Rehab Cell

Physical Medicine and Rehabilitation

Houston Treatment for TMJ- Dentistry by John Barras DDS

Houston Treatment for TMJ-  Dentistry by John Barras DDS


– Hi, I’m Dr. John
Barras, I’m a dentist here in Houston, and we
treat a lot of TMJ patients. What we find with a lot of
our TMJ patients is that they don’t know who to go
seek out for treatment. They’ve been to chiropractors,
they’ve been to ENTs, they’ve been to
neurologists in some point. A lot of them take a
lot of medications. What we do in our office
is we explain to them the causes of TMJ. So when a patient
comes into our office, we’ll take photos and we
will go over the photos with the patient and
what we’re looking at is how the relationship of
the teeth come together. The TMJ is a complex area
and what we know is that the teeth and the
muscles and the TMJ joint all work together. What we know is that if the
teeth are out of balance or they’re not working
properly together, that the muscles will
also be out of balance and won’t work
properly together. When the muscles don’t work
together and they’re uneven and one side works
harder than the other we get muscle fatigue. The muscle fatigue will
cause lactic acid buildup which in turn will cause
headaches and discomfort and things like that,
that don’t go away with chiropractic treatment,
seeing an ENT, or any of these
other specialties. They will subside
for a little while, but the overall problem is the
tooth-to-tooth relationship. So in our office,
one would come in, we’d do the photos
and see how the teeth are coming together,
and what sort of balance that we’re not in. If we deem that the teeth
aren’t in a good balance by looking at some
of the photos, we’ll recommend what
we call a bite test. A bite test consists
of getting the teeth, trying to figure out if
we can get you comfortable by getting the teeth
in a proper balance. If we can get the teeth
in a proper balance and relax the muscles,
then the headaches will seem to subside. In our office what we
do is a six-week test. We place an orthotic,
which is supposed to balance the bite,
and we check the bite over a course of a
six-week period of time. If we can resolve
symptoms or get them way better than where they were, then we can come up
with permanent options. So how we figure out what
our permanent options are is we look at your
models of your teeth before we did an orthotic,
and then we look at the model of the
upper model with the lower orthotic in
place, and we compare. Sometimes we can move your
teeth into that position if they haven’t been
worn down, broken down, over-closed or
anything like that. So that is a really good option, and we can move the teeth
into proper position and get you
comfortable that way. Sometimes if the teeth have
been damaged or things, we might need to rebuild
some of the teeth to get them in a proper
position with veneers or crowns, that sort of thing. Then the other option is
sometimes a possibility of both moving the teeth and
rebuilding some specific teeth. So that’s what we look
for in our office. We offer complimentary
consults for our patients to come in, so we would
definitely welcome you to give us a call if
you had any questions regarding your TMJ
issues or signs, symptoms that you might have.

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