After you have had your neuromuscular evaluation and Dr. Adams has determined your neuromuscular bite along the correct neuromuscular trajectory he, will craft a special mouthpiece for you called an anatomical orthosis. The orthosis is worn over the lower teeth and serves to properly realign your bite orthopedically to the most muscle comfortable position. Once your muscles have become adjusted to this new position (usually over a period of up to 3 months), you will have several treatment options available to you:
Orthosis worn as needed for as long as patient needs relief.
Orthodontic Therapy to the new bite position by either using traditional braces or ClearCorrect/Invisalign.
Full Mouth Reconstructive Therapy to the new bite position.
Sleep Apnea will be addressed as a potential contributor and possible treatment option.
Homeoblock appliance therapy will be addressed as a potential contributor and possible treatment option.
Bruxing / Grinding will be addressed as a potential contributor and possible treatment option. The proper appliance will be addressed for appropriate treatment.
Clenching will be addressed as a potential contributor and possible treatment option. The proper appliance will be addressed for appropriate treatment.
Combination of any of the above.
The advantages and disadvantages of the treatment options you choose will be discussed with Dr. Adams. He can then co-diagnose your treatment options with YOU and help YOU select the treatment that will best suit your individual needs.
Dr. Adams has extensive training and teaching experience in the fields of TMD/TMJ, Neuromuscular Dentistry, Occlusion, Full Mouth Rehabilitation and Sleep Dentistry. He started his TMJ/TMD Neuromuscular, Occlusion and full mouth rehabilitation journey lecturing and teaching side by side with world renowned expert, author and clinician Dr. Robert Jankelson. Teaching how to recognize, diagnose and treat these challenging cases and being able to transition these cases once stable to a finished neuromuscular position either with an orthosis, orthodontics or a full mouth rehabilitation puts him in a unique position to be able to help patients achieve comfort and function at a level never before experienced by them. Dr. Adams airway and sleep dentistry journey was inspired by world renowned Author and Clinician Dr. James Garry out of San Diego, California. It was this early exposure that led him to his paradigm shifts and epiphanies of the importance of airway development and its effect on human development. The impact of the lack of airway on the TMJ and posture allowed him to put together the missing links so often missed in the traditional mechanical approach to diagnosis and treatment. This progression drove him to achieve Diplomate status with the Academy of Clinical Sleep Disorders Disciplines. This specialized training allowed him to see the bigger picture of the interrelationship of the airway, bite, muscles and joints to C1, C2 and the whole body. Instead of looking at just one component of the stomatognathic system, he is able to look at the total relationship of the bite and airway to the body. A faulty bite can affect the alignment of C1 and C2 which can wreak havoc on the whole kinematic skeletal chain causing severe cervical issues.
