TMD/TMJ Pain Relief (DTR)

Are You Suffering?

Dr. Oshetski offers a new computer-guided TMD or TMJ Pain Treatment that has been proven to be much faster and predictable solution to TMJ Symptoms, than conventional mouthguard and appliance-based TMJ and TMD Treatment. Dr. Oshetski received this treatment himself and is so amazed at the results that he mastered the technique for his patients and to date Dr. Oshetski is one of a few dentist nationally that provide this therapy. Overall, we are extremely excited as patient results surpass any other muscle-based TMJ treatment.

TMD/TMJ Symptoms

TMJ disorders are often ignored or go untreated in dentistry and medicine. Interestingly many head symptoms caused by TMJ and often misdiagnosed and misunderstood. Jaw pain, chronic headaches, migraines, ear symptoms such as vertigo and tinnitus are a few of these symptoms. These symptoms are treatable with Disclusion Time Reduction, a treatment that uses sophisticated software to guide an adjustment of your bite.

Call our Brunswick Office Phone Number 207.729.1159 to schedule your consultation.


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%.

Tekscan and EMG data for actual patient


Jen’s Testimonial for DTR Treatment

Treating Jen's Vertigo with Digital (DTR) TMJ treatment

Jen’s bite before DTR

Jen’s bite after DTR

Patient 2

Donna T. suffered from chronic facial pain, headaches and could not eat comfortably. She saw many dentists, had many opinions and attempts at solving her facial pain including bite appliances. It tuned out that she had many crowns made over the years that didn’t fit her bite well. This made Donna’s muscles overactive and started years of discomfort and pain. Donna’s past experiences frustrated her and she lost faith in dentistry and that there could be resolution. Thankfully Donna came in for a consult and we performed DTR treatment. This is Donna’s testimony:

Exceptional service and staff!

“On my first visit, Dr. Oshetski gave me an explanation and a solution for the dental pain I had been experiencing for years. After following a treatment plan using DTR to adjust my bite, crown replacement, and placement of an implant, I am happy to say I am now pain free! My crowns are a perfect match, I can eat all of my favorite foods, and I am no longer sleeping with a mouthguard. Dr. Oshetski and his staff are the best! They are all kind, caring professionals and will go out of their way to make your visit a pleasant one!”

Donna’s bite before DTR

Donna’s bite after DTR

Patient 3

Sunny suffered from an acute onset head pain and symptoms that included her ear and face. She described her hearing was effected and she heard many unusual sounds including pulsatile tinnitus (ringing heart-beat). As with many patients advanced medical imaging MRI and CT found no cause. Sunny saw many ENT and neurology specialists with no explanations. Thankfully one Physician at Harvard said it may be related to TMJ/TMD. That insight got Sunny searching for the right treatment. We are happy to say that Sunny completed DTR treatment and her bite was the cause. Here is Sunny’s testimony:

Exceptional TMJ pain relief treatment !!!

His cutting-edge 3D computer technique treatment is very well suited for the patients who have chronic pain on ears and neck pains. Headaches and sound of whooshing and breathing (pulsatile tinnitus) are gone after 1 treatment. Dr. Oshetski is extremely knowledgeable on the TMJ pain and how to cure the TMJ pain without having a serious dental surgery. The entire treatment is not painful at all. I highly recommend Dr. Oshetski’s treatment any patients who suffer from TMJ pains.

weak muscles

muscles are stronger


Disclusion Time Reduction (DTR) Frequently Asked Questions:

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.

Contact Us

If you are experiencing frequent headaches, habitual grinding or clenching of teeth, or jaw pain, call our Brunswick Office Phone Number 207.729.1159 to schedule a consultation with Dr. Oshetski.

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Our Office

Maine’s Dental Implant Specialist
14 Maine Street, Suite 409 Brunswick, ME 04011
Fax: 207-721-0792

Monday – Thursday: 7:30am – 4:00pm Friday: 7:30am-2:00pm