For advanced TMD cases, teeth have been worn down to a point that the appearance is poor, there is pain and/or there are multiple cracks (which will lead to losing your tooth if not addressed). Once Dr. Toomey has stabilized the bite with a specialized guard, he can see where your jaw joint naturally sits. This is because the muscles have finally been “deprogrammed” enough or relaxed enough, to see where your jaw joint should sit properly. Often, the teeth are not touching in many areas when this is seen. Therefore, the best way to create a permanent and long term correction to the bite, is to build up teeth where it is needed. Dr. Toomey uses 3/4 or full crowns, to achieve this because they are much stronger than veneers and offer the best color matching to your other teeth.
As a result of successfully treating so many TMD patients over the years, Dr. Toomey has done numerous full-mouth-restorations. He quickly realized that learning the best cosmetic techniques will offer these patients both a newly functional smile, and a beautiful one as well! Any cosmetic case that uses crowns in our office, will be treated by ensuring that the TMJ is considered and that one of the best labs in our area is used.