TMD is common in deep bites, midline discrepancies, narrow arches, tongue thrusts, etc. These patients invariably suffer from headaches, neck aches, shoulder aches, tinnitus, pain around eyes, migraines, facial asymmetry, etc. 60% of all those uncured headache patients queueing up at the ENT’s clinic are TMD patients. Identification of these problems and solving them without the equipments is the mastery of NMD. TMD can be treated by many methods. For example:
Deep bites can be corrected by giving crown build ups on either side of the posterior arches after bringing the mandible downward and forward to an inter incisal position with an overbite of 1.5mm and overjet of 1mm
Midline discrepancy can be cleared by manually shifting the mandible laterally so that the lower labial frenulum is aligned with the upper labial frenulum and training the mandible into that occlusion with the help of an inclined plane.
These may be successful as 80% of all TMD are occlusal
However, Kinesiology would be advised for precision as muscle relaxation is involved. This is the ideal way as 90% of all TMD is Myogenous (Muscle related).
NMD is done in following 2 phases:
The first phase is the splint therapy. A lower splint is constructed by filling the space between the teeth that is created by the use of a TENS device that relaxes your facial muscles and then the use of a highly sophisticated mandibular tracking device that determines the actual position of your mandible after confirming the normalcy attained by your muscles with an EMG.
Once the symptoms are nil, normally after a period of 6-8 months, the splint is removed and the 2nd phase is started, wherein the space is permanently closed by either crown/bridges or orthodontic therapy.
We now have cad-cam created precise Zirconia tooth coloured orthotics which are removable and hence no further tooth-reduction is required