Patient Testimonials

“During the fall of 2006, I started to have pain in the right side of my face. I started at my internist and he thought that I should go to a neurologist. Starting on the path of the neurologist was frustrating and time consuming. The neurologist administered tests that included a series of 100 needles in the right side of my face finding what they called "paralysis". So, off to Wills Eye Hospital where I went through another series of tests with an eye specialist. After 2 visits to Wills Eye Hospital in Pennsylvania, they could not find anything. I did, however, still have the pain and as I was feeling more and more stress with what they felt could be something "life changing".

“Now additional symptoms were starting to develop. My eye specialist now thought it could be a disease. So they were going to begin another series of tests on me when I saw Rich Nadler in a social setting one evening. When I told him of my symptoms, he suggested that I come into the office to let him take a look at my bite. I was not buying into anything, and the last thing I wanted was to go to another doctor appointment.

“ But desperate to find a solution, I went to his office where he put some "TENS" on my jaws to relax them. I went through a series of this process with my jaw and I felt that it was providing some relief. Still skeptical he made an appliance which I was to wear while I was sleeping. Within 30 days there was less numbness as well as pain. Within 60 days I no longer had an issue with my eye closing or any pain. I wear my appliance every night for the past 5 years, and have had very few instances of any re-occurrence except when I am feeling a great deal of stress. During those times I will wear my appliance during the day also.

“I am not sure how this would have ended if I had not had the conversation with Dr. Nadler and allowed him to try what I thought would be another exercise of trying to find the solution to my problem with no positive results.”

– Sharon Gorny

Neuromuscular Dentistry & TMJ Treatment

Having TMJ (Temporomandibular Joint) disorder can cause severe headaches and interrupt your daily life. Coming in to see Dr. Nadler to resolve this can give you great relief!

What is Neuromuscular dentistry & TMJ?

Common Symptoms

Treatment of TMJ

Dr. Nadler has advanced training and extensive experience in the treatment of TMJ problems

Neuromuscular dentistry addresses the nerves, muscles and the correct positioning of the jaw, and Neuromuscular dentists are trained especially to assess the condition and deliver physiologic occlusion treatment for TMD.

TMJ problems can cause various symptoms, such as migraine-like headache, earaches, jaw pain and more. Treatment with neuromuscular dentistry can relieve these symptoms, often permanently.

Dr. Nadler is highly trained in neuromuscular dentistry, having studied at the well-known Las Vegas Institute for Advanced Dental Studies. He has also studied at the internationally known L.D. Pankey Institute.

He has been practicing neuromuscular dentistry since 2003 and continues to stay current with continuing education.

He has incorporated the latest technology for evaluating problems with the TMJ: The TENS unit by Myotronics Inc., which provides computer assisted analysis of the jaw muscles and, the jaw's movement, and joint sounds, and the K-7 Evaluation System.

What is Neuromuscular Dentistry & TMJ?

Neuromuscular dentistry addresses the nerves, muscles and the correct positioning of the jaw. Your teeth, joints, muscles and nerves all work together in the proper alignment and functioning of the jaw. When there is evidence of improper jaw alignment, you may have a condition called TMJ (TemperoMandibular Joint) Disorder, or TMD.

TMD occurs when the jaw joint is displaced or misaligned. If you regularly experience jaw-pain during basic facial movements like chewing, speaking and even smiling, you could have TMD. This is often referred to as TMJ.

A misalignment in the jaw joint affects the muscles, tendons and nerves of your back, neck and shoulders, causing painful symptoms that can be felt throughout your entire body.

Neuromuscular dentists are trained especially to assess the condition and deliver a treatment for TMD. People who tend to grind their teeth and clench their jaw often have TMD. This can affect your bite and your teeth and therefore compromise your oral health.

If you suffer from any of the above symptoms and would like to schedule an appointment and exam, please call (908) 258-6116 or click here to request an appointment online.

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Common Symptoms of TMJ Disorder:

TMJ/TMD:

Jaw pain
Migraine-like headaches
Back, neck and shoulder pain
Earaches
Clicking, locking or popping of the jaw
Uneven bite
Ringing in your ears
Vertigo or dizziness
Clenching and grinding
Numbness or tingling in the extremities
Crowded or loose teeth

If you suffer from any of the above symptoms and would like to schedule an appointment and exam, please call (908) 258-6116 or click here to request an appointment online.

Treatment of TMJ and Neuromuscular Condition

Dr. Nadler use the most advanced technology to diagnose your TMJ symptoms

Dr. Nadler uses the TENS and K-7 units to determine what is occurring with your jaw's alignment. Once diagnosed, a proper orthodontic appliance will be created for you.

The K-7 evaluation system assesses for problems in the function and alignment of the jaw joint and bite.

The TENS (Transcutaneous Electrical Neural Stimulation) unit delivers tiny electrical impulses to the muscles responsible for jaw movement and relaxes them. In less than an hour the relaxed jaw joints finds its ideal positioning.

The next step is a full diagnosis of the problem with the K-7 evaluation system, which records proper alignment of the jaw. The K-7 can also assist in diagnosing if the patient's jaw joint is damaged.

If the information gathered shows that the patient has improper jaw alignment, Dr. Nadler will recommend a course of therapy for correction.

If you suffer from any of the above symptoms and would like to schedule an appointment and exam, please call (908) 258-6116 or click here to request an appointment online.

Effective Treatment

Sharon Gorny has experienced tremendous relief from Dr. Nadler's treatment.

Following the diagnosis of an improper jaw alignment, Dr. Nadler will begin an oral therapy by creating a custom oral appliance to hold your jaw in proper alignment.

You will wear the appliance for at least 3 months to stabilize your bite after which you will be examined to determine if further therapy is required. Orthodontics, restoration of tooth arches or a bite adjustment may be recommended.

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