Structural Evaluation & Treatment

Structural analysis is an evaluation of TMJ related issues such as "TMJoint" Dysfunction within the jaw area. The joint disease that one in five have and don't know it.

The Temporomandibular Joint is right in front of each ear and is where the lower jaw (mandible) hinges to the skull (temporal) bone on each side.

This disease entity is often misdiagnosed because it is frequently accompanied by referred pain to the ear, head, neck, face, and/or back. Although other symptoms such as clicking in the joints, tinnitus(ringing in the ears), dizziness, or hearing loss may also be present, structural evaluation should be employed to diagnose this syndrome conclusively.

Anyone exhibiting one or more of the a aforementioned symptoms may utilize the following checklist to determine the need for advice from a dentist, concerning a TMJoint problem.

  • Are there any wisdom teeth present?
  • Does a removable denture need relining?
  • Is adequate chewing efficiency present on one side only?
  • Do the upper front teeth overlap or completely cover the lower front teeth while closing on the back teeth?
  • Is there an observable facial asymmetry with one eye noticeably higher than the other?
  • Are there any unreplaced missing teeth?
  • Do the teeth feel locked in place upon closure?
  • Are any teeth or crowns flatter or more worn down than they should be?
  • Does a bad bite (malocclusion) or a cross bite exist?
  • Does only one tooth touch when closing very gently while lying on your back?

Because auditory-related problems are common in this syndrome, more otolarygologists refer TMJoint patients to dentists than any other specialist. The contiguity of the TM Joint to the ear plus the existence of the little known Pinto's (mandibular-malleolar) ligament, that connects the articular head of the lower jaw with the malleus bone inside the ear, helps to explain these problems despite the absence of any discernible inner ear pathology. Isn't it interesting to ponder the fact that all of the symptoms mentioned here are not only related to this TMJoint syndrome but are also repeatedly blamed on that inevitable, inexplicable aging process?

At DeFelice Family Dentistry you will be fully informed of your options and the investment involved in completing a full structural evaluation and course of treatment.

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Image Examples

Tooth Cross Section

Tooth Cross Section
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Identifying Names of Teeth

Identifying Names of Teeth.  Click here for a larger printable image.
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Other Relevant Links

- Amalgam Filling Removals
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- Conscious Sedation for Dental Fears
- Cosmetic Enhancements
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- Orthodontics
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- TMJ Diagnosis & Treatment
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- Terminology & Definitions

DeFelice Holistic Family Dentistry

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4703 N. Maple · Spokane, WA 99205 USA · Office: (509) 327-7719 · Fax: (509) 327-7110
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