TMJ Treatment Part 1 of 4 - Dental Minute with Steven T. Cutbirth, DDS

[@dr.mukarramkhan9605]

Part 2 please. Thank you. What a great series!

[@centerforard]

Thank you. I grew up ranching in West Texas. Things have to make sense and work for me to subscribe to the treatment This treatment took 25 years for me to figure out.

[@ikeyshuster9801]

Please don't ever delete your channel or videos. You've educated more dentists and positively impacted more patients than some dental schools! I'll be referencing this lectures for years to come. Cheers🥂

[@elias.r5135]

You don't know how much I love you and respect you because I consider you as the Godfather of me in the field of general dentistry. I am applying what are you saying every time I see a video presentation of you. Dr.Elia from Iraq

[@centerforard]

Thank you. That is very kind. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@NM-xj6qr]

Thank you so much for this video. All the dentistry universities should show these IRM exams and explanation so that there is a clinical comprehension of the problem. In my opinion, there is such a lack of systematic evaluation of TMD, like the study about the origin of disk displacement and symptoms. There are possible connections to other body dysfunctions like cervical osteoarthritis, posture, or other imbalances of the body and musculoskeletal system, and the inefficiency to treat these patients is huge and non-objective. we should seek to treat the origin of the problem, and not mask the problem (giving other symptoms) or make the problem worse, as health professionals.

[@centerforard]

Correct!

[@felipegcs]

Yayyyy another dental minute!!

[@centerforard]

Why thank you! What do you like about Dental Minutes? Are you subscribed to DentistryMasterClasses.com? That's where the organized library of all Dental Minute videos plus complete comprehensive cases.

[@felipegcs]

It's my favourite dental youtube show, very informative and i've learned a lot! Thanks to you!

[@centerforard]

Subscribe to DentistryMasterClasses.com.

[@celts03]

Damn doc you are straight genius! You must be making a million bucks a year!

[@centerforard]

Ha, ha! Money is necessary, but it has never motivated me. I am motivated by producing the best product and results. Results is what gets me out of bed every day. I don't do things that do not work. It took me 20 years to figure out how to treat TMJ and myofacial pain successfully and predictably. This treatment is unconventional, but it makes perfect sense and works every time.

[@Sherci]

Hi doctor, quick question if you don't mind me asking. So i have a bilateral tmj subluxation + hypertranslation and I also have a vertical maxillary excess and was wondering if there's any correlation between these two?

[@centerforard]

Interesting situation. I'm not an expert in that condition, so I cannot comment. I would suggest finding a good, experienced orthodontist and have them examine you.

[@dentistryhubbydrabdulrhman6431]

what makes the reducing disc turn into non reducing one after awhile? and thank you for defining reduction meaning.

[@centerforard]

The retro discal tissue stretches and tears over time allowing the disc to move further forward, blocking the condyle like a door jam.

[@fovos7359]

What about if you have a reducing disc that locks in the morning and eventually unlocks by itself once u stand or wake up

[@centerforard]

I treat it this same way. After 40 years of treating TMJ and myofacial pain and dysfunction cases, my experience has bee once the disc is anteriorly displaced, it is not going to return permanently to a normal position unless the anterior disc displacement is a very small amount. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@alaatoma1522]

Hi Doctor, in case teeth need to be treated (restorations / fillings), should the night guard be made first or be delays till restorative treatment is finished to have the final occlusal surfaces? thanks

[@centerforard]

Nightguard should be placed once restorative treatment is completed.

[@centerforard]

Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.

[@alaatoma1522]

@@centerforard thanks a lot

[@yusafimran8951]

Hello Steven. So what you mean to say, you give night guard to all your patients? irrespective of the fact whether they would need it or not? Another thing i understand is, everyone should have (patient or not) a night guard?

[@centerforard]

Most of my patients have either a nightguard or a dental snoring/sleep apnea appliance. These both prevent teeth grinding (bruxism) while sleeping. They are a preventative appliance. Both my daughters received a nightguard when they were 16 years old and had stopped growing. I told them if they wore a nightguard while sleeping the rest of their lives their teeth would be the same length they are now when they are 80. My wife has had a nightguard throughout our marriage. I wore one until I started wearing a dental SAD.

[@LeighChristie]

What do you think of Sandra Carter's book "TMJ No More"? thanks!

[@centerforard]

I am not familiar with it. The physiological method of treating myofacial (muscle) and/or intraarticular (TMJ) pain and dysfunction I am describing is logical and works for me every time and has been working every time, so far as I know, for over 15 years. It took 20 years for me to figure out that you cannot reposition the displaced disc in TMJ cases, you must move the displaced disc forward so it is not blocking forward movement of the condyle. We tried for years to reposition displace discs. Unfortunately, the retrodiscal tissue is so flimsy, suturing the displaced disc to that tissue (plication) and attempting to reposition the disc simply did not work. Moving the displaced disc forward, along with the adjunctive treatment I describe in the video, in TMJ dysfunction cases works to eliminate pain and limited opening and it works for me every time. As stated, it really has to work.

[@ishwantsingh5291]

hi doctor , i have problem with my left side of the jaw it gets locked when i wake up from the sleep and i use manual manuvre toa release it , also i have no doctor nearby that can help !! i use cardamom puttin at back two teeths while sleepin and it works , will my left side disc will ever repair ?? 😞😭

[@centerforard]

The disc does not repair. If the disc is anteriorly displaced, the objective is to move the disc farther forward (medially) so it does not act like a "door jam," keeping the condyle from moving forward, so you can open.

[@ishwantsingh5291]

@@centerforard so what can i do , i don't have any mouth guard or anything to keep while sleeping so i am using cardomom at need to prevent my back teeth contact while sleeping , no doctor nearby and i feel helpless and this lock is only on the left side and only caused when i sleep

[@centerforard]

I suggest you see a dentist who can treat your condition. Sorry, I cannot diagnose or treatment plan your case without examining you.

[@ishwantsingh5291]

@@centerforard i understand doctor but i don't have any dentist nearby nor any hospital where i can see a dentist moreover it's lockdown due to covid so can't even go anywhere 😓😓

[@centerforard]

Sorry, I don't know what else to tell you.

[@T.K01]

Dr Cutbirth, all of my clinical tutors repeatedly state that occlusion has nothing to do with TMJ pain, that the evidence suggesting so is weak. Why is occlusion so fundamental for you in treating TMJ pain but for others it is not?

[@centerforard]

TMJ problems are most often from "stress on an imbalanced system." Just having a malocclusion will not cause TMJ issues, just like having one leg shorter than the other will not necessarily cause leg, hip and back issues. One must grind/brux on the imbalanced occlusion just like one must jog several miles a day on the short leg to develop symptoms. It's not rocket science. Most dentists do not understand occlusion. I am currently treating a college girl with TMJ problems who was fine until a crown in hyper occlusion was placed on the lower left first molar a couple of years ago. She had some myofacial pain and tightness from bruxism and daytime clinching prior to the crown placement. Now she has gone from myofacial pain and disfunction, which one can have even if they have a balanced oclclusion if they grind and clinch their teeth, to an anteriorly displaced disc with reduction (pop and click) to an anteriorly displaced disc without reduction (closed lock). Occlusion, myofacial pain and dysfunction and TMJ pain and dysfunction is a multi day lecture I cannot cover completely in this comment. Remember, an imbalanced occlusion alone probably will not cause TMJ issues. The occlusion must be imbalanced. "Stress on an imbalanced system." A person can, however, have myofacial pain and muscle tightness even if they have a balanced occlusion if they are a clincher and nighttime bruxer. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@jorgenaranjo239]

Dr how can I get to centric relation to a patient who has a severe atrition

[@centerforard]

You can manipulate any patient into centric relation. Watch the video in the library of DentistryMasterClasses.com on manipulating a patient into centric relation and taking a centric relation occlusal record.

[@jorgenaranjo239]

Thank you Dr....greetings from Ecuador!!!!