Lance Timmerman DMD Oregon Health and Sciences University Membership in ADSM, ICCMO, IACA Graduate from Las Vegas Institut...
<ul><li>Proper and healthy function depends on the balance of your: </li></ul><ul><ul><ul><li>Jaw Joints </li></ul></ul></...
Teeth Muscles TMJ An Intricate Balance
<ul><li>Unbalanced dental treatment  </li></ul><ul><li>Breathing or allergy issues during child development </li></ul><ul>...
Abnormal Jaw Joint Movement Normal Jaw Joint Movement Click
<ul><li>Causing: </li></ul><ul><li>Headaches </li></ul><ul><li>Neck aches </li></ul><ul><li>TMJ pain </li></ul><ul><li>Ear...
Jaw Muscles: Headaches  Neck pain  Back pain Postural problems Numbness of finger tips and arms Difficulty swallowing Non-...
Muscle  Tooth If muscles must strain to get your teeth together … you may set up a  Muscle vs. Tooth  war in your mouth. War
The ‘Muscle / Tooth War’ <ul><li>In this war 3 things may happen: </li></ul><ul><ul><ul><li>If your muscles win, you have ...
A perfect smile?  YES   A perfect bite?  NO   Even a nice smile may be hiding severe TMD damage.  This 21 year old patient...
Even  muscles tension Head Balanced on Spine Uneven  muscle tension Head misaligned on Spine Jaw Strain affects Posture Too
<ul><li>With the head centered, the spinal column is straight . </li></ul><ul><li>Muscle tension can shift the head away f...
How do we treat your Temporo Mandibular Disorder?  <ul><li>Diagnosis </li></ul><ul><li>We use modern science to gain insig...
It starts by gathering scientific data  <ul><li>Careful observation of signs and symptoms </li></ul>2. Special radiographs...
<ul><li>Neuromuscular testing or “Scans” </li></ul><ul><li>Diagnosis  and identification of bite and wear problems </li></...
The way the teeth meet in a relaxed state is observed and noted An Orthotic is made at the relaxed position. The Orthotic ...
Orthotics in the mouth The Anatomical Orthotic helps diagnose your proper jaw position  It allows for a balanced muscle sy...
Phase I : Orthotic  <ul><li>Orthotic is worn for at least three months to relieve symptoms </li></ul><ul><li>Position is r...
<ul><li>Bite adjustment </li></ul><ul><li>Long term Orthotic wear </li></ul><ul><li>Orthodontics </li></ul><ul><li>One or ...
An improper bite even changes a patient’s appearance.
Old Bite Bite with Orthotic
Old Bite Bite with Orthotic
 
Bring back your confidence to smile. Neuromuscular  Dentistry can
Your TMJ: Perfect Function = Zero Pain
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Seattle Tukwila Renton Bellevue TMJ dentist

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Seattle TMJ Dentist Lance Timmerman DMD shares how neuromuscular dentistry can help people suffering from TMJ disorders.

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Seattle Tukwila Renton Bellevue TMJ dentist

  1. 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:
  2. 3. <ul><li>Proper and healthy function depends on the balance of your: </li></ul><ul><ul><ul><li>Jaw Joints </li></ul></ul></ul><ul><ul><ul><li>Jaw Muscles </li></ul></ul></ul><ul><ul><ul><li>and Teeth </li></ul></ul></ul>
  3. 4. Teeth Muscles TMJ An Intricate Balance
  4. 5. <ul><li>Unbalanced dental treatment </li></ul><ul><li>Breathing or allergy issues during child development </li></ul><ul><li>Thumb sucking or other oral habits </li></ul><ul><li>Old dentistry that has broken down or worn out </li></ul><ul><li>The shifting of teeth after tooth loss </li></ul><ul><li>Some types of Orthodontic treatment </li></ul>Causes of an Unbalanced Bite
  5. 6. Abnormal Jaw Joint Movement Normal Jaw Joint Movement Click
  6. 7. <ul><li>Causing: </li></ul><ul><li>Headaches </li></ul><ul><li>Neck aches </li></ul><ul><li>TMJ pain </li></ul><ul><li>Ear problems </li></ul><ul><li>Tooth wear and clenching </li></ul><ul><li>Postural issues </li></ul>Teeth must mesh or come together to allow jaw muscles to rest If they come together in an unbalanced position the muscles and jaw joints are affected
  7. 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
  8. 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
  9. 10. The ‘Muscle / Tooth War’ <ul><li>In this war 3 things may happen: </li></ul><ul><ul><ul><li>If your muscles win, you have rapid tooth wear </li></ul></ul></ul><ul><ul><ul><li>If your teeth win, you will have muscle tension and stress along with headaches and other TMD problems </li></ul></ul></ul><ul><ul><ul><li>Or worse, you will experience a combination of the above </li></ul></ul></ul>
  10. 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
  11. 12. Even muscles tension Head Balanced on Spine Uneven muscle tension Head misaligned on Spine Jaw Strain affects Posture Too
  12. 13. <ul><li>With the head centered, the spinal column is straight . </li></ul><ul><li>Muscle tension can shift the head away from center. </li></ul><ul><li>To compensate the spine begins to buckle. </li></ul><ul><li>Postural Distortion develops as the shoulders and hips begin to tip </li></ul>Strained Neck Muscles Affect Posture
  13. 14. How do we treat your Temporo Mandibular Disorder? <ul><li>Diagnosis </li></ul><ul><li>We use modern science to gain insight into: </li></ul><ul><ul><ul><ul><li>What is causing your TMD problem? </li></ul></ul></ul></ul><ul><ul><ul><ul><li>What damage your TMD has caused? </li></ul></ul></ul></ul><ul><ul><ul><ul><li>How it can be helped or corrected? </li></ul></ul></ul></ul><ul><li>Treatment </li></ul><ul><li>We balance muscle, joint and teeth activity. </li></ul>The whole body must be considered
  14. 15. It starts by gathering scientific data <ul><li>Careful observation of signs and symptoms </li></ul>2. Special radiographs of your teeth and jaw joints 3. Detailed casts of your teeth 4. Neuromuscular testing using the advanced K-7 instrumentation
  15. 16. <ul><li>Neuromuscular testing or “Scans” </li></ul><ul><li>Diagnosis and identification of bite and wear problems </li></ul>1. Computerized Jaw Tracking 4. T.E.N.S. Phase 1: Neuromuscular Testing 2. Eight Channel Electromyography 3. Sonography
  16. 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
  17. 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
  18. 19. Phase I : Orthotic <ul><li>Orthotic is worn for at least three months to relieve symptoms </li></ul><ul><li>Position is refined for comfort as the jaw system heals </li></ul><ul><li>Second phase of treatment begins </li></ul>Fixed Removable
  19. 20. <ul><li>Bite adjustment </li></ul><ul><li>Long term Orthotic wear </li></ul><ul><li>Orthodontics </li></ul><ul><li>One or two arches of restorations </li></ul>Phase II : Finishing the Case Orthodontics Orthotic wear Restorations
  20. 21. An improper bite even changes a patient’s appearance.
  21. 22. Old Bite Bite with Orthotic
  22. 23. Old Bite Bite with Orthotic
  23. 25. Bring back your confidence to smile. Neuromuscular Dentistry can
  24. 26. Your TMJ: Perfect Function = Zero Pain

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