About Dr. Robert Pine
Dr. Robert Pine is a general dentist having received many awards, and a TMJ Specialist in Orange County with a non-invasive treatment Dr. Pine has been able to address the clenching and grinding which leads to the pain of the TMD and more. An Alumni of U.S.C. School of Dentistry, this non-invasive treatment Dr. Pine created is Ortho-Stop, fabricated to relieve TMJ, grinding, and clenching and their correlated symptoms and problems especially pain.
Dr. Pine was born and raised in Southern California. He attended U.S.C as an undergraduate and is a proud graduate of the University of Southern California Dental School. He has been selected as one of Orange County’s best dentists
Dr. Pine was one of the earliest users of the NTI anterior deprogrammed system to reduce TMJ problems due to night time clenching. This odyssey began over 20 years ago. Over 10 years ago he created Ortho-stop, a vastly improved and different version of the NTI. 2 years ago he created Emeryl guard to complement and thus improve Ortho-stop
There are two philosophies to TMJ therapy. The first and most traditional is neuromuscular TMJ therapy. This concept proposes to change the bite and in turn, reduce physical systems. This concept can be very expensive. As high as $5000-$10,000. You will need to wear an appliance 24/7 for 6-9 months. This a very slow and indirect way to reduce muscle tension in the jaw, neck, and upper back. After the 6-9 months are up, the bite change will need to be made permanent. This might necessitate crowns or braces. There will be many adjustment appointments.
The second philosophy is the anterior deprogrammer. It is designed to directly to loosen muscles. Because of this, treatment is usually 1-3 months. Appliances are only worn at night. Dr. Pine uses physical therapy to speed up the process if necessary. Since treatment is simplified, the cost is dramatically less. Upon completion and success of treatment, a “phase 2” stabilization is indicated.
Because of Dr. Pine’s vast experience with anterior deprogrammers, he developed Ortho-stop and Emery guard. They allow for better and more precise adjustments to the appliances than the NTI allows. In turn, there is a higher degree of success. This is especially true because of Dr. Pine’s experience.
Lastly, what about the night guard? First off, it is uncomfortable. Secondly, it doesn’t work. There is no science to a nightguard. You will still clench and grind and have symptoms. Simply said, it is constructed to muscles that are already tight. It does not have the capacity to loosen muscles as does Ortho-stop and Emeryl Guard.
Also, surgery in this day and age is almost never indicated. Nonsurgical procedures should always be tried before surgery.