My TMJ/TMD experience: Please note that if you don't have TMD, this is probably not pertinent to you and you should go to Dr. Peppard! I hate leaving less than 5 stars. But I feel like I owe it to my fellow TMJD sufferers to explain my experience, because I was in a really dark place and wish I had had more advice at the beginning of my ordeal. Which all started when...
I was in a lot of pain after a minor dental procedure in April of 2019. My teeth were stabbing me, my facial muscles were spasming and my head/shoulders felt like they were in a vice. I didn't understand what was going on with me. After speaking to a highly respected endodontist, she recommended I see Dr. Peppard since he specializes in bite. He was the first person to diagnose me with TMD, and I'm so grateful for that. Pretty quickly after, he made me a hard acrylic splint to wear on my upper teeth, which looked like a mouthguard, something you might wear playing sports. It was clear but noticeable and embarrassing, but I made my peace with it. And I was getting out of pain! If I agreed to a permanent treatment plan, I would have to wear it 24/7 for 6 - 8 months, then go into (most likely) braces or surgery. Then, a couple months in, due to wear on the device and my jaw structure, he had to resurface it. This made it incredibly large, and with an opaque white layer in addition to the original layer. I was crying in the dental chair when I saw myself in a mirror. Besides it being uncomfortable to wear, I couldn't imagine wearing it in public for the next 6 - 8 months (or maybe longer, if I needed to). It was taking a huge toll on my self-esteem and mental health.
That's when I started doing more research. There are other dentists with different treatment plans who subscribe to different schools of thought. I found two types of dentistry whose approaches and science make the most sense to me. (And have the best clout on TMD discussion groups.) Those trained in Occlusion Connections make a thinner, clear splint you wear on your lower teeth. Those trained by LVI make a lower orthotic that looks like your natural teeth. (That's who I ultimately went with--Dr. Duncan in Georgetown.) Both those schools differ from Dr. Peppard in philosophy and technology. I'm still in treatment mode, so I can't speak to a full success, but my pain has continued to decrease, and I'm thrilled about the unnoticeable appearance of the orthotic.
As you'll notice, this review is more about the treatment and not necessarily about Dr. Peppard. Dr. Peppard was thorough and extremely passionate about the subject, which I appreciate. He spent hours working with me to get the fit right and accommodated me when I needed to see him because I was in pain. His dental hygienist Robin and front desk manager Julie were wonderful. The office is great. I personally talked to two other TMD patients who love Dr. Peppard and have had great success. It seems like he's been a wonderful dentist to hundreds over his 35 years in Austin. For me, personally, this was not a treatment I could handle in my life. By all means, see Dr. Peppard for a consultation. You might just need to wear the splint at night, which in my opinion is no big deal. But know that there are other options too. You just have to find the right fit for you. For those suffering through this disorder, I hope this is helpful, and wish you all the best. read more