The Treatment Options
If there aren’t any intra-capsular issues then three to six months using the TMJ Appliance™ will resolve a lot of the issues. Generally patients should be reviewed after one and two months to monitor progress. If 50 percent of the patient’s symptoms have been relieved, then treatment is working.
Why does it work? It unloads the joint, aligns the jaws, brings the mandible forward, corrects midline shifts, corrects tongue position, and stops any poor myofunctional habits. The key point to realize here is that we are focusing on myofunctional issues. The TMJ Appliance also prevents tooth grinding. It’s soft, flexible, and easy to use.
The TMD Appliance (‘D’ for daytime use) was developed as a single-arch, moldable, and removable daytime splint that is also suitable if a patient has some missing teeth, or if they display an intra-capsular issue.
The Bruxogard™ was designed for patients who have problems with teeth grinding (bruxing) for patients that want to “Band-Aid” the joint issue until they can find time to focus on the myofunctional muscle work. At Arlington Smile Center, we would rather treat the root cause of the grinding and eliminate the grinding altogether by treating the sleep-disordered breathing that is ultimately causing the grinding.
The TMJ-MBV™ (Mouth Breather Version) was designed for patients who snore and have trouble with mouth breathing during sleep. The TMJ-MBV has a higher profile than the TMJ Appliance, with large breathing holes.