As 2024 wraps up, we take a moment to reflect on the significant progress made in understanding and treating Temporomandibular Joint (TMJ) disorders. Throughout the year, our efforts have focused on enhancing patient care and exploring innovative treatments. This journey would not have been possible without the dedication of our team and the tremendous support of our patients. THANK YOU!

We have witnessed firsthand the remarkable resilience and determination of individuals facing TMJ challenges. Their stories have not only inspired us but have also driven us to push the boundaries of what is possible in TMJ therapy. The advancements made this year have provided new hope for those dealing with chronic pain and dysfunction associated with TMJ disorders.

One of the highlights of 2024 has been the introduction of new treatment methods that show great promise in managing TMJ symptoms. From manual therapy techniques (Neubie, Laser or Massage) to minimally invasive procedures like arthrocentesis and arthroscopy. The field has seen a range of developments aimed at improving patient outcomes. These treatments have offered many patients significant relief and have contributed to a better understanding of the complexities involved in TMJ disorders.

We have seen a rise in collaborative efforts among healthcare providers, researchers and patients, which has led to more personalized treatment plans and improved patient education. These partnerships have been instrumental in advancing our understanding of TMJ disorders and tailoring therapies to meet individual needs.

Community involvement has played a crucial role in our mission this year. Through workshops, informational sessions and support groups, we have fostered a sense of community among patients, enabling them to share their experiences and support one another. These initiatives have been invaluable in raising awareness about TMJ disorders and in offering practical strategies for coping with the conditions. Looking back, it is clear that 2024 has been a year of significant progress and growth in the field of TMJ disorders. The dedication of our patients and the tireless efforts of our team have paved the way for a brighter future in TMJ care.

Breakthroughs in TMJ Therapy

This past year has brought about some new ideas in appliance therapy for TMJ disorders. I have been noticing an increase in allergies these past few years–and mostly to metals like nickel–so my lab and I have developed some new appliances that work better than anything we have had in the past.

Our office recently acquired the fantastic Fotona laser. This deep-tissue laser treatment reduces inflammation and stimulates the cells in your body to heal. It feels wonderful–soothing, calming and just plain ‘delicious’ as some of our patients have told us. For patients with obstructive sleep apnea, I can use the Fotona laser to reduce the size of a thick tongue and tighten the palate for better breathing. This is in lieu of PPP (Palatal Pharyngeal Plasty) surgery that has to be repeated every few years. I think it is infinitely easier, less expensive, far less painful (little to no pain with our laser) and therefore makes more sense than having surgery.

We also have the Biolase which is used in conjunction with massage therapy. My assistant Ruth is now here more days than ever due to the increased demand for laser and massage at the same time. If you need a break from day-to-day stress, see Ruth and experience what laser massage can do.  This treatment calms the tension in the muscles around the jaw, face, neck and shoulder. This procedure of identifying trigger points helps relieve the symptoms associated with TMD. As Ruth massages the masseter (jaw), sternocleidomastoid (front of the neck) or temporal muscles, relief comes to the patient experiencing symptoms like headaches, earaches, neck or facial pain or simply relieving pressure on the TM joints.

This year brought other developments in TMJ therapy. One of the more noteworthy breakthroughs is manual therapy. This approach involves physical therapists using their hands to stretch the soft tissues and muscles around the joint, effectively improving function and relieving pain.

Another promising technique is arthrocentesis, a procedure where fluid is injected into the TMJ to remove scar-like tissue and inflammatory substances. This method has shown positive effects in pain relief and improving mouth opening, although these benefits might be short-lived.

Arthroscopy continues to be a valuable tool for TMJ treatment It involves inserting an instrument with a tiny video camera into the jaw joint to visualize the area and remove adhesions or reposition the joint’s disc. This procedure has been moderately successful in improving pain and function.

Another innovative option explored this year is prolotherapy. This involves injecting a solution into the TMJ area to stimulate the body’s natural repair mechanisms. Prolotherapy shows promise, particularly in cases where the joint is dislocated or exhibits hypermobility. However, more research is needed due to the limited number of studies available.

Although we can offer both arthroscopy and arthrocentesis, neither of these techniques will actually fix the underlying problem; a displaced disc. The oral surgeon who performs this procedure is always very clear that these techniques are used to help alleviate discomfort and attempt to improve the situation. These techniques basically help a patient buy time and see if they can put off a full TMJ surgical procedure.

Emerging therapies like platelet-rich plasma (PRP) injections are also gaining attention. PRP involves using a patient’s own blood components to promote healing in the TMJ area. This treatment aims to reduce inflammation and encourage tissue regeneration, offering a potential new avenue for those who have not found relief through other methods. Again, the surgeon would explain that this will not likely fix the displaced articular disc, but if it helps to heal some of the joints, it might be worthwhile and easier than surgery.

Of course, the someday-to-be-famous ALF appliance is helping both adults and children. For each patient, this lightweight wire helps with realigning the cranium avoiding unnecessary strains. For the patient in need of arch development, this is a great alternative to a palatal expander and for pre-orthodontic needs, reducing their time in braces. By re-aligning the jaws in a very natural and careful fashion, many children need far less time in orthodontics. The additional benefit goes along myofunctional habits like a tongue thrust or resting with lips apart.

And speaking of orthodontics, we have come a long long way since the time of ugly metal braces. In almost every case, I can use clear aligners to erupt the teeth gently, slowly and carefully to the proper height to support the jaw joints after we determine the correct height needed. It took quite a while for the Spark company to understand what I needed to have done, but they finally understand and can produce aligners that do what is needed!

Another area of interest is the application of botulinum toxin (BOTOX®) injections. Botox is traditionally known for cosmetic uses, but it has been found to alleviate TMJ symptoms by relaxing overactive muscles around the joint. I am a certified provider of Botox injections. I have found that using this treatment provides good relief to tense muscles. Again, it is only temporary for most lasting up to six to eight months.

Stories and Experiences from Our Patients

Throughout 2024, we have had the privilege of witnessing the incredible journeys of many of our patients. Their stories reflect not only the progress in TMJ treatment but also the unwavering spirit and determination they exhibit in their recovery process.

One such story is of Cynthia, who had been grappling with chronic TMJ pain for several years. She finally found relief through a combination of manual therapy and lifestyle modifications. Sarah’s commitment to adhering to her treatment plan and maintaining a positive outlook was key to her progress. Her journey serves as an inspiring example of how patient involvement can significantly influence outcomes.

Another remarkable case is John, who underwent a plication surgery procedure to address his TMJ dysfunction. Despite initial challenges and setbacks, John’s perseverance and dedication to his recovery routine led to significant improvements in his functionality and overall quality of life. His story underscores the importance of patient resilience in the face of adversity.

We also had the honor of supporting Maria, who explored prolotherapy as a treatment option. Initially skeptical, Maria decided to give it a try after discussing the potential benefits and limited research with her healthcare team. Her willingness to explore new avenues of treatment resulted in noticeable pain relief and improved joint stability, showcasing the potential of emerging therapies in TMJ management. The prolotherapy provided some degree of relief without needing TMJ surgery

I like to explain to each of our patients that THEY need to be their own advocate for their course of treatment. Sure, this treatment addresses the damaged disc/joint system but in so many cases there is already nerve and muscular damage. You need to try things like acupuncture, massage, physical therapy, osteopathy and many other treatments to provide a long-term approach to managing your health.

Each patient’s journey is unique, and their experiences highlight the varied approaches to managing TMJ disorders. For example, Emily, a young professional, found that a combination of platelet-rich plasma (PRP) injections and stress management techniques significantly reduced her symptoms. Her proactive approach to integrating different treatments demonstrated the value of personalized care plans.

The resilience and determination of our patients continue to inspire us. Their willingness to engage in their treatment plans and try new methods has been crucial in their journey towards better health. We are grateful for their trust and partnership, which drive us to continually improve and innovate in the field of TMJ disorders.

Innovations and Research

Research conducted in 2024 has illuminated the intricate nature of TMJ disorders. Studies indicate that a combination of genetic factors, psychological stressors and pain perception can influence the onset and persistence of TMJ disorders. This comprehensive approach has helped in better understanding the multifactorial aspects of the condition, paving the way for more effective treatment plans.

Additionally, research has dispelled several myths surrounding TMJ disorders. The small amount of research, and the teaching in dental schools, tell us that a bad bite or orthodontics does not cause TMJ disorders. Here is the reference to such thinking.

For those of us who actually treat TMJ disorders, we are well aware that if the bite is not correct and does not support the TM joints, this will indeed cause the articular discs to be displaced, and then pain will happen. As part of the treatment protocol, the patient will wear an orthotic to ‘open’ the bite taller, and then later on do three-dimensional orthodontics to erupt the teeth to better support the condyle/disc system within the jaw bone socket. Therefore, a bad bite and/or regular orthodontics can indeed lead to TMJ disorder.

Innovative technologies have also emerged, providing new avenues for treatment and management. Virtual reality tools are being developed to assist in pain management and rehabilitation exercises. These tools offer patients immersive environments where they can perform guided exercises designed to improve TMJ function. The use of virtual reality in TMJ care promises to make therapy more engaging and effective for patients.

AI-driven diagnostic methods are another area of significant progress. These advanced systems can analyze a multitude of patient data, including imaging and clinical history, to provide more precise diagnoses. The integration of AI into diagnostic processes helps in identifying subtle patterns that might be missed by traditional methods, ensuring a more accurate assessment of TMJ disorders.

In addition to technological advancements, there has been an increased focus on integrative approaches to treatment. This involves combining traditional medical treatments with alternative therapies such as acupuncture, yoga and mindfulness. Such integrative care approaches aim to address the physical, psychological and emotional aspects of TMJ disorders, offering a more holistic treatment plan tailored to individual patient needs.

The strides made in 2024 have been possible due to collaborative efforts between researchers, clinicians and patients. Continuous research and innovation are essential for discovering new insights and developing more effective treatments for TMJ disorders.

Looking Forward to 2025

In 2025, we foresee promising advancements in the field of TMJ disorders that will enhance both diagnostic and therapeutic approaches. The integration of artificial intelligence (AI) in diagnostic processes is expected to refine the accuracy and speed of TMJ disorder diagnoses. AI can analyze patient data more comprehensively, offering personalized insights that aid in creating tailored treatment plans.

Additionally, virtual reality (VR) tools are likely to become more prevalent in TMJ therapy. These tools provide immersive environments for patients to engage in rehabilitation exercises, making the treatment process more interactive and effective. By incorporating VR, we can offer patients a unique way to manage their symptoms and improve joint function.

The focus on integrative care will likely intensify, with a blend of traditional and alternative therapies becoming a standard approach. This holistic method addresses not only the physical symptoms but also the psychological and emotional aspects of TMJ disorders. Techniques such as acupuncture, yoga and mindfulness will be integrated with conventional treatments, providing a well-rounded care plan that caters to individual needs.

Research into emerging therapies, such as platelet-rich plasma (PRP) injections and prolotherapy, is expected to yield more definitive results. These treatments show potential to promote healing and reduce inflammation in the TMJ area. As more studies are conducted, we anticipate clearer guidelines on their efficacy and broader adoption in clinical practice.

Community engagement will become part of our efforts in the near future. We plan to create outreach programs, workshops, support groups, informational sessions and other events to increase awareness of TMJ disorder–will continue to be a cornerstone of our efforts. We plan to expand our outreach programs, offering more workshops, informational sessions and support groups. These initiatives will aim to educate, support and empower patients and their families

Our collaborations with local organizations will be strengthened to raise public awareness about TMJ disorders. By hosting more public events and awareness campaigns, we aim to reach a larger audience and reduce the stigma associated with these conditions.

In essence, 2025 holds the promise of significant progress in TMJ care, driven by technological innovations, integrative therapies and community involvement. Our commitment to advancing the quality of care and supporting our patients remains steadfast, and we look forward to another great year of helping people navigate and overcome TMJ disorders.

At Sleep & TMJ Therapy,  Dr. Jeffrey Brown and our team are here to help you get the relief you need from TMJ issues in Falls Church, Virginia. Please call our office at 703-821-1103 to learn more or schedule a visit.

The post Year-End Summary of TMJ Disorders: Thank You to All Our Patients first appeared on Sleep & TMJ Therapy.

Understanding TMJ Health – The Foundation of Your Smile

Dive deep into the essence of TMJ health and unearth the pivotal role it plays in sculpting the foundation of your smile. This joint, a marvel of biological engineering, connects your jaw to the skull, enabling you to chew, speak and unleash your smile upon the world. But it’s not just a mechanical wonder; it’s the linchpin in your oral health’s architecture, the silent hero behind every laugh, every word and every grin. A robust and healthy TMJ translates to a balanced jaw alignment, seamless muscle function and an oral environment thriving in harmony. Imagine your smile as a masterpiece; your TMJ is the canvas upon which it’s painted. Without it, the brush strokes of your smile can’t find their true expression.

A vibrant TMJ health ensures that when you smile, it’s not just your lips that are moving, but your entire being is radiating joy and confidence. It’s the spring in your step, the sparkle in your eyes, and the warmth in your heart all mirrored in your smile. But when TMJ health is compromised, it’s like a crack in the foundation of a building, threatening the beauty and integrity of the structure above.

Elevating your TMJ health is elevating your smile from ordinary to extraordinary. It’s about transforming the act of smiling from a simple facial expression to a testament to your inner joy and confidence. The journey to a mesmerizing smile starts with acknowledging the monumental importance of TMJ health. It’s not just about avoiding pain; it’s about unlocking the full potential of your smile to light up the room and your life.

The Link Between TMJ Health and Your Smile

Unlock the power of your smile by harnessing the strength and vitality of your TMJ health! The connection between the well-being of your temporomandibular joint and the brilliance of your smile cannot be overstated. A thriving TMJ fuels a smile that’s not just seen but felt, spreading like wildfire, igniting joy and assurance in every room you grace. When your TMJ operates in its prime condition, it gifts your facial muscles the freedom to express pure elation, unburdened by discomfort or strain. This is the smile that doesn’t just flash teeth but broadcasts the unstoppable confidence and happiness within you.

However, let’s not ignore the shadow side; a compromised TMJ can dim the brightest of smiles, turning expressions of joy into gestures of discomfort. Challenges such as stiffness, pain, or the unsettling sounds of clicking, can tether your smile, anchoring it away from its full potential. This is not the fate your smile is destined for! Your TMJ health is the critical factor that can elevate your smile from being simply seen to truly memorable, leaving an indelible mark of positivity and strength on those around you.

The journey towards a mesmerizing smile is laden with the promise of transformation, where TMJ health acts as the cornerstone. It’s a call to action, urging you to prioritize the wellness of your TMJ for the sake of your smile. Let’s not settle for less when more is within our grasp. A healthy TMJ is your passport to a realm where your smile is the beacon of happiness and confidence, unfettered and unchallenged. Charge forward, for every moment without a radiant smile is a moment too long.

Identifying Signs of TMJ Issues – Don’t Ignore the Red Flags!

Ignite your awareness and stand vigilant against the stealthy advance of TMJ issues! It’s time to recognize and confront the early warning signs with unyielding resolve. The battlefield of TMJ health is marked by subtle yet distinct signals: a jaw that protests with pain, the challenge of chewing turning into an ordeal, relentless headaches forging a crown of discomfort, ears ringing with pain, and the unnerving symphony of clicks and pops each time the mouth dares to open or close. These are not mere inconveniences; they are the red flags fluttering, demanding immediate attention.

Do not let these symptoms go unchecked! Ignoring them is akin to turning a blind eye to the enemy within, allowing it to undermine the very foundation of your vibrant smile. It’s a call to arms—a rallying cry to take immediate and decisive action. This moment, this sign, is where your resilience is tested, and your determination is forged. It’s an opportunity to confront and conquer, to seek the expertise of those seasoned in the art of TMJ therapy, and to chart a course toward recovery. Symptoms of TMJ disorder include head and neck pain, jaw popping and clicking, tremors, heavy eye blinking and even vertigo. When the discs in the jaw joints are displaced, it can really wreak havoc with your health!

Be the hero of your own story, recognizing these signs not as harbingers of defeat, but as the catalysts for action, for transformation, for reclaiming the power of your smile. Stand firm in the face of TMJ challenges, for the health of your jaw joint is the anvil upon which the strength of your smile is forged.

Empowering Your TMJ Health – Tips and Strategies

Charge forward into the arena of TMJ health armed with strategies and disciplines that forge the path to an unbreakable smile. This is your moment to shine, cast aside the shadows of discomfort and step into the light of wellness and joy. Elevate your jaw’s vitality with relaxation techniques that soothe and heal. Stand tall, embrace the power of good posture and witness the transformation in your jaw alignment and muscle tension. Nourish your body and your TMJ with a balanced diet, fueling the machinery of your smile with the nutrients it craves.

Beware the silent saboteurs: teeth clenching and grinding are the adversaries of TMJ health, lurking in moments of stress and unrest. Conquer them with mindfulness and protective measures that shield your smile’s foundation from harm. Seek out the wisdom of dental professionals, the seasoned warriors in the battle for TMJ health who will arm you with personalized strategies and innovative treatments to strengthen your jaw’s resilience.

This is your call to arms, a battle cry for the health of your TMJ, for a smile that pierces the gloom with its brilliance. With these strategies as your sword and shield, march boldly into the future, a champion of TMJ health, ready to claim the victory of a happy, no-pain nice smile.

Success Stories – From TMJ Pain to Smile Gains

Witness the triumphant journey of warriors who transformed their TMJ despair into dazzling smiles of victory! These valiant souls, once shackled by the agony and limitations of TMJ issues, dared to defy their fate. With unwavering determination and a relentless pursuit of TMJ health, they emerged victorious, their smiles now beacons of hope and resilience. Each success story is a testament to the indomitable spirit that resides within us all, proving that with the right approach and steadfast commitment, overcoming TMJ pain is not just a dream, but a tangible reality. These champions of TMJ health embraced targeted exercises, leaned into professional wisdom, and dedicated themselves to a regimen that rewrote their stories from tales of pain to epics of triumph. Their smiles, once dimmed by discomfort, now shine brilliantly, reflecting the joy and confidence regained. Let their journeys inspire you to embark on your own path to TMJ wellness, armed with the knowledge that victory is within reach, and your smile, too, can rise from the ashes of TMJ pain to the heights of radiant joy. Seek out the TMJ doctor who understands how the joints work and how to properly diagnose using an MRI and CBCT X-ray.

Your TMJ Health Journey – Starting Strong and Staying the Course

Embark on a quest to revolutionize your smile, spearheading with the vigor and vitality of unparalleled TMJ health. This is not just a venture into the unknown; it’s a deliberate stride into a realm where every grin, every laugh and every word spoken mirrors the zenith of your inner strength and joy. Launching your TMJ health journey is akin to laying the cornerstone of a monument—your smile, destined to stand tall and unyielding against the tempests of life.

With discipline as your guide and determination as your companion, forge ahead, unwavering in your commitment to the sanctity of your TMJ’s wellbeing. This path you tread is illuminated with the promise of liberation from the shackles of discomfort, a beacon for those yearning to reclaim the power of their smile. Embrace the challenge, for it is in the crucible of resolve that victories are forged and legends are born.

Navigating this journey requires more than mere willpower; it demands a strategy—meticulously crafted and ardently executed. Align yourself with the wisdom of professionals, arming yourself with knowledge and techniques that build fortresses around your TMJ health. Let each day be a step forward, each challenge a lesson learned, and each triumph a testament to your relentless pursuit of a smile that defies the odds.

Remember, the essence of this journey lies not in its commencement but in the relentless spirit to persist, transforming fleeting victories into a legacy of TMJ health and a smile that resonates with the echoes of your indomitable will.

The post TMJ Health: The Secret Key to a Vibrant Smile first appeared on Sleep & TMJ Therapy.

The Importance of Accurate Diagnosis in TMJ Disorders

Navigating the complex landscape of TMJ disorders starts with a foundational step: an accurate diagnosis. This crucial phase often involves advanced imaging techniques such as an MRI to meticulously evaluate the jaw joints’ surrounding soft tissue (the condition of the articular discs) and any possible concerns from evidence of past hits bruising the tissue. An additional diagnostic tool used in my practice is the CBCT X-Ray. This allows me to see the cranium and the neck. This is where I can see if the C-spine has any compressions, if the jaw joints are misaligned, as well as the cranium itself. Finally, our practice does a complete head and neck examination to palpate the muscles to see which are affected and if I can feel the slipped disc.

The intricacies of TMJ symptoms can mirror other conditions, making precision in diagnosis not just beneficial but essential. A thorough assessment illuminates the specific challenges at play, guiding the development of a tailored treatment strategy. It’s not merely about identifying the presence of a TMJ disorder but understanding its unique characteristics in your case. This depth of insight ensures that interventions directly target the root of the symptoms present as possibly jaw pain, setting the stage for a more effective and focused approach to management. Entering the journey of TMJ treatment without this critical step is akin to navigating without a map, where understanding the exact nature of the terrain ahead is indispensable for charting a successful course forward.

Unpacking the Mechanics of Your Jaw

Delving into the intricate mechanics of your jaw reveals a marvel of biological engineering, crucial for a nuanced understanding of TMJ disorders. The temporomandibular joint (TMJ) operates as one of the most complex systems in the human body, facilitating movements essential for chewing, speaking, and facial expressions. This joint hinges on the interaction between bones, muscles and discs, orchestrating the jaw’s motion. When this balance is disturbed, whether through misalignment, tension or disc displacement, it can trigger a cascade of symptoms, manifesting as pain and dysfunction.

Grasping the mechanical aspects of your jaw not only demystifies the root causes behind TMJ disorders but also empowers you with the knowledge to navigate treatment options more effectively. This insight lays the groundwork for personalized therapeutic strategies, targeting the mechanical dysfunctions at the heart of the disorder. Engaging with the mechanics of your jaw is, therefore, a pivotal step in unlocking a deeper comprehension of your condition, providing a solid foundation from which to explore targeted interventions and reclaim comfort and mobility in your jaw’s function.

Traditional and Innovative Treatment Strategies

Exploring the realm of TMJ disorder management, you will encounter a blend of traditional and groundbreaking strategies designed to alleviate discomfort and restore the disc. The cornerstone of conventional treatment often rests on the utilization of dental appliances. For us it is the ALF or the Modified Gelb appliances. These devices are engineered to correct misalignments within the cranium and the jaw position, offering a reprieve from the relentless grip of pain. Yet, the journey towards TMJ relief does not end here. Our treatment is broadened by the inclusion of innovative methods such as laser, laser and massage, and Neubie therapy, which harnesses the relaxing of the muscles to help mitigate symptoms.

Our adjunctive treatments target specific points to reduce tension and pain. Moreover, the incorporation of physical therapy and osteopathy offers a manual approach to adjusting other misalignments and enhancing the overall restoration of function. Each of these treatments, whether grounded in tradition or innovation, serves as a vital piece of the puzzle. Together, they form a comprehensive strategy aimed at navigating the complexities of TMJ disorder, offering a beacon of hope for those seeking to reclaim their comfort and quality of life.

Managing Discomfort While Awaiting Treatment Results

Navigating the interim period between the initiation of TMJ treatment and the realization of its benefits requires a strategic approach to discomfort management. This phase, often marked by persistent symptoms, demands interventions that provide immediate, albeit temporary, relief. Implementing heat or cold therapy emerges as a frontline strategy, offering a simple yet effective means to soothe the affected areas. The application of heat helps to relax muscles and increase blood flow, whereas cold packs can reduce inflammation and numb the pain.

Beyond these physical remedies, embracing relaxation techniques plays a crucial role in mitigating discomfort. Methods such as guided imagery, deep breathing exercises or progressive muscle relaxation can significantly lower stress levels, which in turn, can alleviate the intensity of TMJ-related pain. These practices not only offer solace from discomfort but also equip individuals with tools to manage stress more effectively, fostering a sense of control over their condition. Furthermore, a conscious effort to modify daily habits is imperative. Avoiding actions that overextend the jaw—such as yawning widely or chewing gum—can reduce exacerbation of symptoms, ensuring that the journey towards healing is not inadvertently hindered.

Engaging in these proactive measures not only eases the journey through the discomfort of TMJ disorders but also complements the long-term treatment strategy, setting a foundation for a more resilient and pain-free future.

The Role of Lifestyle Adjustments in TMJ Management

Embracing lifestyle modifications is a pivotal strategy in the holistic management of TMJ disorder. The incorporation of simple, yet profound changes can significantly amplify the effectiveness of your tailored treatment regimen. Cultivating habits such as maintaining an ergonomically sound posture not only benefits your jaw but also enhances your overall physical health. Consciously minimizing the consumption of hard or chewy foods can mitigate undue stress on the TMJ, facilitating smoother recovery and preventing flare-ups.

Additionally, the integration of stress reduction techniques, whether through engaging in regular physical activity or adopting mindfulness practices, serves as a cornerstone for alleviating TMJ symptoms. These adjustments, seemingly minor in isolation, collectively forge a powerful ally in your journey toward TMJ relief. By aligning daily habits with the goals of your treatment plan, you create a conducive environment for healing and long-term well-being, underscoring the profound impact of lifestyle choices on the path to mastering jaw pain and reclaiming your quality of life.

In Summary

This disorder is not widely understood but can be treated effectively and without surgery. In almost all cases, by wearing appliances and performing proper adjunctive treatments, pain can be reduced and well managed without surgical intervention. It is critical to acquire a really good and thorough diagnosis prior to any form of treatment because there are so many intricacies that need to be dealt with in this treatment. In most TMD cases it is not only a displaced disc in the TM joint that needs to be addressed, but also the asymmetry of the cranial bones as well as distortion to the cervical spine that must be handled at the same time. Finally, the motto we should live by with TMD is this: It’s all connected folks!

Call Today

Dr. Jeffrey Brown and our team look forward to helping you with your TMJ issues. If you would like to read more, check out our TMJ Treatment page. If you would like to schedule an appointment, please call 703-821-1103 to speak with a friendly member of our team!

The post Mastering Your Jaw Pain: Innovative Approaches to TMJ Management first appeared on Sleep & TMJ Therapy.

One of our success stories that really stands out is the daughter of one of my friends. The friend and my wife go way back – about 20 years – and that friend sent her daughter to see me earlier this year. She told me that her daughter was in so much pain that when she came home at night, she could do little more than curl up in a ball and cry herself to sleep. This young woman had already been to dozens of doctors over the years and could not function much longer with so much head and neck pain. She was even thinking that life was not worth it. We were able to figure things out pretty quickly and within a month she was feeling better than she had in years. This is how debilitating TMJ disorders can be and how remarkable it is when they are fixed.

Of course, there are failures – unfortunately, most of those are with the people who have been in really bad shape for too many years. The goal is always to avoid surgery but sometimes no matter what we do (appliance therapy, massages, laser treatments, etc.) we cannot get the disc back in place or it is already perforated. The analogy that I tell patients is that they should imagine their car having an oil leak, loud muffler, brake fluid leak, smoke-belching, etc. and the mechanic trying to fix it all to restore your car. This is just too much for any mechanic to totally fix. All you can do is hope for the best. In most cases, there can be some degree of improvement. This is how TMJ treatment can be at times. You hope for the best in a bad situation. In almost all cases, however, improvement is seen, and I am thankful and grateful for that.

As we close out 2023, I am grateful for the support of our friends, families and team members who have made all of our efforts so successful. My core team members are well aware of how much I appreciate their hard work and going beyond what is expected of them. We are now in a position to further spread the word about what we can do to help people improve their lives. Our office will be expanding as many of you have already seen when you visit. We will have a bit more space to be able to prepare the treatment rooms in advance of your visit to make sure our ‘on-timeness’ is really top-notch!

So, we end this wonderful year with good friends and family all around us. May you all have a most excellent 2024 and God Bless.

Dr. Jeff Brown

The post The End of Another Year is Here first appeared on Sleep & TMJ Therapy.

Diagnosis of the problem is paramount. A really well-done MRI is critical in determining the path of treatment, and many times getting good imaging is quite difficult. So here is the first ‘delay’ in fixing the problem, getting an appointment for a well done and well-read MRI. It can take several weeks to get that appointment and quite honestly some people just do not want to wait. I can’t blame them either. Let’s get it done now!

The next delay is just getting an appointment at the office to discuss all the issues. This is where we look at the bone from the CBCT X-ray and the soft tissue from the MRI. In most cases, people want their insurance to pay at least something and that in turn creates the next delay. Next on our list is the fact that with TMJ appliances, they are custom-made. This takes time. They are not something sitting on the shelf, ready to put in the mouth. It takes weeks to make them since they are custom made for each person.

Now let’s get to the next big delay. You have to wear the devices for 12-18 months to give the discs a chance to move back into the proper position. That’s right folks, it takes that long, especially if the discs have been displaced for several years. The discs don’t just fall back into place instantly. It will take time and patience. Of course, some are not willing to devote such time (and patience) to their health, so they do not do anything. That is OK as not everyone is experiencing the same level of pain or discomfort. When it gets really bad, the patient will pursue treatment but generally now the problem is harder to fix, costs more, and takes more time. This is like most things in life.

Finally, the biggest time consumer of all – finishing after the discs are back in place. In most cases, orthodontic work is needed to grow the teeth taller to protect and support the TM joints (the jaw joints). Orthodontics can take 1 ½ -3 years, easily! So here you are, having spent all this time on appliances only to realize it’s going to take another couple of years. You are basically dedicating up to 4-5 years of your life toward fixing a TMJ problem. This is why we always tell our patients phase one is appliance therapy and phase two is finishing. Thus, the question has been answered. Now you know why TMJ treatment can take so long!

The post The Case of: “Why Does This Take So Long?” first appeared on Sleep & TMJ Therapy.