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Protect Function & Aesthetics with Neuromuscular Dentistry

Neuromuscular dentistry is the study of how the various facial muscles, joints, and bones interact allowing patients to chew, speak, and smile confidently and comfortably. By understanding both the current and the ideal range of motion, we are able to intercede to help patients achieve the most comfortable positioning. Whether patients suffer from teeth grinding and clenching, TMJ disorder, or discomfort caused by uneven bite pressure, neuromuscular dentistry is a philosophy of care that offers us the tools to correct painful smiles.


TMJ/Bruxism Therapy

TMD or temporomandibular joint disorder is a term used to describe symptoms such as headaches, jaw pain, face and neck pain, clicking or popping sounds in the jaw joint, limited jaw movement, "locking" of the jaw, and chipped or worn down teeth. Many patients who suffer from TMJ problems report chronic pain in the head, neck, shoulders, and back as well as pain in their teeth and jaws. Snoring, teeth grinding, stuffiness or ringing in ears and frequent ear infections are also common.

What is the Temporomandibular Joint (TMJ)?

The TMJ are the small jaw joints in front of your ears that attach the lower jawbone to the skull and is one of the most complex joints in the entire body. This area of the face includes an intricate network of bones, muscles, and nerves.

What Causes TMJ Problems?

TMJ disorders have many possible causes including stress related clenching and grinding of the teeth or misalignment of the teeth due to old dental restorations or orthodontic treatment. Problems can also be caused by poor habits such as posture or excessive gum chewing but the most common cause is trauma due to an accident.

How Can You Help?

Since TMJ disorders have many possible causes, a comprehensive diagnostic work-up is essential. Our extensive experience and continuing education in the field of TMJ, Neuromuscular Dentistry and Full Mouth Reconstruction allows us to develop an individual treatment plan offering maximum relief and aesthetic rejuvenation.

Working with sensitive diagnostic tools that measure muscle activity we measure and study the positioning of teeth and jawbone. For some cases, the next step is an orthotic appliance based upon these measurements. This orthotic keeps your jaw resting in the best position to keep your muscles relaxed avoiding spasms and allowing the muscles to heal. Neuromuscular dentistry, which realigns your bite alleviates years of pain and discomfort and gives you a dazzling smile

Neuromuscular Orthotic Appliances

Your neuromuscular orthotic appliance is ready and your appointment is made for it to be delivered. There are a few things we want you to be aware of prior to this appointment. Please wear clothing that is comfortable. Do not apply any make-up or facial crèmes the day of delivery and make sure you are clean-shaven. You will be tensed first for about one hour and then the orthotic will be adjusted to your specific needs. If required, a tomography may be taken to insure the orthotic is positioned correctly.

As your symptoms are resolved, decompression of the TMJ may occur which requires us to adjust your orthotic from time to time. These adjustments are usually completed in the beginning of your treatment. Remember, it has taken years to get your body to its current state of pathology. It will take some time for your body to heal and for your new neuromuscular bite position to stabilize.

Pure Power Mouthguards

PPM or Pure Power Mouthguard clinical trials at Rutgers University have proven that using this custom fitted appliance provides significant improvement in your strength by 15% to 30%. Your flexibility, range of rotation, and endurance are all enhanced. By placing your jaw in its physiologically ideal resting position, muscular tension is released allowing better balance and muscle alignment. The results are immediate and impressive.

If you are a candidate for PPM, neuromuscular dentist, Dr. Mogell will use computerized jaw tracking equipment to determine your optimal bite. Impressions of your teeth will be made, and your PPM will be fabricated at the lab. A final fitting will be completed during a second appointment.

Professional athletes and serious amateurs have discovered that using a PPM improves their games - golf, basketball, baseball, hockey, running, yoga, weight training - almost any athletic effort is improved by using a PPM. Call our office to learn more about Pure Power Mouthguards and to make an appointment.

Only a small number of elite dentists with significant neuromuscular dentistry experience are certified and qualified to fit patients with the PPM. Dr. Mogell is the only PPM certified dentist in South Palm Beach County serving patients from Broward County, Boca Raton, Boynton Beach, Coral Springs, Deerfield Beach, Delray Beach, and Pompano Beach, FL.