Tag Archives: TMD

Chronic pain in the brain

Bauer dentistry in wheaton

Chronic pain in the brain In a recent study Mackey 2014 of 94 people, half without pain issues and half with chronic lower back pain, analysis of the data was able to predict the individual with pain 76% of the time. Areas of the brains of individuals with lower back pain have less dense gray […]

COMT

Wheaton cosmetic dentist Bryan Bauer

COMT (Catechol-O-methyl transferase) role in TMD New research has shown one of the genes that increases the likelihood of development of chronic pain.  COMT (Catechol-O-methyl transferase) enzyme degrades catecholamines such as dopamine, epinephrine, and norepinephrine in our brain and there are multiple variants of this enzyme.  COMT is associated with pain responsiveness and contains some […]

Placebo effect and regression fallacy

Wheaton cosmetic dentist Bryan Bauer

Placebo effect and regression fallacy impacts on dental care Chemical reason some are more prone to placebo Scientists don’t know all the details but we do know that placebo treatments work for some issues (especially those that involve brain chemicals like dopamine and endorphins).  Examples of health problems that are altered by those chemicals include […]

Temporomandibular disorder TMD

TMJ diagnoses

Temporomandibular disorder TMD Temporomandibular disorders (TMDs) are characterized by pain in the muscles of mastication, the temporomandibular joint (TMJ), and/or the muscles associated with mastication in the head and neck.  Patients typically experience pain, limited opening, and/or clicking/popping of the TMJ joint.  This condition is much more common in females.  The severity of TMD ranges […]

Occlusal Dysesthesia or Phantom Bite Syndrome

Wheaton cosmetic dentist Bryan Bauer

Occlusal Dysesthesia or Phantom Bite Syndrome Occlusal Dysesthesia, also known as Phantom Bite Syndrome and Occlusal Hyperawareness, is not that uncommon.  Almost every dentist can think of a patient or two that they know of that has this. Until learning of this diagnosis these were just the “crazy” patients that dentists struggle to try to […]

Dogma in dentistry

Wheaton cosmetic dentist Bryan Bauer

Dental dogma There is a shift to treating TMD in terms of psychological factors and pain physiology. Occlusal role Long believed to be dominant cause now gradually being completely debunked. Information, reassurance, analgesics for pain relief, and jaw exercises will help majority of TMD patients. Placebo splint covering only hard palate is largely as effective […]