So, What Is Cortical Erosion?

In the world of TMD, cortical erosion most often refers to erosion and breakdown of the condyle (the top of the jawbone). It can also mean breakdown of the socket that holds the condyle. Basically, cortical erosion refers to a bony degeneration that occurs over time and this can lead to the condyles and joints being very prone to breakage... read more »

Does Sleep Apnea ‘Inspire’ You?

Recently, people have been talking about a new technique to treat sleep apnea. The Inspire system was developed for people who do not tolerate the CPAP device very well. In this blog we will discuss why Inspire was developed and if it might be a viable alternative for certain people who suffer from sleep apnea. Sleep apnea is a condition... read more »

Hi-Tech: No More Putty or Metal Brackets for Finishing Cases

It is no longer necessary to put metal on your teeth for almost all orthodontic treatment. The new generation of clear aligners can in most cases work better and be healthier for you than the old-style metal brackets and wires. Because of the kind of orthodontics, Sleep and TMJ Therapy, we have found a better path to lift up (erupt)... read more »

The Case of: “Why Does This Take So Long?”

This is a question we hear at Sleep and TMJ Therapy almost every day. When a person hears that they need to wear an appliance or two for 12-18 months they almost inevitably want to know why it takes so long. Many people feel that the slipped discs can just be ‘pushed back into place’ and then the problem is... read more »

TMD From a Woman’s Perspective

Believe it or not, most of the research out there shows that women are more prone to TMD (Temporomandibular Disorders) issues than men. There are a few theories on this that might be interesting to investigate. First of all, women are regarded as generally being more sensitive than men and even more nurturing. This might explain why they would feel... read more »

The Case of The Missing MRI

At this time, it is the middle of 2023, and I am baffled and frustrated. Just in the past few weeks, I have met a respectable number of people who have reported chronic pain for years on end. They told me about their experiences with joint injections, physical therapy, massage and medications of course.  They were all just sick and... read more »

TMJ Disorder and Exercise

When seeking effective treatment for temporomandibular joint disorder (TMD), various factors must be taken into account. TMD primarily involves the displacement of articular discs, which cover the condyles (cartilage on the upper part of the jaw bones), resulting in the compression of nerves and blood vessels. Consequently, individuals experience pain in the head and neck region. Additionally, TMD commonly leads... read more »

Response to the FDA Concerns Regarding AGGA and other Similar Devices

Released March 31, 2023 Over the many years of treating TMJ disorders, my office has realized a couple of things: Do not use appliance therapy that is fixed or cemented in the mouth and using the AGGA or similar devices like FAGGA, MARA, ARA, FORA and RPE may not be wise when it comes to achieving the goal of palatal... read more »

The Case of the X-Ray and the Analogy

Recently, like two weeks ago, my beautiful and amazing CBCT (fancy X-ray system) basically went on the fritz and died. Multiple technicians showed up at my office saying they could fix the problem and bring life back to my machine, but alas, it has remained broken all this time. Technician after technician has shown up, told me they could fix... read more »