Pros and Cons
Orthopaedic treatment for TMJ problems is not considered the mainstream approach in the UK.
Root resorption, which is progressive shortening of the roots, may occur as a result of any treatment involving the wearing of appliances.
Loss of tooth vitality (where the nerve within the tooth dies) can occur with orthopaedic / orthodontic treatment although it is usually related to a large cavity, filling or trauma to the tooth.
Unfavourable growth during the treatment e.g. strong lower jaw forward growth, can affect the treatment outcome.
TMJ (jaw joint) problems can arise during treatment but often the treatment we use actually helps TMJ problems.
Enamel reduction and some tooth reshaping may be required to correct crowding.
Tooth size discrepancy and minor spacing can occur if teeth are very small or not symmetrical. This may require some bonded restoration.
The majority of treatment times can vary from six to twenty four months, although there may be some interval between the orthopaedic and orthodontic phases. Your dentist will give you some idea of the approximate treatment time for your proposed treatment.
Relapse can happen very quickly, especially if retainers are not worn correctly. Some minor relapse can occur even with good co-operation.
Orthopaedic/Orthodontic treatment for TMD (jaw joint problems) can and has been a successful method for treating patients. However there is as yet no evidence-based research to support its use, in preference to any other form of treatment for T.M.D.