tmj disorder

Temporomandibular joint disorder (TMJD, TMJ or TMD), or TMJ syndrome, is an umbrella term covering acute or chronic inflammation of the temporomandibular joint, which connects the lower jaw to the skull. The disorder and resultant dysfunction can result in significant pain and impairment.


Signs and symptoms of temporomandibular joint disorder vary in their presentation and can be very complex.
Often the symptoms will involve more than one of the numerous TMJ components: muscles, nerves, tendons, ligaments, bones, connective tissue, and the teeth.
Ear pain associated with the swelling of proximal tissue is a symptom of temporomandibular joint disorder.

Pain in the TMJ Joints associated with Jaw movements
Intermittent "Locking" Intermittent locking of the jaw
Limited mouth opening
Facial pain a sense of facial muscle fatigue
Noises in the TM Joints associated with Jaw movements (clicking, to popping, sand paper noise etc.)


Ear aches not associated with an infection
A sense of fullness in one or both ears
Frequent headaches
Ringing in the ears aka Tinnitus
Neck and Shoulder Pain
Blurring of the Vision
Uncomfortable bite

The Orthosis Or Splint Appliance

splint appliance

Using the information obtained from tomographic MRI of the TMJ , in conjunction with the autonomic nervous test, a more natural bite is obtained. In this position of the jaw, the doctor will construct a clear orthotic appliance (orthosis).

Worn 24 hours a day, this precise appliance is removed only for cleaning the teeth and the splint. The orthosis permits the jaws to come together in a muscularly healthy position, retraining the muscles to move along a more natural, muscularly oriented pathway into the new occlusion. Patients often report experiencing a significant symptom improvement within a month, while wearing this comfortable appliance.

After three to six months (Phase I) wearing the splint, (Phase II), a patient may elect to perpetuate the new healthy biting position either through restoration, or the use of a removable, durable long-term appliance. Another way to insure the new bite is through a process called active eruption through orthodontics. The splint's plastic covering over the rearmost tooth on each side is removed, permitting the last teeth on the top and bottom to erupt actively into the new bite position.