Cranio-mandibular dysfunction, abbreviated CMD is used as the generic term for a multitude of complaints that concern the masticatory system. (cranium = skull, mandibula = lower jaw, dysfunction = disorder),
CMD – What, How, Why?
Besides pain and movement disorders in the temporomandibular joint (arthropathies) or chewing musculature (myofascial pain) often accompanied by a restricted mouth opening (occlusal disease), also a supposedly incorrect bite is oftenly subjoined amongst the most common symptoms.
Finally, pain from top to bottom, head-, neck- and back pain, as well as tinnitus, dizziness and swallowing difficulties are often attributed to the causal complex of CMD.
We consider Cranio-Mandibular Dysfunctions, as a disorder of neurophysiological patterns of movement with accompanying functional deviations and misdirected stimuli on nerve tracts. If this is the case, the muscular-functional system and not the skeletal system – including the teeth – should be the focus of the treatment. Regardless of other CMD treatments, we recommend the application of FaceFormer therapy against CMD exclusively or adjuvant to other therapeutical methods.
Cause-oriented FaceFormer therapy against CMD
As a cause-oriented treatment method, FaceFormer therapy supports the correction of various neurophysiological functions:
- Learn and re-learn the correct movement patterns and function
- Activation and harmonization of muscle and muscle chain functions
- Development of physiological posture and movement of the tongue as well as swallowing and breathing
- Dissolving malfunctions and thus stressfull disorders in the region of the head, mouth, throat, neck, and back
- Stimulation of cranial nerve functions and perception
- Static development of head and body balance
- Promoting the proper tension of lips, mouth and throat
CMD – A trendy diagnosis
In an article from German news magazine Spiegel Online, CMD was properly refered to as a trendy diagnosis. In a rapidly growing market, with a parallel rise of so-called CMD specialists, patients are confronted with complex treatments. These can often drag on for years. The alleged problem – a false bite – is to be solved with bite splint, abrasion, build-up, crowning, extraction or replacement of teeth. However, there is no secured justification for this approach. Finally, all scientific evidence is missing, what role the bite plays at all and how it’s idealistic type should be individually depicted. After all, everywhere in the world there are still countless people with dramatic tooth losses. These are far away from the ideal bite. However, in this context pain or suffering is yet unknown to them. In fact, there is no relevant bite in the normal resting position, nor during chewing. In this respect, the question arises as to how reasonable the effort to achieve this presumed ideal bite is at all. There are probably more coordinated muscle functions that are responsible for CMD.
A fatal progression
A sporty 35-year-old man from Berlin got to know which fatal course a treatment reduced to the bite correction can take. Primarily, he wanted to do something against hist teeth grinding and started with appropriate therapies at his place of redidence. After the first disappointments, pain in his face and subsequently growing problem awareness, he visited numerous renowned CMD specialist not only from Germany, but also from Switzerland, Austria, the USA and Israel. Within two years, they prescribed more than 60 bite splints, which were supposed to have a different effect, and treated his teeth excessively. But yet up to now, he has not been helped. Besides to numerous negative experiences, bills in six-digit height and a few remaining rudimentary tooth stumps, he now complains about significant pain in the entire movement apparatus. Finally, a stay in a psychiatric clinic was recommended to him, as it happens not seldom after such an odyssey.
In the focus of common treatment methods: The teeth
Common methods in CMD treatments focus mainly on the teeth to correct the bite. Manipulations on teeth and bite splints are the means of choice. Physiotherapeutic, osteopathic or logopedic treatments and even the supply of shoe insoles often accompany these procedures. After all, a certain positive holistic, functional treatment approach is noticeable at least.
However, changes of the bite caused by bite splints and tooth treatments do not always seem plausible. The bite splint itself is an apparatus that engages in the sensitive system of the oral cavity. It is questionable whether correct neuromuscular and functional excitations can be effectively achieved with this. The provoked stimulus-response-mechanism can automate even more incorrect movements, which are not readily resolved after long periods of use. Initial applications of bite splints may be useful to reduce acute pain. However, they should accompany an effective cause-oriented treatment only for a short time.
An ideal bite is not to be determined
Mostly superfluous and negative are tooth corrections, which are endeavored to achieve an imaginary ideal bite, e.g. by grinding, building, overcrowns. Even slight balance changes of head or body permanently cause dislocations of the lower jaw. An ideal bite is therefore not to be determined, cannot be achieved in this way and is probably not even necessary at all.