TMD Problems that Challenge Dentistry: Four Main Categories

The Four TMD Problem Categories That Dentistry Still Struggles to Resolve — And Why GNM Has the Answers

Most dentists are comfortable treating the straightforward 80% of TMD cases — basic muscle pain, mild joint discomfort, uncomplicated occlusal problems. But there are four specific categories of TMD that consistently challenge the profession and lead to case failure, relapse and patient frustration. These are the cases where cervical dysfunction, primary joint derangement, Class II Division 2 over-closed bites and anterior open bite patterns intersect with chronic pain — and where standard splints, deprogrammers and even basic neuromuscular orthotics consistently fall short. GNM was built specifically to solve these four categories.

FOUR Main Categories of TMD Problems that Challenge Dentistry

“TMD/TMJ” problems are often not clearly defined amongst clinicians since the musculoskeletal occlusal signs and symptoms cross over into multiple areas involving the dental structural, general body postural, masticatory, occlusal, temporomandibular joints as well as biochemical and emotional (CNS) levels of this disorder.

Human Articulator- GNM Clayton Chan, DDS

TMD pain problems (or technically cranio-mandibular disorders) is not simply a temporomandibular joint problem or simply orofacial pain problem for all patients. There is typically key areas to which each TMD case may be rooted, although there can be overlapping problems of each of the following 4 areas as possibly secondary or tertiary.

The TMD patient and dentist should be able to identify, diagnose and know how to effectively treat each one of these areas of effective treatment is going to be successful. Not understanding one or more of these problems will lead to case failure and disappointment.

Each of these 4 main types of TMD problems have their unique and predominate problems which should be recognized, understood and effectively remedied by the treating clinician if resolution of the overall craniomandibular disorder and pain is to be resolved.

Inadvertently providing intra oral splints, deprogrammers, anterior discluding devies and even neuromuscular orthotics will not be proven successful unless the dentist understands the underlying issues of both gnathology and neuromuscular occlusion principles. Using K7 computerized jaw tracking, electromyograhpy (EMGs) and TENS will not be sufficient enough to resolve the underlying issues of TMD in a timely manner unless the clinician is trained and educated in the fundamentals of occlusion.

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