I have been treating TMD (TMJ) for 31 years. Before 1980 I didn't understand what a good or bad bite was. Of course I recognized what crooked teeth were but I was never taught what a good, natural, fit of teeth was. In the beginning, God formed the whole body. There was a devine architectual plan that preceded anything that the best dentists could come up with. So God had a plan as to how the teeth would come in to occlusion. Of course this plan was perfect until the babies were sleeping on their faces, not their backs. Sucking the thumbs, infections, habits, and trauma and many other problems caused, and interrupted a otherwise perfect set of teeth. This perfect bite now known as Organic occlusion satisfies by reducing or eliminating any adverse forces on the TM joints. I believe this bite correction procedure should be done first. This procedure by small grindings on the enamel allows the jaw to seat in the rearmost hinge position and all the teeth meet their opponent exactly at the same time.I have heard for years that splints should always be done first. The argument is made because there may be displaced discs or otherwise internal joint disfigurements. Well, this is a good argument except that the minute you change the normal vertical dimension, you start an orthodontic movement that could be difficult to correct. Fix the bite first and follow up by mini-corrections until the bite becomes stable and remains Organic. As the healing begins, the joints heal and change shape. This causes the bite to not fit correctly. When you sprain your ankle there is always swelling, so you expect the same in the TM joints. When this correction is done, there is always healing. The more damage, the longer the malocclusion, the older the patient: all of these change the healing process.
I hope this answers some of the question that come up when discussing TMD
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Friday, December 13, 2013
One of my biggest regrets about writing my TMJcured book is not giving the credit for the perfect bite (called organic occlusion) to God. After all didn't He design the eyes that can detect a candle 100 football fields away. And who designed the body to withstand the punishment from contact sports like football that we see everyday. We see the sprains, broken bones, torn ligaments and loss of body parts from our brave veterans returning from war. The healing ability of the body never ceases to amaze me. Just think of how unbelievably God can heal. And when a child is born, how the babies" head doubles and triples in size the first few years. All the technologies we have today put together cannot equal what God did when He formed us in the womb. I have watched dental ailments, worn flat teeth, missing teeth, crooked teeth, poorly shaped faces, periodontal disease, bleeding gums, split teeth, broken teeth, black and brown stained teeth, crudely shaped crowns, decayed beyond recognition teeth, and yet the person survives. Some do so with out TMD or joint pains. Some of the worst TMD patients have a very good bite. It seems that some bites are just a slight bit out of alignment and when I fix the bite the pain goes away. Then the perfect alignment disappears because the joint or joints have no adverse pressure and like a sprained ankle, the swelling goes down and changes the location of the rearmost hinge position of the jaw. That starts the pain again. You have to recalibrate the teeth to the rearmost hinge position again. This healing comes from God's amazing healing power along with a perfect organic occlusion bite.
http://tmjcured.blogspot.kr/
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