Temporal Summation, Central Sensitization, and TMJ

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One of the current explanations for why people with TMD (Temporomandibular Disorder) have such a hard time getting good treatment is that the problem isn’t with the temporomandibular joint, but, rather, with the brain. Some people have proposed that TMD is actually a problem of central sensitization, in which the brain becomes more sensitive to pain in some individuals.

It’s likely that not all TMD is the result of central sensitization, and for many people, we can head off that issue, if we act quickly.

And, of course, one major problem many people face in getting successful TMD treatment is finding a qualified expert to treat their condition. In Nashville, TN, TMJ dentist Dr. Mckinnon Forbes has the training and experience to treat TMD, and he can help many people achieve relief before they develop sensitization.

Testimonials

The new owner of Center For Advanced Dentistry, Dr. Mckinnon Forbes has done several procedures on me when was practicing in North Carolina and I... read more

Beverly A.

I had an amazing first experience at the Center for Advanced Dentistry. I felt prioritized, taken care of, and respected as a customer. For most... read more

Noah W.

If you have dental anxiety, this is for you! In April of last year, I had to have a molar extracted (from a different dentist) and the experience... read more

Sammie U.

They deserve a 10 out of 10 from this patient!!! AHH-MAZING! We had a life changing experience for our household. When you have dental anxiety and... read more

Richelle T.

So happy to have found a dentist that feels like home :) I was looking for a holistically minded practice, and CFAD checked all the boxes. our... read more

Jamie C.

Dr. Forbes is THE BEST!!! Not only is he an expert in his field, he is personable, kind, and his staff made me comfortable at every turn. I gladly... read more

Rachel S.

I was extremely hesitant to try yet another dentist. I needed to get another opinion for my own peace of mind though, so I gave CFAD a try. I had... read more

Tamara B.

Beverly A.

The new owner of Center For Advanced Dentistry, Dr. Mckinnon Forbes has done several procedures on me when was practicing in North Carolina and I must say that Dr. Forbes has greatly exceeded my expectations. I still travel to Nashville to his new office to see him. After having dental procedures by a variety of dentists in the past, I found Dr. Forbes to be extremely knowledgeable, gentle and explained my options in a manner that was understandable while not being pushy. Dr. Forbes has a great demeanor and chairside manner and I am exceedingly happy with the results of his work.

Noah W.

I had an amazing first experience at the Center for Advanced Dentistry. I felt prioritized, taken care of, and respected as a customer. For most people, the dentist is not their favorite place in the entire world, but they go above and beyond to make you feel comfortable and taken care of!

Sammie U.

If you have dental anxiety, this is for you! In April of last year, I had to have a molar extracted (from a different dentist) and the experience was quite horrible. I had already developed some dental anxiety prior to this, but this particular visit sent it through the roof. I knew I needed a new dentist and I wanted to find a holistic one who would align with my values and refer out to other practices as little as possible. I found Dr. Forbes at Center for Advanced Dentistry and scheduled a consult knowing I would eventually need an implant to replace my missing tooth. Crissy, their patient coordinator, spent almost three hours with me that first day! She was incredibly kind, great at helping educate me about the root causes of the issues going on in my mouth, patient answering all my questions, and so encouraging when I shared with her how much I struggled with anxiety when getting dental work done. Her passion for helping others in this field radiates through her and quickly helps build an immediate trust. We discussed several different options to best fit my timeline, budget, fears/anxiety, etc. I chose to have two additional teeth extracted (both were root canals that I had wanted out for years) and have implants placed in the, what would be three missing areas. At first, I had decided I wanted to be fully put under with anesthesia because I was so nervous about the procedure. But as we got closer, I started to wonder if I could do it without since it was so expensive, and overall not the healthiest option either. Dr. Forbes and Crissy encouraged me that I could do the procedure with alternative calming methods that they offer and that if at any point I felt like I couldn’t handle it, we could stop. Y’all, I don’t have the words to express the gratitude toward Dr. Forbes and the whole CAD office on surgery day. From their patience in waiting for me to be ready for them to start, to holding my hand and wiping away my tears. From Dr. Forbes communicating with me throughout the whole process, to pushing through seven hours with me in the chair to wrap up what I believe to be the best work anyone could have performed. I’m not even three days post-op and I can’t believe how little pain I’ve felt. I will never trust another dentist like I do Dr. Forbes and I can honestly say I’m less fearful now for future procedures. I look forward to the future dental work and corrections I’ve needed for such a long time! I never thought that would be possible. Thank you, Center for Advanced Dentistry!

Richelle T.

They deserve a 10 out of 10 from this patient!!! AHH-MAZING! We had a life changing experience for our household. When you have dental anxiety and past horrible experiences with dental healthcare providers, when you get HERE at Center for Advanced Dentistry, you will be able to exhale. You will be able to look forward to your next visit. You will finally be understood. The team took the time to understand this patient as a person with real emotions and feelings so that they could tailor a treatment plan and approach that will RIGHT the path of oral health. From understanding diet and oral hygiene practices, offering suggestions and products to build oral health from the inside to recommendations for follow-up myo therapy to their own treatment during the visit, this is a full service office who understands the body inside and out and the goal is total health, not just getting through an appointment time and neglecting overall health advice for the patient to create TRUE health. Thank you, team, for an amazing experience even from the first call to us walking out the door. This is the place for us!

Jamie C.

So happy to have found a dentist that feels like home :) I was looking for a holistically minded practice, and CFAD checked all the boxes. our initial meeting with Crissy was SO informative (and FUN) and we honestly can't wait to go back. the staff all treated us like family and we LOVE supporting other freedom minded folks in TN!

Rachel S.

Dr. Forbes is THE BEST!!! Not only is he an expert in his field, he is personable, kind, and his staff made me comfortable at every turn. I gladly refer my family, friends, and clients to Dr. Forbes and am so thankful he practices in Middle Tennessee. You won't find a better dentist!

Tamara B.

I was extremely hesitant to try yet another dentist. I needed to get another opinion for my own peace of mind though, so I gave CFAD a try. I had seen multiple friends post about them and from the look of their website and social media they looked like they aligned well with my holistic approach to health in general. Backstory: I have had a handful of dental emergencies as an adult, that always led to tooth removal. They were at traditional dentist offices that seemed to want the quick fix to everything. I believe my teeth probably could have been saved if I had known more about preventative oral health and the holistic mindset around teeth in general back then. Most dentists (at least the many that I have seen) do not educate you on full body functional health. They focus on service level in my opinion. I needed more than this. I was tired of not understanding. So I learned more about holistic options. I have a lot of anxiety seeing dentists because every visit for over a decade was always bad news. I need my bite corrected, a few implants, and some small fires to be put out. I don't need a celebrity smile like other doctors have pushed, and I very much like my smile how it is. What I need is better function of my overall health. I didn't want braces at 33 and the suggested gameplan from another doctor was many years of work. Going into CFAD today, I felt this huge weight and confusion over me. I was nervous and defeated, but I walked out empowered and confident! My consultation was more like having coffee with a friend. Crissy immediately helped my nerves dissipate with her personality and gentle demeanor. We talked for hours. The wealth of knowledge that was poured into me was exactly what I was searching for. She was very likeminded about health in general and made me feel safe to ask questions. She eased into the plan for my mouth and I never felt like she was rushing or waiting to move on to the next topic. I could have talked to her all day. She really made me completely comfortable before I even saw Dr. Forbes. So by the time he came in, I had zero anxiety. That alone is a miracle in itself, because it's never happened before. The plan for my mouth is different than I expected, but I am so excited for their expertise to be a success story for me. I actually understand the plan and why. Another first! I don't need to get braces, and it actually won't take much time at all to bring functionality back into my mouth. If you are on the fence about big dental work, I highly suggest meeting with Center for Advanced Dentistry for a consultation. I can't wait to start improving and healing my mouth with this amazing team.

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