TMJ Neuromuscular Dentistry

Treating TMD in Newton

Temporomandibular joint dysfunction, also known as TMD, can be a debilitating condition that severely impairs an individual’s ability to perform even the most basic of oral functions. Dr. Steven Bader offers comprehensive TMD therapy in Newton that integrates innovative techniques with modern technologies to help individuals alleviate the pain caused by this condition and improve their oral function. 

Understanding Temporomandibular Joint Dysfunction

Also known as the TMJ, the temporomandibular joint serves as the connection point between the lower jaw, or mandible, and the skull. Between the mandible and temporal bones sits a firm disc known as the articular disc. While several muscle groups facilitate the movement of the joint, this articular disc ensures smooth function by cushioning and protecting bones. If one component fails to move correctly or is damaged, patients may find themselves at risk of developing symptoms of temporomandibular joint dysfunction. 

Symptoms and Causes of TMJ Dysfunction

Given the position of the TMJ and the number of inter-related components, joint dysfunction can be triggered by several of different components. Some of the more common causes of TMJ dysfunction include:

  • Clenching teeth or bruxism (grinding)
  • Misaligned bite
  • Joint trauma
  • Arthritis
  • Emotional stress
  • Myofacial pain

TMD often manifests by impeding the patient’s ability to perform basic oral functions with an increase in clenching, altering bite alignment, locking the jaw opened or closed, restricting jaw movement, and causing teeth sensitivity. 

As jaw movement is facilitated by a system of muscles and ligaments throughout a patient’s face and neck, symptoms of TMJ dysfunction are not limited to affecting oral function. Individuals with TMD may also experience headaches and migraines, postural problems, dizziness, insomnia, impaired vision, and tingling in fingers and hands. Joint dysfunction can also trigger pain throughout the face, head, back, and neck. 

Diagnosing & Treating TMD

At our Newton dental office, comprehensive TMJ examinations are conducted by our on-staff TMD specialist Dr. Steven Bader. During examinations, Dr. Bader thoroughly evaluates teeth, TMJ, occlusion (bite), and surrounding muscles to determine whether any component is dysfunctional.

Following a diagnosis of TMD, our joint dysfunction specialist can recommend an effective treatment plan for alleviating symptoms and restoring joint function. Neuromuscular occlusal therapy from our office has provided patients with renewed joint function. During this two phase treatment, specialized jaw tracking technology is used to measure and establish a baseline of muscle activity, jaw movement, and joint sounds. Ultra Low Frequency TENS therapy can then be provided to relax the muscles of the head and neck and measure ideal bite position. 

This measurement is used to create a customized orthotic device, which is worn to gradually coax the bite into ideal neuromuscular position. Once symptoms have been relieved and the measured bite remains constant between weekly visits, patients enter the second phase of neuromuscular therapy.

During this second phase of treatment, patients switch to a removable orthotic device and undergo on-going occlusal (bite) therapy. Depending on the cause of TMD as well as the individual’s unique dental condition, continued TMD treatments at our Newton dental office may include:

  • Occlusal adjustment, or reshaping of the biting surfaces of the teeth.
  • Neuromuscular orthodontics using highly specialized braces
  • Neuromuscular reconstruction, during which crowns and veneers are used to restore the bite
  • Semi-permanent orthotics to keep the bite in the correct position.

TMD Treatment in Newton

Ted Filandrianos DMD FAGD and Associates LLC is committed to helping patients overcome the symptoms of TMD through comprehensive diagnosis and therapy. Our TMD specialist is extensively trained and has completed over 278 hours of continuing dental education in neuromuscular dentistry. For more information about treating TMJ dysfunction, please contact our Newton dental office today. 


Read what people are saying about us.

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7/9/2019--Over the past several years I had a number of dental problems which were addressed by several Doctors in the Dr. Ted Filandrianos and Associates Service. These included regrouping of some teeth (Dr. Steve Bader), installation of implants (Dr. John Govostes) and restoration (Dr. Ted Filandrianos). In all cases I found the service and the quality of the work to be of the highest quality. The regrouping of the teeth and the installation of implants were very successful. Dr. Ted Filandrianos in particular, with whom I had interacted for a longer period of time, in addition to his outstanding technical skills and the use of state of the art digital imaging tools, he worked patiently over a number of months to address difficult anatomical problems towards an excellent outcome. Also, the Dental Assistants, that I interacted with during my treatment, were very skillful and highly professional. Similarly, I found Zuzana, the dental hygienist, to be highly professional and skillful. She makes your periodic visits to be something you look forward to it rather than to dread it. It will not be an exaggeration if I say that Zuzana is the best hygienist I have had during my entire life. Finally, Emily and Ali, who run the front office, are highly professional. They were always strive to accommodate the patient's needs and time requirements. Particularly, if you are facing a dental emergency they will always figure out ways to accommodate you. In conclusion , during my long life with a number of difficult dental problems I sought treatment in a number of dental services in the Boston area. I found the dental care that I received by the Dr. Filandrianos and Associates Service to be by far the best.

Theodore Moustakas

06/19/19--A recommendation for a dentist: His skill, his up to date equipment (computer driven replacements of tooth decay) and the efficiency of his office.
Dr. Filandrianos is the most efficient, and thoughtful and - yes - pain free doctor in his field that I have ever encountered. I have had dental work done in Ohio, Washington , New York, Baltimore, Guatemala city and Panama city....and the care and treatment I have had from"Dr. Ted", as he is known, surpasses them all. He is a very kind person. His staff is always excellent, considerate and efficient. His notifications of appointments and willingness to make changes in scheduling , when necessary, have made him and his office people and dental assistants the most appreciated in their field, I cannot give a higher recommendation . I am grateful to have found this office whenI first came to live in Boston.

Gay P. Lord

06/18/2015--Carolyn Z.

I wish there were a Yelp "location" category called "The Universe"...because Dr. Ted Filandrianos and the outstanding dental team in his Newton Centre office are the absolute BEST in the Universe.

I should know. I've had it all there...cleanings, fillings, root canals, extractions, bone grafts, implants, crowns...and every single treatment was performed impeccably...and as an added treat, with chair-side manners that make you feel relaxed, anxiety-free and...dare I write this about a dental experience?...well-loved! Dr. Ted and his colleagues will do everything they possibly can to save a tooth. And when they can't, these brilliant, topnotch specialists will spring into action with their specialties...and save the day!

Dr. Ted has saved or restored so many of my teeth. He is the perfect blend of scientist and artist and his work is second to one. Add to that the warmest and most empathetic treatment I've ever received from a dentist (I used to dread the dentist!) and you have, as I said, the best dentist in the Universe. I also want to say that if you ever, ever need a dental implant, and I needed two...and a bone graft...right after an extraction of an infected tooth...and you are nervous about it...periodontist Dr. Jean-Marie Biebuyck aka "Dr. B" will remove that anxiety when he puts his talents to work. I could not believe it. He calmed me, he assured me that all was going well, he made me laugh a few times and, most importantly, he was visibly proud of how well each procedure turned out and put me at ease each step of the way.

And how about those dreaded root canal treatments? Not here. Just this past weekend, I was in horrific pain from an infected lateral incisor (top). Dr. Ted put me in touch with my now-hero Dr. Barry Goldberg, the endontist in his office - and Dr. Goldberg called me and put me on an antibiotic immediately (on a Sunday!) so that I'd be prepared for the next day's root canal appointment. His chair-side manner is exceptional as well...and he put me at ease from "hello". I love how he explains what's going on with the tooth while we look together at the x-rays - and the steps he is going to take. Even the way he administers Novocaine is a pleasant experience if you can believe that. I just went back yesterday so Dr. Goldberg could fill the canals and put a temporary filling - and everything went perfectly. No more pain - and he saved my porcelain crown...he was so careful when working on it! Next step - permanent filling with Dr. Ted.

I could go on and on (which I already have!) but I also need to mention that Zuzana is an outstanding dental hygienist who knows I can act like a 3-year old baby when it comes to the probing during a cleaning - and she makes it as painless as possible with her talent and skill.

And the dental assistants (I apologize for not remembering all the names from the past several years) are wonderful...topnotch...and a huge component of the overall positive experience I've had in Dr. Ted's I want to thank Marina and Wendy for being the best and taking good care of me.

Now...last but in no way least...I need to give a shout out to the very professional and vibrant Emily and Ali who are at the front desks - and who help ensure that Dr. Ted's practice runs smoothly. Whether it's a phone or in-person conversation, you will feel like the only patient in the practice...because of how Emily and Ali greet you, treat you, listen to you and reassure you that you are in the best dental the Universe! Dr. Ted struck gold when he found them!

But don't take my word for any of the above. Experience it yourself - and you'll see what I mean!

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Theodore Filandrianos, DMD | 1400 Centre Street, Suite 101, Newton Centre, MA 02459

Phone: (617) 440-9198