Dental Sleep Apnea, Snoring & TMJ Treatment Center
Welcome to our treatment center. Welcome to better health.
TMJ Facts
190 GARDNER AVENUE, SUITE 5  BURLINGTON, WI 53105  PH 262.342.0191
FAX 262.763-7034  INFO@DSASTMJ.COM
Important Information About TMJ

Temporomandibular Joint Disorder (TMJ Disorder or TMD)

TMJ disorders cause pain and dysfunction in the jaw joint. While temporary pain may occur in the muscles of the jaw for many reasons, TMJ is a long-term, significant problem that leaves patients in almost constant pain or with challenges to their ability to chew. It is estimated that approximately 10 million Americans have TMJ Disorder.

What is the Temporomandibular Joint?

Located at each side of the lower jaw or mandible,
the termporomandibular joint connects the lower jaw
to the bone at the side of the head or the temporal
bone. It is a unique joint that, because of it’s structure,
allows the jaw to both hinge and slide to accommodate
talking, yawning and effectively perform the work of

What are TMJ disorders?

While there are a variety of reasons for pain in the jaw joint and chewing muscles, for the most part the causes can be attributed to:
  • Inflammatory/Degenerative disorders, such as arthritis,
  • Myofacial pain, discomfort in the muscles that control jaw movement,
  • Dislocation of the disc or mandible.

What are the Causes & Symptoms of TMJ Disorders?

Many people have experienced obvious jaw “clicking” or noises with no pain, no limited jaw movement and no deterioration into a TMJ disorder that requires treatment. For others, without apparent reason, symptoms appear and result in chronic jaw pain and dysfunction. There is no easily defined list of causes, because TMJ disorder can present as a result of other conditions as well as on its own. Trauma to the jaw can injure the muscles or disc between the mandible and the temporal bone and may result in an ongoing problem.  It is possible that tooth grinding and stress play a role TMJ disorders, as well. In addition, there is ongoing research in the areas of inflammatory diseases such as arthritis and fibromyalgia that often exist in patients who suffer from the condition. No matter the cause, one thing is clear, untreated, TMJ disorders can create pain and chewing challenges that affect mood, activities and potentially more.

What are the symptoms of TMJ?

  • Pain in the jaw joint
  • Painful clicking or popping in the jaw joint when the mouth
    is opened, closed or chewing
  • Stiffness in the muscles at the jaw
  • Pain sourcing at the jaw that spreads out to the sides of
    the head and neck
  • Locking of the jaw or the inability to move the jaw up and
    down freely
  • A change in bite
  • Facial swelling
  • Pain at the neck, shoulders and upper back
  • Additional symptoms may include; ringing in the ears,
    dizziness, pressure at the ears, vision problems and
    in certain cases, diminished hearing.
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Diagnosing & Treatment Options

To diagnose TMJ properly requires:

  • Confirmation that facial/jaw pain is not a result of ear infections, sinus infections, headaches or nerve related pain
  • Detailed medical and dental histories
  • Complete examination of the jaw area
  • Imaging of the area

Can TMJ Disorders be Prevented?

Currently these is no evidence to suggest TMJ Disorders can be prevented.

Treatment Options

TMJ symptoms may include ringing in the ears, dizziness, pressure at the ears, vision problems and in certain cases, diminished hearing.
There are a number of treatment options available including change of diet, stress reduction practices, medications and physical therapy. Each of these solutions will work in the short term to minimize pain, but may not provide the long-term relief a sufferer seeks. Other options include surgery, implants and stabilization splints. At the Dental Sleep Apnea, Snoring and TMJ Treatment Center we welcome your questions about the best course of action for your particular condition.
190 GARDNER AVENUE, SUITE 5  BURLINGTON, WI 53105  PH 262.342.0191
FAX 262.763-7034  INFO@DSASTMJ.COM
Neuromuscular Treatment for TMJ Disorders

What is Neuromuscular Treatment?

Neuromuscular treatment for TMJ focuses on the proper function of your face, muscles, teeth, and jaws.  When these muscles are in a comfortable relaxed position your teeth and joints work without problems.  If the muscles are out of line you may experience uncomfortable symptoms. 

How is TMJ Diagnosed Neuromuscularly?

After Dr. Schneider has completed a thorough dental and medical history and physical exam, the necessary diagnostic tests will be completed.  The radiographic tomograms will be taken of the joints to determine any pathology and the functioning position of each joint.  There will be other radiographs to evaluate the symmetry of the bony structures that may affect the proper function of the joints. 
The neuromuscular testing is completed using computerized equipment that Dr. Schneider can measure and study the pattern of jaw opening and closing through its full range of motion, and in three dimensions.  The computer can also document the precise point at which your jaw is being held in relation to the upper teeth and can measure the activity of the key muscles that control the jaw both in function and at rest.  This relationship is vital and correcting the TMJ pain and symptoms related. 

How Are the Neuromuscular Tests Done?

The tests are “non-invasive”  To do a Computerized Mandibular
Scan, a tiny magnet is applied to your lower gum with sticky tape. 
You then wear a very lightweight headgear much like you would
wear a pair of glasses.  Sensors on the headgear precisely follow
the path of the magnet as you open and close your mouth and
send three dimensional information to the computer as your jaw
opens and closes.

The muscle activity is monitored with surface
electromyograph, a technology very similar to an electrocardiaograph.
Dr. Schneider will use a myomonitor to relax your muscles, this is also painless. Once Dr. Schneider as completed the necessary neuromuscular testing and a diagnosis has been achieved Phase I treatment will consist of a neuromuscular orthotic (splint) which is worn on the lower teeth. The orthotic is constructed to neuromuscular standards positioning the lower jaw in the correct relationship with the skull, thus correcting the joint position. The orthotic is worn all the time. Dr. Schneider will see you for follow up appointments to adjust the orthotic as necessary and monitor the healing process. After you have been asymptomatic for approximately 90 days Dr. Schneider will evaluate you for Phase II.
Phase II treatment will be discussed as to what options are possible to stabilize the bite. It is necessary to correct the bite (teeth) to maintain the neuromuscular position. The treatment options will range from continuing to wear a permanent orthotic, neuromuscular orthodontics or in some cases a full mouth reconstruction. All options will be thoroughly discussed in the appropriate treatment chosen.

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