Occlusal adjustment for TMJ/TMD and Bruxism patients 

Do you wake up with aching jaws every morning? Do you ever bite and feel your jaw is lopsided? If that’s the case, you may require a treatment known as occlusal adjustment. Drs. Mircea Mitu and George D’Louhy of Family Dental Center in Manteca, California, are here to provide occlusal adjustment along with many other conditions that affect the smile.

Why is occlusal adjustment performed?

A bite is misaligned when there are loose, shifting, crowded, or missing teeth. The result is a perfectly and evenly distributed bite. That eliminates uneven pressure on one side of the mouth. After the bite is corrected, your teeth will fit together correctly. Occlusal adjustment causes little discomfort; in fact, it is almost painless! A dental drill with a fine filing stone is used to make the modification. After the actual change has been completed, removable mouthpieces are utilized to protect the tooth surface and relax jaw muscles.

Who is a good candidate for an occlusal adjustment?

Patients with loose or shifting teeth are frequently unable to get their upper and lower dental arch to meet correctly. Grinding or clenching teeth, often associated with a condition known as bruxism, create an uneven bite and pressure distribution in the mouth, which is also addressed by an occlusal adjustment. Clenching teeth and teeth grinding are the most common reason for occlusal adjustment. However, patients with conditions such as temporomandibular joint disorder may also benefit. Occasionally, an occlusal change may help alleviate tooth sensitivity by relieving strain on the sensitive tooth.

How does the dentist prepare for an occlusal adjustment?

Precision tooth alignment is now possible thanks to new technology, allowing dentists to accurately pinpoint the areas needing attention. The dentists at Family Dental Center scan the mouth, recording hundreds of bite registrations per minute and noting even the tiniest variation. That data allows the dentist to make those modifications that are absolutely required, ensuring a well-aligned bite and reduced tooth wear

Frequently Asked Questions About Occlusal Adjustment.

Who needs occlusal adjustment?

We recommend occlusal adjustment to patients with an uneven bite. If your teeth don’t come together properly (occlude), it can cause jaw pain, headaches, tooth wear, or sensitivity. Your dentist may also recommend occlusal adjustment for patients who grind or clench their teeth, or after certain dental procedures that affect bite alignment.

What are the treatment options for occlusal adjustment?

Treatment typically involves gently reshaping small areas of enamel to improve how your teeth fit together. These refinements allow all your teeth to distribute pressure when biting down evenly. In some cases, your dentist may combine enamel reshaping with night guards, orthodontics, or dental restorations for the best results.

Is occlusal adjustment painful?

No! The procedure involves removing a very small amount of the enamel. There is no discomfort, and local anesthesia is rarely needed. You also need little downtime after treatment.

Will occlusal adjustment change the look of my teeth?

Not at all. The changes are very minimal and usually not noticeable. The goal is to improve function, not alter shape or appearance. Most adjustments are subtle and focused on contact points rather than visible surfaces.

Does occlusal adjustment weaken my teeth?

No. The dentist only removes a very small amount of enamel. This does not compromise the structural integrity of your teeth. In fact, it helps your teeth last longer by preventing premature wear caused by uneven pressure.

How long does the treatment take?

The procedure takes 30-60 minutes, depending on the severity of your issue. We can complete most cases in just one visit, while more complex cases may require multiple visits. Patients experience immediate relief from symptoms. However, others share gradual improvement over 1-2 weeks as the jaw muscles adapt to their new bite position.

Are there any side effects of occlusal adjustment?

The procedure is generally safe. However, you may experience temporary side effects, such as sensitivity or a slight change in your chewing, as you adjust to your bite. Complications are rare when administered by a trained dentist.

How long do the results of occlusal adjustment last?

The results are long-lasting. Once the enamel is reshaped, it doesn’t grow back. However, new dental work, tooth movement, and untreated teeth grinding can alter your bite again over time. In such cases, retreatment is needed to maintain the results. Regular dental check-ups help maintain benefits and monitor any changes in your bite.

Does insurance cover occlusal adjustment?

Coverage varies by plan. Some insurance providers may cover part of the treatment if it is considered medically necessary to address pain or avoid damage. It’s best to verify your benefits with your provider or dental office for precise details. For patients without insurance, you can take advantage of dental financing, which lets you split the treatment cost into manageable installments.

Where can I get occlusal adjustment in Manteca, CA?

Do you have persistent jaw pain, uneven tooth wear patterns, or recurring headaches? Occlusal adjustment in Manteca, CA, can restore your oral health and comfort. Dial (209) 420-1205 and schedule an appointment with the Family Dental Center of Manteca today.

Dr. Mircea Mitu

Mircea Mitu DDS, FICOI, AFAAID

Dr. Mircea Mitu has almost three decades of dental experience, including nine years of associateship and managing clinical practices in the East Bay Area and several years of practice and academic positions in prosthodontics. Before setting up his practice, he completed hundreds of hours in postgraduate dentistry. He has attended prestigious organizations like the UCLA Center for Aesthetic Program and Misch International Implant Institute.

Dr. Mitu is a member of the American Dental Association, California Dental Association, and San Joaquin County Dental Association and is a Fellow of the International Congress of Oral Implantologists and Asociate Fellow of American Academy of Implant Dentistry.
Dr. George D’Louhy DDS, MS

George D’Louhy DDS, MS

Dr. George D’Louhy is a respected orthodontist who has been practicing for 30 years. Dr. D’Louhy earned his Doctor of Dental Surgery (DDS) degree from St. Louis University and completed further advanced training to receive his Speciality in Orthodontics MS degree from St. Louis University School of Orthodontics.

As a specialist in Orthodontics, Dr. D’Louhy applies his three decades of experience and his expertise using Full Banded Orthodontics and other treatments to help patients achieve stunning smiles. Dr. D’Louhy is trusted for his technical skills and ability to work with patients and their parents to create beautiful, healthy smiles.