Neuromuscular Dentistry

BioPAK: A New Way to Diagnose and Treat TMD

Man having dental treatment for TMJ in Boulder Our neuromuscular dentist knows the latest technology can give patients the best experience. That is why we are excited to get our hands on an innovative new diagnostic tool called BioPAK. Not only does it help our team identify the signs of temporomandibular joint disorder (TMD), but it also allows us to find the most appropriate and personalized treatment for various painful conditions.

What is BioPAK?

BioPAK is a complete diagnostic system that measures the function of the jaw and the activity of its surrounding muscles. It features several different devices, such as:

  • BioEMG III™: Evaluates the effectiveness of craniofacial muscles. 
  • JT-3D™: Analyzes the precise movements and positions of the jaw.
  • M-Scan™: Compares muscle symmetry and offers quick feedback.

What Issues Can BioPAK Diagnose?

Sometimes tooth pain isn’t tooth pain at all. It can be related to various muscle or nerve issues. Finding relief begins with a clear and accurate diagnosis. The BioPAK technology can detect:

  • Temporomandibular joint disorder
  • Sleep apnea
  • Craniofacial pain 

As a versatile diagnostic system, BioPAK can also be used to evaluate patients undergoing restorative, orthodontic, denture, implant, and occlusal reconstruction dental work. The data given to us by this technology allows us to make decisions and measure treatment results. 

This system also has preventative benefits. In some cases, it can identify potential problems before symptoms appear, proactively guiding the treatment planning process. The result is a healthy, functional, and comfortable smile!

Schedule a Consultation in Boulder

If you are dealing with issues like facial and jaw pain, headaches, or loud snoring, you may have an underlying disorder related to your jaw or jaw muscles. A diagnosis is the first step toward finding relief and improving your quality of life. Call 303-449-1119 today to schedule an appointment. Adler Advanced Dentistry serves Boulder, Denver, Fort Collins, and nearby Colorado communities.

Is TMJ Causing Your Headaches?

Woman suffering from TMJ headache in Boulder June is National Migraine and Headache Awareness Month. It’s a great opportunity to raise awareness about a leading cause of headaches that often goes overlooked. That cause is a group of jaw joint disorders referred to as TMJ.

If you’re wondering if you’re experiencing TMJ headaches, there are some indicators that you can look for at home. Pay attention to the following signs that you should visit our dentist for a diagnostic exam:

  • You get headaches when you chew: Activities that require you to use your jaw can flare up your TMJ pain and head pain. Consider the timing of your tension or migraine headaches. Do they happen after you eat something tough, chew gum, or bite your fingernails?
  • Your teeth look worn down: There is a known relationship between bruxism and TMJ. Bruxism, also known as teeth grinding, can happen while you are awake or asleep. Look for signs of wear that may signal this condition.
  • You clench your jaw when you’re stressed: Many people engage in this subconscious habit. It’s another symptom of bruxism that can contribute to TMJ and TMJ-related headaches.
  • You can’t find relief with conventional treatments: People who have TMJ headaches often suffer for months or years because their symptoms get misdiagnosed. If you feel like you’ve exhausted conventional headache treatments without success, it might be time to look to our dentist for answers.
  • You have other unexplained symptoms: Headaches are a common symptom of TMJ, but they aren’t the only one. TMJ can also cause clicking in your jaw, ringing in your ears, and upper body pain. It can even make it difficult to open and close your mouth.

I was a bit skeptical about the neuromuscular dentistry treatment for my TMJ, but it does work.” – Patient Review.

Schedule a TMJ Evaluation in Boulder

Are you ready to get to the bottom of your chronic tension headaches or migraines? Dr. Michael Adler can determine if your pain is related to problems with your jaw. He completed continuing training and education in neuromuscular dentistry at the Las Vegas Institute for Advanced Dental Studies.

Schedule an evaluation today at 303-449-1119. Adler Advanced Dentistry serves Boulder, Denver, Fort Collins, and nearby Colorado communities.

What Happens if TMJ is Left Untreated?

It’s important to see a neuromuscular dentist for TMJ. Left untreated, small problems with your jaw joints can have a significant impact on your wellbeing and oral health. We want to help you avoid the complications listed below so you can live life to its fullest.

untreated tmj consequences

Call 303-449-1119 today to schedule an evaluation. Adler Advanced Dentistry serves Boulder, Denver, Fort Collins, and nearby Colorado communities.

New Sleep appliance for snoring and Sleep apnea

We just started using a new sleep appliance called MicroO2 with great success. This appliance seems to be much more comfortable than the Somnomed appliance. We have stopped significant snoring and improved oxygenation almost immediately, even in very severe cases. The appliance also does not constrict the tongue space- a common problem with other sleep appliances. When we call our patients after a few days of wear they are amazed with the results. We use a neuromuscular bite as the starting point for the appliance. This allows a much more comfortable jaw position. There is a greater than 70% overlap between TMD and sleep apnea so by combining neuromuscular dentistry techniques into the design of the appliance makes sense. We begin to treat both problems at the same time and find this to be integral to success. I will post some pictures and some sleep studies showing how the appliance works.

Boulder Denver Neuromuscular Dentistry | June 2014 Newsletter


To all our patients we saw at the Bolder Boulder thanks for stopping by. A write up about our recent race day experience appears below.
An explanatory article about neuromuscular dentistry and the TENS unit is included this month. It’s an area of dentistry that we specialize in. Neuromuscular dentistry is an effective treatment for complex pain and migraine symptoms among other conditions.

Our special offer for Invisalign “invisible braces” teeth straightening continues. If you have an interest in improving your smile with Invisalign please see the offer below and contact us for more information.

Our best!

Adler Cosmetic & Family Dentistry

Boulder Center for Advanced Dentistry

(303) 449-1119

newsletter.june .2014

Why Neuromuscular Dentistry and the TENS unit

We see many neuromuscular TMJ pain and bite destruction patients at Adler Cosmetic and Family Dentistry… and a frequent question is :

Why do I need to use the TENS unit and how is it training my bite to a new position?

First let’s start with the definition of TENS. TENS is transcutaneous  electrical neural stimulation. That means when we place the TENS electrodes  on a specific  spot on the face we pass an electrical current through the skin to a nerve that controls the muscles of the jaw . These muscles begin pulsing the jaw.  When someone closes their teeth together  this sends a signal to the brain and the brain begins to understand how to bring the teeth together maximally. This may in fact be a bad bite relationship causing pain in some patients and  or tooth destruction in others.

The TENS unit begins pulsing the muscles along their normal resting length  this also begins to take the stress out of the joint. The Jaw begins to work along a consistent trajectory.  After approximately 45 minutes to an hour the jaw is consistently pulsing along what is called the neuromuscular trajectory. This is only achieved after a certain period of time. We can tell when this occurs by tracking the trajectory of the jaw. There is a little blip called the m wave which happens to be the brain or central nervous system trying to affect the trajectory. When the m wave disappears we know the patient has tensed for the sufficient period of time. When we take a bite at this position or make an orthotic a device to simulate the ideal bite this position is usually very comfortable.

Often we have also decompressed the TMJ (Joint)and eliminated clicking and popping. There is no training to this spot because it is based on the ideal muscular and joint  position. The brain will quickly begin to recognize this trajectory and close there all the time. We call this the engram or program that the brain recognizes. Sometimes the engram is good , but a misaligned bite has a bad engram. By removing the pathological engram we are able to treat complex pain and migraine headache patients. We are also able to eliminate clenching and grinding. This is truly a life changing treatment and has often eliminated a life time of suffering.


Boulder Denver Neuromuscular Dentistry | March 2014 Newsletter


Many of us can occasionally benefit from help to manage priorities at work. This month’s feature article, “5 Tips to Manage Office Priorities” includes some ideas to consider. We hope you’ll find at least one of the tips to be helpful.

Neuromuscular dentistry can be the key to treating a number of the bothersome or even painful symptoms listed below. Links to a recent case study and additional information are included for reference.

Our best!

Adler Cosmetic & Family Dentistry


Boulder TMJ Neuromuscular Dentist Video Interview

Boulder Dentist Serving Denver, Ft. Collins & Nearby Areas in Colorado

Hear from our patient “Jake”, aspiring professional hockey player, about his treatment for severe headaches.

How To Find A Dentist in Boulder Colorado

Are you looking for a dentist in the Boulder, Colorado area? Finding and selecting just the right dentist is an important decision, whether for an individual, or for an entire family.

There may be no one universal and absolute best method for finding and selecting a new dentist in the Boulder, Colorado area, or anywhere for that matter. Still the following considerations are among some of the more important things to keep in mind and apply in your process. Observing just these few things will improve your ability to successfully match your requirements and likes with just the right Boulder dentist.

Adler Cosmetic & Family Dentist office in Boulder, Colorado


1) Ask family, friends, neighbors or co-workers for recommendations. Since everyone needs dental care throughout their lives, the people you know can be excellent resources in the process of finding a dentist. The opinions of those you trust will generally be much more valuable than the relatively anonymous opinions of people you don’t know (e.g., online reviews).

People you know will be motivated to help you. Simply ask “who is your dentist and what has your experience been like with them?” Asking questions like this is sure to produce valuable information.

2) Ask your family physician. If you’re moving to the Boulder, Colorado area, your current dentist may be able to make a recommendation. Healthcare professionals you already know may have contacts or belong to professional organizations that have members in the local Boulder, Colorado vicinity. Healthcare providers, and especially other dentists, are likely to have criteria for recommending a dentist that others might overlook. The American Dental Association (ADA) cites this method of finding a new dentist, among several others listed on their website.

3) Commitment to continuing education. Completing the educational and licensing requirements to become a dentist is just the start for top dentists. Participation in advanced continuing education and post-graduate training, at more than just the minimum requirement, is an indication that a dentists is committed to providing the highest levels of dental services to their patients. The Las Vegas Institute for Advanced Dental Studies (LVI) is one well-known post-graduate educational and training organization for dentists.

4) Convenience considerations. What are the office hours? Are they convenient for your schedule? Is the office easy to get to from work or home? These criteria may not be at the top of the list in evaluating a new dentist, but depending on how tight your schedule is they may rank somewhere on the list.

While convenience is often an important consideration for people with busy schedules, keep in mind that a dentist with exceptional qualifications or important areas of specialization may merit the extra effort of going out of your way to visit. Dental patients living in the greater Boulder County area, or in nearby Denver, may opt to make the short trip to Boulder to see a dentist that practices dentistry in areas of specialization that are important for them.

5) Personal rapport and office environment. Personal rapport with a dentist and office staff is something that requires an office visit to evaluate. Passing this test might be a final step in selecting a dentist. Most dental offices offer a free initial consultation, which are ideal for this purpose.

In addition to asking the questions that are important to you, an office visit is an opportunity to evaluate the general appearance of the office. Is everything neat, clean, and orderly? Keep in mind that every dental office must abide by the current OSHA (Occupational Safety and Health Administration) guidelines for sterilization and disinfection.

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