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PROCEDURE OVERVIEW

TMD appliance therapy involves the use of a custom-made device worn over the teeth, typically at night, to manage temporomandibular joint disorders (TMD), bruxism (teeth grinding), orofacial pain, and related muscle tension. The appliance helps reduce strain on the jaw joints and surrounding muscles by repositioning the jaw or acting as a barrier during clenching or grinding.

Types of appliances may include:

  • Stabilization splint (flat-plane night guard)

  • Anterior deprogrammer

  • Repositioning appliance

  • Other:


BENEFITS AND POTENTIAL RISKS

Potential Benefits:- Reduction in jaw, facial, and muscle pain- Decrease in clenching, grinding, and related dental wear- Improved jaw mobility and comfort


Possible Risks and Side Effects:

  • Initial discomfort or pressure with appliance use

  • Increased salivation or dry mouth

  • Temporary bite changes upon removal (usually resolves)

  • Appliance damage or breakage

  • Rare risk of unwanted tooth or jaw position changes with long-term use

  • Please inform your clinician of any changes in symptoms or fit of the appliance over time.



ALTERNATIVES TO ORAL APPLIANCE THERAPY

Alternative or additional treatments may include:

  • Physical therapy or jaw exercises

  • Medications (e.g., muscle relaxants, anti-inflammatories)

  • Botox or trigger point injections

  • Behavioral therapy or stress management


CARE AND FOLLOW-UP

- Wear your appliance as directed by your provider- Clean it daily with a soft toothbrush and cool water- Store in a ventilated case when not in use- Bring your appliance to follow-up appointments for evaluation and adjustment- Contact the office if you experience pain, difficulty using the appliance, or if it becomes damaged


PATIENT CONSENT

By signing below, I confirm that:

  • I have read or had this information explained to me.

  • I understand the purpose, benefits, and risks of oral appliance therapy.

  • I have had the opportunity to ask questions and all questions were answered to my satisfaction.

  • I understand that follow-up and proper care are essential for success.

  • I consent to the fabrication and use of a custom oral appliance as part of my treatment plan.


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