About Pain & Sleep
TMJ & SLEEP THERAPY CENTRE OF SAN DIEGO

  • TREATMENT INFORMATION & SERVICES
  • SLEEP RELATED BREATHING DISORDER
  • craniofacial pain (tmd/tmj)
  • pediatric osa

Treatment Information & Services

Craniofacial Pain – Head and Facial Pain, Primary Headaches, TMJ Pain

Sleep Breathing Disorders – Snoring & Sleep Apnea

TMJ & Sleep Therapy Centre of San Diego is committed to providing the highest level of care for adults and children without surgery. We understand the structural needs required for pain relief and proper breathing to obtain quality, life sustaining sleep. Led by international lecturer researcher educator and practitioner Dr. Steven Olmos, we provide comprehensive evaluations using the latest technologies to properly diagnose the root cause of our patient’s complains. This help us direct treatment for pain relief, fatigue, snoring and sleep breathing deficiencies unique to each person.

Treatment plans are based on individual patient needs and may include: plans to re-train, re-align and correct the problems associated with pain in the head, face, jaw and neck. TMJ & Sleep Therapy Centre of San Diego also provides treatment plans for customized FDA approved oral airway appliances for adult patients with Sleep Apnea, snoring and / or CPAP intolerance. Additionally, we provide orthopedic orthodontics for pediatric structural development and the treatment of pediatric Obstructive Sleep Apnea. Our goal is to provide pain relief and proper structure to allow our adult and pediatric patients to Breath, Sleep, Heal and LIVE a quality life.

Services for Adults

Include but are not limited to:

Comprehensive Evaluation for
Primary and Secondary Diagnoses
  • Hard and soft tissue evaluation
  • Range of motion evaluation
  • Skeletal structure evaluation
  • Oral airway evaluation
  • Muscle, tendon, ligament palpations
  • Directed Imaging / Radiographs
  • Neurological testing
  • Volumetric analysis of airway
Patient Specific Treatment Plans for:
Rehabilitation for craniofacial pain (TMJ, head, face and neck pain) utilizing:
  • Orthopedic appliance therapy
  • Nutritional counseling
  • Physical medicine / laser therapy

Services for Children

Include but are not limited to:

Comprehensive Evaluation for
Primary and Secondary Diagnoses
  • Hard and soft tissue evaluation
  • Range of motion evaluation
  • Skeletal structure evaluation
  • Oral airway evaluation
  • Muscle, tendon, ligament palpations
  • Directed Imaging / Radiographs
  • Neurological testing
  • Volumetric analysis of airway
Patient Specific Treatment Plans for:
Skeletal development for proper function, pain relief and proper breathing (treating pediatric OSA) utilizing:
  • Orthopedic Orthodontics
  • Nutritional Counseling
  • Physical medicine

Craniofacial Pain (TMD/TMJ)

Head and Face Pain / Facial Neuralgia TMJ Pain / Orthopedic Dysfunction/ Primary Headaches /Migraines

Musculoskeletal Pain

At TMJ & Sleep Therapy Centre of San Diego we understand the complexities of craniofacial pain that are unique to each patient. Some patients experience TMJ (Temporomandibular Joint) pain and dysfunctions (TMD), some experience primary headaches (known as migraines, tension and cluster) while others may have facial neuralgias, musculoskeletal pain or a combination of all.

TMJ pain is one of the conditions most frequently identified by patients. This is a very real condition caused by disturbances in the action of the jaw. Research has shown that many factors may lead to this disorder – it can occur by itself or be a part of a more complex problem. We believe that there is usually more than one factor responsible. Causes may include macro traumas: automobile accident, sports injury, accidental falls etc. or micro traumas: clenching and grinding of the teeth (bruxism), which causes the muscles that stabilize the joint to become fatigued from overwork resulting in head, face, jaw and muscle pain. Often the jaw problems, head and facial pain, headaches, migraines and musculoskeletal pain are symptoms of a greater problem affecting the body, much like a fever is secondary to the common flu. In the absence of an acute injury to the head or facial area, we believe the primary cause of these problems is frequently related to insufficient oxygen while sleeping i.e. an unidentified sleep breathing disorder, sleep apnea or obstructive sleep apnea (OSA). Everyone assumes they are breathing and getting enough oxygen during sleep; few recognize that nighttime teeth grinding and clenching (bruxing) is an unconscious effort to prevent suffocation. This repeated action all night long, over extended periods of time, wears down the skeletal structure and the joints resulting in TMJ pain, headaches, musculoskeletal pain, TMJ dysfunctions and facial neuralgias.

Craniofacial Pain Services

Proper diagnosis and emphasis on origin rather than symptoms alone is key to successful, long term treatment results. After proper diagnosis, a specific non-surgical, treatment plan for rehabilitation is developed for the unique needs of each individual patient.

Adults

Facial pain, headaches and jaw problems are frequently only a symptom secondary to a greater problem affecting the body, much like a fever is secondary to the common flu.

Craniofacial Pain Services for Adults – may include 1 or more of the following:

  • Comprehensive diagnostics
  • Non-surgical treatment plan for rehabilitation
  • Decompression appliance therapy (short term wear of custom orthopedic oral orthotics – not splints)
  • Nutritional counseling
  • Medication and supplement regimens
  • Physical medicine treatment (Laser therapy, trigger points, prolo therapy, phonophoresis)
  • Multi-discipline Referral Coordination

Proper diagnosis and emphasis on origin rather than symptoms alone is key to successful, long term treatment results.  After proper diagnosis, a specific non-surgical, treatment plan for rehabilitation is developed for the unique needs of each individual patient.

SYMPTOMS
  • Headaches – recurring or chronic
  • Earache or ear symptoms of stuffiness or ringing
  • Neck Pain or Stiffness
  • Facial Pain
  • Jaw joint sounds – clicking, popping or grating
  • Limited ability to open or close mouth
  • Jaw locking (opened or closed)
  • Sensitive, loose or worn down teeth
  • Pain or soreness in the TM joints
  • Dizziness or Pain or difficulty chewing or swallowing
  • Pain behind the eyes
  • Extreme sensitivity to light

Children

The good news with children is that they are still in developmental stage and the earlier the problem is diagnosed and treated the better the results!

Craniofacial Pain services for Children – may include 1 or more of the following:

  • Comprehensive diagnostics
  • Non-surgical treatment plan for rehabilitation
  • Orthopedic orthodontic development
  • Nutritional counseling
  • Supplement regimens
  • Physical medicine treatment (Laser therapy, phonophoresis)
  • Multi-discipline Referral Coordination

Craniofacial pain, although most commonly thought of as a disorder affecting only adults, can present in children at an early age.  It may be milder or it may simply seem milder because unlike adult onset conditions, these young children have always had symptoms of jaw pain and headaches or difficulty in normal functions of opening, chewing, swallowing, speaking and communications. As sad as it sounds, they know no difference and assume pain and/or difficulties with function are normal and what everyone experiences. Unfortunately, if undiagnosed and left untreated, the symptoms and condition increase with age.

SYMPTOMS
  • Headaches – recurring or chronic
  • Earache or ear symptoms of stuffiness or ringing
  • Neck Pain or Stiffness
  • Facial Pain
  • Jaw joint sounds – clicking, popping or grating
  • Limited ability to open or close mouth
  • Jaw locking (opened or closed)
  • Sensitive, loose or worn down teeth
  • Pain or soreness in the TM joints
  • Dizziness or Pain or difficulty chewing or swallowing
  • Extreme sensitivity to light
  • ADHD
  • Bed wetting

Orthodontics/Orthopedics for Treatment of OSA

At TMJ & Sleep Therapy Centres of San Diego, our approach to crooked teeth and bad bites is one of prevention, early diagnosis and treatment of the cause. In most cases, crooked teeth are the symptom of a more serious condition, one of dysfunctional breathing and/or improper tongue posture. Pediatric Obstructive Sleep Apnea (OSA) is a prevalent but under-diagnosed disease. The importance of screening for OSA in every child has recently been re-emphasized by the American Academy of Pediatrics Guidelines.

Is Your Child at Risk for OSA?

TAKE THE BEARS SCREENING TEST
OSA is a medical condition that is diagnosed by a medical doctor, but can be treated by a dentist with advanced understanding and training of this life threatening breathing disorder. Working with a Sleep Physician, ENT and others is necessary in treating OSA. Adult therapies for the management of OSA are not suitable for children. Therapies such as Continuous Positive Airway Pressure (CPAP) and Oral Appliance Therapy (OAT) have been known to arrest skeletal development of the growing child. The good news is, with proper diagnosis and communication between medical and dental providers, Pediatric OSA can be cured!
Symptoms of Childhood OSA:
  • Snoring
  • Mouth breathing
  • Restlessness during sleep
  • Sleeping in odd positions
  • Periods of not breathing
  • Night terrors
  • Mood changes
  • Poor concentration
  • Bed Wetting
  • Headaches
  • Frequent infections
Orthodontics for Airway Development

An increase in airway volume is always our goal in the treatment of Pediatric OSA. The airway is evaluated and any obstructions are addressed. Obstructions can occur anywhere in the airway and are not limited to the mouth and nose. Common procedures in airway development involve upper and lower jaw expansion and relationship changes, myofunctional tongue and lip exercises and lifestyle changes.