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Treatment of TMJ and TMJ pain. CMD, craniomandibular dysfunction, or craniomandibular dysfunction – a difficult word for a difficult disease. Actually, the CMD syndrome is not a disease, but a functional disorder caused by the teeth and the jaw.
Common causes of complicated disease patterns may be CMD (Craniomandibular Dysfunction). Behind the difficult name hides a malfunction of the jaw, which can have unrecognized serious consequences for the whole body.
Once diagnosed, however, the CMD can be treated well and end the suffering of many patients. If a CMD is present, the upper and lower jaws do not bite correctly and influence the head, neck, ears, eyes, mouth, body and psyche through this “oblique position”. Pain and other sometimes serious symptoms are often treated in vain by the respective specialists.
What is CMD?
As a rule, the jaws of the upper jaw and lower jaw do not fit together properly. There are different forms of false tooth and jaw manufacture. All have in common that they have effects on the body and thus lead to a CMD disease that can be accompanied by TMJ pain or other pain.
Who would ever expect that, for example, An ear problem is associated with the bite, or a rash of the increased tension of the scalp can be triggered by a false bite. Even less can one imagine that problems of the feet or other areas of the body due to wrong bite conditions can arise.
The bite is also often involved in diseases of the shoulder, arms and hands. Therefore it can happen that after a successful track therapy, bite correction or orthodontic treatment, a numbness of the hands or a “frozen shoulder” is simply gone.
Only with a deep understanding of anatomy and body functions can one understand this. It is like a domino game that goes down from the head: the bite affects the jawbone, the jaw joints affect the head joints and the cervical spine, the masticatory muscles influence the neck muscles, etc. Many patients with a wrong bite, accidents, centrifugal trauma or incorrect bodywork suffer from CMD , Craniomandibular Dysfunctions.
What are the causes of craniomandibular dysfunction?
Inheritance (misalignment, dysgnathia)
Disability, poor working conditions
Tooth treatment (long stay, too high filling or crown)
too deep bite
Tooth loss, loss of support in the posterior area
Tooth loss, loss of middle between mandible and maxillary
How do you diagnose a craniomandibular dysfunction?
Before each CMD treatment a CMD diagnosis in the form of a function analysis is very important. In the case of a joint pain, a particularly careful diagnosis must be ensured.
Absolutely necessary for diagnosis in CMD Craniomandibular dysfunctions are:
Dentistry, radiographic findings, CMD history and history of pain
Functional analysis of the jaw, jaw, jaw muscles and teeth
Measuring the masticatory muscles with electromyography
Measurement of movement in the jaw joint
Record the jaw joint
To determine bite and occlusion model analysis and articulator analysis
Analysis of Occlusion by Pressure Measurement and Force Measurement
Evaluation of photos for assessing asymmetries of the face and body MRI – Magnetic Resonance Tomography
Since in the diagnosis of CMD not only the jaw and the occlusion of the teeth prove to be guilty of the symptoms and pain, it is also important to consider other important points of the body holistically. For this reason, we are trained in the functional analysis of the whole-body CMD problems and have an advanced network of therapists to which we can refer you. After studying neurological, orthopedic, or psychological problems, we refer to osteopaths, podiatry and physical therapists.
Treatment for CMD Craniomandibular Dysfunction
The dental treatment for CMD and TMJ pain requires a special training and extensive medical knowledge. The bite and the jaw joint have a great influence on the head, the rest of the body, the psyche and the metabolism.
We offer the following treatment options:
Craniomandibular dysfunctions and track therapy
In order to compensate for a false bite in the case of a CMD or in the case of TMJ pain, and to relieve the teeth, the jaw and the temporomandibular joint, so as to alleviate pain, rails are made as CMD treatment. We work with restraining rails for the night and bite correction rails for the day. Just before a bite correction with dentures or an orthodontic procedure, it is absolutely necessary to work with bite splint.
Craniomandibular dysfunctions and pain therapy
The CMD treatment or the treatment of TMJ pain can be spread over a few to many months. At individual intervals, the patients are examined, the bite bars are controlled in the bite, and the CMD symptoms are measured using analogue scales. On the basis of the results, the CMD treatment is adapted. Prior to the preparation of dentures, pain must be eliminated in whole or in part.
Craniomandibular dysfunctions and bite correction
As soon as the bite splint has been used to relax and relieve the symptoms and pain of the CMD, a bite correction can be planned. This can be achieved with new fillings, a dental prosthesis, through orthodontic orthodontics and through glued new occlusal surfaces. The CMD treatment is planned individually.
Craniomandibular Dysfunctions and Accompanying Therapy
CMD and temporomandibular pain usually arise not only from problems in the bite and the temporomandibular joint, but are often composed of different points. For this reason, we work together with various complementary therapists in CMD treatment and track therapy (osteopathy, physiotherapy, speech therapy, internists, cardiologists, orthopedics, neurology, sleep medicine, podoorthesiology, podoetiology, psychology and metabolic medicine). Through biofeedback and progressive muscle relaxation according to Jacobsen, we train special relaxing and postural exercises with our patients, tailored to the CMD. We carry out various tests to advise on metabolic problems related to the CMD. As a poor physical activity projects into the masticatory muscles, we train our patients with special postural exercises and work with a podiatrist who creates neurological foot inserts.
Craniomandibular dysfunctions and postural disorders
Incorrect positioning of the jaw joints can lead to disturbances in the head joint. As a result, eddy currents are asymmetrically over- and under-loaded. In a chain reaction, shifts in the vertebrae can also occur downwards. Since important nerves emerge between the vertebrae, these can also be impaired. As a result, many non-specific, all-body symptoms of CMD can be explained. Of course, it can also lead to disc disc shifts and damage. The CMD is unfortunately not only a dental problem!
Info Video zur Erklärung von CMD
Practice in Munich Pasing
Dr. Stefanie Morlok
Landsberger Str. 511