TMD Learning Center / Headache Solutions

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Cranio-Mandibular Visual Assessment
Frequently Asked Questions

What is TMJ/TMD?
TMJ stands for Temperomandibular Joint.  This is your jaw joint.  TMD means Temperomandibular Joint Disorder.

What are symptoms of TMD (Temperomandibular Joint Disorder)?

Symptoms include any of the following:

  • Headaches (tension type)
  • Jaw Joint Pain
  • Neck, Cervical Pain
  • Postural issues (forward head position)  (backward head position while chewing)
  • Ear stuffiness
  • Ear pain
  • Ear ringing (tinnitus)
  • Dizziness (vertigo)
  • Jaw clicking
  • Jaw popping
  • Jaw locking open or closed
  • Cracking sound in jaw (crepitus)
  • Limited jaw opening
  • Clenching and/or grinding teeth
  • Bite feels “off” or “changing”
  • Multiple bites 
  • Sensitive teeth
  • Pain behind the eye (sharp, dagger like pain)
  • Discomfort in head:  Occipital (back), Temporal (side), and Frontal (front)
  • Jaw soreness
  • Jaw deviates to one side when opening and closing
  • Face pain
  • Insomnia (difficulty sleeping)

What should I do first?
Patients should be checked first by their medical doctors for any underlying cause of symptoms.  This includes neurologists, ENT’s, primary care physicians, chiropractors, etc. However, if there is no resolution and neurological as well as other underlying issues have been ruled out, we may be able to help.  The problem could be the result of your bite.

Even though my teeth are straight and look great, could the pain still be from my bite?
Yes.  Our bite can change.  People are different.  Some are affected by the slightest bite changes and pain can begin.  Others may have what looks like a very bad bite and not be in pain.  

What sort of treatment model do you use?
We use the biophysiologic model.  We strive to reduce the symptoms through an emphasis on the bite, the muscles, and the jaw joints.  We use instrumentation, technology, and patient feedback to objectively determine a physiologic jaw relationship, the relationship of the upper and lower jaws. By obtaining this relationship, we often see our desired results.  We use a gnathologic orthotic appliance. A gnathologic appliance is one which we strive to simulate an ideal bite with the optimal jaw relationship. This appliance is designed to incorporate gnathologic, neuromuscular, and physiologic instrumentation/technology as well.  With the technology, we objectively measure the jaw motion, muscle response, and jaw relationship.

What training do you have?
Dr. Lorio is a general dentist who over the last 27 years, has experience treating patients with TMD.  He has studied and used many of the techniques taught by top experts in the country including Dr. Clayton Chan, Dr. Frank Spear, Dr. Henry Gremillion, Dr. Jeffery Okeson, and Dr. Peter Dawson.  This education and experience has led Dr. Lorio to management of the occlusion (bite) on a detailed, microocclusion level using a gnathologic orthotic appliance.  He integrates both gnathologic and neuromuscular treatment modalities.

What is the advantage of a gnathologic orthotic appliance?
We can adjust the bite on the appliance and not on your teeth.  The goal is to achieve the physiologic jaw position to help make you feel better.  

Do you do fillings, crowns, other restorations, and orthodontics?
Sometimes restorations must be done in order to have enough tooth support for the orthotic to function properly.  More often, we only do fillings, crowns, and other restorations only if needed once the treatment goals are achieved with the orthotic appliance, and the patient desires to move forward with treatment.  We do not perform orthodontics, but work with orthodontists who we can show the desired jaw position to help with their treatment. 

Does this treatment work all the time?
No.  As with other dental treatments, we cannot guarantee treatment success.  However, we have helped many patients who have felt helpless from symptoms of TMD to be able to function back to normal.

Where can I learn more?
Contact our office at 225-769-4848.  We will meet with you for a consultation to discuss your case.

Dr. Keith Lorio

The Office of Keith G. Lorio, DDS, APDC

Dr. Keith Lorio has helped the community of Baton Rouge, LA, achieve beautiful smiles and optimal oral health for over twenty-seven years. We offer general dentistry procedures, and can help you with a number of treatments including:

  • TMD Treatment
  • Migraine and Headache Treatment
  • Sleep Apnea Treatment
  • Dental Crowns

To schedule an appointment at our Baton Rouge, LA, dental office contact us online or call (225) 769-4848.

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Baton Rouge Office

11505 Perkins Rd
Ste K
Baton Rouge, LA 70810

Open Today 8:30am - 4:00pm

*Mondays Calls only

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