Dental Nightguard vs. TMJ Orthotic - Priya Mistry, DDS (the TMJ doc)
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- Опубликовано: 3 дек 2020
- Hello friends! This video is all about the difference between a typical dental nightguard and a TMJ splint or orthotic. A dental nightguard will serve well to protect the teeth from the (enormous) forces of clenching and grinding, but does not typically treat or help the muscles, joints, or ligaments. A TMJ splint or orthotic protects the teeth AND treats the muscles, joints, and ligaments.
If you suffer from headaches, ear pain, neck pain, stuffy ears, vertigo, jaw pain, jaw joint noises (clicking, popping, crackling), or episodes of the jaw locking, then a TMJ orthotic is the way to go as this - along with myofascial release and jaw manipulation - is what gets our patients relief! If you ONLY clench and/or brux or grind your teeth without any of the symptoms listed above, then a dental nightguard will likely serve you well.
NOTE: There ARE instances when a typical dental nightguard can cause more harm than good in patients that already have TMJ problems (like those listed above). Please be careful and do your research before investing in an appliance!
Please feel free to reach out in the comments section with any questions!
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Other links:
WEBSITE: tmjdentaldoc.com/
FACEBOOK: / priya.mistry.942145
INSTAGRAM: / the_tmj_doc
TWITTER: / priyatmj
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#tmj #tmjd #tmjorthotic #splint #orthotic #jawpain #lockedjaw #dentist #aqualizer #headaches #earpain #stuffyears #neckpain
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This channel is all about TMJ disorders - what they are, how they manifest, what to do about them and how they relate to other issues that may be going unnoticed in the body such as tongue tie, sleep apnea, ADHD, and more! I will also be posting about being a dentist and a working mommy to two wonderful children. Thank you and I hope you enjoy my videos! 
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Thank you so much, I’ve been suffering from tmj for such a long time and I can’t believe none of the dentists I have seen ever mentioned getting a tmj splint.
You're welcome. Please watch my video called "Why TMJD is Often Difficult to Diagnose & Treat" for some answers about why dentists may not recommend a splint.
I self diagnosed myself cos my dentist is useless. Mine started when i got wisdom teeth and they dont wanna touch wisdom teeth if thry can avoid it.
You Never talk about artroscopy or surgery...why?
Not ever my family doctor. I have to deal with this pain for year. My ENT doctor told me about it . Thank God. I have my split 24/7
Very helpful, thank you. Headed in that direction and now I know what i need to seek.
You’re welcome! Be sure to subscribe and reach out with questions any time :)
Hi Priya,
Thanks for explaining the difference between the Dental Nightguard VS TMJ Orthotic.
Great job as usual.
Thank YOU for watching :) and for the kind words!
Thank you Priya. I got a new TMJ mouth guard yesterday from my dentist but wasn t sure why it was more expensive than the normal mouth guard. This video has explained it to me. I t s strange getting used to sleeping with a lump of plastic in your lower mouth but if it helps to ease the stiffness of my lower jaw, I ll be happy. It s very difficult to chew anything lately. Anyway, thanks again.
@@RogDow123 glad to help!
Thank you for this!
My pleasure!
This is so informative, thank you! I will start wearing my dental splint, fingers crossed no more pain for me. 💕
You’re welcome and good luck to you!
Hi there, how has your splint been helping you?
@@RelishWithReCheil my pain was reduced gradually, however I lost the 1st one so I feel I am back to square one.
@@maryappleverano4073 oh no. I hope you are able to get another one soon!
sooo helpful & informative, wish my dentist explained all this to me! i now understand the diff bw the two, thank you, Dr. Mistry!!
Glad it was helpful!
@@theTMJdoc hey dr. mistry, not sure if you already have vids about trigger point injections, dry needling, acupuncture, botox, etc. as various options for myofascial pain, but if you dont, would you consider making a youtube vid on info about that? your vids are tremendously helpful!
Very good information! Thank you!!
Thank you! Please do Subscribe!
Thank you for this informative video ❤️
Getting fit for a splint soon and I hope it takes my pain/numbness away 🤞🏼
I hope so too!!! 😊
How you feelin
Great information. Thank you‼️
I'm a licenced massage therapist so I treat/massage TMJ clients.
However, I just recently found out I have it as well.
Your video makes perfect sense, I also wear glasses so I totally get what you're saying.
Thank you, thank you, thank you‼️
You’re very welcome!! :). Sorry to hear you have TMD!
Great video!
Thanks!
Thank you for making videos highlighting the condition which not many dentists are good with. Being a dentist myself, I would like to sincerely request you to make videos detailing the chair side work and lab work too. That would help other dentists like me manage patients too.
Hi and thank you for your comment! At some point I will have a series of courses for dentist but I cannot easily make RUclips videos about this.
Oh my gosh thank you so much for this video! I had initially gotten a mouth guard made at the dentist. It didn’t really seem to help so that’s when I saw an actual tmj specialist. As you stated, they also created a mold, however, I also noticed that they had taken measurements of my bite ect. I think they had suggested I wear a 24 hour splint because my issue has to deal with not only grinding but inflammation of the muscles. I now understand the difference and will move forward with the splint.
You’re very welcome and best of luck to you! 😊
@@theTMJdoc Thank you so much and I wish you the best as well!
@@tristanblack1920 thank you 🙏🏼
Good stuff, Dr. Mistry. Also as an experienced TMJ/TMD practitioner, some of the best info I have seen. BTW, "Orthosis" is actually what an "orthotic" should be called but the public understands orthotic better. Best, IV
yes!
awesome information, thank you so much
Thank you for your kind words! Don’t forget to Subscribe 🙏🏼😊
Brilliant video.
Humbled by your words, Kris! I will respond to your message ASAP
That is a great explanation of difference between splint and nightguard. Dentist gave me a nightguard but I don't clench at night :(
Had an appointment today with an oral surgeon and he is sending me to be fitted for a TMJ splint and physiology therapy...I look forward to these hopefully helping 🙏🏼🌞
Best of luck to you!!! 😊👍🏼
I wish I could find a doctor like you in town I can't even get a dentist to take care of my bad teeth because I have such bad TMJ and I've had over 30 years of not getting the right consistent treatment and I'm a mess I could have the surgery in '09 but anyways all this makes sense and I am scheduled with an holistic dentist in town that does a whole TMJ thing but yours makes more sense and I've been hearing a lot about my fashion release I also have a very bad neck and back issues but long time with chronic pain it all started early 20s after dinner work and now remember early 50s so I need help!
Sorry to hear this and best of luck to you!
Nice and simple explanation in layman terms Dr.Priya.
Thank you!
Thank you so much for all of your informative videos. You’re the type of dentist I need in Texas.
You’re welcome!!!
That's how I feel... Where in Texas has this...no where I've seen yet
We need you in Dallas specifically. Come help us please 🥺
@@godesofdnyte thank you. I wish I could come out there!
@@theTMJdoc Have had migraines, TMJ and worn night guards since 1988 (tried OTC and professional custom made which caused more jaw pain because they are so hard). Have had 99% molars crowned from cracking, and have and replaced several of those crowns. Saw dentist again two weeks ago and told I need three new crowns since last year (when I had one replaced). Was told I'm microfracturing and crushing my teeth every night. I can't afford this and need to fix the root cause. Please advise! 🙏
Wish me luck as I have to find a TMJ specialist in CT that takes my insurance. I've had TMJ for over half of my 30 years and am trying to get things better before I get much older. I just started wearing a basic night guard, but will probably be getting an orthopedic one once seen. Thanks for the videos!
Good luck!
you are a great dentist!
Thank you!
Nicely explained
Thank you!
Well explained.
Thank you!
Very informative and helpful...I was given a custom-made night guard for grinding because 4 back molars were removed for orthodontia back in the 1970s. The tooth removal has caused a weird, uncomfortable bite my entire adult life. Anyway, the night guard, although very expensive at $790, is improperly made (the excess high area of plastic is clearly visible) which has caused shooting pain in my TMJ area, including eyes, cheeks, neck, etc. Going back to dentist this Thursday and will ask for help.
sorry to hear that and best of luck to you!
Hi Dr. Mistry! Are you able to do a video explaining how you do those precise measurements for a splint? I just received mine yesterday and feel like there wasn’t a ton done to get the bite position precise. Thank you always!
Hi there. It’s really difficult to explain that in a video. I took many courses & had many hours of training from my mentor to learn how to do that. Something that’s not as complicated and that may get you in the ballpark is my video called “How to Take an Aqualizer Bite Updated”. I hope that helps!
I’m getting a TMJ orthotic next month to fix my bite. I already have upper braces at the moment. Seriously hoping it’s not super uncomfy to wear. Thank you for this info! 🌸
You’re welcome!
Great lesson. I have terrible jaw muscles pain, and neck discomfort, for 8 months now, after series of stressful events and this pandemic stuff. Every single day.
Maxillofacial surgeon didn't saw problems in the TMJ with orthopan, altough he said my bite is totally off and that I need a splint. Also he said maybe my wisdom teeth are making problem with my bite (and genetics). I developed terrible tinnitus practically in the same time and I am going to see experts in Zagreb for this.
Thanks for the video, very well explained.
Thanks for your kind words and best of luck to you!
@@theTMJdoc Thanks. I have just one question. Do you know if this 3D tehnique of making TMJ splint is same in USA and in Europe (Croatia)?
In other words, you mentioned neuromuscular dentistry and how with computer simulation dentist can find best position for a jaw. Here in Croatia I don't think anybody mentioned this to me. Now, does every TMJ splint is done this way everywhere or? Thank you so much.
@@sanelprtenjaca9776 great question and unfortunately the answer is no - not all splints/orthotics are made the same way.
@@theTMJdoc Okay, thanks for this info. It isn't a great news, but I hope it will be all right in the end. Greetings
Seeing that you have replied to everyone (even if it is to explain that you cannot help without seeing them - best thing to do btw) i cannot express how refreshing it is to see.
Truly altruistic. Thank you for being you.
What a kind comment! Thank you! 🙏🏼💕
Hi Pryra! Thanks for your superinformative video, as always! Is a «mandibular repositioning device» (sorry, I don't know how to translate it from Spanish exactly) an orthotic like the ones you mention in your video that are custom-made?
Hi Cecilia and thank you! It’s difficult to answer that question because we make our orthotics in a very specific way that respects the jaw joints but also puts the muscles in their relaxed position. Many mandibular repositioning appliances used for sleep apnea will hold the jaw forward to open the airway, but won’t respect the muscles and joints. I hope that answers your question?
You would be a GREAT teacher! 😉
Thank You!!! 🙏🏼
Thank you for the information. I got impressions for my teeth since I have a popping sound when I’m eating. I sometimes have pain on my lower teeth when eating as well and at times I wake up with a headache.
I used to have an orthotic for TMJ back in 2000 and my headaches went away and didn’t use it for years and now it doesn’t fit. My dentist said I have TMJ and this Saturday I will get fitted but I’m not sure now since I saw your video if I’m getting a night guard or an orthotic. I do clench my teeth when I sleep. I don’t want my jaw and face to get out of alignment! 😟
Sorry to hear this. It doesn't hurt to ask your dentist to clarify exactly what you're getting :)
Hi there, I watched another very helpful video of yours that talks about the pros and cons of botox. Does the tmj orthotic have any effect on slimming the jaw like botox does, since the tmj orthotic reduces the pressure of nighttime grinding? Thanks!
Hi there! I haven't seen the orthotic have a significant impact on slimming the jaw.
Hi Dr Mistry, thank you for the video. Could you please advise the effectiveness of the splint without regular myofascial treatment? Thank you.
If made properly, it will bring relief but will likely take longer without the myofascial release and osteopathic manual jaw manipulation.
I find a regular Dentists don't know how to help me@ all so I'm left in pain now I know thanks to your video I need to find a orthodontic specialist. I have popping/pain-in jaw/neck,headaches,ears-tinnitus etc
I didn't say to find an orthodontist :) I said to find a skilled and experienced TMJ dentist.
@@theTMJdoc ok thanks for reply and advice my mistake in not listening properly ❤
@@avaleonardava6139 no worries! Don’t forget to Subscribe!!
TMJ OR OCCLUSAL SPLINT therapy is very helpful to my patients
Sometimes they get relief within two to three days from pain which was lasting since months
Nicely explained the difference between normal nigh guard and occlusal splint
I’m so glad it helps your patients but. Thanks for watching 😊. Please do Subscribe and share with your colleagues if you find it helpful!
I'm hoping that will be me next month, when I finally get to see a TMJ specialist...
@@theTMJdoc would you be in the Sf bay area
Hello Dr. Mistry, thank you for such informative video, what do you recommend for easing in to using nightguard through the night. It's challenging to fall asleep with its bulkiness.
Hi There - it can take up to 3 weeks to get used to a new appliance. Give it time and if it's just too bulky, you can always ask to see if some of the bulk can be reduced.
Would you consider making a similar video on the difference between custom orthotics and a deprogrammer? Both sound as though they help the muscles relax over time, but I would be interested in the difference.
The term "deprogrammer" - what it is, what it means - can mean different things to different people, so I don't feel comfortable making a video on that.
Informative video, how do you determine this relaxed TMJ state? Is this relaxed position same as when TMJ is in centric relation?
No typically centric relation and the relaxed state do not coincide in my experience. We determine the relaxed muscular position with TENS and neuromuscular dentistry concepts and the correct condylar position with CBCT.
i never even knew an orthotic existed until recently. really wish more doctors were knowledgable on this topic and the problems tmj/tmd can cause.
Sorry to hear this :/
Γειά σας...έχω παρακολουθήσει πολλές εκπομπές σας κ πιστεύω στη λογική σας στην εκπαίδευση σας κ στο έργο σας...βρίσκομαι στην Ελλάδα...έχω κάνει στην οδοντιατρική σχολή ενα night guard όπως το λέτε...περίπου δύο μήνες τώρα.. στην αρχή προσπάθησα να το φοράω πιο συχνά αλλά μετά άρχισα να μην το δέχομαι στο στόμα μου σα να με ανακάτευε...Κ σίγουρα είναι πλαστικός κ με το καλούπι απ τα πάνω δόντια.. Κ ίσιος από κάτω εννοείται...όχι σαν το Mora το δικό σας...έχω μάλλον το σύνδρομο του νερού του τριδυμου παίρνω φάρμακα αντιεπιληπτικα για τους πονους...πρωί μεσημέρι βράδυ...έχουν βελτιωθεί πολύ...ωστόσο υπάρχει ένα μούδιασμα κ κάψιμο στην.πλευρα δόντια αυτί κεφάλι...πείτε μου τι μπορώ να κανω; υπάρχει αντίστοιχος συνάδελφος σας εδώ στην Ελλαδα; μπορώ να σταματήσω την αγωγη; φτιάχνοντας σωστά μασελακια; σας ευχαριστώ...έχω χαρεί πολύ που είστε τόσο εξειδικευμένο κ αγαπάτε τη δουλεια σας...
I’m sorry, I don’t know anyone in Greece!
Thanks! I hope to find a good TMJ specialist to get this.
Are you talking about recording the patient in CR? And how are you measuring this and building it into your prescription? Love your explanations; you definitely should consider a clinical CE lecture series
No, I’m not talking about CR. I use Neuromuscular Dentistry methods and techniques to measure and record the optimal jaw position.
Hello! I love to watch your videos and find that each one I watch shows me I am not getting proper treatment. My locked jaw has improved in opening slightly since September but I am still having pain and can still only eat soft foods.. Do you know of any tmj specialists in the wisconsin area? Preferably near Milwaukee, WI? Thank you so much 😊
I’m so sorry but I don’t know anyone there.
Hi there! Thank you so much for this video. I was wondering if an orthotic is something you’ll have to wear for the rest of your life for maintenance? Or does the orthotic fix the issue totally after wearing it for the specified period of time? My daughter was really hoping for surgery for a permanent fix but our dentist said that’s a last resort….
Surgery is definitely the last resort. I wean my patients off the daytime orthotic but many of them choose to or need to wear the nighttime one indefinitely 😊
Great video. I've had TMJ for 2 years now. Will it take longer than a month to notice an improvement using the orthotic splint?
With my orthotics, people usually feel relief within 1-2 months.
Very cool video. How do you determine what the optimal position for the jaw is? Is it a scan? Or just eyeballed by the dentist?
I use the technology and software that's used with neuromuscular dentistry.
Thank you so much for the Information! I do have a question though. I’m just now realizing that it probably is TMJ what I have but need to find a doctor the specializes in this. Which type of doctor would you recommend I look for? Also once I find one how would I tell if they really know how to deal with this, what are usually the steps taken by the doctor to see what works for me, what the root of the problem is and what can be done? Thank you again for all the video!
These are not easy questions to answer because it really depends on what your symptoms are. finding a doctor that is skilled and experienced in treating your symptoms is important. The ICCMO website is a good place to start. Iccmo.org
Me again so thankful for your beautiful explanation, but I have more questions, sorry. Is an orthotic more rigid than a night guard? Is has to be used forever or just for a period of time, is it painful to use it? Correcting the bite by brackets, can help with TMJ? Thank you so, so, so much.
Orthotics and nightguards can all be made from a variety of materials so it’s difficult to answer your first question. We typically recommend wearing our daytime appliance for 12-16 weeks and the nighttime one indefinitely. For most patients, they are not painful to use. We don’t recommend braces to correct TMJD - that’s considered phase 2 treatment.
very interesting ❤❤❤
thank you!
This is so interesting! Can regular dentists make TMJ orthotics or do you need to go to a TMJ specialist? If the latter, how to you recommend finding a good one in the area? TY!
It’s viral that you see a skilled and experienced TMJ dentist. The ICCMO website is a good place to start with your search. You can then call the dental office you find in your area and ask how they treat TMJD. Here’s the website:
iccmo.org/what-is-tmj-tmd
Hey Doc, thanks for the video,a TMJ specialistmade a TMJ orthotic for my sore jaw (crepitus sounds and clicking) I've been using it for a couple of weeks now but the pain is still there, I ask my dentist when I was going to see results , but he answered that he did not know, and I am starting to get desperate, I has beeen two years of tension headache pain and crepittus pain , I cannot bear this amount ods constant pain, I wish I had some measure of hope as for a good prognosis
this pain is chronic and is ruining my life, my enjoyment
I'm sorry to hear you're going through this! I don't really know how I can help over the internet. Did you have a specific question?
Thanks, Priya. This is great. Physio in NZ here. Just wondering if a TMJ orthotic can also be made to decrease snoring? I understand that those with TMJ issues and who snore tend not tolerate mandibular advancement splints. Just wondering if you have come across a solution when both are an issue?
Hi there! If the snoring is caused by collapse of the soft tissues in the throat, a TMJ orthotic can help. If the snoring is coming due to nasal obstruction, it cannot.
Hi Dr Priya! I just subscribed and i am the lucky 100th likes 🙌🏻🌟⭐️ Thank you for explaining the difference, for splint/orthotic how will you start the diagnosis before developing one? Say one is needed to take a xray before a orthotic is made on that day? I mean what are the steps to making an orthotic? I think the orthotic help decompress jaw pain and also aids in healing.
Hi Audrey! It’s too long to explain via texting. You are correct that the orthotic helps decompress the joints and can therefore aid in healing. There’s much more to it! If you’d like we can set up a zoom consultation. If you’re interested please reach out to my office manager, Megan. Her email address is: officemanager@tmjdentaldoc.com
@@theTMJdoc Hi Dr Priya, just one more question and hope you can help. If a splint is made right, at the beginning stage of wearing it, is it normal to feel some muscles pain or we should be feeling comfortable instead? We often hear conflicting answer to this. I have a relative oversea in Oregon who have dentistry problem and i love to refer her to your service. Hope to see more of your channels ❤️
@@audreyling7242 yes for the first week or so it can be uncomfortable but should improve :)
Hi! Thank you so much for your videos. I have one very strong massetter and one very weak. I have been getting jaw clicking since I was 15 when I found out I was grinding my teeth in my sleep. I started clenching more and now my the weaker side of my jaw pops out every time I open it wide. I have a lot of neck pain but very few headaches thankfully, but it still affects many parts of my life. I can’t sing for very long, crunchy things have to be in small quantities, and my face looks lopsided. I’ve been trying strengthening exercises but I worry it’s just making the stronger side stronger. I also wear a dental mouth guard every night. Do you have any tips for me? :)
I would recommend seeing a TMJ Dentist or TMJ Physical Therapist.
Sorry one more question can you make a video showing what your night time appliances look like please? Would love to see them thank you
Mary
I won't be making a video on this because seeing the appliances won't help. they look similar to a nightguard but the difference is the prescription built into them. kind of like glasses - they all look the same way and fit the same way, but it's the prescription built into them that makes all the difference to the person wearing them.
Well explained! Thank you for this.
I have questions. Can splint re-align jaw? Can it re-align the disc in its original position and stop the popping and clicking? Thank you!
It holds the jaw in a more ideal position for the the joints and muscles. Recapturing the disk typically takes more work, in my experience, which is why we also do myofascial release and osteopathic manual jaw manipulation. All of these combined can recapture the disk and eliminate joint noises within 4-6 months.
@@theTMJdoc Can chiropractor recapture the disk?
I just spent hundreds of dollars for a custom night guard at my dentist’s recommendation. Based on the description of a TMJ orthotic, I should have purchased this instead of the night guard!
I like your eyebrows and makeup
Thank you! 😊
Very interesting, my dentist made me a nightguard for bruxism but this explains why it may not be helping me at all for TMJD. It appears that is it not easy to find dentist who specialize in TMJD. Are there splits to wear during the day too?
Yes, I make a daytime one too
Thank you for the explanation. I have a question. Is the "Michigan" a splint or a nightguard? Or it can be both depending on the measurements they take (if they measure the position of the joints, or simply the mold of the teeth)
Thanks!
The Michigan appliance is a nightguard and not an orthotic. :)
Please, Can TMJ orthotic replace the joint in the right place? I have a subluxation of the left tmj and i wonder if it can be corrected.
Thank you for your wonderful informations, you're the best 🤩
Yes it can place the condyle in the right position, but that doesn't mean the articular disk will immediately go where it should be if it's displaced.
I’ve been dealing with all the Symptoms for so long now. I finally have an appt may 24 with a tmj specialist and thanks to your video I’m a little bit more knowledgeable of what could help me. The tightness in my jaw and the severe headaches have sent me to the Er and I visit my neurologist often. I’m really hoping the tmj specialist will help me because I want to give up so bad. ( I clench my teeth a lot and realized I do it while I’m sleep)
Your symptoms sound like they could be TMD. I sincerely hope you get relief soon!
@@theTMJdoc Thank you!
@@RelishWithReCheil you’re welcome! 😊
@@RelishWithReCheil hi how are how doing now? WhaT has helped you
@@Jackie1111 hello, I’m doing so much better. I get Botox from my neurologist every 12 weeks for my migraines and my TMD is so much better. I receive trigger point injections in my jaw, neck and shoulders as well. The DDS is who I see for that and he is awesome with providing helpful ways to avoid it getting so bad as it was. I haven’t been to the ER in forever and now only use my rescue migraine medicine about once a month if that. I was literally on the edge of losing my mind, but thank God I’ve found treatment that helps me.
Another important tip is stress less, being outside in the sun with my child, going for walks and eating healthier has also benefited me tremendously.
Hi Dr. Priya Mistry, Thank you for all these informative videos. Do you happen to know of a dentist whom follows a similar methodology in Arizona? Particularly, that offers that same type of splint you describe in your video? If you don't, could you provide the manufacturer who makes the split so I can contact them directly to see whom purchases it in Arizona? Thank you.
Hi thank you for your comment! It’s not really about the type of splint. It’s the prescription that’s built into it which is unique to each person. Your question is similar to asking for a particular frame for eyeglasses but not the prescription. I don’t know anyone who does things exactly like me in Arizona. Which cities in Arizona are you close to? I can consult a directory I have for dentists who treat TMJD.
Interesting video! My TMJ orthotic is bottom teeth and a hard plastic and really uncomfortable so I find myself reaching for the regular dental night guard instead. Are they always bottom teeth and hard as a rock?
yes they are always bottom and hard. Soft appliances encourage more clenching/bruxing acitivity.
Thank you for this video, is there anyone you recommend in the Chicago area that does tmj splints?
Hi there! Dr Ira Shapira treats TMJD.
Hi Priya, great video very helpful.
And also my jaw have been clicking/popping for about 2 years now and it's very irritating whenever I talk or open my mouth, so my question is can every dentist treat tmj or should I get it check up by an orthodontist ?
Most dentists and orthodontists are not trained to treat TMJD unfortunately. We treat clicking and popping with orthotics, myofascial release and osteopathic manual jaw manipulation. It takes 4-6 months of this treatment for clicking and popping to go away and for the disc to stabilize. I haven’t been able to find any dentists that do jaw manipulation. Sorry I can’t be of more help!
@@theTMJdoc ok thank you so much 😇
@@MikeIsSama you’re welcome!
@theTMJdoc After the last minor adjustment on my tmj appliance, I had terrible pain that night and several nights afterward & any time I clench at night. When my tmj dentist checks to do adjustments, he just has me tap my bottom teeth (with the appliance on) against my top teeth. Should he be "measuring" in some other way to know where to adjust in order to put the jaw in the best position to relax muscles? Thank you for your highly informative videos.
I really don't feel comfortable guessing at what he should be doing with adjustments without examining you with and without the orthotic. Sorry! Best of luck to you.
Hello Doctor, I started treatment with a TMJ/Orofacial specialist. He mentioned when my right jaw makes a clicking sound it means the joint is popping into place. He said the treatment would consist of a custom-made night guard and stretching/moist heat. He instructed me to wear the nightguard and my top retainer every night. I began to notice I would drool excessively when I wore both appliances and actually felt myself clenching to try and make contact with both appliances. As a result, I wore the appliance inconsistently and eventually stopped wearing it for 6 weeks. When I went for a readjustment he said my teeth were contacting in the front (with the mouthguard and retainer in). I now have my front teeth making premature contact without the appliances and increased TMJ pain. I'm not so sure the night guard will really help address my issues.
Sorry to hear that!
Hello, I just got measured for my splint today for TMD and am worried that they weren’t thorough enough in measuring where my joints, ligaments, and muscles want to be positioned ideally. Is that typically something that is more so focused on once they already have the splint and are getting ready to make adjustments to it? Or should most of that have been done today during my appointment? Do you have a video on what is typically involved in discovering a persons ideal jaw position? Thank you!
I'm sorry but there's no way I can easily answer these questions via comments. I don't have a video on how I measure optimal jaw position. If you'd like you can email my office to set up a zoom meeting with me so we can discuss this all in more detail.
Hi thanks. Is that Tscan that you're talking about? Do you have a video explaining diagnostic devices? A dentist i spoke to said they use it to test which orthotic is best for you. Thanks xxx
No, it's not a Tscan :) I use the K7 Myotronics Neuromuscular system.
Such an informative video, thank you! I wish I could come to your office for treatment. I live in the DC/VA area, by chance would you know or be able to recommend any TMJ specialists in this area?
Hi Aleisha! I don't know anyone in DC specifically, but in Virginia I do have providers that come highly recommended - one is in Rockingham and one is in Burke. Are either of these a possibility for you and if so, which do you prefer?
@@theTMJdoc Hi Dr. Mistry, Burke is definitely near enough to drive to. Who is the provider there? Otherwise I am also not far from Maryland as well, if you know of anyone there. Thank you for your help!
@@aj1534 I have someone in LaVale, Maryland. Would you prefer that or Burke?
@@theTMJdoc Burke is fine thank you!
@@aj1534 Dr Pamela Marzban comes highly recommended!
Doc: Someone's head crashed into my ear some 2 decades ago and I've had all these awful symptoms since (ear pain, fullness, popping, tightness, redness of ear, etc.). I had a couple adjustments since, by both chiropractors and TMJ-savvy dentists. Most recently, I had an orthotic made here in the Bay Area of Cali (they took a virtual impression with lasers), that fits on my bottom teeth only. The instructions say to wear it at all times except for eating, but is that okay or should it be worn continuously for several months so that the back teeth never touch each other even for a second as the condyle readjusts? Like if they briefly touch does the healing process get reset?
I’m sorry but I don’t feel comfortable answering that question unless you are my patient.
How are you now?
Thank you for this video. I was diagnosed with TMJ disorder back in October and was finally able to secure an appointment with a TMJ specialist on May 25th, though I would've scheduled the appointment a lot sooner had I known I didn't need a referral. Right now though, I'm playing the waiting game because I don't know what to do in the meantime. I've been incessantly contacting the TMJ specialist to see if I can come in sooner because I keep getting new symptoms, but it's all for naught. Do you have any advice? Thank you in advance!
You can always watch my videos that start with "Releasing the..." These videos target different areas that can all cause a lot of pain and contribute to TMJD. Good luck!
Wow I’m in NC and I’m also waiting on my May appointment with a tmj specialist. I agree about the wait time, I was on a waiting list just to see this specialist. I hope all goes well for you.
Thank you both!
@@RelishWithReCheil Hi. Whom are you going to see in NC? Which tmj specialist clinic?
Thanks for sharing your video. Is there orthotics for sale in Philippines?
These orthotics are not "for sale". They are custom created for each patient after a series of records are taken.
Just got splints, but my new position for my lower jaw doesn't feel "natural" to me. Does it just take time to adjust to? I've had the splint for four days now.
Yes it definitely takes time :)
Do you do different kinds of splints depending on the patient? Like stabilization, repositioning, anterior bite, etc? Or just one type?
Yes different types per patient
Hi Priya, thanks for the video. Question for you. My dentist has prescribed a split that "for now should not be worn during the night, and taken out chewing, etc.." It is worn on the bottom teeth.
What confuses me is that the dentist built the split as a night guard.. as you have mentioned here; with just the bite imprint but no TENS process.
I understand that my muscled and ligaments will relax over time eliminating pain, discomfort etc... do you think it's her intention to modify the splint over time to simulate what the TENS process may do at the first screening?
I'm sorry but I have no way to guess what her intention may be. It's best to ask her directly :)
Thank you for explaining the difference. I just received my TMJ splint and I don’t think it’s what it should be. The plastic is very abrasive on my real teeth, there’s no coating inside and it’s really hard to take off for cleaning. Im supposed to wear it while I’m eating etc.. I don’t want to ruin my teeth with the materials of the guard. I’m waiting for my Doctor to call me back. Please advise is this normal?
I'm sorry but I cannot advise anything without evaluating you in-person with and without the splint/orthotic in. It wold be best to consult with your doctor.
Hi, Dr I would like to ask is dual arc anterior scribe appliance system considers as one of the TMJ splint to relax muscle & jaw ?
I’m sorry but I don’t know what that is.
Would you ever recommend a somno guard for TMJ joints that are so destroyed that jaw replacement surgery is the only hope?
No! The Somno guard is not specific enough, in my opinion, for someone with advanced degeneration in their joints.
Dr Mistry this is so helpful! May I ask who is your mentor? I’m trying to find someone to go to here in Virginia.
Dr Arthur Parker is my mentor! :) Dr Jeffrey Brown is wonderful - he is in Falls Church, Virginia.
@@theTMJdoc thank you!!! ❤️🩹
@@michelekincaid8093 you’re welcome! Be sure to Subscribe to this channel! :)
How would you compare this device to the anterior deprogrammer? I understand the idea of putting your jaw in a more relaxed position for the muscle relaxation, but how does this device prevent you from continuing to clench and grind your teeth is the new position?
Nothing that’s appropriate for being worn long term can prevent clenching/bruxing.
I clench my teeth and have migraines, have worn night guards since 1988. I've tried OTC softer ones (prefer) and custom made hard ones which cause more jaw pain and migraines/neck pain. Through the years I have cracked 99% of molars, which have been crowned, and have cracked many crowns that required replacement. Extremely expensive problem! Also my jaws have spasmed and locked after wisdom teeth removal at 19, tonsil removal at 32, or any regular or prolonged dentist appointment. Three weeks ago saw dentist for yearly exam and was told I'm microfracturing my teeth and crowns nightly, and need three new crown replacements ($1700.00 each!). I asked if there was any way to stop the source of the problem-the clenching! Dentist said he didn't know. I talked to my insurance to see if anything is available and was told to try oral surgeon. Saw him and he suggested Botox in masseter muscles. What do you think? Thank you.
Hi! I don't really feel comfortable making suggestions without examining you in person. Sorry.
@@theTMJdoc Right, but could you tell me what type of doctor should I see?
Detailed info! U gave doc . wonderful. I already commented and asked my problem but couldn't found any where my comment. I have jaw problem . With cracking sound. kindly help what to do. Have headache, disturb sleep 😴 , pain n ear rings . I don't grind my teeth too much .what u advice for that. I don't want any surgery.
We treat this with orthotics, myofascial release and osteopathic manual jaw manipulation. Even then it takes 4-6 months with weekly or biweekly appointments for symptoms to resolve.
Now Im getting ur replies one by one . thank u .may Allah bless u. Wat u teach me I'll follow in Sha Allah! if it takes tym it's ok . But I want to get rid out of pain n fix the problem.
Hi Doctor Priya! im your new subscriber❤️ I just wanted to ask if TMJ splints expensive? coz Im afraid I cant afford it:(( and im suffering for almost 7months on my jaw i cant open it widely becoz i feel tightness/locking everytime I open my mouth but I dont do grinding my teeth and if im forcing it to widely open my mouth it hurst me so bad. Hope ill get a response. Thank u!
Hi there. I wouldn’t say orthotics are cheap. I don’t discuss my fees over the internet. Sorry to hear you’re going through this.
if you take the normal bite, how would a peace of plastic replicate that? that thickness will keep the back teeth in contact while the frontal teeth are in distance. I'm asking because I'm experiencing that. is it a good thing for the muscles? or all the teeth should be in contact?
A night guard replicates the normal bite in the right and left dimension, and in the forward and backward dimension, but not in the vertical dimension.
Dr. Priya, what would you do for a patient who has lost significant vertical height in teeth due to grinding so even if the jaw muscles are relaxed for a fitted orthotic, you don’t have the support from the teeth? Thanks!!
it depends on what the symptoms are :)
Can you please explain the MAGO splint?? Do you recommend it? I have headaches, with many other tmj symptoms daily. My dentist just recommended this splint, but I can’t find much research about it. I’m nervous to try it because I have a narrow airway.
It stands for Maxillary Anterior Guided Orthotic (MAGO). This is often used in the treatment of headaches. I don’t use MAGOs at my office so I don’t really have too much experience with or more knowledge about them.
Please can I have your advice. Iv been having extreme pain for the past four years in my left jaw which also causes extreme headaches. I went for an MRI scan last year and the results came back that my discs in my left jaw had moved out of position (due to grinding for years) I’m currently to get Arthrocentesis (jaw wash out) the surgeon said this may help move it back into place.. will a TMJ splint benefit me? I have a soft nightguard that Iv had since 2015. It seems to be ok but I often take it out in my sleep! Thanks very much x
I'm so sorry but I can't make recommendations over the internet without examining you in person.
After wearing the tmj orthotic and the jaw is in the right place, will you more than likely have to get braces or add on to the teeth to get everything to fit?
Please watch my video “phase 1 vs phase 2 tmjd treatment “ and lmk if you have any questions 😊
Hi Dr. About how much does an orthotic cost? I have slipped discs on both sides with quiet clicking/popping noises and little pain. If I get an orthotic, will this completely fix the discs and also make the noises completely go away? Thanks for your help.
It’s really difficult to give costs when our treatment involves not only orthotics but also weekly myofascial release and osteopathic manual jaw manipulation over a 4-6 month timeframe to recapture and stabilize the disks.
just a follow up question.
As in tmj orthotic splint we need to find where the joint and muscle are relaxed and in that position is what we want to stabilize the mandible and tmj. How do we know which is the relaxed position for the mandible and tmj??
Just arbitrarily 2mm acrylic posteriorly will do? Pls share tips
no arbitrarily will not do. I use Neuromuscular Dentistry and its TENS therapy and jaw tracking software to help find this position.
Do you offer TMJ telephone call consultants? I would love to ask some questions I’ve been suffering three years. I wear night Guard for grinding. After watching your video I think I need more still in loads of neck pain, dizziness trouble chewing. Want to ask your advice. Thank you so much Mary
Hi there! You can email patientcare@tmjdentaldoc.com to set up a Zoom Meeting 😊
How do we know if we should get a splint or braces? I suffer from frequent lock jaw and my molars are not meeting plus I have a slight deep bite
In my opinion, stabilizing the joints and getting out of pain is phase 1. Phase 2 is them moving the teeth to that position.
Hello Dr. Mistry,
I've been wearing a repositioning splint covering my lower teeth which moves my lower jaw forward and a bit to the left. Before I started wearing it my bite shifted to the right because my right condyle is smaller than my left. I guess my doctors' intention was to "center" my bite and thus push my jaw to the left to compensate. Do you think that is the case?
Anyhow, I've been wearing it for 4 months now and after 4 adjustments, I still don't see a tremendous relief. I still wake up with headaches and pain behind my eyes.
Do you think 4 months is too long to see results? Should I perhaps go to another doctor for another type of splint?
Thank you for your response. I really appreciate that you take the time to respond to each individual comment. You're the best.
I'm sorry but I can't really answer your question without examining you in person. If you'd like to discuss your specific case in detail, please email patientcare@tmjdentaldoc.com to set up a Zoom Meeting.
American here. What type of dentist should one look for to have a TMJ orthodic made? Is it something usually covered by medical or dental insurance?
I don’t typically see coverage for this treatment unfortunately though it should be covered by medical insurance in my opinion. Look for a skilled and experienced TMJ dentist.
No one can figure out why my right ear is plugged. ENT, primary care? I do have tmj but it never bothered me until now. Anyway I was told to just go get an OTC dental guard at a drug store and that should help. I bought one but never used it. I read and heard that it could damage your bite etc and honestly I was afraid I would swallow it. Your video is very clear between the two and easy to understand and you are clearly referring to a dental night guard that a dentist makes. That was my confusion in the beginning. I just don't think the OTC is going to solve my plugged ear. I was told it helps with the clenching and grinding and that it's most likely what's causing my ear problems. FYI: Do you happen to know any good tmj person in the bay area or the central coast. Again, I wish I could see you! :( HAPPY EASTER
Hi there! Yes an OTC nightguard likely won’t help. Dr Mike Miyasaki in Sacramento comes highly recommended though I don’t know him personally.
@@theTMJdoc Thank you.:)
@@margosugitachi9693 you’re welcome!
Can you reccomend someone to see in Long Island New York? I got tmj issues 2 years ago after wisdom tooth removal however after a year of accupuncture the pain went away for about a year and now it is back, after having a filling done, getting that filling adjusted and then getting a chipped tooth adjusted. I am in agony and my dentist insists it has nothing to do with the bite, he checked my whole bite with the articulating paper and there are more marks on the left side teeth then right but I didn’t have him adjust those because he wasnt confident that would help and that’s not reversible..he just fitted me for a night guard said it will help the muscles and therefore the pain.. right now my teeth are constantly clenched and my bite feels all over the place though
Dr. Laura Torrado comes highly recommended. I don't know her exact treatment methods.