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      11-23-2011, 11:59 AM   #1
jokergerm
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Anyone here with TMJ?

I have always had a messed up jaw, its never really hurt bad before now, but it pops and clicks when i eat tough food like jerky or chew gum and it sometimes locks if i hit the wrong spot in the chewing motion.

However the last two days my right side jaw has been so fucking sore i cant take it, i mean when i eat something it feel like im getting stabbed in the jaw bone joint. Im going to the DOC today but fuck this sucks

are there any good remidies for this or does it just go away over time?

thanks
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      11-23-2011, 12:22 PM   #2
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Track down the best neuromuscular dentist in your town and have them make you an orthotic. It'll help out immensely!

Cheers,
Tony
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      11-23-2011, 01:34 PM   #3
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Or get ready to get your broken and then repositioned
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      11-23-2011, 06:26 PM   #4
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get more sleep, i've had that problem since i was around 10 or so, i noticed it gets worse when i'm tired or don't get enough sleep or stressed out.. i did some googling a few years ago and the results i found correlate with what i experienced.. but if i recall correctly when i spoke to my dentist about it the only REAL solution is to get oral surgery done and that's a pain in the ass and $
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      11-23-2011, 07:04 PM   #5
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doesn't go away on it's own. Find a dentist or physical therapist that knows how to treat tmj. with some stretching and retraining along with night guard it can be managed....

and avoid chewing gum or tough foods like beef jerky, as repetitive unilateral chewing will continue to exacerbate the problem
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      11-23-2011, 07:21 PM   #6
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ya i went to the dentist today for the 1st time in alomst 10 years. No cavites and no gum issues!!

They gave me some streches to do and 70 muscle relaxers to help with the tension
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      11-23-2011, 09:13 PM   #7
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Dude I have that shit too, the clicking and cracking when chewing gum aggravates the crap out of me.
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      11-24-2011, 10:28 AM   #8
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Quote:
Originally Posted by ToothDoc View Post
I did a lot of research in this matter... Don't see a neuromuscular dentist (LVI dentist) unless you wanna dish out 20K+ - and they don't even fix the problem LOL. Don't get surgery on it (they just screw it up more). Take some ibuprofen and relax. It'll be fine with time. Popping and clicking is the disc going in and out of the correct position. Eventually things get messed up enough that the disc never goes in the right position. From this point on, your bite is off, you can't open your mouth real big, and you're in pain. Eventually the ligaments stretch, you'll open 1.5 inches (instead of the usual 2.0 inches), and the teeth will rearrange, and you'll be ok for life 90+% of the time. For those few % of people, you're screwed. BTW, I am not a dentist and any dental advice you are getting from this post is just my opinion...
As a licensed dentist and a specialist none the less, I would advice you to be careful when giving out dental and/or medical advice from information you collect through the internet which tends to be erroneous like in this particular case. Ibuprofen is an NSAID that might help with the symptoms but will not treat the underlying problem and should not be taken daily for prolonged periods of time because of it's long term deleterious effects. Clicking is considered normal and is due to a discrepancy in the position of the articular disc in relation to the the articular eminence and the condyle during rotational and translational movement. Popping however can be due to a few different things and is usually problematic although most of the time it can be corrected by addressing the excessive tension on the joint and muscle fatigue/contraction associated with it.

That being said, there are a multitude of reasons why you could be experiencing the discomfort most likely a combination of stress and an irritated temporomandibular joint capsule. You also might have an occlusal imbalance or a premature contact before you go into centric occlusion.

I see a multitude of cases like yours every week and you would be surprised how many of them are easily fixed with a combination of a properly fabricated occlusal guard (night guard and no not the ones you buy in the pharmacy and fit in hot water) and occlusal equilibration (making sure all your teeth are contacting properly and making tiny adjustments if necessary).

My recommendation would be to have your dentist fabricate an occlusal guard (shouldn't cost more than a few hundred dollars) as soon as possible and start wearing it at night and even during the day at first until the symptoms subside. Have the dentist check your occlusion as well to make sure you have no premature contacts or lateral interferences (they should know what it means).

It shouldn't cost you anywhere near 20k in fact it shouldn't even be close to 2k.

If the nightguard has not helped after 2 - 3 weeks then you would need to see an oral maxillofacial surgeon and have them examine you.

Hope this helps, let me know if you have more questions about it.
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      11-24-2011, 11:56 AM   #9
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Quote:
Originally Posted by miula View Post
Quote:
Originally Posted by ToothDoc View Post
I did a lot of research in this matter... Don't see a neuromuscular dentist (LVI dentist) unless you wanna dish out 20K - and they don't even fix the problem LOL. Don't get surgery on it (they just screw it up more). Take some ibuprofen and relax. It'll be fine with time. Popping and clicking is the disc going in and out of the correct position. Eventually things get messed up enough that the disc never goes in the right position. From this point on, your bite is off, you can't open your mouth real big, and you're in pain. Eventually the ligaments stretch, you'll open 1.5 inches (instead of the usual 2.0 inches), and the teeth will rearrange, and you'll be ok for life 90 % of the time. For those few % of people, you're screwed. BTW, I am not a dentist and any dental advice you are getting from this post is just my opinion...
As a licensed dentist and a specialist none the less, I would advice you to be careful when giving out dental and/or medical advice from information you collect through the internet which tends to be erroneous like in this particular case. Ibuprofen is an NSAID that might help with the symptoms but will not treat the underlying problem and should not be taken daily for prolonged periods of time because of it's long term deleterious effects. Clicking is considered normal and is due to a discrepancy in the position of the articular disc in relation to the the articular eminence and the condyle during rotational and translational movement. Popping however can be due to a few different things and is usually problematic although most of the time it can be corrected by addressing the excessive tension on the joint and muscle fatigue/contraction associated with it.

That being said, there are a multitude of reasons why you could be experiencing the discomfort most likely a combination of stress and an irritated temporomandibular joint capsule. You also might have an occlusal imbalance or a premature contact before you go into centric occlusion.

I see a multitude of cases like yours every week and you would be surprised how many of them are easily fixed with a combination of a properly fabricated occlusal guard (night guard and no not the ones you buy in the pharmacy and fit in hot water) and occlusal equilibration (making sure all your teeth are contacting properly and making tiny adjustments if necessary).

My recommendation would be to have your dentist fabricate an occlusal guard (shouldn't cost more than a few hundred dollars) as soon as possible and start wearing it at night and even during the day at first until the symptoms subside. Have the dentist check your occlusion as well to make sure you have no premature contacts or lateral interferences (they should know what it means).

It shouldn't cost you anywhere near 20k in fact it shouldn't even be close to 2k.

If the nightguard has not helped after 2 - 3 weeks then you would need to see an oral maxillofacial surgeon and have them examine you.

Hope this helps, let me know if you have more questions about it.
This, and to be honest the occlusal guard USUALLY helps most people without the need of surgery.

Goodluck
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      11-24-2011, 12:46 PM   #10
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I had this happen to me right after i had my wisdom teeth pulled. It only lasted a week but it drove me totally crazy. Shitty situation dude.
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