Why nightguards don’t work?

To minimize the wear of the surfaces of teeth, most general dentists recommend a night guard or a splint for bruxsim or teeth grinding to prevent damage to the teeth. However, a night guard does not alleviate the problem. Its' function is to protect your teeth from wear. In other words, when you wear the night guard, in most instances, you will continue to grind the guard instead of your own teeth. The night guard will not stop the damage to the jaw joints, the muscles, and the nerves. In most instances, the patients continue to have symptoms. In fact,  in some cases the TMJ condition deteriorates after wearing a nightgurad.

Over the course of the past 28 years,  Dr. Eddie Siman has treated patients that have presented with multiple night guards and splints that have been made by previous dentists.  Many of these patients reported that these appliances did not alleviate their painful TMJ symptoms.


The proper treatment for the TMJ should aim at eliminating the cause. To treat TMJ properly, repositioning appliances can be used to reposition the jaw in the proper, relaxed, and physiologic position by incorporating various modern technologies to relax the muscles that are associated with the jaw. With these advanced techniques, Dr. Eddie Siman has become an expert in finding the proper Jaw position and has helped countless patients alleviate their symptoms over the past 28 years.

It is not a machine or a device that can determine a patient's comfortable jaw position. It is the experience and knowledge of the Neuromuscular expert who has treated thousands of patients, like Dr. Eddie Siman.

Dr. Eddie Siman has a 3 step solution to relieve TMJ symptoms:

Step 1


permanent relief from their persistent TMD symptoms through his work in neuromuscular dentistry.

"It is not the machine, it is the experience and knowledge of Dr. Siman takes a unique and innovative approach to accomplishing this goal, using a combination of orthotics and repositioning devices in conjunction with more high-tech and modern approaches.

A low frequency device called TENS (Transcutaneous Electrical Neural Stimulation) is used to relax muscles in the face and jaw. Electrical impulses are delivered through nerves that control facial expression muscles. Blood flow is increased, lactic acid is eliminated and muscles are detoxified. Hypertonic muscles then take in increased oxygen, allowing the muscle fibers to elongate and relax.

The relaxed state of the patient's facial and jaw muscles allows Dr. Siman to capture the bite registration of the- mandible in a sitting up position without manual manipulation. Ho w does he determine the best position for the jaw? The answer is different for each and every patient.

This is called the neuromuscular position. Recent research has shown that the neuromuscular position is the most ideal position for muscles to be in. It is obtained by the use of technology and in no way corresponds to conventional treatment s. Technology has allowed modern TMD specialists to develop optimum techniques in the treatment of TMD, migraines and associated neuromuscular disorder s.

Finally, the actual process of neuromuscular dentistry can begin. Dr. Siman may advise the use of orthotic devices to guide the jaw in its correct and most relaxed physiological position (happy).

TMD is treated at its very source- a misaligned bite-and done so without a single incision or injection. Dr. Siman has helped countless patients gain the Neuromuscular Dentist who has treated thousands of patients, that understands the bite to determine the right treatment. '' - Dr Siman

Step 2


Just as important as finding the bite is stabilizing the bite. The correct physiologic bite is a neuromuscular zone of comfort that needs to be captured to the exact

millimeter in the anterior and posterior segments between the maxilla and the mandible. In the majority of cases, after the muscles are relaxed, the mandible moves to a more forward and downward position.

It requires a well- trained neuromuscular dentist to capture this position and duplicate it precisely in an orthotic appliance.

The orthotic is considered a repositioning appliance that needs to be delicate enough so that the patient can wear it comfortably 24 hours a day without affecting their daily activities.

This is not your typical night guard. These Neuromuscular appliances are custom designed to accommodate the anatomy of each individual patient in their accomplished Neuromuscular and physiologic position, and come in different designs.

Step 3


Once the patient starts using the repositioning appliance, the muscles in question will be maintained in the predetermined relaxed po sitio n. As a result, decompressing the pressures on the disk and the articulating surfaces of the TMD, relieving the painful symptoms. At this stage, (Phase I), it is important for the patient to return to the office for periodic adjustments and evaluation in combination with TENS therapy.

It takes time for the bod y to heal and it can't be forced or rushed. Once healing has taken place and the patient has stabilized and is comfortable, there are more permanent treatments available. These treatments include orthodontic s, and/ or restorative dentistry (Phase II). These different options are available for the patient to consider and discuss with the neuro muscular dentist.

Orthotic and repositioning devices come in various shapes and designs. These de vices are customized and designed for every patient.