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Treatment:  PHASE I
Goals
  • To eliminate pain.
  • To prevent further joint breakdown.

 

How do we accomplish these goals?
  • Decompress the temporomandibular joints.
  • Establish an optimal fossa / articular disk / condyle relationship.
  • Establish an optimal posterior joint space.
  • Promote symmetry of structures.
  • Reduce inflammation in joint space.
  • Decrease joint vibrations.
  • Facilitate balancing and proper sequential firing of the muscles of mastication.
  • Strengthen the ligaments and tendons that stabilize the articular disk.
  • Establish an optimal vertical dimension.
  • Improve the facial profile.
  • Promote a "temporal shift".
  • Facilitate the "Pterygoid Response".
  • Stabilize the mandible during sleep.
  • Reduce clenching and bruxing.
  • Eliminate jaw "locking".
  • Promote remodeling of the temporomandibular joints.

 

Modalities Used in Phase I
  • Maxillary and mandibular orthopedic appliances.
  • Arthrocentisis / prolotherapy.
  • TENS.
  • Iontophoresis.
  • Physical Therapy.
  • Nutritional supplements.