which is needed to improve the bite and alleviate symptoms. Bite papers are not reliable and often the wrong spots on the tooth are adjusted.
Do I need to wear a night guard or splint?
No. After a DTR adjustment, your bite will no longer be destructive by encouraging excessive and prolonged clenching and grinding. Patients bites now have a protective or inhibitory mechanism and do not have the tendency to clench. Therefore, there is no need to purchase and maintain bite splints or night guards. What are the side effects from Disclusion Time Reduction? Most often existing “high restorations” need to be adjusted and may need to be replaced in time. In consideration of the resolution of symptoms as the cause (high restoration), most patients prefer this scenario than living with chronic discomfort.
How is DTR performed?
The doctor will make very minimal selective adjustments to the teeth guided by a digital computerized bite pressure sensor. This tells the doctor exactly where the teeth or restorations are coming together in a way that is not ideal. The bite is checked throughout the appointment with the digital sensor along with EMGs that will measure the activity of the muscles in the jaw. The treatment is typically 3 to 4 appointments spaced out over 6 weeks.