TENs and orthotic is a diagnostic process.

It is only once we know where your own neuromuscular bite is that reasonable options can be explored that are unique to your situation.  There is a multitude of scientific and clinical evidence that determining your stable spot first-then building your teeth to that position to support that stability is an effective way to achieve predictable results.  This is the basis of neuromuscular dentistry.  It is your relief of symptoms and your stable test results that give us a homebase to build your teeth to.

These options may be minor such as a coronoplasty-which is the conservative reshaping of your existing teeth.  Another conservative option may involve adding to the height of some teeth with a white onlay.

If your neuromuscular bite is far away from your existing, pathological bite, then more complex reconstruction may be required such as orthodontics or even a full mouth reconstruction that involves crowns/onlays on every tooth.

Some people have very large, old fillings and deteriorated crowns on each tooth or just severely worn teeth from years of grinding.  Using neuromuscular dentistry to get the bite right at the same time as doing the work that is needed anyway is an ideal way to obtain a final result that is both stable and optimal cosmetically.  It can be done efficiently (all at once) rather than one tooth at a time.  This saves both time and money in the long run.

If you are not ready to engage a large treatment plan, then you can wear a removeable, plastic appliance made to your neuromuscular position.  This enables you to obtain relief if you have symptoms and be able to keep your own teeth clean.  The fixed orthotic used for diagnosis is not permanent and cannot be left on your teeth for long periods of time without supervision from Dr. Heit.

If you do not have any symptoms but want to have a 'make over' with cosmetic application of veneers or crowns, then having a neuromuscular bite is important to protect the integrity of your dental work as well as preventing the development of symptoms that can occur from dentistry that does not take into consideration the muscles.  Also, the cosmetic results of your treatment is enhanced by the proper position of the jawbone within your face as dictated by the relaxed muscles.