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Temporomandibular joint specialised treatment

Temporomandibular Joint (Jaw)

Specialist assessment and treatment for jaw pain, malocclusion, TMJ dysfunction, disc problems and related headaches.

Jaw (TMJ) treatment assessment

Understanding the area

A complete view of the problem.

The temporomandibular joint is a complex structure formed by the temporal and mandibular bones, supported by powerful muscles and ligaments and controlled by an extensive neurological network. Although small, it generates considerable force and dysfunction can be particularly painful and debilitating.

TMJ disorders rarely occur alone. Because of ascending biomechanical and neurological influences, evaluation of spinal function is an important part of assessing jaw dysfunction.

Five defence mechanisms

From alignment to bone.

Fernando assesses five protective layers around the jaw. The number of affected layers helps determine the level of injury—from bite alignment at Level 1 to dislocation or fracture at Level 5—and informs a combined treatment plan.

  1. 01

    Alignment

  2. 02

    Muscles

  3. 03

    Ligaments

  4. 04

    Disc & cartilage

  5. 05

    Bones

Conditions assessed

Five levels of jaw (tmj) injury.

Each presentation is assessed individually. The lists below show conditions considered within Fernando’s clinical framework.

Level 1

Alignment

Alignment & neurological patterns

  • Malocclusion syndrome
  • Locked or deviated TMJ
  • Migraine, cluster and tension headaches
  • Bell’s palsy
  • Trigeminal neuralgia
  • Acute herpes zoster
Level 2

Muscles

Muscle and tendon conditions

  • TMJ myofascial pain syndrome
  • Masseter tendinitis
  • Temporalis tendinitis
  • Pterygoid tendinitis
  • Bruxism
Level 3

Ligaments

Ligament conditions

  • Hyoid syndrome
  • Stylohyoid ligament sprain
  • Sphenomandibular ligament sprain
  • Stylomandibular ligament sprain
  • Lateral ligament sprain
Level 4

Disc

Disc and cartilage conditions

  • TMJ arthritis and arthrosis
  • TMJ disc displacement
  • TMJ disc entrapment syndromes
Level 5

Bones

Dislocation and fractures

  • TMJ dislocation
  • Condylar fractures
  • Subcondylar fractures

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