Neuromuscular Dentistry

It has long been known that small differences in the closed-mouth relationship between the upper and lower jaw can lead to chronic facial pain and discomfort. ADAP’s dentists are trained in neuromuscular dentistry. We can guide your restorative treatment plan using the principles of neuromuscular dentistry along with modern imaging techniques.

Neuromuscular dentistry can help those with:

Advanced Dental Artistry is one of the few dental practices in Perth able to deliver neuromuscular dentistry.

What is neuromuscular dentistry?

Many chronically painful conditions such as a headache, neck-ache, and facial pain can be traced to a defective relationship between the upper a lower jaws. The jaw connects at the temporomandibular joint (TMJ), and misalignment of this joint provokes a pathological response in the muscles and nerves surrounding the joint. This is often known as “TMJ syndrome.”

Symptoms of TMJ trouble include:

At Advanced Dental Artistry we use a variety of specialised equipment to detect and measure jaw misalignment. We treat TMJ misalignment with corrective splints worn at night.

Treating TMJ with Botox

The biggest benefit of using Botox is that normal functions such as speaking, chewing and swallowing are left unaffected, with the only noticeable difference being a reduction in discomfort. By controlling TMJ issues it also means dentists can prevent more serious issues from occurring later. If left untreated, the problem can lead to gum disease, decay and even the loosening and loss of teeth!

Before any Botox is administrated, the dentist needs to check the patient’s suitability. It is important a proper diagnosis is done and the dentist is aware of any other issues and/or medications. If not, when used in conjunction with certain medications and substances there is a risk the Botox injections may not get the desired results. Please note that Botox is not recommended for pregnant or lactating women.

The injections themselves usually take around 10-20 minutes to administer depending on the quantity required. Dr Adrian at West Perth or Dr Tanya at Morley can perform the injections at either practice. This is a non-surgical procedure and relatively pain free but sedation can be given for those who get a little anxious.

Normal day to day life can resume immediately after treatment (apart from if you have been sedated!), but any strenuous physical activity should be avoided for the first 24 hours. It can often be a few days until patients begin to feel the full benefits of the treatments and it should continue to last for up to 3 months, with further ‘top up’ injections required thereafter.

What else can neuromuscular dentistry help?

As well as diagnosing and correcting misalignment of the jaws and treating TMJ problems, neuromuscular dentistry is a vital component of many successful dental implant restorations. Many older patients who elect to have implant-borne restorations may have been edentulous (missing teeth) for many years. As a consequence, they have lost a great deal of the crestal bone that supported the teeth, creating a greater distance between upper and lower jaw than nature intended.

In the planning stages of an extensive implant based restoration, our knowledge of neuromuscular dentistry enables us to plan the occlusal (bite) relationship we want and then create the prosthetic work needed to transfer the plan accurately to the patient’s mouth.

If you suffer from chronic face, neck, and head pain, and you think that neuromuscular dentistry might provide a solution, contact Advanced Dental Artistry today for a consultation.


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If you have any further questions or queries, don't hesitate to contact us.