http://www.drueckert.com/advanced-den... -- Today, our dental professions diagnostic paradigms are evolving beyond only identification of dental caries, marginal breakdown of old fillings and crowns, root canal lesions, fractured teeth and periodontal breakdown. These basic dental problems are often only indications of a more hidden muscular, occlusal and temporomandibular joint problem that go often undetected, even within the medical and dental profession. TMJ/TMD is a problem that is not easily seen by cursory dental x-ray and intra-oral evaluation. It presents with many signs and symptoms that can mimic other medical and dental problems as vascular disorders, brain tumors, aneurisms, cervical disc disorders, throat and oral cancer, etc.
Some of the numerous signs and symptoms may include clicking, popping and grating noises of the jaw joints. Consider the tender paining temporal muscles on the side of the head. Tender and sore muscles behind the head and neck (sub-occipital cervical region) as well as upper shoulders can be part of this problem. Muscles under the chin, the facial muscles (side of face), limited mouth opening, loose teeth, clenching/ bruxing, postural problems, paresthesia of fingertips and hands, nervousness, insomnia are just a few of the over 12o different signs and symptoms of TMJ. What about those cases with non-specific facial pain, tenderness on palpation of various sites of the head and neck? Teeth sensitivities and aches, ear congestion feelings, pain behind the eyes, tingling in the arms and fingers, dizziness, ringing in the ears, etc., all relate to the dental aspect of TMJ. Many of these symptoms are related to and are associated with the living tissues that effect the mandibular position and in turn effect upper to lower teeth relationships and vice versa.
Crowded lower anterior teeth, wear of the lower incisal edges, fractured cusps, narrow arches, vaulted palates, deep curves of Spee, over-closed bites, flared upper anterior teeth, locked upper buccal cusps, facets, cervical erosion (abfractions), receding gums, mobile teeth, open interproximal contacts, loss of molars, cross bites, anterior open bites, anterior tongue thrust, lateral tongue thrust, midline discrepancy, to name some of the intra-oral signs.
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Extra-oral signs as: facial asymmetry bilaterally, short lower third of the face (chin to nose point diminished), chelitis, abnormal lip posture, deep mental crease on chin, dished-out or flat labial profile, facial edema, mandibular torticollis, cervical toricollis, forward head posture (lordosis) elongated lower face (steep mandibular angle), and speech abnormalities, should all be considered as abnormal signs. The human body, which includes the teeth, the muscles of the head and neck, the TM Joints, the neurology that innervates the system of mastication and posturing of the head and neck are all parts of what the dental profession should consider when diagnosing and treating our patients comprehensively.
If you are experiencing such and are not getting better you are not alone.
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