Doctor’s notes: Rosemary first came to our office in October 2005, referred by a chiropractor. She was suffering from headaches, joint pain, and a severely limited opening. An MRI confirmed marked degeneration of her TMJ’s, degenerative joint disease. The destruction of the articular tissues (joint and discs) occurs when the remodeling capacity of those tissues has been exceeded by the functional demands, usually due to a destructive bite relationship.
Her physician recommended surgical joint replacement choosing instead a conservative non-surgical course of treatment. Rosemary was placed in a diagnostic removable orthotic, and her pain was relieved and functional movement was restored within three weeks. Two months later the orthotic use was discontinued for twenty four hours and all symptoms returned, confirming the relationship between her dysfunctional jaw position and her symptoms.
She was restored to proper bite relationship in four appointments, completed in June 2007. She has remained pain free and fully functional for six years. – DRL