Do you suffer from any of the following?
- Clenching of teeth
- Grinding during sleep
- Facial pain including jaw pain
- Clicking jaw on opening or closing
- Tension headaches
- Neck and shoulder pain
- Difficulty in chewing
The symptoms listed above are usually made worse during periods of stress, tension or anxiety. When stressed, you clench or grind your teeth during your sleep. This places a lot of stress on the jaw joints (Temporomandibular joints or TMJ) resulting in disharmony within the joints and the surrounding muscles. This can result in you experiencing the symptoms listed above. The generic term used for this condition is TMPDS (Temporomandibular Pain Dysfunction Syndrome).
Tell me more about TMPDS
Temporomandibular Pain Dysfunction Syndrome is a term used to cover pain and dysfunction of the muscles of mastication (the muscles that you use to chew and move your jaw) and the temporomandibular joint. The TMJ is the joint which connects your lower jaw to your skull. Any disharmony of the muscles and / or the TMJ will result in pain or tenderness in the joint, jaw area, face and neck. It is often the cause of tension headaches.
What are the exacerbating factors for TMPDS?
- Clenching or grinding the teeth
- Trauma to the TMJ for example whiplash
- Medical conditions such as arthritis
- Occlusal instability – an unstable bite in which the teeth are not properly aligned.
What does the treatment involve?
- Dr Roop Mann is a qualified dentist with a special interest in TMPDS. She is a member of the British Dental Acupuncture Society and the British Society of Occlusal Studies. Her commitment extends to keeping up to date with recent advances in TMPDS therapy and philosophies associated with her work.
- Due to the multifactorial nature of TMPDS, Dr Roop Mann has adopted a management approach to treatment with a holistic element.
What happens at your first appointment?
Dr Roop Mann will conduct a thorough history and examination of your TMJ, the surrounding muscles and your occlusion (the way your teeth bite together).This will help to ascertain the possible causes of your TMPDS and hence formulate an appropriate treatment plan.
What does TMPDS Treatment involve?
- Acupuncture Treatment
- You will have special jaw exercises demonstrated to you
- Splint therapy: you will have a custom made bite splint (mouthguard) made for you. The splint will separate your teeth and thus reduce the load on your joints and muscles. You will wear this appliance at night
- Restorative treatment to stabilise your bite if needed
- In very extreme cases, referral to a specialist may be required.
What is the holistic approach?
- Dr Mann will encourage you to address the underlying cause of your TMPDS, which is often exacerbated by anxiety or tension. You will be shown relaxation techniques which you will practice before sleeping, as these have been shown to be beneficial in reducing the painful symptoms of TMPDS.
- Her approach to TMJ therapy is patient centred. The main aim is to alleviate pain and restore harmony in the TMJ and surrounding muscles.
What is Acupuncture?
- Fine needles are inserted through the skin into the relevant location. Once in position, the needle is gently stimulated by a slight tweaking movement.
- The needles work by stimulating the nervous system, releasing natural painkillers into the nervous system.
- The number of needles used depends on what treatment you require, but usually half a dozen needles are used.
- The treatment is not usually painful, but you may feel a little discomfort on having the needles placed.
- The treatment doesn’t take long, a session can last between 30 to 45 minutes.
- You may feel a little tired after acupuncture treatment. The acupuncture sites may feel a little bruised for 24 hours after your treatment. It is possible you may notice other changes such as relief to back pain as a side effect of the acupuncture.
What are the Advantages of Acupuncture?
- Acupuncture is a great way of controlling pain
- It has benefits to your general health and well being
- It can result in better sleep patterns
How many Acupuncture treatments will I require to treat my TMPDS?
Dr Roop Mann will advise how many treatments will be best for you. Usually half a dozen treatments are required for the best results. The treatments are usually once a week, and further sessions may be recommended, depending on how you respond to the treatment.
Will the acupuncture treatment work for me?
Research has shown that acupuncture works. Each patient will respond to acupuncture in their own way. Some patients may notice an immediate improvement, some may need several treatments before they feel the full effects of the treatment. There have been a few patients who have not responded at all, but research shows at least 70% of patients will benefit from acupuncture treatment.
How much will the TMJ therapy cost?
- 1 hour consultation £120
- Set of 5 acupuncture treatments £400
- (each session is 45 minutes long)
- Splint therapy £475
- Stress Management Therapy