Treating TMJ/Bruxism with a day guard (miniComfort) and a night guard (CLEARguard)

Subscribe to our YouTube Channel

Transcript

Speaker 1
The proper TMJ analysis. We’re going to do a general palpation of the muscles and the joy can open for me please. And close. Open and close. So we’re hearing a noise on the upper left. We’re also having a lot of pain and discomfort open for me. We’re going to palpate the muscles and let me know when you feel some tenderness here. You feel that some tenderness here. Palpate the mass, the S, all the different muscles to find sources of a trigger point. Once we do established that the patient could be a clincher or a brooker, we’re then going to go ahead and take our impressions. Fabricate. Night guards. We fabricated two night guards in this case. As you can see, we took our digital impressions and we sent them out to rodent. We took a upper impression, making sure to capture all the teeth and some of the soft tissue as well, the lower teeth and the occlusion so that they can fabricate proper night guards.

Two night guards were fabricated. First night guard is a hard night guard that we wear just at the nighttime To protect the teeth, it’s important to make sure that this fits passively, not injuring any teeth, not too much force where it can be removed right down from a closer. You’ll notice that upon biting that all the teeth are in occlusion. We don’t want any high spots. If there are any areas that are high, we need to adjust them. The second guard and open that we’ll make is a mini comfort guard. You can see you get this off by just rocking it nicely, is a mini comfort guard. Typically, two mini comfort guards will be made, will be fabricated, and the mini comfort guard is a day wearing guard to protect the patient from clenching or grinding. You’ll notice that there are two little bumpers here. These go on the lower teeth only. They want to fit nicely and bite down. And you’ll notice that the posterior teeth are in exclusion. So we have a bite here, but not in the posterior, which will relieve tension on the temperamental joint. So we wear this one during the daytime, maybe during playing on the computer or at work or wherever you can be functioning. You can try to talk and you can just say a few words for us.

Speaker 2
No, it’s very comfortable. I can concentrate with it,

Speaker 1
Right? So easy. We can wear it during the daytime without having it create any trouble for us. Whereas when we wear the evening guard, obviously this is a mouthful and say, try to say a few words with that. It’s

Speaker 2
A little difficult to

Speaker 1
Talk with, hard to talk with during daytime, hard to talk with. So protective at nighttime. And for parafunction during the daytime. To avoid parafunction at daytime, we’re going to wear the lower. Now, this is my mother, so we’re going to ask her how she’s feeling and she’s going to be honest with us. So you came into us a week ago. You inserted these night guards and you were having a lot of pain. Tell us about what you were feeling.

Speaker 2
Okay. I was very, very devastated, truthfully, because the cooking I was afraid was even going to get worse and I was very uncomfortable and I feel so good when I wear it cause there’s hardly any clicking. And now you just made me understand that if I wear it even more, I can solve the problem. I have so much hope.

Speaker 1
You were also complaining about a noise coming from your ear. Besides

Speaker 2
Clicking. Oh, I was getting ringy in the ears, trying everything. And I have a feeling this is related. So I’m really hoping it’s going to take care of those two problems, which are just mean everything to me right now.

Speaker 1
So she’s had a lot of dental work over the years. We’ve done a lot of work, implants, root canals. She’s been suffering for the last year and a half from Parafunction. And we’ve been holding off until we keep finishing work to make the night guard. Now, once she’s done, we’ve made that night guard and she’s starting to get some relief, which is very good sign. So hopefully we continue to get better and better. So the two things that are very important to have an evening guard to protect the teeth stop and during the daytime, to have a comfort guard that a patient can wear, can have function with, they can talk, they can work with. And I’ll still stop them from clenching because as much as bruxism is a problem, clenching might actually be the primary source of the parafunction. So after all the scans are taken, our impressions are taken. We sent it to Roe. They sent everything back very quickly for us. It was about five days. We got it back about five, six days later. Actually, it was a little longer because we had a massive snowstorm in New York. But after that we got it. We got in there. And so after just a short week you would say, or how much better than you were before,

Speaker 2
I feel like I’m getting better. I’m very excited to know that there’s something that I can do about it. Very, I mean, that’s the whole key.

Speaker 1
But the noise. Noise has gone from the ringing in the ears.

Speaker 2
The noise got much less. And now that I know that I can wear this one every day, I’m going to wear it every day and hope to solve the other problem. All right,

Speaker 1
So then we’ll revisit this

Speaker 2
Again. I’d like to know

Speaker 1
That in a short period of time and we’ll see where we go from there. Okay. All right. Thank you all for listening.

Audio

Upcoming Events

ROE Dental Laboratory, 7165 E Pleasant Valley Rd
Independence, OH 44131 United States
+ Google Map
ZimVie Institute, 1900 Aston Ave
Carlsbad, CA 92008
+ Google Map

Related Posts

No results found.