If you were my patient, I would adjust the occlusion of offending tooth
, which is #19. If the margin
fitness is acceptable. It may take several visits, because your neuromuscular system and tmjs are not stable. If your problem are solved by this simple adjustment procedure, no further treatment is indicated. However, if other tmj associated symptoms persist, occlusal appliance therapy would be indicated. Generally, tmj associated symptoms would resolve after 3-6 months therapy.