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Doctor Q&A for Dr. Tony Menendez

A member asked:
Dr. Tony Menendez
Prosthodontics 37 years experience
Physical therpay: Massage the offending muscles with moist heat. Sleep, on your back supporting your neck. No gum chewing or phone cradling.
A 41-year-old member asked:
Dr. Tony Menendez
Prosthodontics 37 years experience
FIRST THINGS FIRST: You should have a comprehensive exam and proper radiographs then try reversible procedures like orthotic guards first before considering surgery.
A 42-year-old male asked:
Dr. Tony Menendez
Prosthodontics 37 years experience
No soreness: Palpation of the facial muscles will not illicit soreness. There should be a lack of trigger points and the face should look relaxed and no clenching.
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A 43-year-old member asked:
Dr. Tony Menendez
Prosthodontics 37 years experience
FIRST THINGS FIRST: You should have a comprehensive exam and proper radiographs then try reversible procedures like orthotic guards first before considering surgery.
1 thank
A 60-year-old female asked:
Dr. Tony Menendez
Prosthodontics 37 years experience
All interconnected: Physical therapy is very important. Clicking of the joint is usually indicative of joint pathology though...A tear in the apparatus.
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A 33-year-old member asked:
Dr. Tony Menendez
Prosthodontics 37 years experience
Physical therapy: Physical therapy- massaging the offending muscles and avoiding things like phone cradling, chewing gum or sleeping on your side or chest.
A 42-year-old male asked:
Dr. Tony Menendez
Prosthodontics 37 years experience
TMJ?: Sounds like tmj. You should have it evaluated and be given options for treatment including physical therapy or a bite guard. It will probably not resolve on its own.
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A 19-year-old male asked:
Dr. Tony Menendez
Prosthodontics 37 years experience
Maybe: A class ii bite does not provide for the proper protection of teeth. You will need to be evaluated by an oral surgeon to see whether orthognathic surgerym is indicated.
A 42-year-old male asked:
Dr. Tony Menendez
Prosthodontics 37 years experience
Not so: The purpose of an occlusal orthotic is to disrupt the feedback mechanism inducing the spasm and allowing the muscle to relax.
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