Migraines and TMJ

Did you know that migraines and TMJ issues are caused by a bad bite. Chances are you know someone that is one of these sufferers (if not you). At least half of the people have headaches so severe that is can be disabling and affect their lifestyle.  Talk to us about ways to get rid of your headaches.

Call The Office

Office Location

54 Third Street
Collingwood, ON L9Y 1K3

Migraines & Headaches

It is estimated that 45 million Americans suffer from chronic headaches. That equates to 1 in 6 Americans. Chances are you know someone that is one of these sufferers (if not you). At least half of the people have headaches so severe that is can be disabling and affect their lifestyle.

This can also be costly:

  • Chronic headache victims make over 8 million doctor visits/year
  • Migraine sufferers lose over 157 million workdays/year
  • Economic costs of lost time due to migraines is staggering

If you are living with chronic head, neck and facial pain, if you are taking more than 4 painkillers per week, if you have visited more doctors than you can count, the pain may not be in your head.

Furthermore, new research has shown that each headache you suffer from ends up damaging brain cells. Many times it is caused by a misaligned jaw, or a “bad bite”. We use the latest techniques to treat your pain without drugs by gently realigning the muscles and nerves in your Temporal Mandibular Joint, or TMJ. This is a small joint that causes big problems when it is out of place.

 

How Do Neuromuscular Dentists Diagnose and Treat Symptoms?

TMJ / TMD Diagnosis

Neuromuscular dentists use state-of-the-art technology to determine if your symptoms are caused by malocclusion and if so, what your optimal jaw position is. Dr. Salyani uses computerized jaw tracking instruments to record jaw movement, resting position, and path of closure. Electromyography is used to measure your jaw’s muscle function in both its stressed and relaxed positions, and will also measure the jaw-to-skull relationship to see if there is a structural imbalance. Sonography is used to record jaw joint sounds to detect any abnormalities. Additionally, x-rays of the jaw may be taken to help evaluate the condition and positioning of the joint.

TMJ / TMD Treatment

Once your neuromuscular dentist has diagnosed you with TMJ, he can determine the best course of treatment for your specific needs. Typically treatment will follow three steps:

  1. Relieve muscle spasm and pain.
    The immediate concern for neuromuscular dentists is to provide relief of your symptoms. The best way to do this is by using a technology called ULF-TENS. ULF-TENS stands for Ultra Low Frequency Transcutaneous Electrical Neural Stimulation, but don’t let this term intimidate you. Basically, ULF-TENS is a way to relax muscles with a gentle massage of the muscles. The rhythmic pulsing relaxes the muscles by increasing blood flow and pumping out waste products. ULF-TENS also helps with pain relief by stimulating the body’s production of endorphins, the body’s natural anesthetic.
  2. Stabilize the bite.
    Often for this step a temporary device, known as an orthotic is worn over the teeth. The orthotic allows your neuromuscular dentist to make easy adjustments to the plastic without adjusting the teeth until the bite is stabilized. Once symptoms are relieved and the bite has been stabilized, your dentist will move on to the next step and permanently adjust your bite to the correct position.
  3. Long-term management.
    There are a variety of ways to correct your bite in a more permanent way. Four of the most common of these approaches are outlined below:
    * Coronoplasty/Equilibration
    Coronoplasty is smoothing and reshaping the enamel of the teeth to correct your bite. It is a simple procedure
that does not require anesthesia and can be used when the bite is only slightly misaligned.
    * Removable Overlay Partials
    These are permanent orthotics that usually fit over the back teeth and are designed to maintain an aligned bite.
    * Reconstruction
    This approach involves making the teeth higher by using crowns. This permanently realigns the bite and provides structural support for the jaw.
    * Orthodontics (Braces)
    When the teeth are healthy they may be moved to the optimal position using braces.

If you or someone you know are suffering from head, neck or jaw pain, Dr. Salyani can help. Call our office for a consultation

TMJ  Self-Examinatrion Checklist

  • Have you ever had braces?
  • Do you have grating, clicking, or popping sounds in either or both jaw joints when you open your mouth or chew?
  • Do you have sensations of stuffiness, pressure or blockage in your ears?
  • Do your ears produce excessive wax?
  • Do you ever have a ringing, roaring, hissing or buzzing sound in your ears?
  • Do you ever feel dizzy or faint?
  • Is your jaw painful or locked when you get up in the morning?
  • Are you ever nauseated for no apparent reason?
  • Do you fatigue easily or consider yourself chronically fatigued?
  • Are there imprints of your teeth on the side of your tongue?
  • Does your tongue go between your front teeth when you swallow?
  • Do your fingers sometimes go numb for no reason?
  • Do you have pain or soreness in any of the following areas (please circle); jaw joints, upper jaw or teeth, lower jaw or
    teeth, side of neck, back of head, forehead, behind eyes, temples, tongue or chewing muscles?
  • Is it hard to move your jaw from side to side, or forward and back?
  • Do you have difficulty in chewing your food?
  • Do you have any missing back teeth?
  • Have you had any extensive dental crowns and bridgework?
  • Do you clench your teeth during the day or night?
  • Do you grind your teeth at night?
  • Do you ever awaken with a headache?
  • Have you ever had a whiplash injury?
  • Have you ever worn a cervical collar or had neck traction?
  • Have you ever experienced a blow to the chin, face or head?
  • Have you reached the point where prescription drugs no longer relieve your symptoms?
  • Does chewing gum start your symptoms?
  • Is it painful, or is there soreness, when you press on your jaw joints or on the cheek just below them?
  • Is it painful to stick your little finger into your ears with your mouth open wide and then close your mouth while
    pressing forward with those fingers? (It sounds strange, but try it.)
  • Does your jaw deviate to the left or right when you open wide?
  • Are you unable to comfortably insert your first three fingers vertically into your mouth when it is opened wide?

On a pain scale of 0-10, 10 being the worst pain you have ever experienced with this problem, where are you now?
Complete Comfort = 0 • 1 • 2 • 3 • 4 • 5 • 6 • 7 • 8 • 9 • 10 = Severe Pain

If you checked four or more of the above and are experiencing a pain level of five or higher, you may be suffering from TMJ. Call (705)293-7700  or (905)303-1231 today or submit an appointment request online at collingwooddentistry.ca to consult with Dr. Salyani about this disorder.

Find Headache Relief with Dr. Salyani

Chronic headaches plague an estimated 1 in 6 people and cause American workers to lose more than a combined 157-million workdays per year. The cost in work time lost and medical treatment exceeds 50-million dollars per year. If you are one of the millions of sufferers, you know that headaches are painful, costly, and often debilitating, but did you also know that your dentist could hold the key to your relief?

You Can Be Headache-Free!

Through years of dedication to continuing studies, Dr. Salyani has stayed abreast of changing dental technology and current research on TMJ dysfunction and related headaches. You deserve relief. If headaches or other TMJ dysfunction symptoms keep you from living your life to the fullest, call Collingwood and Maple Laser Dentistry today.

What is TMJ?

Temporomandibular joint disorder (TMJ/TMD), is a term used to describe a group of symptoms including headaches; facial pain; jaw pain; sore, chipped, broken, or worn teeth, clicking or popping in the jaw, and limited jaw movement. In many cases people suffering from TMJ/TMD report chronic pain in the jaw, teeth, face, head, neck, shoulders, or back, or any combination of these areas. Snoring, grinding of teeth, frequent ear infections and restricted airway are other problems associated with TMJ/TMD.

This group of symptoms is also referred to as MPD (myofascial pain dysfunction) and craniomandibular dysfunction.Who Suffers From TMJ?The majority of people suffer to a greater or lesser degree from TMJ. Although women report more pain from TMJ, TMJ in men causes as much or more damage to the teeth, gums, bones and joints. Children are especially sensitive to TMJ and usually show early signs with ear infections, leaning their head on an arm, lip, cheek, or finger biting, sucking or chewing, headaches, snoring, grinding of their teeth at night, and significant chewing of gum.

TMJ stands for “temporomandibular joint,” or jaw joint. These are the small joints in front of each ear that attach the lower jaw to the skull, and happen to be the most complex joints in the entire body. The area of the face where the TMJ is located is an intricate network of bones, including the teeth, muscles, and nerves. Because of this, TMJ (dysfunction) conditions affect many areas of the body, from the top of the head in migraine-like headaches to numbness or tingling in the arms and pain in the neck or shoulders.

In most cases, TMJ disorders stem from a condition called malocclusion, which means having a “bad bite”. Malocclusion means that your upper and lower teeth do not close together in the correct way—they are misaligned often as the result of accidents and trauma. This includes underbites and overbites. When the teeth are misaligned, they cannot provide the support the muscles in the face need for chewing and swallowing. These muscles are then forced into a strained position, resulting in pain throughout the face, head, arms, shoulders, and back. Although a person may have beautiful teeth or had orthodontics to line the teeth up for aesthetic reasons, the muscles and joints may not be comfortable.

Neuromuscular dentists first measure the most relaxed position of your jaw to determine the goal for normal jaw positioning. Then the dentist works to realign the bite and restore the teeth and thus the jaw and joints to their optimal position. Once the bite is realigned and the jaw is in place, pain that resulted from the imbalance disappears.

What is TMJ dysfunction?

Dr. Salyani has helped headache sufferers in his Maple dental office for years. Headaches, especially combined with face, neck, or jaw pain, often indicate a pain source other than your head. The temporomandibular joints, these little, triangular-shaped joints immediately in front of your ears, can cause a host of problems when even slightly misaligned. Clenching or grinding your teeth at night inflames the nerves and muscles associated with the temporomandibular joints. A poor bite, called a malocclusion, can also place undue stress on the TMJ, causing facial muscles to strain in order to hold the jaw. This, in turn, can stimulate stress in the head, neck, and shoulder muscles. The truth is that these tiny joints- some of the smallest in your body-take more pressure and stress than any other joints. You can read more about TMJ dysfunction in our patient library. Call us at Collingwood Laser Dentistry if you feel that you may be suffering from headaches.

How can TMJ be treated?

Neuromuscular dentists first measure the most relaxed position of your jaw to determine the goal for normal jaw positioning. Then the dentist works to realign the bite and restore the teeth and thus the jaw and joints to their optimal position. Once the bite is realigned and the jaw is in place, pain that resulted from the imbalance disappears.

How does Dr. Salyani treat TMJ dysfunction headaches?

Because TMJ dysfunction is so common, Dr. Salyani screens every patient for the disorder. If he finds that you do, indeed, have TMJ dysfunction, he will work with you to structure a treatment plan that may include a combination of non-surgical TMJ therapy solutions to relieve your pain. Through the latest advances neuromuscular dentistry, he will determine whether your problem stems from a bad bite. If so, Dr. Salyani will introduce a two-part treatment system that begins with a convenient oral appliance, called an orthotic, which will allow your jaw to align into proper position. Next, depending on your situation, Dr. Salyani may recommend bite restructuring, either through orthodontia or teeth restorations, like crowns.

How do neuromuscular dentists diagnose and treat symptoms?

TMJ / TMD Diagnosis

Neuromuscular dentists use state-of-the-art technology to determine if your symptoms are caused by malocclusion and if so, what your optimal jaw position is. The dentist uses computerized jaw tracking instruments to record jaw movement, resting position, and path of closure. Electromyography is used to measure your jaw’s muscle function in both its stressed and relaxed positions, and will also measure the jaw-to-skull relationship to see if there is a structural imbalance. Sonography is used to record jaw joint sounds to detect any abnormalities. Additionally, x-rays of the jaw may be taken to help evaluate the condition and positioning of the joint.

TMJ / TMD Treatment

Once your neuromuscular dentist has diagnosed you with TMJ, he or she can determine the best course of treatment for your specific needs. Typically treatment will follow three steps:

  1. Relieve muscle spasm and pain.

The immediate concern for neuromuscular dentists is to provide relief of your symptoms. The best way to do this is by using a technology called ULF-TENS. ULF-TENS stands for Ultra Low Frequency Transcutaneous Electrical Neural Stimulation, but don’t let this term intimidate you. Basically, ULF-TENS is a way to relax muscles with a gentle massage of the muscles. The rhythmic pulsing relaxes the muscles by increasing blood flow and pumping out waste products. ULF-TENS also helps with pain relief by stimulating the body’s production of endorphins, the body’s natural anesthetic.

  1. Stabilize the bite.

Often for this step a temporary device, known as an orthotic is worn over the teeth. The orthotic allows your neuromuscular dentist to make easy adjustments to the plastic without adjusting the teeth until the bite is stabilized. Once symptoms are relieved and the bite has been stabilized, your dentist will move on to the next step and permanently adjust your bite to the correct position.

  1. Long-term management.

There are a variety of ways to correct your bite in a more permanent way. Four of the most common of these approaches are outlined below:

* Coronoplasty/Equilibration

Coronoplasty is smoothing and reshaping the enamel of the teeth to correct your bite. It is a simple procedure
that does not require anesthesia and can be used when the bite is only slightly misaligned.

* Removable Overlay Partials

These are permanent orthotics that usually fit over the back teeth and are designed to maintain an aligned bite.

* Reconstruction

This approach involves making the teeth higher by using crowns. This permanently realigns the bite and provides structural support for the jaw.

* Orthodontics (Braces)

When the teeth are healthy they may be moved to the optimal position using braces.

If you or someone you know is suffering from head, neck or jaw pain, Dr. Salyani can help. Call our office for a consultation.

Please browse our services, call us if you have questions or would like to schedule an appointment.

Collingwood Dentistry - (705) 293 7700
K27 Dental - (905) 303 1231

Hours Of Operation

Monday: 9-5 pm
Tuesday: 9 -7 pm
Wednesday: 9-7 pm
Thursday: 9-4 pm
Friday: 9-1 pm

Quick Contact


Reviews

“I am so very happy to have found such a brilliant and kind dentist. The staff is always welcoming, pleasant and helpful. Thank you for making me smile again!!”
C. L.

“Today I visited Collingwood Laser Dentistry and I feel very happy I did. I never had any pain and my old teeth were fixed! I wish I visited them sooner. “
I. B.

“We love the way this dental office is set up! Does not feel like a dental office at all! Very warm and welcoming, they make you feel like royalty! Love it!”
M. Y.

How Can We Help?

Dr. Salyani and his team will explain every step along the way and design a treatment plan that is made just for you!

Ready to schedule?

Dental emergency? Click below to schedule a virtual consultation with Dr. Salyani.

i

Need more proof?

Read what our loyal patients and former skeptics have to say about their experience.