Temporomandibular joint dysfunction (TMD, TMJD) is conventionally described as an umbrella term covering pain and dysfunction of the muscles of mastication (the muscles that move the jaw) and the temporomandibular joints (the joints which connect the mandible to the skull).
Providing splints initially gives more room for the jaw joint area but soon the splint ends up depressing the teeth deeper into the bone and when not wearing the splint the jaw joint has even less room than when the patient started the treatment. Keeping adding more acrylic to the biting surface starts causing huge open bites in the posterior region hence this concept is dangerous It is obvious to see that the TMJ is not causing the problem but the quality, position of the dentition and jaws.
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Jaw asymmetry including Temporomandibular joint disorders (TMJD and TMD)Article revised April 2019 I am absolutely astounded how despondent jaw pain patients are after visiting their local maxillo facial hospital surgeons on the recommendation of their dental surgeons. The patients often have serious problems with their jaws but get fobbed off. They are often told that there is nothing wrong with their jaws and in the next breath they get advised to eat soft food, have less tension and stress in their lives, do physiotherapy, and worse of all to ask their dentist to provide them with a splint. Patients invariably end up with life long illnesses going from pillar to post with the same splints prescribed everywhere!. Here is an actual copies of a maxillofacial surgeons' preliminary notes at the time of seeing a TMJD patient: This patient had terrible jaw pain for the previous 30 years. A general dentist would be struck off for such a poor quality of notes, and minimal exent of investigations. The law, as exercised by the GDC, obviously applies differently if you are in private practice or working in the hospital services. Based on his preliminary notes, this was the advice given to the patient after playing down his symptoms and literally saying that he does not have a jaw problem. Patient was advised: Pain killers This the patient had done for the previous 30 years and gotten nowhere. This third rate care is repeated almost in every hospital . One would be lucky to get the slightest respite from this care group. It all adds up to gross fianacial mismangaement of hospital resources. Here are some reports from the expeiences of some other patients: "I have been visiting NHS maxillofacial surgeons for 2.5 years and none of them could help me or give me the correct treatment even after they confirmed it was TMJ dysfunction. The first thing they did was to give me a hard splint to wear. After one year in pain and no positive results from splint, they washed my jaw joints surgically! That did not work either. "The chiropractor said essentially it was my jaw and I should look into some form of dental help. He advised someone I did not like and I decided to get a referral from my GP to see an NHS consultant. A maxillofacial specialist however told me there was nothing wrong with my jaw/TMJD and I should eat mushy food and do less exercise. It is hard to express how frustrated and upset I felt." S.P. "Before coming to Dr Amir I was referred to an NHS dental hospital and medicated with amitriptyline which made it difficult to even function at work and nothing was offered to address the cause of my problems. I struggled with debilitating jaw and facial pain which left me exhausted at the end of each day and also suffered with neck and shoulder pain, poor concentration, blurred vision and balance problems" W.T. "Due to having 4 wisdom teeth removed back in 1998 my health suffered.I developed frozen shoulder,numbness,dizziness and felt awful.Many dentist treated me with splints which just made my symptoms worse.When I arrived at Dr Amir's my teeth no longer even fitted together!I was in a desperate state,severely dizzy and very frightened" M.G. "For 10 years I had headaches, migraines, tinnitus and a weird undiagnosed but debilitating " face pain" which I was told by the nhs and private specialist was a range of things from a type of migraine, sinus infections (with sinus surgery!) and "just one of those things" D.L. "I was referred to a maxillofacial department of a hospital, where I was prescribed with amitriptyline. The dugs helped only by dulling the pain, but came with lots of unwanted side effects." A.W. Experience over some 30 years of practice and seeing very many patients suffering from all kinds of illnesses it is my calculated conclusion that a majority of illnesses like ME/CFS, MS, FM have a lot to do with TMJ dysfunction rather than any other cause.. Please read all the information on this website. A majority of patients coming for treatment have previously been diagnosed into many illnesses and syndromes. A TMJ and a dento-mandibular symmetry check up at the outset of any illness is imperative for an optimal outcome and before your problem becomes chronic. TMJ pain and tooth grinding occur because the patients’ jaw does not sit happily in the joint which articulates with the skull. It is the consequence of a physical asymmetry in the jaws and teeth and the mismatch of the upper and lower jaw relationships. It is neither caused by “stress” nor is it due to some other “mental” cause. In fact, experience shows that most pains, organic disturbances and mental symptoms are a consequence of this asymmetry. The diagnosis of a jaw problem is generally based on the presence of some characteristic clinical signs and symptoms:
Pain on the palpation of certain muscles:
The Trigeminal nerve: The simplest way to look at the ramifications of an asymmetry around the jaw joints is to consider the trigeminal nerve which is the main nerve around the teeth and jaws and supplies 60% of the afferent input to the brain and upon this afferentation the output of our brain is determined. Imagine all the signals going to the brain saying that something is wrong with the mouth, teeth and jaws. Tooth grinding is often the consequence - not the cause of TMJ dysfunction. The ramifications of jaw asymmetry spiral down the body affecting organ function and skeletal function with pain and symptoms arising anywhere and everywhere. Many of the organic symptoms get lumbered into various syndromes like Chronic Fatigue Syndrome, Fibromyalgia Syndrome and Irritable Bowel Syndrome and Raynaud's Syndrome. Rest assured that largely, none of these descriptions have any legitimacy. These are mostly resolvable illnesses as long as one concentrates on the correction of the Jaw and body asymmetries. Illnesses resulting from Jaw asymmmetries are not "Overlapping Conditions" as often described in the literature. These supposed co-morbid conditions are a consequence of jaw asymmetry. These signs and symptoms including the absence of patient discernible symptoms are a key to realising that the Temporomandibular asymmetry is behind the ailment of the patient. The symptoms, as you study this Web site, could be as remote as pain in a foot and yet the jaw and the Atlas are usually at the centre of the origin of these remote symptoms. To find out how your jaw asymmetries may be causing your symptoms please:
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