When patient's come to me for help regarding their TMJ problems I always use low frequency muscle stimulation (J5 Myomonitor, Myotronics, Inc, Kent, WA) to relax the muscles that are in spastic tension. After a thorough evaluation and
comprehensive work up, I will use this simple non-invasive modality to help me find and establish a more physiologic jaw/bite relationship for lower orthotic laboratory fabrication. Relaxing all the muscles of mastication first is the first fundamental principle that is missed among dental professionals when therapeutically treating these kind problems. Without establishing the mandible to a more neutral state as it relates to the cranial base, the dentist will not effectively be able to calm the many head and neck pains that trigger the Central Nervous System and back to the jaw, teeth, head and neck region. This is a key principle that more and more clinicians are now recognizing.
