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TMJ treatments

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We are in the best designed dental office in all of New Zealand at 19 Alpers Avenue, Epsom North [just along the right side of Alpers Avenue from the Honda corner at the south end of Newmarket’s Broadway]


TMJ treatments

The jaw joints – officially called the temporo-mandibular joints or TMJs – are the ball and socket like joints just in front of the ears that attach the lower jaw [mandible] to the temporal bones of the skull. These joints have an importance way beyond their size. After all, where would we be if we couldn’t move our mouths?

When working correctly, the TMJ is a beautifully efficient example of natural dynamics. It enables us to eat, talk, and display a range of human emotions – smiling in particular – and, when looked after, it should last the required life time of the owner.

However, when things go wrong for the TMJ, problems can rapidly arise. Here are a few afflictions that can be traced to a dysfunctioning TMJ:

• Clicking and/or locking jaws
• Headaches [including migraines]
• Limited jaw opening
• Tinnitus [ringing ears]
• Bruxism [tooth grinding or clenching]
• Eye pain and/or light sensitivity
• Swallowing problems
• Head and face pain
• balance problems
• neck and shoulder problems

Not only is all this confusing, but there is even more confusion in the terminology of this group of disorders. We have mentioned temporo-mandibular joint dysfunction. Then there is cranio-mandibular cervical pain. And as well there is myofacial pain dysfunction where the primary problem is not in the joint itself but rather in the associated head and neck muscles.

Most patients who come to us with TMJ problems are concerned about their clicking jaws and perhaps headaches or migraines. Then they realise a lot of other unexplained problems [especially those listed above] may have the same or a related cause. Many of these patients will have experienced these problems for years, and will have sought help from a range of health professionals – doctors, physiotherapists, massage therapists, osteopaths, and acupuncturists – to name just a few. Recently we had a lady come to our office for an opinion on her long term head pains and migraines. As she was leaving after the consultation where we had told her what we thought was her problem, and the treatment we would recommend, her husband said "Twenty". "Why twenty?" we asked. He replied that we were the twentyieth health practitioner they had visited and the first to make any sense. His wife is now getting better.

If the relationship of the bones in the jaw joint is out of harmony with the dental bite, then whatever drugs or manipulations or massage techniques are tried, once the teeth bite together, then that therapy turns to custard.

So the best health professional to treat TMJ problems is a general dentist who is trained in the diagnosis and treatment of TMJ problems. Unfortunately there is practically no instruction on the TMJ and its functions and pathologies at University Dental Schools. It is up to the individual dentist to further his education in this field by joining organisations of dentists who have a special interest in TMJ problems and by attending courses and conferences [usually overseas] on jaw joint disorders and head and neck pain.

There is no dental speciality for the treatment of TMJ disorders. Sometime oral surgeons will state that they are ‘specialists’ in treating jaw joint problems. This is not quite correct. Oral surgeons tend to look at surgery as an appropriate treatment for jaw pathologies. We strongly disagree with this approach and, over the years, we have treated many patients who could be described as ‘dental cripples’ following surgery to their joints.

On the other hand we do cooperate frequently with doctors, physiotherapists, cranio osteopaths, acupuncturists, and other health professionals. Working with these other therapists who understand the joint and its associated structures may enable us to achieve a greater improvement for the patient than by working alone.

Dr John has been a member of the American Academy of Craniofacial Pain [AACP] for 30 years and has, by attending courses and passing rigorous exams, achieved the status of ‘Distinguished Fellow’ in that organisation. He attends conferences in the United States every year and has completed over 1100 hours of continuing education in this field. Dr John has lectured on aspects of the TMJ and its problems in New Zealand, Australia, the US, Canada, Africa, and Romania.

A recent exciting development in this field is the discovery by Dr Brendon Stack [a friend of Johns] that dental splints are capable of calming the effects of movement disorders, including Tourettes Disorder. Take a look at Brendan Stack's videos on YouTube.

 Dr John is treating several patients with movement disorders, including Tourettes, with encouraging results.


Wow! Where does one begin?

John is a Saint.

When people complain about how they hate going to the dentist, this is not the case with John Burford, he is caring and passionate with his work and patients, always friendly, makes one comfortable, and he has a great personality, great sense of humour...

He never uses the word no, he always tries. With so much experience and knowledge he is always keen to take on a challenge.

He is thorough, and always explains what he is doing, you see your results, you feel your results.....

I always recommend John's practice to anyone..

He is what he is: amazing!!

- Natalie Mc

I was so impressed by the orthodontic results Dr Burford achieved for a friend's son that, after years of procrastinating, I was motivated to finally get my teeth straightened. My only regret was that I wish I had done it sooner! John has taken terrific care of me, always explaining in detail the reasons for all the procedures. He has a great chairside manner and his depth of knowledge is very impressive. His team has been wonderful too - always welcoming and friendly. I wholeheartedly recommend the practice. Thank again Dr Burford and team!

- MK

Did you know?

Simple dental appliances can be very effective in minimising snoring and obstructive sleep apnoea. This certainly is a treatment option to consider before committing to surgery.

Learn More