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WHAT MAKES A TMJ CASE MORE CHALLENGING TO STABILIZE:
- If one has missing teeth like bicuspids (less teeth make the occlusion less stable and more challenging, but not impossible.
- If one has upper missing molars or missing lower second molars, it makes the case more difficult, not impossible.
- If one is a clencher type, high proprioceptive detailed aware person….not impossible, but again presents its form of challenges.
- If one is taking narcotic medications or SSRI medications that contribute to clenching muscles – can add to TMD and stabilizing challenges.
- If one has cervical neck (atlas, axis) and occipital instability…can make treatment more challenging, not impossible, but again adds another layer to the problem.
- if one has pelvis and lower back problems.
- If one has a severe restricted mouth opening problem (restricted anterior displaced disc positioning of the TM joints), another added challenge to the TMD problem.
- If one has biochemical imbalances (nutritional deficiencies) can add to the muscle problems.
These are just some of the issues that distinguish different TMD problems from other TMD problems.
NOTE: Not all TMD problems are the same. Just as individuals are unique and may also have a unique set of problems that are different than others individuals. Some TMD cases naturally will require certain skills, understanding, knowledge, effort and more time that may be required then the standard traditional TMJ protocols. TMJ patients should realize these differences and their uniqueness.
Training, understanding, skill and experience of your dentist is required in order to effectively address these common yet complex TMD issues. Check with your dentist as to their understanding about your particular needs in stabilizing your muscles, joints and bite/occlusion.
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