We have equipment especially designed to evaluate and measure muscle activity, jaw movement, and joint noise. A number of major diagnostic and treatment advancements have emerged – including doppler auscultation for TMJ disorders, differential arthrography to assess the role of muscle on disk derangements, and exciting new insights into degenerative joint disease – all through neuromuscular dentistry. Neuromuscular dentistry offers non-invasive treatments for TMJ disease. With neuromuscular dentistry, Dr. Fitch can determine the optimal position of the jaw by measuring the relaxed position of the head and neck muscles, and then repositioning the jaw to achieve those exact measurements. Repositioning may include wearing an orthotic or adjusting the bite through the application of dental appliances.