During the initial consultation, Dr. Ueckert discovered symptoms consistent with TMJ Disorder. Jane had a long history of clenching and grinding her teeth at night. A previous dentist had created a night guard for her, which was extremely effective at mitigating her symptoms. Her biggest problem was when she forgot to wear the night guard. The next morning she would wake up with a lot of pain and discomfort. This included bilateral soreness in the temporomandibular joint, pain and stiffness in the neck, tinnitus and tightness of the massater muscles.
Another issue that concerned Dr Ueckert was the head tilt that Jane exhibited. By examining Jane’s before and after portraits, there is a noticeable tilt to her left side. This canted head position is a common sign that the lower jaw to upper jaw relationship has moved away from its optimal bite position.
A neuromuscular approach to helping Jane was suggested by Dr. Ueckert. This process began with tests to gather objective baseline data, which would provide the measurements of exactly where Jane’s bite should be. A comprehensive evaluation identified abnormal jaw movements, tested for muscle imbalances and examined joint function.