The key to TMJ/Myofacial pain treatment: computer diagnostics, attention to detail, skill, and knowledge

The key to TMJ/Myofacial pain

Computer Diagnostics, Attention to Detail, Skill and Knowledge

The key to our success is in “the Neuromuscular Approach” we take. Consistent predictable results is what allows our patients to experience the long overdue relief from their agonizing pain.

Dr. Harding is meticulous and systematic when treating his TMJ patients. He leaves nothing to chance. He realizes that rushing and hurriedness will not lead to predictability. His approach takes time when the patient is under his care at each diagnostic and treatment visit. Precision, accuracy and attention to detail is what is necessary to get the desired results for each patient he treats.

Because he is committed to seeing results for his patients, he takes the time to methodically address each area of diagnostic work up in order to gain optimal results in the shortest time possible.

ATTENTION TO DETAIL TAKES TIME

When adjusting the lower orthotic appliance, Doctor Harding does more than just hand the patient their new appliance and sends them off with a word of best wishes. A series of four (4) meticulous steps are taken to detail and adjust the appliance to assure that he gets positive-timely results.

An initial adjustment implementing TENS is used to assure that the orthotic is adjusted to be in harmony with the physiologic closing path of the muscles and jaw joints

A further refinement is made to the orthotic to remove all interferences in the chewing movements-thus further minimizing spastic muscle activity that could trigger pain.

A more detailed refinement is again checked and rechecked using TENS to assure the balance, comfort and evenness of the appliance.

A final finishing adjustment is then made using computerized electro-diagnostics and EMG read-outs that test the balance/symmetry of muscle activity when clenching with the orthotic in place. Dr. Harding is able to accurately determine specific point contact imbalances on the biting surfaces of the appliance by means of electromyography to refine the bite to balanced muscle activity in function and at a physiologic resting jaw position.

Dr. Harding’s approach implements all three diagnostic and treatment modalities simultaneously:

1. Computerized Mandibular Scanning (CMS)
2. Electromyography (EMG)
3. Transcutaneous Electrostimulation (Low Frequency TENS)

“To try to implement one or two of these modalities without the utilization of the third modality will result in limited and unpredictable outcomes. CMS, EMG and TENS must be used simultaneously for predictable, consistent results.” –James Harding DDS

At the delivery appointment of the neuromuscular orthotic, one can expect to be with Dr. Harding and his neuromuscular assistant for approximately 2-3 hours. At completion of this visit the appliance should feel comfortable. Most patients are surprised how normal the appliance feels when accurately and properly adjusted to a physiologic rest position!

Dr. Harding owns the Harding Dental Center in Avon, CO. He is a Clinical Instructor at the Las Vegas Institute for Advanced Dental Studies and a medical provider for the US Ski and Snowboard Teams. He can be reached at [email protected] or 970-845-9980