The mandibular and maxillary musculature is relaxed via stimulation of the facial and trigeminal nerves, with ultra-low frequency transcutaneous electrical neural stimulation. The mandible is then manipulated to reduce dislocated or displaced condyle/disk assembly and/or to decompress the craniomandibular articulation. An orthopedic repositioning appliance is constructed to maintain proper anatomic position and function of mandibular condyle. The patient receives prosthetic training and myofunctional exercises to reprogram the mandible and associated musculature.
The patient must be followed up approximately every 2 to 3 weeks for ultra-low frequency transcutaneous electrical neural stimulation and adjustments to the appliance, until the repositioned condyle-disk assembly is stabilized in the proper anatomic position and the pain symptoms are resolved.