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Do
you suffer with Headaches?
If
you have a headache on a regular basis, it is a good idea to tell
your dentist about them. But why your dentist? First of all, it
is important to have this information as part of your medical records.
Depending upon the type of headache, their frequency, and their
severity, there are a variety of medical reasons and this can be
important information for your dentist.
But most importantly, your headaches may be caused by an
abnormal bite, and if so, a dentist specifically trained in Neuromuscular
Dentistry can treat them more effectively than anyone else.
Talk
to your dentist
For the above reasons, it is a good idea to talk to your dentist
about your headaches. Headache is just one symptom that may be attributable
to poor occlusion (or bad bite). Other symptoms such as pain or
noise in the jaw joint, facial pain, sensitive teeth, difficulty
chewing, and neck pain may also be related to your occlusion, and
should be discussed with your dentist.
At
Simply Beautiful Smiles, our dentist, Dr
John Wells, has studied Neuromuscular Dentistry at the prestigious
Las Vegas Institute (LVI). We have treated many patients - even
those who have suffered severe headaches on an almost daily basis
- with fantastic results giving not only great cosmetic results,
but pain relieving functional results as well.
Types
of headache
Headaches
are generally classified into several basic types: sinus, cluster,
tension, and migraine. Your doctor or dentist can
determine which type you have by discussing your symptoms with you.
While headaches are typically treated by your doctor, improper occlusion
(your bite) may play a significant role in certain types of headaches
as well as other head and neck pain.

One
type of headache, tension headache is by far the most common - estimated
by some to be the cause of as much as 90% of all headaches. Further,
they are headaches that often originate in, or pain is referred
to, the muscles of your forehead. If you only experience this type
of headache occasionally, they are often controlled with over-the-counter
pain medication. However, if they occur with some regularity or
have persisted for a long period of time, it is wise to discuss
them with your dentist.
Headaches
and your bite
The muscle of the temple area and the forehead muscles play an important
part in the posturing and closing of the jaw. If your occlusion
(bite) is not right, it can lead to abnormal tension in these muscles
- one of the several possible causes of tension type headaches.
If the bite is not corrected, the muscles may remain tense for long
periods of time. The contracted muscle does not get a chance to
rest and soon suffers from poor circulation - thus a lack of needed
oxygen and the accumulation of waste products of metabolism. The
result can be pain (headache).
Determining
if the bite is the cause
New technology now allows your dentist to objectively evaluate the
state of these muscles and various other factors that may be affecting
your bite. Based on this and other information obtained from physical
examination, your dentist can rule in or rule out your bite as a
possible cause of headache pain with a high degree of confidence.
Dental
treatment of headaches
If the indications are that your bite is a major factor, your dentist
may recommend provisional or interim treatment. This involves fabrication
of a custom made orthotic. An orthotic is a plastic appliance that
is worn over your teeth to adjust your bite to a correct relationship.
At
this point, nothing permanent is done to alter your teeth or your
bite. You would wear this appliance for a period of time to make
sure the new bite position is correct before any consideration would
be given to permanently altering your bite.
After
having worn the provisional appliance for some time, both you and
your dentist will know for sure if the new bite position has resolved
the headache problem. If it has, you will have several options open
to you for long-term treatment. 
Some of these options may include dental treatment to permanently
alter your bite to the new position, fabrication of a more permanent
type of orthotic, or using a TENS device to relax the muscles at
those times that headaches are most bothersome. More
complex dental treatment to permanently alter your bite should only
be performed by a dentist trained specifically in Neuromuscular
Dentistry.
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