Neuromuscular Dentistry FAQ


Bay Area Neuromuscular Dentistry

San Francisco, Berkeley, Piedmont, & Oakland, California

What is neuromuscular dentistry?

Neuromuscular dentistry focuses on the patient’s bite. A good bite involves a working relationship between the jaw joints, muscles, and the teeth. If any one of these mechanisms does not function correctly, the bite may become misaligned. With a misaligned bite, the muscles in your jaws work overtime to align your teeth when you bite. This causes tension in your jaws and the muscles. With time, a misaligned bite may cause other health problems such as TMJ and TMD. Neuromuscular dentistry is focused on fixing the bite, to resolve problems associated with a misaligned bite.

What are the symptoms associated with someone who may need neuromuscular dentistry?

Some of the symptoms of a misaligned bite are:

  • TMJ
  • TMD
  • Facial pain
  • Headaches/dizziness
  • Neck pain
  • Popping of jaw
  • Ringing of the ears
  • Crowed teeth
  • Damage to fillings
  • Grinding of the teeth
  • Loose teeth
  • Loss of feeling in arms
  • Receding gums
  • Shoulder pain
  • Sensitivity of teeth

What treatments are available through neuromuscular dentistry?

Coronoplasty: Also referred to as equilibration, Coronoplasty is a procedure that reshapes the enamel of your teeth to correct the bite. Dr. Bernstein uses porcelain veneers together with neuromuscular dentistry to reshape your smile and improve your bite.

Orthotics/Bite Splints: Using advanced equipment made by Myotronics to assist Dr. Bernstein in finding a more comfortable jaw posture, a bite splint (orthotic) can be made to allow patients to rest their jaw in the most comfortable position.

Orthodontics: Sometimes, orthodontics is the best option, especially when the patient has undamaged, unrestored teeth. Using a neuromuscular approach to orthodontics involves creating adequate space for the tongue and for freedom of movement of the teeth and jaws. Avoiding extraction of healthy teeth by creating more room for them is one of the hallmarks of neuromuscular orthodontics.

Replacing missing teeth: When teeth are missing the bite can change, causing jaw problems. Sometimes, replacing missing teeth can improve the patient’s comfort.

Replacing selected restorations: Anyone who has ever had a raspberry seed stuck in their teeth knows that a minor interference to the bite can be very uncomfortable. If dental restorations are not made with precision to the patien’s most comfortable bite position, chronic pain can develop. In some cases, replacing poorly fitting dental restorations can provide significant relief to an uncomfortable bite.

Full-mouth reconstruction realigns the bite by making certain teeth higher or lower so your bite comes together more naturally. This also provides more structural support for your jaw.

Please contact our San Francisco neuromuscular dentist Dr. Josh Bernstein to schedule your initial consultation today.