Among the problems we treat are:
Temporomandibular joint disorders can arise from two major causes
There are many conditions that may case TMJ problems. Each condition requires an accurate diagnosis and specific treatment. Among the various problems that can lead to TMJ pain and dysfunction are:
Clicking in the TMJ wihtout pain is present in the majority of the population. Clicking accompanied by limited range of motion, pain, or locking is referred to as an "internal disk derangement." Most commonly the disk is positioned in front of its normal position (see the video demonstration).
Dr. Orden specializes in treatment of these conditions by using a graduated approach. Initial treatment in early cases can often be accomplished with physiotherapy or plastic mouthguard.
Patients that do not respond to 'conservative' splints can be treated by outpatient arthroscopy and irrigation. Very few cases need corrective joint surgery.
NIH (National Institute of Health) is the recognized medical authority in the United States. Click on this link to read what the NIH says about TMJ Disorders NIH Guidlines for Treatment of TMU Disorders
Prosthetic plastic splints or bite plates that fit over the upper and lower teeth can also help reduce masticatory muscle tension that comes from clenching and grinding. This treatment, accompanied by analgesics works to relieve this condition in the majority of patients.