Скачать или смотреть What is Neuromuscular Dentistry? - Dr. Vicky Ho

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Hi, Im Dr. Vicky Ho from Smile Design Studio. I often get asked what is Neuromuscular Dentistry? Well as you know dentistry deals with teeth and gums. Okay and Neuromuscular Dentistry deals with not only teeth and gums but also the nerves and the muscles of the head and neck region. That are really in close relationship with the teeth. How this is so. Basically where our teeth fit. Is our bite and where our bite is will determine where our joint sit and where our muscles sit. So, if they're in the wrong place it can then cause haywire with our joints and our muscles that then lead to a whole range of symptoms called TMJ dysfunction. So what we do as Neuromuscular Dentist, we actually look at the relationship between the teeth, the nerves and the muscles. And we get them in sync with each other and how we do this? Let me show you. When the muscles, nerves, and teeth are not in harmony with each other. The bite causes the jaw joints and the muscles to sit in a position where the muscles are not at rest or under tension. And we can see the effects of this when we take EMGs of the muscles. Here we have a scan of a girl who suffers headaches every day. As you can see, the most active muscles are her head muscles the LTA and the RTA which stand for temporalis. We use a neurotransmitter or TENS to rejuvenate the muscles and then take a scan again after one hour in this second scan you can see that the muscles are a lot calmer and less agitated. In this third scan, you can see the difference in the muscles of the head where her jaw is at rest versus the second half where her teeth come together mainly the jaw position causes her temporalis to fire thus causing headaches when she clenched her teeth in her sleep all night. We used a neurotransmitter not only to rejuvenate the fatigue or tense muscles, but also to determine the new bite by its gentle physiologic involuntary contraction of the muscles that guide the jaw to the ideal pathway, we've plot this position using a jaw tracker as seen on this graph, the natural contraction of the muscles are caused by the neurotransmitter where the big movements are caused by the teeth tapping together. As you can see on scan the pathways are totally different where the jaw and the muscles want to be and where the teeth fit are on different pathways. When we take a bite using this tense guided pathway the position of the jaw is then held with an orthotic and the body does not have to fight anymore. And can relax and start to decrease the pain and tension. This is a brief summary of what Neuromuscular Dentistry is.

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