Posted by Robert kerstein on Sat, Aug 28, 2010 @ 08:00 PM
Computer-guided Bite Treatment Eliminates Mouthguard
Moiuthguards are just barriers to tooth contact, and only cover up the problems the patients' occlusion is actually causing the patient. The mouthguard gets in the way of the deletrious tooth contacts that cause TMD and Occlusal Problems.

But the true underlying problems are never really discovered UNLESS a T Scan III Occlusal Analysis is performed by a competant T Scan User dentist....
The T Scan III computer-guided treatment offers a patient:
- No guesswork at which teeth are "problems" and causing pain and TMD symptoms
- Definitive Bite Force Data to be diagnosed properly from
- Predictable Bite Adjustment treatment performed with measured occlusal corrections and procedural end-points.
- Resolution of TMJ Pain with computer-guided treatment
and MOST IMPORTANTLY for you the patient
Because the T Scan III measures the occlusion in .003 second increments so that it provides the user-Dentist unparalleled diagnostic occlusal data from which to treat occlusal problems.
Clinical treatment studies that have been performed on TMD patiemts since 1990 by Dr. Robert Kerstein of Boston, Mass. have repeatedly shown that mouthguards NTIs and Appliances, are rarely needed to succesfully treat TMD symptoms that come from the occlusion.
T-Scan Guided occlusal treatment is accomplished with simultaneous Electromyography (EMG) so that muscle function improvements can be monitored during treatment. Simultaneous EMG is another significant treatment advance that adds to the precision of the computer-guided occlusal treatment.
Below is a preoperative T Scan EMG data of a TMD patient:
Note to the right of the vertical line in the ENG there are firing muscles. That ios what the T scan guided occlusal therapy can eliminate. That is the excess muscle activity that causes most muscular TMD symptoms and Pain.
Here is the "after" T Scan EMG data resultant from T scan guided occlusal treatment:
Note how after the vertical line in the EMG after treatment, all the muscle activity is removed.
That's the neuromuscular therapeutic effect of the T Scan guided occlusal treatment. That's why the TMD symptoms and pain disappear quickly
Precision Computer-guided Occlusal Therapy can be accomplished on most patients who suffer from a wide range of Occlusal Problems and TMJ Symptoms. For more information contact Dr. Kerstein at 617-247-1700 to make an appointment to find out if you are a candidate for this proven highly effective TMJ Treatment.
Posted by Robert kerstein on Thu, Jul 29, 2010 @ 09:57 PM
T-Scan technology is so far advanced over conventional dental occlusion bite analyses, that it is a superior clinical treatment option for every patient who has a Occlusal (bite) problem. The T Scan data is so precise, it shows the treating dentist such detailed occlusal force and tooth contact sequence data that numerous types of Occlusal Problems can be predictably and rapidly treated.

T-Scan Sensor and Data
Occlusal Problems consist of the following clinical conditions
- Uncomfortable bite after inserted implants, crowns, bridges, veneers, CERECs and fillings
- Frequent breaking of parts of your back teeth that require filling repairs or crowns
- Front teeth that look sanded flat and worn
- TMJ muscle pain
- Mild clicking and popping
- tooth grinding and clenching
Computer-guided Bite Problem analysis isolates the exact nature of the problem to a T-Scan dentist.
Here is a typical case example.
This patient had their mouth reconstructed with upper implants and porcelain crowns, and a lower implant supported overdenture. When these teeth were installed with articulating paper only, the patient could not comfortably chew and eat. It was difficult for the patient to get used to the faulty occlusion. So the patient went back to her dentist over and over (for months after getting her teeth) and all he could do was guess at the articulating paper markings and never found the true bite problem.

When the patient came to see Boston Prosthodontist Robert Kerstein, he used the T-Scan technology to analyze the uncomfortable occlusion. Immediately he found the 2 problematic extreme force contacts that had been bothering the patient from the day the teeth were installed. The previous dentist never saw this occlusal force problem because he only used articulating paper Computerized Occlusion quickly isolates the problem contacts.

This is the power of Computerized Occlusion in that is MEASURES the occlusion...instead of your dentist GUESSING at YOUR occlusion....
Which would you rather have analyze your Bite Problem?
Posted by Robert kerstein on Fri, Jul 16, 2010 @ 08:45 PM
T Scan guided Treatment successfully treats TMJ Pain without Mouthguards and Appliances
To review - the cause of Muscular TMJ pain is prolonged molar tooth contact during chewing and clenching and grinding. The mechanism is described again for clarity
Jaw Muscle Pain is actually caused by the molar teeth, and can occur in a well aligned bite (like one made with Braces) or in a not so well aligned bite, where back teeth can be twisted or tipped into less than ideal alignment. Not until the T Scan Computerized occlusal Analysis System was developed in the 1980s, could TMJ Dentists really “see” the causes of Jaw Muscle Pain. The T scan detected fractions of seconds of excessive tooth contact that were not possible to see before its development. These fractions of seconds of molar tooth rubbing contact allow the molars to touch for too long and compress their Tooth socket nerve ending for too longs which activate excess muscle contractions in the jaw muscles. The longer was the tooth rubbing during chewing or grinding, the longer time the socket nerve endings are compressed, and the longer time the Jaw Muscles are made to contract. The patient’s teeth are then a constant source of excess muscle firing which causes excess lactic acid buildup within the Jaw Muscles which lead to the Jaw Muscle Pain.

This published diagram shows the cycle of muscular over firing (hyper contraction) isolated by Dr. Robert Kerstein published in Journal of Craniomandibular Pain 1993;11(2):126 - 140.
Because the T scan can detect these prolonged tooth contacts, a TMJ Dentist can also see, and then treat the prolonged tooth contact durations by shortening the time the teeth rub down to very small durations (<.4 seconds is ideal) in all chewing movements. This in turn shortens to the tooth socket compressions to the same minute durations that the teeth now rub (<.4 seconds). And this in turn, stops the jaw muscles from being over-fired. The muscle activity goes way down usually in the same appointment. The lactic acid buildup can now be removed through normal muscle physiology because there is no longer the lactic acid formation to keep building up causing chronic pain. TMJ Pain and symptoms go away within 1 month’s time once the lactic acid buildup is stopped.

All this is accomplished without mouthguards, appliances, deprogrammers, and/or NTIs
Here is a link to a Youtube Video of a patient who had TMJ pain and used Mouthguard and Appliances for years before having Dr. Kerstein’s T Scan-guided TMJ Pain Treatment
http://www.youtube.com/tekscaninc#p/c/0A31927968D2F18B/0/3oue1BuvBxQ
Posted by Robert kerstein on Wed, Jul 14, 2010 @ 07:13 PM
TMJ Pain Explained from Boston

There are 3 types of TMJ Pain and Symptoms
- Jaw Muscle Pain – this is the most common form of TMJ Pain which is often seen as a combination of facial pain, temporal headaches, earaches, chewing fatigue and tension within the jaw muscles. Clenching and Grinding of the teeth can be a cause Jaw Muscle Pain.
- Jaw Joint Pain – this is less common and manifests itself as pain in the ears and pain during clicking of the Jaw Joints
- Degenerative Jaw Joint Disease – This is the least common form of TMJ pain resulting from the jaw joint bone structures rubbing against the side of the skull. In theses cases the TMJ disc has usually been worn away or is completely displaced so that the jaw bone rubs against the side of the skull
Although Jaw Joint Pain and Degenerative Jaw Joint Disease are observed in some TMJ patients, by far the most common form of TMJ Pain is Jaw Muscle Pain.
Common names for Jaw Muscle Pain Are:
- Myofascial Pain
- Musculoskeletal Pain
- Trigeminal Neuralgia
- Tic Doleroux
- Occluso-muscle Pain
For a long time, the cause of Jaw Muscle Pain was highly misunderstood. Some TMJ Dentists thought this pain was coming from poorly functioning Jaw Joints that would giving off radiating pain up and down the patients head. Other TMJ Dentists thought that Jaw Muscle Pain was due to the Jaw itself being improperly aligned with the skull resulting in strain to the jaw muscles. And a 3rd group of TMJ Dentists felt that the Occlusion (or patient’s Bite) was the cause. This group believed that the bite was misaligned in some way resulting again in a strain to the jaw muscles.
It turns out that Jaw Muscle Pain is actually caused by the molar teeth, and can occur in a well aligned bite (like one made with Braces) or in a not so well aligned bite, where back teeth can be twisted or tipped into less than ideal alignment. Not until the T Scan Computerized occlusal Analysis System was developed in the 1980s, could TMJ Dentists really “see” the causes of Jaw Muscle Pain. The T scan could detect fractions of seconds of excessive tooth contact that were not possible to see before its development. These fractions of seconds of tooth contact could only be precisely isolated and measured with this newly available computerized bite analysis technology.
Research accomplished at Tufts University School of Dental Medicine by Dr. Robert Kerstein from 1984-1998, revealed that molar teeth that rub and touch for too long (longer than fractions of seconds) during normal chewing (and during abnormal clenching and grinding of the teeth) directly over-fired (known as Hyper-function) a TMJ patient’s jaw muscles into a state of tiredness soreness, tension and fatigue.
Nerve endings that reside in the tooth sockets of the molar teeth, when compressed by this prolonged rubbing of functioning teeth within their sockets, activated excess muscle contractions in the jaw muscles because these socket nerve endings connected within brain directly to the jaw muscles.This prolonged tooth contact caused prolonged tooth socket compressions that actually instruct the jaw muscles to contract. The longer was the tooth rubbing during chewing or grinding, the longer time the socket nerve endings compressed, and the longer time the Jaw Muscles were made to contract. This tooth socket- muscle firing mechanism repeated with every molar tooth compression during chewing and grinding, such that these lengthy socket compressions were adding on muscle contractions over the long-term in a patients life. The patient’s teeth were then a constant source of excess muscle firing (hyper-function). The over-firing resulted in lactic acid buildup within the Jaw Muscles which lead to the Jaw Muscle Pain
This is why Mouthguards and Appliances like NTIs often help relieve some of the TMJ Pain; they get in between the teeth and interrupt the compressions of the socket nerve endings thereby alleviating some of the TMJ Pain.
But unless the patient’s bite is corrected with T-Scan guided treatment, a patient is forced to wear their appliance forever and this never really cures the patient of TMJ Pain.
A better way is NO APPLIANCE !!!
Next Installment – “How does T Scan guided Treatment successfully treat TMJ Pain without Mouthguards and Appliances?”
Here is a link to a Youtube Video of a patient who had TMJ pain and used Mouthguard and Appliances for years before having Dr. Kerstein’s T Scan-guided TMJ Pain Treatment
http://www.youtube.com/tekscaninc#p/c/0A31927968D2F18B/0/3oue1BuvBxQ
Posted by Robert kerstein on Sat, Jul 10, 2010 @ 03:54 PM
There is exciting new computer-guided TMJ Pain Treatment that has been developed by a Boston TMJ Expert, that has been proven to be much faster, and a more permanent a solution to TMJ Symptoms, than Mouthguard and Appliance TMJ Treatment.
Boston Massachusetts is where the leading expert in Computerized Bite Analysis in the entire world is located. Dr. Robert Kerstein, the longest standing researcher, author, and user of Computerized Bite Technology (since 1984), has developed a computer-guided TMJ Treatment that offers patients such effective TMJ Pain improvements, that his patients rarely need Nightguards, Mouthguards, oral appliances, or deprogramming appliances…even if they grind their teeth!
Dr. Kerstein became the leading author in the field of computerized Occlusal Analysis, by studying Prosthodontics (Bridgework, Caps, Implant Restoration, Complete and Partial Dentures) at Tufts University School of Dental Medicine at the same time computerized bite analysis was born at Massachusetts Institute of Technology (also in Boston) The first T-Scan System made its way to Tufts and to Dr. Kerstein in the early 1980s, where he studied and treated dental students, faculty, and
administrative staff who suffered with chronic Headaches and TMJ Pain. From research data gathered at Tufts, combined with numerous peer-reviewed publications, out of the bite force data that the T-Scan System can gather, a non- Mouthguard and non-Appliance, computer-guided TMJ Pain Treatment was discovered.
Up until the time of the development of the T-Scan system, Mouthguards were necessary because the Bite Problems that cause TMJ Pain were not known or understood by TMJ Dentists. A Mouthguard sits between teeth to stop them from touching. This often helped TMJ pain, as long as the patients had their Mouthguard or Appliance in place. Once they removed the Appliance or Mouthguard, the TMJ Pain and Symptoms would occur again. But, because Dentists didn’t know exactly how the teeth specifically caused TMJ Pain, Mouthguards were helpful because they lessened pain by blocking the teeth from touching each other.
But with the T-Scan System, a TMJ Dentist can see minute Time and Force Bite Problems that can’t be seen without using a T-Scan. And these Bite Problems can’t be seen with Articulating Paper either….
Dr. Kerstein’s research has repeatedly shown (since 1990) that these minute Bite Problems wreak havoc with a patient’s nervous system and jaw muscles through the very tooth sockets the teeth sit in. As teeth touch each other while a patient chews, eats, or grinds their teeth, opposing teeth push each other in and out of their sockets. These socket compressions go on unknown to the patient and happen thousands of times through the day, all the while, excessively firing the jaw muscles of a TMJ Patient into a state of Chronic TMJ Pain.
Recorded T-Scan data allows a TMJ Dentist to know exactly what is wrong with the bite Timing, the bite Balance, and the bite Forces within a TMJ patients’ entire mouth. By using this information and correcting these Bite Problems with computer-guidance, the amount of tooth socket compression can be precisely controlled so that the tooth sockets stop firing the jaw muscles. In most patients, many of the TMJ Pain and Symptoms go away within the first week after treatment has begun….And that’s without wearing a Mouthguard or Appliance!!!
Here is a link to a Youtube Video of a patient who had TMJ pain and used Mouthguard and Appliances for years before having Dr. Kerstein’s Computer-guided TMJ Pain Treatment
http://www.youtube.com/tekscaninc#p/c/0A31927968D2F18B/0/3oue1BuvBxQ
Posted by Emily Haahr on Tue, Jul 06, 2010 @ 12:17 PM
Mouthguard Free TMJ Pain Treatment is a major advancement in TMJ Pain Treatment over the widely used TMJ Treatment that uses hard plastic Mouthguards and Nightguards. In published studies documenting this TMJ Pain Treatment approach over
the past 20 years, many common TMJ Symptoms can be succesfully relieved in 1-3 months without the need for cumbersome and life-interfering plastic mouth appliances.
Advances in Occlusal Science have brought TMJ Pain Treatment forward through the evolution of computer technology that can measure and isolate very minute and specific Bite Factors, that are unable to be determined with dental articulating paper, dental impressions, or a dental chairside examination.
The T-Scan III Occlusal Analysis technology can isolate and measure the key Bite Factors that are often the primary cause of TMJ Pain. Once these bite problems are found present in a TMJ patient's bite, computer-guided bite treatment can be performed to precisely remove these problematic bite issues that are the primary cause of TMJ Pain. This computer-based TMJ Pain Treatment has been studied, verified, and deemed highly effective in numerous peer reviewed dental journal publications since the early 1990s.
Many patients can now receive TMJ Pain treatment that eliminates the use of Acrylic Mouthguards and Nightguards, while at the same time, eliminating the TMJ pain from their lives once and for all.
Learn more about TMJ Pain Treatment Advancement here.
Or, contact us today to schedule a consultation.