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TREATMENT
An orthotic is a custom made appliance fabricated of plastic that can be worn over the teeth to maintain the neuromuscularly derived bite position.
At this point, nothing permanent is done to alter your teeth or bite. You typically wear this plastic appliance for a prescribed period of time to verify that this new jaw position solves or reduces the problem. If it does, it has proven that the imperfect bite was the cause of the problem and you may elect to go on and have your natural teeth treated to permanently maintain that new bite position.
If symptoms are not substantially alleviated, the bite position is most likely not the case of the problem. Your natural bite has not been altered and other causes may then be further explored. (although this latter circumstance is possible, it is not likely since the dentist will only proceed with an orthosis if there are strong indications that the bite is a major factor in your problem.)
WHAT IS 'TMJ' OR 'TMD'?
'TMJ', although it has become almost a household word, is a non-specific, catch-all term for a variety of pain/dysfunction conditions of the head and neck.
It was originally derived from 'Temporomandibular Joint', your jaw joints - once thought to be the source of most of these ailments.
Today we know that there are many causes of head and neck problems that may or may not be related to the temporomandibular joint. For this reason, although not as widely familiar, most dentists use 'TMD' (for temporomandibular disorders) to more accurately describe the condition.
You may normally think of a number of the symptoms of TMD as being medical conditions, not related to dentistry. This booklet will explain what they are, why they may involve your dentist, and how the dentist would diagnose and treat them.
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