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It’s estimated that tens of millions of men, women, and children suffer from TMJ and TMD many of who have no knowledge of their TMJ condition or how to seek TMJ treatments from a TMJ Doctor or Dentist. Headaches and pain are the most common complaints from those afflicted with TMJ. Around 80% of patients with a TMJ disorder complain of a debilitating headache, and over 40% report some kind of facial pain. Your TMJ condition may unfortunately only worsen with time if you do not seek treatment from a TMJ specialist doctor or dentist. Without proper TMJ treatment, you will experience increased joint damage or inflammation, and further wear and breakdown of your teeth, which typically leads to increases in muscle contraction and consequently increased head, neck and facial pain. If your jaw is not correctly aligned, you’ll add wear and tear every time you speak, chew, swallow, and yawn: even while you sleep.
The NYC / White Plains. New York TMJ specialist, Michael Gelb, DDS, MS has earned the prestigious award of Top Doc New York® multiple years in a row and is an NYC & White Plains top rated, best in the class doctor on Vitals, HealthGrades, MakeMeHeal, Google+, RateMDs, and other doctor’s services rating websites. Dr. Gelb has been featured as a TMJ specialist The New York Times, The Chicago Tribune, Fox News, Fox Business News, CBS News, CNN, Women’s Day, IVillage, The Globe & Mail, ABC News and other national and international newspaper and networks.
The Gelb Center of NYC and White Plains, New York is an internationally recognized best in class leaders (TMJ Dentists and TMJ Specialist Doctors) in treating and curing TMJ quickly. The Gelb Center’s team consists of top rated best in class dentist and doctors who specifically specialize in TMJ treatments – even the most difficult TMJ cases daily.
If you currently experiencing painful TMJ or TMD or are unsure if your headaches or facial pain is related to TMJ please feel contact the best in class, top rated TMJ specialist, Doctor Michael Gelb’s NYC or White Plains, New York Gelb Center office today.
Dr. Michael Gelb, DDS, MS is a world-renowned TMJ and Sleep Specialist with practices in both New York City and White Plains. He received his D.D.S. degree from Columbia University College of Dental Medicine and his M.S. from SUNY at Buffalo School of Dental Medicine. Dr. Gelb is the co-author of GASP: Airway Health- The Hidden Path to Wellness, and the co-founder of both The Foundation for Airway Health and The American Academy of Physiological Medicine and Dentistry.
The Gelb Center was founded over 30 years ago by Dr. Michael Gelb’s father, Dr. Harold Gelb. Since then, Dr. Michael has taken his father’s findings to the next level through his Airway Centric® integrated therapy. He invented the ACG™ Airway Centric® System with the help of ProSomnus Sleep Technologies. The ACG System is the first day and night dental appliance solution that offers an integrated approach to addressing airway issues.
Dr. Michael Gelb is dedicated to improving his patients’ health by reducing pain, restoring refreshing sleep and transforming lives.
Below are a few symptoms that can help determine whether or not you suffer from TMJ:
Interesting to Note: There is an intimate connection between the jaw and the ear through the first branchial arch in human development. The temporomandibular joint (TMJ joint) and the petrotympanic suture connect the TMJ to the malleus and incus via Pinto’s ligament. Ear Pain may be located around the TMJ but may be referred to the head, neck, and ear. Ear pain that is located immediately in front of the tragus of the ear, projecting to the ear, temple, cheek and along the mandible, is highly diagnostic for TMJ due to trauma or compression and a sign of inflammatory arthritis. TMJ pain and dysfunction are often associated with neck and shoulder pain as well. This is why many TMJ patients that The Gelb Center treats complain of ear pain.
Do you believe you are suffering from some kind of ear pain that is related to TMJ? Below is a list of symptoms:
Tinnitus: Tinnitus is usually described as a ringing noise in the ears or head. It has been described as a high pitched whining, electric, buzzing, hissing, screaming, humming or whistling sound. Tinnitus can come and go or it can be continuous. It is often the cause of great distress, but the intensity of tinnitus can be moderated by adjusting the position of the shoulder, head, tongue and jaw. Our TMJ specialists can discuss specific treatment for tinnitus with you during your consultation.
Ear ache: Once the NYC / White Plains TMJ doctors and dentist has ruled out ear pathology or infection, the head and neck muscles – as well as the temporomandibular joint itself – can be evaluated for referral to the ear. The auricuotemporal nerve is often compressed sending pain into the ear.
The temporomandibular joints (TMJ Joints) are the hinges located on either side of the face that connect the lower jaw to the skull. Each temporomandibular joint has two sections that permit the hinge and gliding actions needed to open the mouth widely. The joints work together with the facial bones and five pairs of muscles to allow opening and closing of the mouth and forward, backward, and side-to-side movements of the lower jaw. Any disturbance of this facial symphony can trigger TMJ dysfunctions: muscles and joints not working together correctly, causing muscle spasm, resulting in pain, muscle tenderness, and tissue damage. With these disturbances, arthritic changes can accelerate, muscles can tighten and the bite can feel off. Simply having a dentist adjust the teeth usually makes TMJ symptoms worse and can throw the jaw further off line and create even more pain; this is why it is imperative to see a TMJ specialist.
Interesting fact: 80% of TMJ patients are women so estrogen plays a big role in setting the stage for the effects of micro and macro trauma. There are estrogen receptors in the TMJ so women of child bearing age are sensitized to feel increased pain in the TMJ. Clenching , Grinding and Bruxism producemicro trauma and repetitive strain injury which can cause degenerative changes and inflammation in the joint. 4 Bicuspid extractions in orthodontic therapy with over retraction of the maxilla are a very common contributing factor in our practice. Any headgear which retracts the maxilla can also contribute to TMJ disorders. Systemic joint laxity or hypermobility syndromein women make the TMJ more susceptible to injury, clicking, popping and locking.
TMJ has many causative factors the more common of which are malocclusion or problems in the way the teeth fit together, a blow to the jaw or head, clenching or grinding of the teeth, arthritis of the jaw, poorly fitting dentures, yawning for prolonged periods with the mouth open too wide, recent dental work, accidents that damage facial bones or the jaw, extraction of teeth or missing back teeth, birth trauma due to delivery complications, and traction involving the head, jaws, and neck.
The most common TMJ dysfunction originates in the jaw muscles and is called myofascial pain dysfunction (MPD). MPD strikes four times as many women as men – usually those between 13 and 60 years old – and results from a tendency to deal with tension and stress by clenching or grinding the teeth. These habits can tire the muscles and trigger spasms, producing pain, more spasms and, eventually, a TMJ dysfunction. MPD sufferers may or may not have problems with their bite.
Because this dysfunction mimics so many other conditions, diagnosis may be complicated. Many people may spend a great deal of time and money searching for the source of their symptoms. If your physician cannot find any underlying conditions, he could consider the possibility of TMJ dysfunction and recommend that you consult a dentist with a special interest in the diagnosis and treatment of TMJ dysfunctions.
TMJ stands for Temporomandibular Joint, the joint which connects the mandible to the temporal bone. The mandible is the moving component.
TMD refers to Temporomandibular Disorders which are joint, muscle, tendon and ligament disorders of the jaws. Pain and inflammation as well as limited opening, clicking and locking are included in this broad category. TMD is in the same medical class as TMJ.
Daytime symptoms typically call for daytime appliance therapy for at least 6-8 weeks along with cognitive behavioral attention. Nighttime treatment depends on the diagnosis. A locking, clicking, misaligned jaw may require a Farrar anti retrusion appliance. Breathing related sleep disorders may call for an appliance which maintains an open airway. There are a variety of appliances for sleep bruxism and clenching and grinding. Long term, certain appliances are used for sports, working out and lifting heavy objects as well as travel. Many of our patients use their lower appliances while playing musical instruments, working on computers or painting.
Hard acrylic appliances are best cleaned with efferdent or polident denture cleaners . Our staff will use a special solution in the ultrasonic during your visits.
Dr. Michael Gelb will often recommend physical therapy during appliance therapy. It is important to do appliance therapy and physical therapy concomitantly. Physical therapy is recommended for both myofascial pain as well as to increase range of motion. The joint is mobilized during manual therapy in order to establish normal translation and lateral movements with at least 36-54 mm opening.
Many of our TMJ patients are referred for applied kinesiology which recognizes the importance of the jaws and feet in neck, back and face pain. Cranial treatment has been added to the AK protocol. Some patients will do better with chiropractic than physical therapy. Lately atlas orthogonist therapy has been getting good reviews. SOT combined with cranialsacral is also very effective.
For patients who have had trauma and who hasn’t, this can be a most effective treatment. Dr. Michael Gelb works with the top cranial practitioners in the area. CT is a gentle non force technique that goes deep to solve layers of problems.
We only recommend emergency dental treatment prior to TMJ therapy and Oral appliance therapy for snoring and sleep apnea. One of the goals of TMD treatment is to find a jaw position where all chief complaints have been alleviated. We work with the top cosmetic and restorative dentists to find the ideal correct bite prior to starting dental treatment. Oral appliance therapy for sleep apnea can change the bite. We want to alleviate all airway complaints and achieve a bite which is harmonious with an open airway.
I think the best orthodontists in the world treat to an open airway, that is they move the upper and lower jaws to a position that allows the tongue and palate to move forward. This produces the best looking smiles in the world. These orthodontist like Bill Hang and John Mew achieve greater horizontal growth and intervene earlier than others.
Only 5-10% of our patients need orthodontics after TMJ treatment. Most children under age 13 will need orthodontics after their TMJ treatment. Some children come to me in braces, mid orthodontic treatment due to clicking or locking. We work with the child to alleviate symptoms and allow the orthodontics to be completed.
My father taught me Lips Together Teeth Apart with the tongue up to the palate. I teach a mixture of Alexander and Pilates.. Chest up, belly button in with a string pulling you up from the back of the skull .Chin down in a military tuck. But remember to keep the teeth apart. Your teeth only touch when you swallow and you swallow 2-3,000 times a day.
Dr. Gelb has studied breathing-related sleep disorders (BRSD), specializing in how they relate to fatigue, focus, pain, and the effects all of these can have on a person’s life.
The Gelb Center is known as “The Sleep Apnea / Sleep Disorders Specialist in NYC“, “The TMJ Specialist” and “The New York Headache Center” because The Gelb Center is the premier destination for patients suffering from TMJ, headaches, or sleep disorders.
Below are a few possible treatment option sour TMJ specialist doctors and dentist offer; please note all TMJ Treatments offered by The Gelb Center of NYC and White Plains, New York are customized to your specific condition:
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635 Madison Avenue
B/W: 59th & 60th Street
New York, NY 10022
P: (212) 752-1662
Dr. Michael Gelb is one of the movers and shakers in the field of research and developmen
Thankyou Dr. Gelb. Wait – let me say it one more time: Thank you Dr. Gelb … thankfully the tri-state area has the Gelb Center.
I cannot say enough positive good things about Dr. Gelb and his staff. I came to him and he turned my life around for the better almost immediately.
His reputation as a leading specialist in this area is well-deserved. I highly recommend his services for these treatments.
… I am so thankful for this man for renewing the lease on my life! You are without a doubt one of Gods Angels on earth.
By far the best doctor in NYC. I highly recommend people see him because TMJ can be solved and linked to so many daily problems!
He really impressed me at my first two visits and he came very highly recommended. My mom was treated for TMJ by his dad and insisted that I only see Dr. Gelb since her results were 100% satisfactory.
Dr. Michael Gelb is world-renowned and extremely knowledgeable in disorders of the TMJ. He is also well-versed in Sleep Medicine.
I love Dr. Gelb’s energy, efficiency, and ability to make me laugh. His staff is great, very professional and always kind.
From the moment I walk into the time I leave, Dr. Gelb and his staff are compassionate, helpful and genuinely interested in making my jaw, and life, better.
It has been almost a year since you and your wonderful staff changed my life. By the time you all had reset the order of my bite and removed the pain in my jaw with your night and daytime appliances, my C-PAP machine for my “severe” sleep apnea was no longer needed and my sleep became quiet again. After I graduated from your excellent care, Dr. Barone recommended that I return to spend the night at the Weill Cornell Center for Sleep to get the definitive read on how well your reconstructive work had mastered my serious sleep apnea. In layman’s terms, the score for quality of my breathing while sleeping was something like a “1” and was the lowest score the Center had ever seen. I forwarded that report to you at that time. I do not expect to ever return to my C-PAP machine. Your and all your staff are truly masters of your craft!! I would recommend you heartily to anyone who has jaw, bite, or sleep apnea issues. You are the best in the business!
Excellent – very professional and efficient practice. Very nice staff and fabulous doctor.
Class Act. Cured my TMJ. Wish I could give a higher review. Delivers on his promises.
sues. Thank you Dr. Gelb and all of you at The Gelb Center: you are all fantastic and empathetic doctors and your staff is professional and helpful.
I had a perfect experience with Dr. Gelb. He was patient, listened carefully to my issues and then fit me for a new appliance.
He gave me jaw appliances one for the day and one for the night and they seriously help. He really knows what he is doing and I couldn’t be more happy to have found the best jaw doc in NYC.