CMD: Therapy for a disorder of the masticatory apparatus

Many patients suffer from disorders of the masticatory apparatus. These disorders of the masticatory muscles or the jaw joints are also called CMD (craniomandibular dysfunction).

Symptoms of a disorder of the masticatory apparatus (CMD)

• Teeth grinding or clenching (bruxism)
• Pain in the jaw joint
• Restricted mouth opening
• Pain in the chewing muscles
• Hypertrophy (excessive growth) of the masticatory muscles
• Radiating facial pain
• Migraine and tinnitus

To treat this disorder, we carry out a functional analysis based on models. With splint therapy and accompanying physiotherapy, the issues can quickly subside.
If the teeth are damaged or the bite position needs to be adjusted, we recommend a reconstruction of the teeth (see also: therapeutic dentures).

The CMD therapy process

First, we will take dental casts of the upper and lower jaw to make a functional analysis. In the dental laboratory, the position of the upper and lower jaw to the joint can be adjusted in an articulator. This can imitate the movement of the temporomandibular joints, whereby malposition of the jaws or potential interference contacts can be analysed. The results obtained can then be incorporated into a centric splint (Michigan splint).