Tag Archives: TMD

COMT (Catechol-O-methyl transferase) role in TMD – Wheaton dentist

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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 combination of amino acids valine and […]

Placebo effect and regression fallacy

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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

Classification of TMD

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

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Occlusal Dysesthesia or Phantom Bite Syndrome Occlusal Dysesthesia, also known as Phantom Bite Syndrome and Occlusal Hyperawareness, is not that uncommon.  Until I learned of this diagnosis these were just the “crazy” people that I would struggle to try to appease, without success.  I can personally think of 3 of my  patients that exhibit all […]

Dogma in dentistry

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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 […]