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Find out more in the step by step guide below:


What does TMJ mean?

TMJ stands for Temporomandibular Joint, the joint which connects the mandible to the temporal bone. The mandible is the moving component.

What is TMD?

TMD refers to Temporomandibular Disorders which are joint, muscle, tendon and ligament disorders of the jaws. Pain and inflammation as well as limited opening, clicking and locking are included in this broad category. TMD is in the same medical class as TMJ.

How do I use my TMJ appliances?

Daytime symptoms typically call for daytime appliance therapy for at least 6-8 weeks along with cognitive behavioral attention. Nighttime treatment depends on the diagnosis. Breathing related sleep disorders may call for an appliance which maintains an open airway. There are a variety of appliances for sleep bruxism and clenching and grinding.

How do I clean my appliances?

Hard acrylic appliances are best cleaned with efferdent or polident denture cleaners . Our team will use a special solution in the ultrasonic during your visits. Do I get my tee

What caused TMJ?

Interesting fact: 80% of TMJ patients are women so estrogen plays a big role in setting the stage for the effects of micro and macro trauma. There are estrogen receptors in the TMJ so women of child bearing age are sensitized to feel increased pain in the TMJ. Clenching, Grinding and Bruxism produce micro trauma and repetitive strain injury which can cause degenerative changes and inflammation in the joint. 4 Bicuspid extractions in orthodontic therapy with over retraction of the maxilla are a very common contributing factor in our practice. Any headgear which retracts the maxilla can also contribute to TMJ disorders. Systemic joint laxity or hypermobility syndromein women make the TMJ more susceptible to injury, clicking, popping and locking. TMJ has many causative factors the more common of which are malocclusion or problems in the way the teeth fit together, a blow to the jaw or head, clenching or grinding of the teeth, arthritis of the jaw, poorly fitting dentures, yawning for prolonged periods with the mouth open too wide, recent dental work, accidents that damage facial bones or the jaw, extraction of teeth or missing back teeth, and traction involving the head, jaws, and neck. Because this dysfunction mimics so many other conditions, diagnosis may be complicated. Many people may spend a great deal of time and money searching for the source of their symptoms. If your physician cannot find any underlying conditions, he could consider the possibility of TMJ dysfunction and recommend that you consult a dentist with a special interest in the diagnosis and treatment of TMJ dysfunctions.

What is TMJ exactly?

The temporomandibular joints (TMJ Joints) are the hinges located on either side of the face that connect the lower jaw to the skull. Each temporomandibular joint has two sections that permit the hinge and gliding actions needed to open the mouth widely. The joints work together with the facial bones and five pairs of muscles to allow opening and closing of the mouth and forward, backward, and side-to-side movements of the lower jaw. Any disturbance of this facial symphony can trigger TMJ dysfunctions: muscles and joints not working together correctly, causing muscle spasm, resulting in pain, muscle tenderness, and tissue damage. With these disturbances, arthritic changes can accelerate, muscles can tighten and the bite can feel off. Simply having a dentist adjust the teeth usually makes TMJ symptoms worse and can throw the jaw further off line and create even more pain; this is why it is imperative to see a TMJ specialist like Dr Jill Ombrello and Dr Michael Rosellini.

Do I get my teeth fixed before I see you for TMJ and Sleep Disorders?

We only recommend emergency dental treatment prior to TMJ therapy and Oral appliance therapy for snoring and sleep apnea. One of the goals of TMD treatment is to find a jaw position where all chief complaints have been alleviated. Oral appliance therapy for sleep apnea can change the bite. We want to alleviate all airway complaints and achieve a bite which is harmonious with an open airway.