{"id":1034,"date":"2022-02-23T14:32:57","date_gmt":"2022-02-23T14:32:57","guid":{"rendered":"https:\/\/zahnarzt-zehlendorf-berlin.de\/dental-medicine\/harmony-splints"},"modified":"2024-12-03T14:41:50","modified_gmt":"2024-12-03T14:41:50","slug":"harmony-splints","status":"publish","type":"page","link":"https:\/\/zahnarzt-zehlendorf-berlin.de\/en\/dental-medicine\/harmony-splints","title":{"rendered":"CMD\/splint treatment"},"content":{"rendered":"

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CMD\/splint treatment<\/h1>\n

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CMD (craniomandibular dysfunction) is a collective term for functional disorders in the area of the temporomandibular joints, the masticatory muscles and the associated structures.<\/p>\n

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Main symptoms<\/h2>\n

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Craniomandibular dysfunction (CMD) manifests itself through various complaints that can affect both the jaw and neighbouring areas of the body. Typical symptoms include pain in the temporomandibular joint, facial pain and headaches as well as clicking or rubbing in the temporomandibular joint. Mouth opening may be restricted and tension in the chewing muscles is common. Noises in the ears such as tinnitus, dizziness and neck and back pain are also common.<\/p>\n

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Possible causes<\/h2>\n

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There are many causes of CMD. Incorrect loading due to teeth grinding (bruxism) and stress are among the most common triggers. Misaligned teeth, accidents or injuries, incorrect posture and orthodontic treatment or unsuitable dentures can also favour CMD.<\/p>\n

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Diagnostics<\/h2>\n

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The diagnosis of CMD requires a thorough examination. Firstly, a detailed medical history is taken to identify possible triggers and complaints. This is followed by manual examinations of the temporomandibular joints and functional analyses of chewing movements. In addition, imaging procedures such as X-rays or MRIs as well as computer-aided movement analyses can be used to clarify the diagnosis.<\/p>\n

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Treatment options<\/h2>\n

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The treatment of CMD depends on the individual causes and symptoms. Bite splints are often used to relieve pressure on the temporomandibular joints. Physiotherapy and manual therapy help to relieve tension, while relaxation exercises and stress management can have a supportive effect. Pain therapy or orthodontic corrections can also be considered to alleviate the symptoms in the long term.<\/p>\n

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Pain<\/strong>
CMD can manifest itself through pain in various areas. Jaw joint pain, facial pain or headaches – particularly in the temple area – are common. Other typical complaints are neck pain or toothache with no recognisable cause, as well as earache.<\/p>\n

Temporomandibular joint problems<\/strong>
Those affected often experience a cracking sound when opening or closing their mouth, accompanied by rubbing or grinding noises. The opening of the mouth may be restricted and jaw clamping, locking or a feeling of instability in the temporomandibular joint may occur.<\/p>\n

Muscular complaints<\/strong>
Tension in the chewing muscles, muscle fatigue, tenderness and morning stiffness are among the most common muscular symptoms. These complaints can make chewing more difficult and lead to general discomfort.<\/p>\n

Accompanying symptoms<\/strong>
CMD can cause other accompanying symptoms, such as tinnitus, dizziness or hearing disorders. Visual disturbances, nausea, difficulty swallowing and tongue burning pain are also possible symptoms.<\/p>\n

Tooth-related symptoms<\/strong>
Excessive tooth wear, loose teeth, hypersensitive teeth and gum problems are typical tooth-related symptoms of CMD.<\/p>\n

Psychological symptoms<\/strong>
CMD can also have psychological effects. Sleep disorders, concentration problems, increased sensitivity to stress, exhaustion and depressive moods are common.<\/p>\n

Special features<\/strong>
The symptoms are often more pronounced in the morning and can be exacerbated by stress, one-sided strain or changing intensities. In chronic CMD, the symptoms tend to intensify and become persistent.<\/p>\n

Risk factors for aggravation<\/strong>
Emotional stress, physical strain, changes in the weather, lack of sleep, certain foods, long periods of speaking and intense jaw strain are factors that can exacerbate symptoms.<\/p>\n

[\/et_pb_accordion_item][et_pb_accordion_item title=”Why physiotherapy for CMD?” open_toggle_background_color=”#FFFFFF” closed_toggle_background_color=”#F0F0F0″ icon_color=”#000000″ toggle_icon=”"||divi||400″ _builder_version=”4.27.4″ _module_preset=”default” custom_margin=”||-1px||false|false” global_colors_info=”{}” open=”off”]<\/p>\n

Physiotherapy plays a central role in the treatment of CMD, as it specifically addresses the symptoms and their causes.<\/p>\n

Releasing tension<\/strong>
Physiotherapeutic measures relieve tension in the masticatory muscles, neck muscles, shoulder area and facial muscles. This helps to relax the entire region and reduce pain.<\/p>\n

Improved mobility<\/strong>
The mobility of the temporomandibular joint, the cervical spine and the shoulder\/neck area can be significantly improved through targeted exercises and therapies, which increases functionality and quality of life.<\/p>\n

Pain relief<\/strong>
Physiotherapy helps to reduce pain by using manual therapies, stretching exercises and heat or cold applications. The treatment of trigger points also contributes significantly to pain reduction.<\/p>\n

Correction of poor posture<\/strong>
Poor posture, particularly in the head and neck area, is corrected by physiotherapy. This also includes optimising posture and learning relaxation exercises for everyday life.<\/p>\n

Promoting self-help<\/strong>
An important aspect of physiotherapy is to enable patients to help themselves. This includes exercises to do at home, training to improve posture, stress management techniques and specific behavioural recommendations.<\/p>\n

The combination of these approaches makes physiotherapy an essential part of holistic CMD treatment and helps patients to remain symptom-free in the long term.<\/p>\n

[\/et_pb_accordion_item][et_pb_accordion_item title=”Which exercises are useful for CMD?” open_toggle_background_color=”#FFFFFF” closed_toggle_background_color=”#F0F0F0″ icon_color=”#000000″ toggle_icon=”"||divi||400″ _builder_version=”4.27.4″ _module_preset=”default” custom_margin=”||-1px||false|false” global_colors_info=”{}” open=”off”]<\/p>\n

Jaw relaxation<\/strong>
Place your tongue loosely against the roof of your mouth, keep your lips closed and avoid clenching your teeth. Remain in this relaxed position for 2-3 minutes and repeat this several times a day.<\/p>\n

Stretching the chewing muscles<\/strong>
Slowly open your mouth as wide as possible, hold this position for 3 seconds and slowly close it again. Perform this exercise in 10 repetitions.<\/p>\n

Massage the jaw muscles<\/strong>
Massage your temples, cheeks (from the outside) and the jaw joint in front of your ear using circular movements with your index and middle fingers. Apply gentle pressure and massage each area for 1-2 minutes.<\/p>\n

Neck stretch<\/strong>
Gently tilt your head to one side while pulling the opposite shoulder downwards. Hold the position for 15-20 seconds, then switch sides. Repeat this exercise three times on each side.<\/p>\n

Relaxation exercise for the head area<\/strong>
Consciously relax your face by \u2018yawning\u2019 without opening your mouth. Feel how your jaw relaxes. Perform this exercise 5-10 times in succession.<\/p>\n

Important notes:<\/strong><\/p>\n