TMJ Treatments

Treating Grand Rapids, Muskegon, Holland, Michigan And Surrounding Areas

Research in the area of TMJ treatment is making progress on a daily basis. Today’s effective treatments are the fruit of neuromuscular dentists all over the country combining creativity and science to find better solutions. After you undergo your complete TMJ diagnosis, Dr. Mulder and his team will present solutions designed to first relieve you from pain and then move the misaligned jaw into a new and more comfortable resting position. Dr. Mulder has an extraordinary track record of success with his TMJ treatment method.

Dr. Mulder’s TMJ Treatment Method

Traditional dentistry assumes your present bite position is best for you and attempts to restore your bite around its existing position – what might be considered two-dimensional reconstructive dentistry. Neuromuscular dentistry considers a third dimension – the muscles that control chewing, swallowing, and jaw position.

Using computerized equipment, Dr. Mulder measures and studies the pattern of jaw opening and closing through its full range of motion in three dimensions. The computer also documents the location of your jaw in relation to the upper teeth and measures the activity of the muscles that control the jaw both in function and at rest.

The computer provides data that allows Dr. Mulder to objectively determine whether you will be most comfortable with your current jaw (bite) position or after adjustment to a different position.

Grand Rapids TMJ Treatments | A Life of Smiles
Treatment by Dr. Mulder using a Myomonitor and K7 computer analysis yielded an optimal jaw position in which the patient appears to have had a face lift. The dark circles under her eyes are far less noticeable and her face has a more oval shape. Barb has only been wearing Orthosis for four months.

» Click here to view other Neuromuscular Treatment results. (Note: Results may vary)

Neuromuscular Tests

Treatment by Dr. Mulder using a Myomonitor and K7 computer analysis yielded an optimal jaw position in which the patient appears to have had a face lift. The dark circles under her eyes are far less noticeable and her face has a more oval shape. Barb has only been wearing Orthosis for four months.

Dr. Mulder’s neuromuscular tests are “non-invasive” — there are no injections and there is no pain. The tests begin with a Computerized Mandibular Scan (“CMS”) in which a tiny magnet is applied to your lower gum with sticky tape. You then wear very lightweight headgear much as you would wear a pair of glasses. Sensors on the headgear precisely follow the path of the magnet as you open and close your mouth and send the three-dimensional information to the computer as your jaw opens and closes.

Muscle activity is monitored with Surface Electromyography (“SEMG”), a technology similar to an electrocardiogram. After thin wires are attached to the skin by adhesive patches, tiny electrical signals emitted by your muscles are detected and sent to the computer.

On some occasions, Dr. Mulder may want to study the sounds of your jaw joints. If so, Dr. Mulder will use Electrosonography (“ESG”). You wear a headset similar to headphones that hold microphone-like sensors over each jaw joint. The sensors detect the joint sound vibrations as you open and close your mouth and transmit the sound data to the computer.

Typically Dr. Mulder will first want to do the CMS, SEMG and/or ESG tests to get your baseline data. Then you may be connected to a Myomonitor, which is a battery operated electrical muscle stimulator. The Myomonitor will exercise your facial and jaw muscles once again, without any pain. The electrically induced exercise will help your muscles achieve a relaxed state. After 40-60 minutes, the CMS, SEMG, and/or ESG tests will be repeated to take measurements in your relaxed state.

TMJ Treatments – Getting the Bite Right

Once Dr. Mulder has recorded your relaxed jaw position, the goal is to establish your relaxed position as your everyday bite position. Dr. Mulder develops a customized plan to accomplish this transformation in bite position. Your plan may include any of the following:

  • A splint to retrain your jaw muscles to the new, relaxed bite position
  • Tooth reshaping or realignment such as Invisalign or full or partial mouth
  • reconstruction
  • Heat and ice therapy
  • Physiotherapy (jaw exercises)
  • Anti-inflammatory medications
  • Surgery (only if other treatments are less successful than hoped)
Occlusal Guard (bite splint)
TMJ Treatments | A Life of Smiles
  • Horse shoe shape appliance worn on upper arch
  • Great for the typical night grinder or clincher
  • Stops the progress of more wear on your teeth

NTI Appliance
TMJ Treatments | A Life of Smiles
  • Worn on either upper or lower front teeth
  • Takes pressure off back teeth and also off your joint
  • Mouth is slightly open to stop the clincher/ grinder from doing damage on teeth
  • Relieves TMJ (joint) pressure and Temporal (forehead) headaches from clinching

Orthodic Appliance
TMJ Treatments | A Life of Smiles
  • Worn on lower arch either removable or fixed per Dr. Mulders diagnosis
  • Worn anywhere from overnight to 24/ 7
  • Relieves TMJ pain, headaches, muscle tension, ear congestion and more
  • Correct issues with your bite

Dr. Jerry Mulder describes reconstructive dentistry procedures available to our dental patients. Reconstructive dentistry can perfect your smile and change your life! Contact us today to learn more.

Objective Data for Better Bite Position Analysis

Teeth are designed for chewing efficiency and bite stability. Proper bracing of the mandible allows for forceful muscle acts such as swallowing. A poorly positioned bite places abnormal stress on masticatory muscles and the temporomandibular joints, which can cause discomfort and other symptoms. For optimal diagnosis and therapy in modern bite evaluation, the clinician must be able to measure physiologic phenomena that indicate the state of bite function and its effect on both masticatory muscles and temporomandibular joints.

Until recently, the technology to objectively measure bite position and muscle tension has been cost prohibitive or entirely lacking. Modern equipment such as the K7 Evaluation System employed by Dr. Mulder allows measurements for enhanced neuromuscular treatment. Objective data from the K7 allow for better diagnosis, treatment, monitoring, and documentation of results.


For TMJ treatment in Grand Rapids and surrounding areas such as Muskegon, Holland, and Kalamazoo, contact experienced neuromuscular dentist Dr. Jerry Mulder. Call us at 616.458.0631 or email our office today to schedule a TMJ evaluation.