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Back pain and dizziness? Diagnosis at the dentist can work wonders
Migraines, headache and earache, but also tense shoulders, back pain and even tinnitus: Whoever has a suspicion already knows that these complaints, often accompanied by vertigo attacks, can have something to do with our chewing apparatus. Because the complex system of our temporomandibular joint is connected to the head and shoulders by nerves and muscles. Many patients with pronounced symptoms without an explainable cause have had a long-term medical odyssey.
CMD - behind these three letters is the term cranio-mandibular dysfunction. This refers to disorders in the chewing system to which the body shows painful reactions. About one in 15 Germans needs treatment. The dentist should clarify whether the pain is based on CMD.
Emotional stress as a trigger Our chewing system must be imagined as a precisely coordinated unit between the skull (cranium) and lower jaw (mandible), which has sensitive compensation mechanisms. "Changes in the micrometer range disrupt this interaction and can cause chronic incorrect loading of muscles, teeth and temporomandibular joints", explains dentist Dr. med. Jürgen Ludolph, CMD specialist in the team of dentists Falkenried from Hamburg. Both an uneven bite and mental stress as a trigger for symptoms are to be considered individually and in their form as different as everyone.
The causes of incorrect regulation are complex. This includes misaligned teeth and jaws, a changed bite position due to tilted teeth and fillings that are too high. Dr. Jürgen Ludolph: “Incorrectly constructed dentures can have a significant impact on overall physical wellbeing. The mental area also plays a major role because stress often triggers the muscular overactivity in the lower jaw. ”On the other hand, if the required bite is missing due to teeth and groups of teeth that are too low, the misalignment is compensated for by increased biting forces in order to regain tooth contact.
Pressing during sleep also puts a strain on the surrounding muscles Nocturnal crunching in combination with psychological stress such as stress puts excessive strain on the temporomandibular joint and damages it in the long term. The clenching of the teeth during sleep also stresses the surrounding muscle pairs. In a very painful form, it is hardly possible for the patient to open the mouth without restrictions. Other symptoms include cracking noises in the temporomandibular joint and rubbing of the joints against one another.
A dentist clarifies the bite situation. A cure is possible with professional support. "Since CMD complaints are not only based on functional disorders of the chewing system, but can also cause physical stresses such as stress, we rely on holistic treatment," explains Dr. Jürgen Ludolph. The diagnosis is developed through a targeted and careful examination: by palpating muscles, tendons and ligaments in the chewing organ and clarifying the bite situation. Jaw mobility is also measured. Additional stress tests determine the condition of the muscles and jaw joints. The team of dentists at Falkenried relies on the network of specialists and co-therapists such as osteopaths, orthopedists and naturopaths.
Greasing splints provide relief In simple cases, gnashing splints protect against tooth abrasion at night. They relieve the chewing muscles and relax the jaw joints. Jürgen Ludolph: "We can compensate for a wrong bite with loop therapy, glued abutments, high-quality dentures or orthodontics." (Pm)