Neuromuscular and Gneuromuscular Treatment Options

Dr. Hoa Nguyen - Neuromuscular and Gneuromuscular Treatment Options

When the presence of a Temporomandibular Joint Disorder (TMD) has been diagnosed, Dr. Nguyen has a wide range of treatment options available at his disposal to address the underlying cause.

All of the treatment options are ultimately designed to reduce the muscle activity in the Temporomandibular Joint when the jaw is in a “rested” position. This can be achieved by ensuring that the occlusion (bite) is in its optimal position so that the muscles are not “firing” when they are supposed to be resting. Finding this optimal occlusion point will allow the muscles to rest and subsequently, function properly when they are called upon to open and close the jaw.

Traditionally, there have been two main schools of thought when it came to occlusion manipulation: Gnathologic and Neuromuscular. The Gnathologic approach relies on the manipulation of the lower jaw in order to get better jaw alignment, and as a result, better occlusion. The Neuromuscular approach believes in the body’s tendency to revert to an optimal occlusion point when all of the muscles in the jaw and surrounding areas are at “rest”. This “rested” state can be induced using a TENS device.

The recently developed Gneuromuscular approach integrates both philosophies, combining the Neuromuscular’s muscle relaxation with Gnatholgic’s mandible manipulation. The Gneuromuscular philosophy is that there is merit to each of the two approaches and that elements of each should be included in order to achieve a comprehensive and optimal solution.