If you are experiencing pain from TMJ, Dr. John Barras offers the best treatment for TMJ in Houston through neuromuscular dentistry. By addressing the bite of patients, he's able to create a balanced bite position thereby eliminating pain and discomfort caused by TMJ.
If you have any questions you may post them below the video or call our office to schedule a complimentary consultation.
Dentistry by John Barras
1330 Post Oak Blvd
Houston, Texas 77056
Hi, I'm John Barras, a dentist here in Houston, Texas. I primarily treat TMJ patients and for many of my patients I'm kind of the end of the road as far as them seeking treatment. A lot of patients have seen neurologists, ENTs, physical therapists, chiropractors for a multitude of symptoms, some of them being headaches, clicking, popping, earaches, ringing in the ears, vertigo, tingling fingertips. So for a lot of patients, they haven't got resolution from other specialties and a lot of the specialties will refer to me when they realize that it's a TMJ issue. So when patients come to see me, what we do is we take photos of their bite position, we run computerized scans to track their chewing motion, range of motion, and the stability of their bite. What's really important that we know is your bite position right here, when your teeth are closed will allow, in a good position, the muscles to be relaxed and the jaw joint to be in a good, relaxed position. What we know is that if the teeth are out of balance when you close or when you're chewing or eating is that the muscles will be out of balance and then the jaw will be out of balance. So what we really know is that TMJ problems are related to a bad bite position which can lead to muscle fatigue and it can lead to clicking and popping, headaches, ringing in the ears, all the other symptoms related to TMJ-type of issues. So what we really are focusing on is to get our patients out of a bad bite position. So when our patients come in and we deem that running the TMJ scans through the computer that we're in a bad bite position, what we'll do is we can take models and impressions and then we'll take a bite where the bite is in a good position where the muscles are nice and relaxed. So what we realize is that if the muscles aren't relaxed then they're inflamed then they can cause pinching on the nerves which causes headaches, so we really want the teeth to be in balance so the jaws are in balance. With these records that we get we can send to the lab and make what is called a custom orthotic. What the orthotic does is temporarily balances the bite position so the muscles can be relaxed and balanced and that way the jaw joint can be nice and balanced. So we place this orthotic, this custom orthotic, over the teeth, sometimes we do top, sometimes we do bottom, the purpose is to balance the bite position so that symptoms are slowly getting better over time. What we do is we do a bite test in our office which is about six weeks of time to allow the muscles to relax. Over six weeks we'll be adjusting the orthotic so as the muscles start relaxing we're adjusting the orthotic in the mouth so that everything is nice and balanced. Once everything is nice and balanced, we can take a look and see how the original bite position compares to the bite position with the orthotic in place, that way we can give our patients more of a permanent solution. So the fixed orthotic's not going to stay on there permanently, but it's just the blueprint for where a good permanent solution would go. Some of those permanent solutions may be orthodontics. If there's not a lot of broken down, worn teeth, or cracked teeth a lot of the younger patients with misaligned teeth can easily, the teeth can be moved into a proper position with orthodontics. For some people, their teeth may be worn, broken down, and things like that, that we might have to rebuild some of the teeth affected with porcelain crowns or veneers to get a nice balanced bite position. So once everything is nice and calm and the symptoms have resolved, then we can go into the permanent phase at that point and then after the permanent phase we can retain that bite position with retainers or a nighttime appliance so that that position isn't lost over time. So if you have any questions regarding what we do in our office, please feel free to give us a call and we can have you come in to see me directly. I will take photos, we'll run TMJ scans to see if what you're experiencing is indeed TMJ-type problems.