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The Elements - of facial aesthetics!
Dental & Facial Cosmetic Surgery Center
#26-27, Plot No. 38/39, Keshav Kunj' I,
'Sector 30, Vashi-Sanpada Stn. Road
Navi Mumbai 400 705
Tel:- +91 22 6411 3114, 2781 0730
Mobile:- +91 981 981 6669
Email:-info@theelements.in
 
 
Facial Pain Clinic
Facial pain, Headaches / migraines, Pain in back, neck and shoulder areas and other similar complaints from the patient can be the symptoms of Neuromuscular problems.
Neuromuscular dentistry acknowledges the multi-facted musculoskeletal occlusal signs and symptoms that relates to postural problems involving the lower jaw and cervical region.
It differs from traditional dentistry in its approach to understand the complex relationship of the hard (jaws and joints) and soft tissues( head and neck musculature and nerves) of the oro-facial region and to make the relationship a harmonious one.
Why Neuromuscular Dentistry is important?
When the jaw is misaligned, both the hard and soft tissues are affected and many physiological problems can result, such as headaches, jaw pain, neck and shoulder pain, tinnitus, or ringing in the ears, and clicking or popping sounds in the jaw joint. In a number of cases, these symptoms are the result of TMJ (temporomandibular joint syndrome), also referred to as TMD (temporomandibular joint disorder) or MPD (myofascial pain dysfunction)..
Neuromuscular dentistry recognizes the need to solve the root of the misalignment problem(s) by understanding the relationships of the tissues which include the muscles, teeth, temporomandibular joints, and nerves or in general ‘The Occlusion’.

Temporomandibular  Disorder:

Causes: Causes of TMD are unclear, but it is believed that symptoms arise from problems with the muscles of the jaw or with the parts of the joint itself. Possible causes include:
Injury to the jaw, temporomandibular joint, or muscles of the head and neck - such as from a heavy blow or whiplash.
Grinding or clenching the teeth, which puts a lot of pressure on the TMJ.
Dislocation of the soft cushion or disc between the ball and socket.
Presence of osteoarthritis or rheumatoid arthritis in the TMJ.
Psychological Stress, which can cause a person to tighten facial and jaw muscles or clench the teeth.
Symptoms: People with TMD can experience severe pain and discomfort that can be temporary or last for many years. More women than men experience TMD and TMD is seen most commonly in people between the ages of 20 and 40.
Common symptoms of TMD include:
Pain or tenderness in the face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide
Limited ability to open the mouth very wide
Jaws that get "stuck" or "lock" in the open- or closed-mouth position
Clicking, popping, or grating sounds in the jaw joint when opening or closing the mouth (which may or may not be accompanied by pain)
A tired feeling in the face
Difficulty chewing or a sudden uncomfortable bite - as if the upper and lower teeth are not fitting together properly
Other common symptoms of TMD include toothaches, headaches, neckaches, dizziness, earaches, and hearing problems.
Diagnosis: Because many other conditions can cause similar symptoms - including a toothache, sinus problems, arthritis, or gum disease - the dentist will conduct a careful patient history and clinical examination to determine the cause of your TMD symptoms.
The dentist will check your temporomandibular joints for pain or tenderness; listen for clicking, popping or grating sounds during jaw movement; look for limited motion or locking of the jaw while opening or closing the mouth; and examine bite and facial muscle function.
X-rays will be taken to view the entire jaws, TMJ, and teeth to make sure other problems aren't causing the symptoms.
Other imaging tests, such as magnetic resonance imaging (MRI) or a computer tomography (CT), may be needed.
Electromyography(EMG) is used to measure your jaw's muscle function in both its stressed and relaxed positions, and will also measure the jaw-to-skull relationship to see if there is a structural imbalance.
A tired feeling in the face
Difficulty chewing or a sudden uncomfortable bite - as if the upper and lower teeth are not fitting together properly
Treatment:
Basic Treatment:
Apply moist heat or cold packs
Apply an ice pack to the side of your face and temple area for about 10 minutes. Do a few simple stretching exercises for your jaw (as instructed by your dentist or physical therapist). After exercising, apply a warm towel or washcloth to the side of your face for about 5 minutes. Perform this routine a few times each day.
Eat soft foods
Eat soft foods such as yogurt, mashed potatoes, cottage cheese, soup, scrambled eggs, fish, cooked fruits and vegetables, beans and grains. In addition,cut foods into small pieces to decrease the amount of chewing required. Avoid hard and crunchy foods (like hard rolls, pretzels, raw carrots), chewy foods (like caramels and taffy) and thick and large foods that require your mouth to open wide to fit.
Medications
To relieve muscle pain and swelling, try nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen (Advil, Motrin, Aleve), which can be bought over-the-counter. Your dentist can prescribe higher doses of these or other NSAIDs or other drugs for pain such as narcotic pain relievers. Muscle relaxants, especially for people who grind or clench their teeth, can help relax tight jaw muscles. Anti-anxiety medications can help relieve stress that is sometimes thought to aggravate TMD. Antidepressants, when used in low doses, can also help reduce or control pain.
Splint or night guard
Splints and night guards are plastic mouthpieces that fit over the upper and lower teeth. They prevent the upper and lower teeth from coming together, lessening the effects of clenching or grinding the teeth. They also correct the bite by positioning the teeth in their most correct and least traumatic position. The main difference between splints and night guards is that night guards are only worn at night and splints are worn full time (24 hours a day for 7 days). Your dentist will discuss with you what type of mouth guard appliance you may need.
Corrective dental treatments
Replace missing teeth; use crowns, bridges, or braces to balance the biting surfaces of your teeth or to correct a bite problem.
Avoid extreme jaw movements
Keep yawning and chewing (especially gum or ice) to a minimum and avoid extreme jaw movements such as yelling or singing.
Don't rest your chin on your hand or hold the telephone between your shoulder and ear. Practice good posture to reduce neck and facial pain.
Keep your teeth slightly apart as often as you can to relieve pressure on the jaw. To control clenching or grinding during the day, place your tongue between your teeth.
Learning relaxation techniques to help control muscle tension in the jaw. Ask your dentist about the need for physical therapy or massage. Consider stress reduction therapy, including biofeedback.
Non-invasive Treatment:
Transcutaneous electrical nerve stimulation (TENS)
This therapy uses low-level electrical currents to provide pain relief by relaxing the jaw joint and facial muscles. This treatment can be done at the dentist's office or at home.
Ultrasound
Ultrasound treatment is deep heat that is applied to the TMJ to relieve soreness or improve mobility.
Trigger-point injections
Pain medication or anesthesia is injected into tender facial muscles called "trigger points"" to relieve pain.
Radio wave therapy
Radio waves create a low level electrical stimulation to the joint, which increases blood flow. The patient experiences relief of pain in the joint.
Invasive Treatment:
Surgery should only be considered after all other treatment options have been tried and you are still experiencing severe, persistent pain. Because surgery is irreversible, it is wise to get a second or even third opinion from other dentists.
There are three types of surgery for TMD:
Arthrocentesis
Arthroscopy
Open-joint surgery
The type of surgery needed depends on the TMD problem.
 
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