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DMSD Explained

Dentomandibular Sensorimotor Dysfunction is a medical condition involving the mandible (lower jaw), upper three cervical (neck) vertebrae, and the surrounding muscle and nerve areas. There is a concentrated nerve center in this area called the trigeminal nucleus.This major pathway of nerves controls pain signals from the teeth, face, head, and neck, and carries them to the brain. Dentomandibular sensorimotor dysfunction refers to a condition in which an individual experiences chronic pain or stiffness from these nerve inputs as a result of dental force imbalances.

Read the Wikipedia.org page on DMSD, here.

Dental Foundation

The dental foundation consists of teeth, muscles, and joints in the dentofacial (head and neck) area. The dental foundation is considered to be out of balance when one or more of the following conditions apply:

  • Advanced aging or disability of the muscles which open the jaw
  • Movement or noises in the jaw joints which indicate the disks in the neck are moving, deformed, or swollen
  • Tooth wear or breakage
  • Limited range of motion in the jaw and cervical (neck) spine
  • Painful or sore head and/or neck muscles with very sensitive spots referred to as trigger points
  • Pain that stems from the trigeminal cervical nucleus
  • Any lifestyle limitation related to the teeth, muscles, or joints of the head and neck

only_dentists.pngSymptoms of DMSD

The most commonly reported symptoms are:

  • Headache/Migraine
  • Chronic daily headache
  • Myofascial pain
  • Tinnitus
  • Temporomandibular joint disorder (TMJ/D)
  • Pulpitis
  • Poor airway control
  • Sleep/arousal disorder
  • Changes in brain chemistry and neurotransmitter balance
  • Bruxism
  • Abfraction
  • Tooth fracture/damage
  • Unstable dental arch form
  • Restricted range of motion and postural adaptations
  • Clenching with or without torus formation
  • Abnormal tooth wear patterns
  • Malocclusion
  • Parafunction
  • Degenerative joint disease

This condition affects all ages and both genders. However, females are more likely to suffer from DMSD. Individuals who have experienced chronic headaches and/or migraines without finding lasting relief through traditional medicine can be assessed for DMSD through a combination of objective tests, evaluations, and a comprehensive discussion of their symptoms, medical history, headache history, pharmacological background, and head health. Research used in sports medicine and rehabilitation allows dentists to address the population with DMSD symptoms.

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Patients search online for relief from the symptoms of force imbalance 297% more often than for all dental services combined!

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Assessment & Treatment
  • Assessment Process
  • Treatment Process
  • Only Dental Professionals
  • Assessing DMSD
  • Bite Force Analysis
  • Mandibular Range of Motion
  • Cervical Range of Motion

Only Dental Professionals

In many cases, only dental professionals can help the estimated 80 million Americans suffering from the painful symptoms caused by improper dental forces, called dentomandibular sensorimotor dysfunction (DMSD).

READ MORE "...it is imperative to include the training for orofacial pain, particularly those from temporomandibular joint and musculoligamentous tissues.” JADA Cover Story, 10/2015, Vol. 146, Issue 10, Pg. 721-728

Assessing DMSD

20% of your existing patients suffer from DMSD, as do 20% of all Americans. Your team members quickly assess patients for "red flags" (which indicate DMSD), utilizing TruDenta's patented technologies.

The National Institutes of Health estimate that over 80 million Americans suffer from one or more of the symptoms of DMSD, including:
• Chronic Headache
• Migraine
• Tinnitus
• TMJ/D
• Vertigo
READ MORE

Bite Force Analysis

TruDenta uses digital force measurement technology, powered by Tekscan®, for evaluating the amount of bite force that is present during closure, at closure, and while chewing. The technology is so advanced that it actually calculates the bite force and motion on a tooth-by-tooth basis. This digital exam literally shows a movie of the bite force in action revealing abnormal forces in the nerves, muscles and ligaments that are often the cause of symptoms.

Bite balance is also calculated to identify potential issues within the overall chewing system. READ MORE

Mandibular Range of Motion

A normal opening for an adult is 53 mm to 57 mm. Limited or restricted range of motion (less than 40 mm) is a reduction in an individual’s ability for normal range of movement. Along with opening movement, an individual should be able to slide their jaw to the left and to the right at least 25 percent of their total mouth opening in a symmetrical fashion.

When restricted movement exists, an imbalance in the system is present, and breakdown of the system is likely to occur. READ MORE

Cervical Range of Motion

The TruDentaROM is a system of hardware and software that digitally measures cervical range of motion (ROM) impairment based upon AMA guidelines. This directly affects the proprioceptive feedback system of the dental occlusion, TMJ, and the muscles of mastication.

ROM impairment is another “red flag” which assists doctors in accurately diagnosing symptoms that are often dental force related. This data enhances medical insurance collections and the collaboration with referring medical doctors. READ MORE

  • Doctor Chair Time
  • Therapeutic Ultrasound
  • Microcurrent Stimulation
  • Low-Level Cold Laser

Less Than One Hour Doctor Chair Time

A typical case requires less than one hour of doctor time in the diagnosis and minor occlusal adjustments during the rehabilitation period.

Treatments are performed by a trained team member once per week, in less than one hour. The most severe cases require 12 treatments. Therapies are spa-like, non-invasive and require no drugs or needles. Most patients report dramatic results after the very fist treatment. Note: The majority of patients utilize an orthotic only during the treatment period, up to a maximum of 12 weeks. READ MORE

Therapeutic Ultrasound

The goal of therapeutic ultrasound treatment is to return circulation to sore, strained muscles through increased blood flow and heat. Another goal is to break up scar tissue and deep adhesions through sound waves.

Therapeutic exposure to ultrasound reduces trigger point sensitivity and has been indicated as a useful clinical tool for managing myofacial pain. Additionally, ultrasound also has been shown to evoke antinociceptive effects on trigger points. READ MORE

Microcurrent Stimulation

Sub-threshold microcurrent stimula¬tion reduces muscle spasm and referral pain through low electrical signal. It also decreases lactic acid build-up and encourages healthy nerve stimulation. In particular, microcurrent electrotherapy has been shown to help increase mouth opening significantly.

• Reduces muscle spasm and referral pain through low electrical signal
• Decreases lactic acid build-up
• Encourages healthy nerve stimulation
• Increases mouth opening significantly
READ MORE

Low-Level Cold Laser

Low level laser/light therapy is one of the most widely used treatments in sports medicine to provide pain relief and rehabilitation of injuries. Over 200 randomized clinical trials have been published on low level laser therapy, half of which are on pain.

Low level laser/light therapy decreases pain and inflammation, accelerates healing of muscle and joint tissue 25 to 35 percent faster than without treatment, and reconnects neurological pathways of nerves to the brain stem, thereby inhibiting pain. READ MORE

Additional Content & Resources
Download this eBook on The Hidden Causes of Head Pain
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Download this eBook on The Hidden Causes of Head Pain
Download this eBook on The Hidden Causes of Head Pain
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