Lance Timmerman is a dentist who specializes in treating temporomandibular disorders (TMD) through a neuromuscular approach. The document discusses how an imbalance between the jaw joints, muscles, and teeth can lead to TMD symptoms like headaches, jaw pain, and ear problems. Treatment involves using diagnostic tools like scans and models to determine the cause of imbalance and create an orthotic that allows the jaw muscles to rest in a balanced position to relieve symptoms and prevent further damage over time. The goal is to achieve a balanced bite through customized treatment plans that may include orthotics, adjustments, restorations, or orthodontics.

2. Lance Timmerman DMD Oregon Health and Sciences University Membership in ADSM, ICCMO, IACA Graduate from Las Vegas Institute for Advanced Dental Studies (LVI) About our practice:

4. Teeth Muscles TMJ An Intricate Balance

6. Abnormal Jaw Joint Movement Normal Jaw Joint Movement Click

8. Jaw Muscles: Headaches Neck pain Back pain Postural problems Numbness of finger tips and arms Difficulty swallowing Non-specific facial pain Pain behind eyes Gum recession Clenching and grinding Temporo Mandibular Disorder Symptoms Jaw Joints: TMJ pain TMJ noise Limited opening Ears: Dizziness Ringing in the ears Ear aches or congestion Other: Nervousness/ Insomnia Bell’s Palsy Trigeminal neuralgia

9. Muscle Tooth If muscles must strain to get your teeth together … you may set up a Muscle vs. Tooth war in your mouth. War

11. A perfect smile? YES A perfect bite? NO Even a nice smile may be hiding severe TMD damage. This 21 year old patient has irreversible jaw joint damage

12. Even muscles tension Head Balanced on Spine Uneven muscle tension Head misaligned on Spine Jaw Strain affects Posture Too

17. The way the teeth meet in a relaxed state is observed and noted An Orthotic is made at the relaxed position. The Orthotic covers the biting surface of all the lower teeth. A relaxed bite is recorded The Bite Recording is used to mount models of your teeth in a relaxed position

18. Orthotics in the mouth The Anatomical Orthotic helps diagnose your proper jaw position It allows for a balanced muscle system and less TMJ symptoms. Fixed, Bonded Orthotic (with restored upper teeth) Removable Orthotic

21. An improper bite even changes a patient’s appearance.

22. Old Bite Bite with Orthotic

23. Old Bite Bite with Orthotic

25. Bring back your confidence to smile. Neuromuscular Dentistry can

26. Your TMJ: Perfect Function = Zero Pain