TMJ Specialist

Modern Dental Clinic provides best TMJ treatments with excellent results along with top class quality. Kerala is the most visited place for Medical & Dental tourism from all parts of the world. In Kerala, the cost of TMJ Disorder Treatments are comparatively less than other nationalities. The Health care system and management of Kerala plays a vital role in it. Most of the TMJ problems occur due to different combination factors like genetics, major jaw injury, Malalignmentment of Teeth like Deep Bite, Crossbite, chewing on one side, Bruxism, Abnormal Frenal Attachments etc. TMJ Disorders can also be due to Condylar bony change, Disk Displacement, Excessive mouth opening, painful teeth, missing teeth, Osteoarthritis, Rheumatoid Arthritis, Stress Related Clenching or Tightening of the Facial Muscles, Faulty Dental Treatments, Abnormal Frenal Attachments etc.

If anyone feels any of these difficulties it is necessary to consult a TMJ specialist orTMJ dentist in the early stages itself. After being diagnosed with TMJ or TMD disorder the patient should take care of their dental and overall health. TMJ disorders may lead to various health problems if not treated on time.  Support of a professional TMJ dentist or TMJ specialist is required to diagnose it early.

TMJ The Temporomandibular Joint

TMJ, The Temporomandibular Joint is a Diarthrodial joint. It is the only joint in the body that has both rotational and sliding movement. It is very important that the Right and the Left Temporomandibular Joints functioning simultaneously. The opposing components,the upper jaw and lower jaw, both carry teeth whose shape and position influence the movements of the TMJ, the only joint in the body with a rigid endpoint of closure.

ETIOLOGY OF TMJ DISORDER

TMJ specialist diagnose the problem, which starts with following parameters : An Occlusal Prematurity ( could be missing tooth, a painful tooth, faulty crown, dislodged filling, unerrupted tooth especially wisdom tooth with pain and inflammation, faulty orthodontic treatments, malalignment of teeth, clenching of teeth, improper dental prosthesis) etc can create a Noxious Proprioceptive Signal in turn creates an Avoidance Conditioning Response resulting in change in position of the jaw so that the painful stimuli is avoided while in function results in Muscle Hypertonicity leading to TMJ disorder

INTRA- ORAL SIGNS

Excessive wear of Teeth, Crowding, Bicuspid Drop-Off, Midline Discrepancy Lingual Inclination of Lower Teeth, Buccal Exostoses, Tongue Thrust, High Palatal Vault, Narrow Arches, Abfraction, Depressed Curve Of Spee, Attrition, Palatal / Lingual Tori and Lateral Scalloping Of Tongue, Abrasion.

EXTRA ORALSIGNS AND SYMPTOMS

Headaches, Migraines, Pain in the TMJ area, Restriction in Mouth Opening, Deviation in Mouth Opening, Pain in the Temporalis Muscle, Masseter Muscle, Lateral Pterygoid, Medial Pterygoid, Digastric, Sternocleidomastoid, Stylohyoid, Trapezius, Scapula, Scalene, Restriction in Neck Movements, Pain Around the Eye, Facial Hypertrophy, Facial Rotation, Eye Canthus Level Tilt, Head Tilt, Shoulder Droop, Arms Overturned, Hip-Shift, Foot Pronation / Inversion and Forward Head Posture.

TREATMENT PROTOCOL

TMJ dentist or specialist provide the following treatment : TENS THERAPY, MANDIBULAR KINESIOGRAPHY, ORTHOTIC THERAPY, DTRDISCLUSION TIME REDUCTION, NEUROMUSCULAR ORTHODONTICS, PROSTHETIC BUILD UP INCORPORATING DSD – DIGITAL SMILE DESIGNING

TENS THERAPY

Unlike the freely available Medical Tens Unit the Neuromuscular Tens Units have a Patented Technology. The Neuromuscular Tens devices disperse Ultra Low Frequency with ANTI- DROMIC ( through Neural Mediation ) Bilateral Simultaneous Pulses at 1.44 seconds Intervals. That means that instead of a Single Muscle getting Twitched ( Relaxation by Low Frequency Pulsing ), all Muscles supplied by the nerve getting Pulsed, attains Isotonicity.

FOUR THERAPEUTIC OBJECTIVES OF TENS NEUROMUSCULAR THERAPY

• Restore normal blood flow to muscles.
• Eliminate sources of Nerve and Vascular Entrapments.
• Eliminate Myofacial Triggers.
• Restore Postural Integrity

MANDIBULAR KINESIOGRAPHY

KINESIOLOGY is defined by Webster’s dictionary as the ‘’ study of the principles of mechanics and anatomy in relation to motion. Mandibular Kinesiology is the tracking and analysis of mandibular movements to describe locomotor events. Mandibular Kinesiograph is a system that senses the spatial location of a permanant magnet mounted on the mandibular front teeth with a medical adhesive temporarily. The system does not alter proprioceptive input either by interfering with occlusal plane or by limiting the normal range of JAW movements.

The past 10 years has seen an explosion of Electronic Bio Medical Technology based on Computer Technology. The introduction of the MODEL K6 DIAGNOSTIC SYSTEM was the FIRST COMPUTER BASED MANDIBULAR TRACKING SYSTEM that integrated ELECTROMYOGRAPHIC (EMG) capabilities. Now the much more advanced K7 DIAGNOSTIC SYSTEM is used. The ability to collect large amounts of information about patient history and clinical findings and correlate with Computer Mandibular Tracking and Electromyographic data was a breakthrough in TMJ disorder treatments.

With the Biomedical technology available, the TMJ Dentist can avoid building a restoration into an existing bite that may be perpetuating the existing pathology. If the patient has occlusal signs, such as excessive wear of teeth, crowding of lower anterior teeth, faceting or other self destructive forces, the patient’s Musculature should be Deprogrammed and a starting reference from rest should be recorded for determining whether the existing bite position is contributing to the pathology.

TYPES OF COMPUTERISED MANDIBULAR SCANS

• SCAN 9 AH PRE - TENS
• SCAN 9 A PRE – TENS
• SCAN 11 A PRE- TENS
• SCAN 2 PRE- TENS
• SCAN 3
• SCAN 13
• SCAN 15