TMD Treatment

Dr. Tregaskes likes to provide a non-surgical, conservative treatment. In most cases we recommend a custom-fit oral device, or orthotic, made of clear acrylic. This easy-to-wear orthotic fits over the top or bottom teeth. It is easy to speak with and not visible to others. Its main purpose is to eliminate muscle spasm and pain, reposition the lower jaw to allow space for the disk and correct parafunctional issues (clenching or grinding). Much like a cast, we typically want the patient to wear the orthotics 24/7 for approximately 3-5 months, depending on the situation.

Dr. Tregaskes uses as many as 15 types of orthotics. The key to successful treatment is diagnosing, establishing and selecting an orthotic directed towards that particular problem.

Why orthotics work:

  • Artificially decompress the tissues of the TMJ’s
  • Restore foreshortened muscles to their resting length
  • Decrease proprioception into the central nervous system
  • Limits TMJ functional movements to promote healing
  • Decreases electrical activity of muscles

Medication, physical modality therapy, stress management and/or referral to other health care providers are utilized as needed. Trigger point injections and cold laser therapy are also used to reduce pain in some cases. Rarely do TMD cases require surgery.

Once pain is controlled and the joint is stabilized, the bite is evaluated so the teeth, muscles and joints all work together properly - without strain or pain. Our office believes strongly in conservative, non-surgical care for TMJ treatment.

In the following video you can see the incredible relief that the same type of orthotics provide these Tourettes, Parkinsons and other Movement Disorder patients.

"Appliance Fabrication for Movement Disorder Patients" Provided by Brendan C. Stack, DDS, MS:

What is a trigger point?

A trigger point is a specific point or area where stimulation by touch, pain, or pressure induces a painful response. Many times these trigger points can refer pain to different areas which are commonly mistaken for headaches or other pain. The injections and/or laser therapy help to relax these areas and bring the muscles out of spasm, thus reducing pain.

Cold Laser Therapy

Cold Lasers, or "Low Level Lasers", are a non-invasive, safe and highly effective way to help treat pain and other ailments. The goal of cold laser therapy is to deliver light energy units from infrared laser radiation, called photons, to damaged cells. It is the consensus of experts is that photons absorbed by the cells through laser therapy stimulate the mitochondria to accelerate production of ATP. This biochemical increase in cell energy is used to transform live cells from a state of illness to a stable, healthy state. (Source:

Cold laser benefits:

  • Provides pain relief
  • Resolves inflammation
  • Increases the speed and quality of tissue repair
  • Stimulates the immune system
  • Improves the function of damaged neurological tissues

Visit to read more information! We use the FDA approved, Lumix 3, here in our office.

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Why Choose JNT Dental?

  • Transforming lives through exceptional individualized care.
  • State-of-the-art care utilizing the best technology available.
  • We go beyond the normal concepts of dental practice.
  • Personal and detailed patient evaluations.