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What Are TMJ Orthotics and Full Mouth Rehabilitation?

TMJ (temporomandibular joint) orthotics and full mouth rehabilitation are specialized dental treatments aimed at addressing jaw dysfunction and restoring overall oral health. Using advanced technology, including Biometrics Biopak muscle EMG (electromyography) technology and jaw tracking, these treatments provide precise diagnostics and tailored solutions for patients suffering from TMJ disorders and complex dental issues.

TMJD Treatment

Teeth becoming shorter over time is a sign of severe grinding and use of teeth. To realign the bite and restore normal use, a removable device is placed in the mouth 24 hours a day to the ideal position that is comfortable for the individual's jaw muscles. We use muscle sensors to detect muscle activity and use a device that will allow us to create a smile that is esthetically ideal for the patient. Every smile, every mouth is unique. There is no one-size fits all, that is why having objective information about the muscles is so important. We use the Bioresearch Biopak Jaw Tracker technology to aid us in finding the right bite that is comfortable to the patient. Once we can find the comfortable spot, that's when we can move into full mouth rehabilitation. In this case, we used non-invasive dentistry to restore the mouth using no-prep composite dentistry.
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What They Are: This is phase 1 of TMJ treatment. TMJ orthotics are custom-made dental devices designed to stabilize the jaw and alleviate symptoms associated with TMJ disorders. These orthotics help to realign the bite, reduce muscle tension, and relieve pain in the jaw, neck, and head. Orthotics are removable by the patient and are reversible, but needs the care of Dr. Yang and compliance of the patient.

Indications: TMJ orthotics are ideal for patients experiencing symptoms such as jaw pain, clicking or popping of the jaw, headaches, and teeth grinding (bruxism). They are often recommended as a non-invasive first step in treating TMJ issues.

Benefits: By providing a comfortable and supportive environment for the jaw, TMJ orthotics can lead to reduced pain, improved jaw function, and better overall quality of life.

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Night Guard

One of the simplest ways to protect your teeth from wearing down and breaking is to wear a night guard. It can also help you see the marks on the guard if you grind your teeth at night.
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Jaw Tracker Technology and Muscle EMG Readings

To objectively see if your jaw muscles are overworking, we use our jaw tracking and muscle activity machine to measure.

Full Mouth Rehabilitation

What It Is: This is Phase II of TMJ Treatment. Full mouth rehabilitation involves a comprehensive approach to restoring the function and aesthetics of a patient’s entire mouth. This treatment may encompass various procedures, including crowns, bridges, implants, and orthodontics, tailored to meet individual needs.

Indications: Full mouth rehabilitation is recommended for patients with multiple dental issues, such as severe wear, misalignment, extensive decay, or tooth loss. It aims to restore both the function and appearance of the smile.

Benefits: This multidisciplinary approach allows for a complete assessment and treatment plan, ensuring that all aspects of your oral health are addressed for optimal results.

Before

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Kathy's original teeth were severely worn down due to grinding, TMJ disorder, and facial muscle discomfort.
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Before

There had already been so much damage to her teeth that removing more teeth to rebuild them was not ideal. She had to be treated in a way that conserved the strength of her teeth.

Close up photo of her smile before we restored her bite.

After

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We used composite resin veneers to restore her smile. This smile was achieved without grinding away any natural teeth.The white filling material we placed on her teeth allowed us to rebuild her teeth while protecting them from future damage.
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After

We created her beautiful smile based on her golden proportion measurements.

Close up of her smile after the resin veneers were placed by Dr. Yang.

The Process of Getting a Dental Implant

The journey to a restored smile typically involves several key steps:

CONSULT

This is the first step in the full arch process. During this appointment, you will meet with your Dr. Kurt O. Bally DMD FICOI to discuss your needs and options for dental implants. The consultation will typically take about an hour. This first and free visit is $525 value.
STEP 1
STEP 2

RECORDS

Your dentist will take a series of records, including dental x-rays, 3D scans, and photographs. These records will be used to create a treatment plan and to fabricate your dental implants.

PRE-SURGICAL CONSULT

This appointment is held before the surgery to discuss the risks and benefits of the procedure, as well as the recovery process. You will also have a chance to ask any questions you may have.
STEP 3
STEP 4

SURGERY

This is the procedure where the implants are placed into your jawbone. The surgery typically takes about 2 hours per jaw and is done safely with oral anesthesia. All patients leave with their new temporary teeth on the day of the surgery and will return within 1-2 weeks to have their first post-op visit and receive their fist implant prototype teeth. It is important to remain on a very soft diet after surgery and before receiving your first prototype.

PROTOTYPES

1-2 weeks after your surgery you will return to check your healing and receive your first set of implant prototype teeth that will be attached directly to your implants. We allow up to 3 versions of teeth during the healing process to ensure the dentist and patient is happy with the look and feel. As your implants heal your dentist will create a series of prototypes for your implant bridge. These prototypes will be used to test the fit and function of the bridge before it is permanently placed.
STEP 5
STEP 6

HEALING

The implants will need to heal for 4-6 months before the next step can be taken. Dr. Bally will also provide a night guard to help prevent excess pressure from going to your implants. As you heal you will remain on a soft diet.

PROTOTYPING AND VERIFICATION

Once the implants have healed, your dentist will create a final prototype of your dental bridge. This prototype will be verified to ensure that it is the correct size, shape, and color. Before authorizing the fabrication of your new zirconia implant smile.
STEP 7
STEP 8

DELIVERY

This is the appointment where your permanent dental bridge is placed. The procedure typically takes about 1 hour. It's a truly rewarding visit for everyone.

POST-DELIVERY CONSULT AND DOCUMENTATION

This appointment is held after your new zirconia implant smile is installed and your final night guard is given and instructions to maintain your smile are discussed. Final pictures, X-rays and video mark the end of your zirconia implant smile journey.
STEP 9
STEP 10

MAINTENANCE

Your zirconia implant smile will need to be maintained on a regular basis to ensure that it continues to function properly. This may include cleaning, adjustments, and checkups.

Comprehensive Evaluation

Your journey begins with a thorough examination that includes a review of your medical history, dental concerns, and a detailed assessment using Biometrics technology.

Diagnostic Imaging

Advanced imaging techniques, including jaw tracking and muscle EMG measurements, will be employed to analyze your jaw function and identify any dysfunction or misalignment.

Custom Treatment Plan

Based on the findings, your dentist will develop a personalized treatment plan that may include TMJ orthotics for symptom relief and a comprehensive full mouth rehabilitation strategy.

Fabrication of Orthotics

If TMJ orthotics are recommended, custom appliances will be fabricated to fit your mouth comfortably and support proper jaw alignment.

Rehabilitation Procedures

For full mouth rehabilitation, necessary procedures (such as composites, crowns, implants, or orthodontic treatments) will be performed according to the agreed-upon plan, only after phase 1 orthotics is complete and your bite is in a stable, comfortable position.

Follow-Up Care

Regular follow-up appointments will allow for adjustments to orthotics and ongoing evaluations of your treatment progress, ensuring optimal outcomes.

Utilizing Advanced Technology

Both TMJ orthotics and full mouth rehabilitation benefit from cutting-edge technology:

Biometrics Bioresearch Biopak Muscle EMG Technology: This advanced system measures muscle activity in the jaw and surrounding areas, providing valuable data to help diagnose TMJ disorders and assess muscle function.

Jaw Tracker: This technology monitors jaw movements and positions, offering insights into how the jaw functions during various activities, such as chewing and speaking. The combination of muscle EMG and jaw tracking enables precise treatment planning and customized orthotic devices.

TMJ Treatment Results: See the Transformation

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Ready to Restore Your Oral Health?

If you’re experiencing TMJ discomfort or have complex dental needs, our expert team is here to help! Schedule a consultation today to explore how TMJ orthotics and full mouth rehabilitation using advanced Biometrics technology can transform your smile and improve your quality of life. Don’t wait—take the first step toward a healthier, more comfortable mouth today!
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