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.
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.
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
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‼️
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.
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.
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
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...
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 🙏🏼🌞
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.
@@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.
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!
@@theTMJdoc It is extremely common in adult orthodontics. Many butchered by childhood orthodontics don't realise early back pain in their 30s is related :(
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.
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
@@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!
@@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!
I've been wearing a nightguard and still have two cracked teeth. I mentioned that I think my nightguard is not doing the job and my dentist said the nightguard wasnt the cause. He didnt even suggest a tmj orthotic.
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.
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.
I just had an mri and I have the articulate disk displaced without reduction. I can only open ,y mouth about an inch. Was wondering how would I even get a guard in my mouth. My dentist only mentioned a night guard.
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?
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!
Insurance doesn't typically cover TMD treatment unless you're having surgery. And even then, it's not always covered. I don't discuss my fees online but you can email my office to set up a zoom meeting with me if you'd like more information.
I have to wear a night guard because of my bruxism, I cracked a molar because of it and have worn down the surface of my teeth. I also was diagnosed with TMJ decades ago and no dentist I have ever seen recommended a TMJ orthodontic device, I don’t even know anyone in our area that would be able to help me since I do get jaw pain and ear pain, particularly on the right side where I was told that my jaw joint was very bad.
@@theTMJdoc No I am sorry I can not, I live to far away in Texas but if I could I would. I have a new dentist now whom I like very much, she made me a new mouthguard by scanning my mouth and all my teeth, it was a long process but the end result was worth it! This is the best fitting mouthguard I have had so far, of course the insurance wouldn’t pay for it because they will only pay for a new one every 5 years, even though the other mouthguard was ill fitting (a bottom one) and caused me to have mouth sores which made it impossible for me to wear. Dental insurance is not good, no matter what sort you have, it is pitiful to say the least. I paid for my new guard myself, it wasn’t cheap but worth every penny to me because my new upper mouth guard causes no sores in my mouth and fits perfectly, it is very easy to put on and doesn’t bother me at all, I can actually speak with it without sounding like I have marbles in my mouth and I have not had any ear pain or headaches, yay! 👏👏👏👍😁
Hi Dr. Priya - Sorry if this a dumb question but when it comes to getting the right measurements to make the splint do you use a machine for that? Or how does that work? Thank you so much!
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
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!
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
Thanks for the info, but how much do these specialized guards cost? I got a quote for $1200 which is way more than my specialized prescription glasses.
I don’t list my fees online. If you’d like you can set up an online consultation with me and after that, I can provide you with a quote. My fees are higher than what you were quoted, that much I can tell you :)
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
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.
Hi Priya! All your videos are very informative and it has helped me a lot to understand my problem. I'm from India and have been a TMJ patient after braces treatment. I consulted more than 20 orthodontists and so-called TMJ experts in India but nothing helped. I also had 4 sessions of digital bite adjustment using Tek Scan ,and JV scan done in New Delhi but I'm still struggling with pain. Could you please recommend me someone who is really skilled in TMJ in India as I cannot travel to Portland. Thanks!!
huh... I have TMJD, with lockjaw (or so I am told, I can still open my mouth, just not as wide) and I was given.... something. So they measured how wide my mouth opens, that's pretty much about it. The doctor did push on my jaw a bit here and there in the beginning. When it came to being "fitted" aka, molds done, it was digital. All they did was take some sort of a scanner and go over each of my top teeth, and my top teeth only. After that, I had another appointment in two weeks, where they jammed it into my mouth and used the articulating paper, ground some of the material away, back in mouth, more articulating paper, etc... But, they didn't take any measurements at that point. So do I just have a regular dental mouth guard? I thought it was for TMJD.
@@theTMJdoc I can't tolerate it. I can't tolerate things in my mouth at all. I did have trigger point injections that seemed to help a lot. As does exercises and jaw stretching. The doctor is going to shave the guard down to make it smaller on my next appointment, but I really don't want a guard.
@@theTMJdoc Thank you. I have many more problems too, all of which doesn't seem to give me high hopes. But, the trigger point injection helped with the jaw, so that is promising.
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.
Can we agree that until masticatory muscles are “relaxed”, the TMJ’s can’t be properly seated? Therefore the splint (orthotic) will need some adjustment amd refinement over time
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.
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!
Most of us dentists are not trained in how to diagnose and treat tmj/TMD OR in the difference between a tmj orthotic and a nightguard.. not to make excuses! It’s just a fact..
I have severe Tmd. The night guard I'm wearing is making my jaw feel worse. Do you know if any dentists in New Jersey that would make an orthotic for me? Trying physical therapy too but not helping. Thank you!
No it won’t. Sometimes braces are needed as phase 2. Please watch this video for more information: Phase 1 vs. Phase 2 TMJD Treatment - Priya Mistry, DDS (the TMJ doc) #tmjd #headaches #tmj ruclips.net/video/ZFVYD3ul6iM/видео.html
Hello Dr Mistry, do you recommend TMJ orthotics in hard or semi-rigid resin (soft interior with rigid exterior)? When fitting and adjusting spacers (on the back teeth) on the TMJ orthotics at the dental office (I live in France) is it normal to feel a very pronounced and unpleasant taste in the mouth?
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?
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.
Hey doc, I am also pursuing BDS and am a final year student. I have clicking in tmj, traumatic bite and clenched teeth. I was advised splint but after using it for some time I discontiued its usage. Recently my final exams are going on and i am experiencing severe pain around the temporalis muscle. For the time being, i am using muscle relaxant (myoril) and painkillers followed by the excercised you told and consciously am trying to not occlude the teeth, but i do need a proper treatment of this so please help me as i consulted many of our teachers but am not finding any relief. So please please help me out
10 years ago I had a car trunk that fell on my neck. Due to that I have multiple health problems. One of those problems is facial pain. I was told by my dentist that I have TMJ and by my neurologist that I have trigeminal neuralgia. My dentist made a nightguard for me, however its not working at all. I have headaches, ear aches, jaw pain, pulling and tighten in the face, drooping of the lips, facial spasms, and even at one point my nose hurt. I thought about getting braces to see if they would help, but I’m wondering if the splint will work better.
Hi there Doctor, I have a question to check correct bite on your patients do you put tens unit in super high until your teeth hits really hard they almost makes me cry? Plus do u make patients have tens unit on for a hour and half before you check for correct bite? It’s so painful. Thank you, For your time I watch all your videos trying to decide if I’m seeing the right dentist… Kindly, Mary
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.
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
is it possible to have a tmj orthotic designed that also works like a sleep apnea splint? The sleep apnea splint i have pushes my lower jaw forward, and i fear this is what has caused my tmd :(
This is not an easy question to answer via comments. If you’d like you can set up an online consultation with me via the link below: tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8
When you talked about how you measure the muscle and jaw resting position to know how to make the TMJ orthotic how do you do this. What do you use to find the muscles resting place, before taking bite measurements.
Is the daytime orthotic you make in your office fitted lower jaw and only worn during day or to sleep aswell. I know you say you dont eat with it. If you have night orthotic is that upper or lower teeth.
@@theTMJdoc Would the daytime and nighttime orthotic look different to tell them apart. Sorry I'm trying to learn so much about TMJ as in Australia with this debilitating condition bedridden and no dentist out here knows how to treat me....I'm going down hill fast now unable to walk much due to being so unbalanced due to severe dizziness and other horrible symptoms. Thankyou dr priya
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.
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! 😟
@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.
Hi Priya, how exactly do you find out where the jaw's optimal position is? I am due to start phase 1 shortly and, to my understanding, my dentist will just put my front teeth in an edge-to edge position and go from there.
I have been wearing a night guard & now I have lots of pain & sounds like I need an orthotic one. Do I need an specific dentist for this? Please advise.
I wonder if I have an orthotic or a dental mouthguard. I have to wear my mouthpieces one during the day, and one during the night. I never felt pain wearing them except when I first got them, but now I have ear pain that I’m associating with nerve pain. It starts at my ears, runs to my temples, down to my neck, and from my ear down to my chin. It’s more predominant on my right side. Most of my pain is. I do have fibromyalgia, and we aren’t sure if maybe some of my pain is contributing to my issues.
@@theTMJdoc my tmj specialist made them. I see him Thursday. So I’m definitely going to ask! Your videos are so informative! Thank you for making them! I’m learning so much about my tmj from you, it’s helping out so much!
hey good morning Dr priya im suffering from TMJ symptoms and i was also diagnose with sleep apnea cpap didn't help me i think is because my sleep apnea is coming from tmj. i have an appointment the 24 of may
It’s usually tmjd that comes from sleep apnea. Please watch this video: Tongue Tie, Airway, & TMJD - Priya Mistry, DDS (the TMJ doc) #tonguetie #airway #tmjd ruclips.net/video/ezmCHs2rf9s/видео.html
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?
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.
So the TMJ orthotic will change the way you bite over time? That means you will then need braces to align your teeth to the new bite? This sounds like it will take so much time, and will be expensive!😮💨
No, not necessarily. Please watch this video. OTC Nightguard vs. Dental Nightguard vs. TMJ Orthotic - Priya Mistry, DDS (the TMJ doc) #tmjorthotic ruclips.net/video/Gk0bt2Ayc6s/видео.html
@@theTMJdoc Thanks for the link. So I see you cannot create an orthotic with the impression of your teeth alone. You need "optimal jaw position" as well. How do you determine where the "optimal position" for the jaw is? Is that based on the patient feedback, xrays/scans, or something else? It's still not clear to me how you can correct jaw alignment and then NOT need to adjust your teeth. I'm still misunderstanding something. Thank you for all your great quality videos on this topic!!!
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?
@@patriciasalazar1116and you have pains anymore?
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!
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!!
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!
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!
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!
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.
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!
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
Very easy and simple way explanation for such a complex topic
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!
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 :/
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!!! 😊👍🏼
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 :)
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
@@sanelprtenjaca9776how are you now? I’m from Romania and if you find any relief in Zagreb I would like to go there and find help
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!
Why does nobody mention pain & damage below the neck right down to the feet (often caused by orthodontics) ?
I don’t think a lot of people make the connection that it can be related.
@@theTMJdoc It is extremely common in adult orthodontics. Many butchered by childhood orthodontics don't realise early back pain in their 30s is related :(
@@Demonstrably I totally agree!
@@theTMJdoc What do you think about Paletal Expanders to bring the mandible & Maxilla forward and free up the airway Priya?
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!
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!
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!
How are you now?
Thank you for this!
My pleasure!
you are a great dentist!
Thank you!
Thanks! I hope to find a good TMJ specialist to get this.
Best of luck to you!
I've been wearing a nightguard and still have two cracked teeth. I mentioned that I think my nightguard is not doing the job and my dentist said the nightguard wasnt the cause. He didnt even suggest a tmj orthotic.
Most dentists don't know about tmj orthotics because most dental schools don't teach about them. Sorry you're going through this.
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! 🙏🏼💕
Very good information! Thank you!!
Thank you! Please do Subscribe!
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!
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
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.
Great video!
Thanks!
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.
I just had an mri and I have the articulate disk displaced without reduction. I can only open ,y mouth about an inch. Was wondering how would I even get a guard in my mouth. My dentist only mentioned a night guard.
Please watch this video:
ruclips.net/video/HRnhyllpjAc/видео.html
That is a great explanation of difference between splint and nightguard. Dentist gave me a nightguard but I don't clench at night :(
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.
@@theTMJdoc its almost two months and I havent felt any relief :(((
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.
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!
Hello. What is the typical cost for a TMJ orthodic? Does insurance cover? Thanks
Insurance doesn't typically cover TMD treatment unless you're having surgery. And even then, it's not always covered. I don't discuss my fees online but you can email my office to set up a zoom meeting with me if you'd like more information.
Is this technology available in india..what kind of doctor should i visit to get tmj splint..orthodontist or maxofacial
A skilled and experienced TMJ dentist. Yes some dentists in India know of this.
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! :)
I have to wear a night guard because of my bruxism, I cracked a molar because of it and have worn down the surface of my teeth. I also was diagnosed with TMJ decades ago and no dentist I have ever seen recommended a TMJ orthodontic device, I don’t even know anyone in our area that would be able to help me since I do get jaw pain and ear pain, particularly on the right side where I was told that my jaw joint was very bad.
Are you able to come see me?
@@theTMJdoc No I am sorry I can not, I live to far away in Texas but if I could I would. I have a new dentist now whom I like very much, she made me a new mouthguard by scanning my mouth and all my teeth, it was a long process but the end result was worth it! This is the best fitting mouthguard I have had so far, of course the insurance wouldn’t pay for it because they will only pay for a new one every 5 years, even though the other mouthguard was ill fitting (a bottom one) and caused me to have mouth sores which made it impossible for me to wear. Dental insurance is not good, no matter what sort you have, it is pitiful to say the least. I paid for my new guard myself, it wasn’t cheap but worth every penny to me because my new upper mouth guard causes no sores in my mouth and fits perfectly, it is very easy to put on and doesn’t bother me at all, I can actually speak with it without sounding like I have marbles in my mouth and I have not had any ear pain or headaches, yay! 👏👏👏👍😁
@@gj9736 ok sorry.. I don’t know anyone there .
@@theTMJdoc that’s ok, thank you though for asking me if I could come and see you.
Is custom night guard at dental office and tmj prescribed guard same?
no they're not.
shouldn't we adjust the teeth before using the tmj splint.?
no definitely not!
what I meant is : removing any wisdom tooth, and then align the teeth with Invisalign @@theTMJdoc thank you.
awesome information, thank you so much
Thank you for your kind words! Don’t forget to Subscribe 🙏🏼😊
Do you need to go to a special dentist for the TMJ orthotic, or should all dentist be able to have one made?
A skilled and experienced TMJ dentist for sure!
How much would a dentist charge can you give a rough estimate.
It depends on the severity of the condition and the dentists level of experience.
Hi Dr. Priya - Sorry if this a dumb question but when it comes to getting the right measurements to make the splint do you use a machine for that? Or how does that work? Thank you so much!
Not a dumb question at all! Use the technology used in neuromuscular dentistry
@@theTMJdocthank you!
What type of doctor is best to see for tmj and splints? Orthodontist, maxillofacial doc?
A skilled and experienced TMJ dentist.
@@theTMJdoc thank you
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.
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. :)
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.
My dentist ended up giving me a bite guard instead when my tmj specialist told me to get a splint. I see now why it hasn't helped at all :(
sorry to hear that!
How I wish you are my dentist.. my dentist been treating my tmj for more than 3years now.. but still no improvement at all..
Sorry to hear this ! Best of luck to you!
Thanks for the info, but how much do these specialized guards cost? I got a quote for $1200 which is way more than my specialized prescription glasses.
I don’t list my fees online. If you’d like you can set up an online consultation with me and after that, I can provide you with a quote. My fees are higher than what you were quoted, that much I can tell you :)
Thank you!
@@theTMJdoc
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.
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.
Hi Priya! All your videos are very informative and it has helped me a lot to understand my problem.
I'm from India and have been a TMJ patient after braces treatment. I consulted more than 20 orthodontists and so-called TMJ experts in India but nothing helped.
I also had 4 sessions of digital bite adjustment using Tek Scan ,and JV scan done in New Delhi but I'm still struggling with pain. Could you please recommend me someone who is really skilled in TMJ in India as I cannot travel to Portland. Thanks!!
I’m so sorry but I don’t know anyone there
@@theTMJdoc Thanks for the quick reply. Have a nice day !
@@samirjha1919 hey are u on insta?
In Delhi where you getting treatment?
@@samirjha1919plz reply
huh... I have TMJD, with lockjaw (or so I am told, I can still open my mouth, just not as wide) and I was given.... something. So they measured how wide my mouth opens, that's pretty much about it. The doctor did push on my jaw a bit here and there in the beginning. When it came to being "fitted" aka, molds done, it was digital. All they did was take some sort of a scanner and go over each of my top teeth, and my top teeth only. After that, I had another appointment in two weeks, where they jammed it into my mouth and used the articulating paper, ground some of the material away, back in mouth, more articulating paper, etc... But, they didn't take any measurements at that point. So do I just have a regular dental mouth guard? I thought it was for TMJD.
Has it helped you?
@@theTMJdoc I can't tolerate it. I can't tolerate things in my mouth at all. I did have trigger point injections that seemed to help a lot. As does exercises and jaw stretching. The doctor is going to shave the guard down to make it smaller on my next appointment, but I really don't want a guard.
Oh no! Sorry to hear that. I hope you find relief soon.
@@theTMJdoc Thank you. I have many more problems too, all of which doesn't seem to give me high hopes. But, the trigger point injection helped with the jaw, so that is promising.
I’m glad that helped!
Can you treat muscular mainly tmd with only physical therapy?
Potentially yes
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.
Nice and simple explanation in layman terms Dr.Priya.
Thank you!
Can we agree that until masticatory muscles are “relaxed”, the TMJ’s can’t be properly seated? Therefore the splint (orthotic) will need some adjustment amd refinement over time
Yes the orthotic definitely needs adjustments!!
@@theTMJdoc do you know how often you need to adjust orthotic?
@@kayashley6394 it varies a lot from patient to patient.
Madam.... Where I can buy TMJ orthotic guard?...
It has to be made by a TMJ dentist.
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?
If the patient has both tmj clicking and grinding which type of tmj splint should be used?
It’s not about the type of splint, it’s about the prescription built into it.
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!
Most of us dentists are not trained in how to diagnose and treat tmj/TMD OR in the difference between a tmj orthotic and a nightguard.. not to make excuses! It’s just a fact..
Would you reccomend a splint or botox for treatment?
I'd recommend a well made TMJ orthotic and treatment with a skilled and experienced TMJ dentist. :)
Also, is an MRI imperative prior to starting a patient on splint therapy?
No it’s not :)
@@theTMJdoc Can TENS therapy cause nerve damage?
@@deerfluffy no it cannot
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.
I have severe Tmd. The night guard I'm wearing is making my jaw feel worse. Do you know if any dentists in New Jersey that would make an orthotic for me? Trying physical therapy too but not helping. Thank you!
I'm sorry but I don't know anyone there.
OK, thank you! Will the dentists know how to go about making an orthotic? I will ask at my next appointment.
Will tmj splint correct the bite problem caused by tmj ? Please reply doctor or does it need braces ?
No it won’t. Sometimes braces are needed as phase 2. Please watch this video for more information:
Phase 1 vs. Phase 2 TMJD Treatment - Priya Mistry, DDS (the TMJ doc) #tmjd #headaches #tmj
ruclips.net/video/ZFVYD3ul6iM/видео.html
Hello Dr Mistry, do you recommend TMJ orthotics in hard or semi-rigid resin (soft interior with rigid exterior)?
When fitting and adjusting spacers (on the back teeth) on the TMJ orthotics at the dental office (I live in France) is it normal to feel a very pronounced and unpleasant taste in the mouth?
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 :)
What do you find the cure to eustschian tube trouble to be ? Thank you
Wearing orthotics that put the muscles in their relaxed state helps the stuffy ear sensation to decrease or go away in about 80% of my patients.
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.
Brilliant video.
Humbled by your words, Kris! I will respond to your message ASAP
How do you treat somebody that’s bone on bone ?
same methods :)
@@theTMJdoc is normal when wearing a orthotic to be in pain aswell ?
You would be a GREAT teacher! 😉
Thank You!!! 🙏🏼
So how can they measure the optimal bite? I wonder what steps are involved in getting an orthotic for TMJ disorder?
we have jaw tracking technology to measure the optimal position for the jaw.
Hey doc, I am also pursuing BDS and am a final year student. I have clicking in tmj, traumatic bite and clenched teeth. I was advised splint but after using it for some time I discontiued its usage. Recently my final exams are going on and i am experiencing severe pain around the temporalis muscle. For the time being, i am using muscle relaxant (myoril) and painkillers followed by the excercised you told and consciously am trying to not occlude the teeth, but i do need a proper treatment of this so please help me as i consulted many of our teachers but am not finding any relief. So please please help me out
I’m sorry but I cannot help over the internet and without examining you.
@@theTMJdoc so what should I do now? There are no TMJ specialists here in Delhi( India)
10 years ago I had a car trunk that fell on my neck. Due to that I have multiple health problems. One of those problems is facial pain. I was told by my dentist that I have TMJ and by my neurologist that I have trigeminal neuralgia. My dentist made a nightguard for me, however its not working at all. I have headaches, ear aches, jaw pain, pulling and tighten in the face, drooping of the lips, facial spasms, and even at one point my nose hurt. I thought about getting braces to see if they would help, but I’m wondering if the splint will work better.
a TMJ orthotic is drastically different than and superior to a dental nightguard :)
thank you@@theTMJdoc
@@bobbielouis7788 youre welcome!
Hi there Doctor,
I have a question to check correct bite on your patients do you put tens unit in super high until your teeth hits really hard they almost makes me cry? Plus do u make patients have tens unit on for a hour and half before you check for correct bite? It’s so painful.
Thank you,
For your time I watch all your videos trying to decide if I’m seeing the right dentist…
Kindly,
Mary
hi there! no I don't turn up the TENS that high.
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.
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.
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?
is it possible to have a tmj orthotic designed that also works like a sleep apnea splint? The sleep apnea splint i have pushes my lower jaw forward, and i fear this is what has caused my tmd :(
This is not an easy question to answer via comments. If you’d like you can set up an online consultation with me via the link below:
tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8
Well explained.
Thank you!
I have discomfort with my dental night guard, it covers the gums too. Is it suppose to cover gums?
It takes almost 10 minutes to remove it😭
It might need an adjustment but I can't tell you more than that over the internet.
Thanks doctor
@@zia4543 you’re welcome!
When you talked about how you measure the muscle and jaw resting position to know how to make the TMJ orthotic how do you do this.
What do you use to find the muscles resting place, before taking bite measurements.
Is the daytime orthotic you make in your office fitted lower jaw and only worn during day or to sleep aswell.
I know you say you dont eat with it.
If you have night orthotic is that upper or lower teeth.
We make a daytime and nighttime orthotic. Both fit on the lower teeth.
@@theTMJdoc
Would the daytime and nighttime orthotic look different to tell them apart. Sorry I'm trying to learn so much about TMJ as in Australia with this debilitating condition bedridden and no dentist out here knows how to treat me....I'm going down hill fast now unable to walk much due to being so unbalanced due to severe dizziness and other horrible symptoms.
Thankyou dr priya
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?
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 :)
@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.
Hi Priya, how exactly do you find out where the jaw's optimal position is? I am due to start phase 1 shortly and, to my understanding, my dentist will just put my front teeth in an edge-to edge position and go from there.
I find this using neuromuscular dentistry software and technology
I have been wearing a night guard & now I have lots of pain & sounds like I need an orthotic one. Do I need an specific dentist for this? Please advise.
Yes - a skilled and experienced TMJ dentist 😊
I wonder if I have an orthotic or a dental mouthguard. I have to wear my mouthpieces one during the day, and one during the night. I never felt pain wearing them except when I first got them, but now I have ear pain that I’m associating with nerve pain. It starts at my ears, runs to my temples, down to my neck, and from my ear down to my chin. It’s more predominant on my right side. Most of my pain is. I do have fibromyalgia, and we aren’t sure if maybe some of my pain is contributing to my issues.
You may want to check with the dentist that made them for you to see if they are nightguards or orthotics. Sorry to hear you are having pain.
@@theTMJdoc my tmj specialist made them. I see him Thursday. So I’m definitely going to ask! Your videos are so informative! Thank you for making them! I’m learning so much about my tmj from you, it’s helping out so much!
hey good morning Dr priya im suffering from TMJ symptoms and i was also diagnose with sleep apnea cpap didn't help me i think is because my sleep apnea is coming from tmj. i have an appointment the 24 of may
It’s usually tmjd that comes from sleep apnea. Please watch this video: Tongue Tie, Airway, & TMJD - Priya Mistry, DDS (the TMJ doc) #tonguetie #airway #tmjd
ruclips.net/video/ezmCHs2rf9s/видео.html
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
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.
So the TMJ orthotic will change the way you bite over time? That means you will then need braces to align your teeth to the new bite?
This sounds like it will take so much time, and will be expensive!😮💨
No, not necessarily. Please watch this video.
OTC Nightguard vs. Dental Nightguard vs. TMJ Orthotic - Priya Mistry, DDS (the TMJ doc) #tmjorthotic
ruclips.net/video/Gk0bt2Ayc6s/видео.html
@@theTMJdoc Thanks for the link. So I see you cannot create an orthotic with the impression of your teeth alone. You need "optimal jaw position" as well. How do you determine where the "optimal position" for the jaw is? Is that based on the patient feedback, xrays/scans, or something else?
It's still not clear to me how you can correct jaw alignment and then NOT need to adjust your teeth. I'm still misunderstanding something.
Thank you for all your great quality videos on this topic!!!
Nicely explained
Thank you!