TMJ & dental sleep medicine
TMJ stands for temporomandibular joint. The TMJ connects the mandible, or lower jaw, with the temporal bone of the skull. This unique joint is the most complex one in the body. The health and stability of the TMJ are essential to the overall integrity and function of the chewing system. Problems with the TMJ may be caused by a wide variety of factors, including the misalignment of the teeth and jaw, dental work, missing teeth, trauma, and muscle stress, such as clenching and grinding. TMJ disorders (TMJD) occur when the skull and jawbones, cartilage disks, muscles, nerves, and teeth all fail to work in harmony.

Symptoms of TMJD include:

  • Clenching or grinding of teeth
  • Headaches, neck pain, or migraines
  • Uneven or bad bite
  • Worn or broken teeth
  • Muscle or jaw pain
  • Jaw joint noises (popping or clicking)
  • Difficulty with chewing and eating
  • Trouble/soreness with opening and closing the mouth

SomnoDent™ Sleep Apnea Device

There is no “one size fits all” solution for TMJD, and your treatment is customized based on in-depth analysis and accurate diagnosis of the cause of your symptoms. Some of the common treatments include removable orthotic splint therapy, orthodontics, restoring worn teeth and old dental work to optimal biologic form, or replacing missing teeth in order to balance the chewing system to function normally.   For more information on the bioesthetic approach to TMJD click here.

Drs. Kinney uses The Biolase® Epic 10™ soft tissue diode laser, which is FDA approved for non-invasive temporary relief of minor pain, to treat pain associated with TMJD.  Treatment for TMJD can involve adjunctive healthcare providers such as physical therapists, chiropractors, massage therapists, acupuncturists, MDs, and naturopathic doctors.

Dental Sleep Medicine

Dental sleep medicine involves the management of sleep-disordered breathing, utilizing a combination of oral appliances, orthodontic treatment, and/or surgical techniques. Sleep-related breathing disorders (SBDs) may range from mild snoring to potentially life-threatening sleep apnea. The quality of your sleep has a dramatic impact on your health, well-being, and overall quality of life. Snoring and obstructive sleep apnea disrupt your sleep and increase your risk of severe health problems.

Prior to treatment, you should be diagnosed by a board-certified sleep medicine physician. If you have snoring without sleep apnea, your doctor should give you a prescription for an oral sleep appliance. Oral appliance therapy should be provided by a qualified dentist who has technical skills and knowledge in dental sleep medicine. Training in how to provide oral appliance therapy is uncommon in dental schools and not all dentists have the training or experience to provide optimal care for adults with snoring or sleep apnea.  The diagnosis of SBDs follows a sleep study, interpreted by a sleep medicine physician. Treatment can include:

  • Improvement in sleep habits
  • Weight loss, as applicable
  • Use of a CPAP (Continuous Positive Airway Pressure) machine
  • Oral Appliance Therapy (OAT)
  • Orthodontics and/or Orthognathic Surgery

Drs. Amy and Todd Kinney are trained in the fabrication and use of Oral Appliance Therapy (OAT) with the Academy of Dental Sleep Medicine. We work together with sleep medicine physicians to identify the best treatment for each patient. If CPAP treatment is not well tolerated, OAT can be an effective alternative treatment for obstructive sleep apnea and snoring. A custom-fit oral appliance prevents the airway from collapsing by supporting the jaw in a forward position and helps maintain an open, unobstructed airway during sleep. There are specific dental considerations in using OAT, and with their advanced training in TMJ therapy, Drs. Kinney can provide additional support and attention to the health of the TMJs during OAT treatment.

For more information, visit the Academy of Dental Sleep Medicine.

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If you have been searching for a caring and experienced Biological and Holistic dentist, or have questions about our practice, we invite you to request your personal consultation with one of our doctors today. Please click below to request an appointment.

Testimonials

“I am so happy I started working with Dr. Amy & Dr.Todd Insight Interactive Dental Practice. Their amazing team goes above & beyond to provide exceptional service, with years of experience and expertise in advanced clinical training to provide a holistic health center treatment. Their staff provides unique personal attention to each patient is always aware of comfort. I highly recommend Insight Dental for a tremendous dental experience. Shout out to Sally for being a fabulous Dental Assistant and making me smile today!”

Nicolle C

Dr Amy spent over an hour with me on my first visit and I felt very heard and respected. For the first time in my life I enjoyed talking with a dentist and trusted her right away. Not only did I feel honored but left sure of her approach and expertise. I’ve never liked a dentist enough to recommend-I feel no hesitation recommending Dr Amy.

Vaughn K

“Every experience with Drs Kinney has been great! I appreciate their bluntness about dental health and their attention to detail to ensure I get what I need and have healthy teeth.

Angela S

“Very caring, friendly staff who really take extra care to make sure you are safe and comfortable. For those with allergies or health issues, this is the place to go!

Ted A

“we love the wholistic approach at Dr. Kinney’s office, we come all the way from Missoula for this great care.

Missy M

“I had a bite problem caused by another dentist. I had a lot of pain in my jaw and bad head aches. Dr Todd fixed my bite and also remove some very old mercury fillings. since the work was completed 7 or 8 years ago, I haven’t had any problems. They are highly competent and I would recommend all their dental care–cleaning, fillings, crowns etc.

Anon

“complete and informative – answered my questions and gave good advice on keeping my teeth healthy

Catherine S

“As always, Dr. Todd delivers personal and detailed care.

Shawn B

“Dr Todd was very knowledgeable and meticulous. He explained every step of the way, and made sure I felt involved in what choices were made about my care plan. You can tell they hold themselves to a high moral code of care, not taking any shortcuts, and trying to help you save money wherever possible. Bonus, mercury free, and flouride free options!

Nicole T

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