PINKYPRISCILLA
03-27-2003, 01:38 PM
The dentist I went to yesterday said that my general dentist could have made my joint worse by giving me a useless splint. Just a word of caution!!!!
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justanotherday
03-27-2003, 02:06 PM
no this is not true a splint is harmless and considered 1 of the most conservative methods in treating tmj. please stop putting fear in people who need tmj treatment and can benefit from splints. surveys show 80% of tmj patients find relief from splints. What would your dentist advise you do just take muscle relaxants that solves nothing!! and you don't see a dentist for tmj problems you see a tmj specialist.
BTW if this were true i guess retainers must make your joint worse to since they are essentially the same thing as splints. I guess boxers who wear mouthguards must be making their joints worse. sheesh
[This message has been edited by justanotherday (edited 03-27-2003).]
BTW if this were true i guess retainers must make your joint worse to since they are essentially the same thing as splints. I guess boxers who wear mouthguards must be making their joints worse. sheesh
[This message has been edited by justanotherday (edited 03-27-2003).]
Al4
03-27-2003, 02:32 PM
There are many different types of splints and they are not all good. Any particular splint can help some people and harm others. My splint made my joints much worse. I am hoping I can find another type that will help.
Elaine
03-27-2003, 02:43 PM
Splints can make you worse depending on what your situation is. Splint therapy does not work for everyone. "ME" being a clencher, splints made me clench even more and put me in such pain, I threw up for hours at a time. I am still looking, but so far the best luck I have had with a splint was when I threw it in the garbage can. Some people do great with them, unfortunately I wasn't one of them. I am not sure I will gamble on another maybe, for something that has cost me way too much money already. I have went to so many TMJ specialists across the country so it is not from a lack of opinions, "but rather" all the different opinions didn't work. I have a lot less pain without a splint....not saying I am pain free by no means but at least I am not throwing up from a headache!!!
Still thinking Sue.. :)
Elaine
Still thinking Sue.. :)
Elaine
justanotherday
03-27-2003, 03:05 PM
i refuse to believe that something you put in your mouth can make your joints worse. How is this possible? its not invading your joint in anyway. Once its inserted in your mouth it acts as a crutch which prevents you from clenching or grinding your teeth. Another thing it does is stabilize your bite.it takes pressure off the joint so that the healing processes can take place. When you break a leg what do you do about it? you use a crutch so that you don't have to use the injured leg. A splint works the same way.I agree its not a long term solution to the problem but its the best treatment available for tmj compared to the other options out there. What else is there? muscle relaxants that stuff can kill you if not taken in the proper dosages. OCDs won't help you much. Splints can actually recapture your disks if they are displaced. What other way can do that besides the dreaded word surgery? and we don't even want to begin to go there...so to the people who are saying this please explain to me in detail how a splint could make your joints worse i still don't understand.
littlebrace
03-27-2003, 03:25 PM
a splint made my bite worse!!
GenDen
03-27-2003, 04:21 PM
A splint can make the joint or muscle spasms worse if it is not the correct fit or is not adjusted correctly. The best comparison I can use, though I know it is not the best example, is a shoe. If it fits correctly, there are no problems, but a poorly fit shoe or the incorrect shoe can cause problems. A rock in your shoe can be disastrous.
The moral of the story is that splints have helped many people. However, they must be fit and adjust ed by a professional who is an expert and has a great deal of experience. This expert must be working from a proven philosophy of treatment and should be willing to explain to the patient the philosophy and why and how the splint will correct the problem.
The moral of the story is that splints have helped many people. However, they must be fit and adjust ed by a professional who is an expert and has a great deal of experience. This expert must be working from a proven philosophy of treatment and should be willing to explain to the patient the philosophy and why and how the splint will correct the problem.
TiffanyAnn
03-27-2003, 04:45 PM
Hi:
All the research I have done on splints say that if they don't help they sure don't harm anyway. Because they do not make a permanent change. Once you stop using the splint things will shift back to how they were before you used the splint whereas if you have surgery or braces that changes things permanently.
Tiffany
All the research I have done on splints say that if they don't help they sure don't harm anyway. Because they do not make a permanent change. Once you stop using the splint things will shift back to how they were before you used the splint whereas if you have surgery or braces that changes things permanently.
Tiffany
crystalll
03-27-2003, 06:01 PM
I think the term "splint" is overused in the dental community. I wore an anti-bruxism nightguard for several years, and it did more damage to my joint. My oral surgeon also called it a splint.
My "anti"bruxism splint actually caused me to clench and grind even more. We all know that clenching and grinding can cause muscle spasms, and it's a chain reaction from there.
So, whether you refuse to believe it or not, some "splints" can cause your joint to worsen.
Crystal
My "anti"bruxism splint actually caused me to clench and grind even more. We all know that clenching and grinding can cause muscle spasms, and it's a chain reaction from there.
So, whether you refuse to believe it or not, some "splints" can cause your joint to worsen.
Crystal
Al4
03-27-2003, 06:41 PM
Try to clench while having a thick hard object (just like my splint) between your back teeth and see the tremendous increase in the forces on the joints. They are enough to damage the joints, or move them away from their natural position and make your bite very uncomfortable. Before I started wearing my splint because of ear symptoms, I only had a faint clicking on my right joint. Now I have all kinds of joints symptoms. I stopped wearing it several weeks ago, but I am still waiting for my jaw and bite to go back to normal. I hope a different type will help bring things back to normal.
Marlene
03-27-2003, 09:52 PM
Well I'm here to tell you that if a splint is incorrect for it's intended use, YES it CAN cause more damage!! I'm a living example of it - originally, a so-called specialist had me wear a splint covering my UPPER teeth. I wore it for almost 4 months, and things got much worse. When I found myself a true specialist, I began wearing a splint covering my LOWER teeth. My lower jaw was too far back, and by wearing a splint on my upper teeth, it was forcing my lower jaw even further back!! OUCH!!
I also discovered during my splint therapy that a splint that keeps your upper and lower teeth too far apart can cause some damage too!
Marlene
(the resident success story)
[This message has been edited by Marlene (edited 03-27-2003).]
I also discovered during my splint therapy that a splint that keeps your upper and lower teeth too far apart can cause some damage too!
Marlene
(the resident success story)
[This message has been edited by Marlene (edited 03-27-2003).]
justanotherday
03-28-2003, 10:28 AM
"Try to clench while having a thick hard object (just like my splint) between your back teeth and see the tremendous increase in the forces on the joints."
No this is wrong. Now let me once again reiterate what i am saying. When you place something between your teeth such as a splint it relieves all the forces on your joint it doesn't increase them. The whole main purpose of the splint is to act as a crutch for your tm joints so that when you do clench the joint is not doing all the work. i can't believe you would say that. Yesterday i spent at least half an hour searching the web for any evidence that splints could worsen your tmj condition and i couldnt find 1 single fact that supports that. If this were true why would oral surgeons and tmj specialists even use them in the treatment of tmj?
No this is wrong. Now let me once again reiterate what i am saying. When you place something between your teeth such as a splint it relieves all the forces on your joint it doesn't increase them. The whole main purpose of the splint is to act as a crutch for your tm joints so that when you do clench the joint is not doing all the work. i can't believe you would say that. Yesterday i spent at least half an hour searching the web for any evidence that splints could worsen your tmj condition and i couldnt find 1 single fact that supports that. If this were true why would oral surgeons and tmj specialists even use them in the treatment of tmj?
Cymy Sue
03-28-2003, 10:52 AM
After over 25 years of treatment, and surgical damage that I would not wish on my worst enemy,
I'm getting better everyday, with the correct and appropriate splint designed for my individual condition.
http://www.healthboards.com/ubb/dance.gif
Cymy Sue
I'm getting better everyday, with the correct and appropriate splint designed for my individual condition.
http://www.healthboards.com/ubb/dance.gif
Cymy Sue
OHJELJ
03-28-2003, 11:39 AM
You sing it Cymy Sue! Splints, if not monitored correctly, and when not used in the proper situations, can and DO cause problems. My first splints 10 years ago, compressed my teeth to the point that I had no bite left! My teeth were just something I had to clean every day but useless otherwise. By putting me in a splint that was very high and for a very long period of time, my joint was so dislocated that there was no alternative besides surgery!
This time, the splint the doctor gave me actually cause me great pain. He was trying to force my lower jaw back into place and instead ended up compressing my disks that were in the way. He feels that it caused the adhesions in my joint when they went into operate.
SO, all that being said, splints work when they are monitored properly and not in all cases!
Let's all agree to disagree on this one! I'll probably drive everyone crazy saying this again, but we're all different! So, I guess it would be safe to say that splints don't work on everyone! :) But they do work on a lot of people and in various problem areas! You wouldn't put a cast on your ankle if it was sprained would you? Just like you wouldn't put a splint in your mouth for all situations either!
Cymy Sue is the perfect example for someone who should have had splints and NOT surgery. I needed surgery and no splints! You say tomato and I say tomahto!
Let's all stop trying to make cookie cutter fixes for ourselves based upon treatment that others have had! My treatment plan would not have worked for some of you and maybe it would help others! This site is to give input and to learn, not to criticize and critique!
Jennifer http://www.healthboards.com/ubb/hammer.gif
[This message has been edited by OHJELJ (edited 03-28-2003).]
This time, the splint the doctor gave me actually cause me great pain. He was trying to force my lower jaw back into place and instead ended up compressing my disks that were in the way. He feels that it caused the adhesions in my joint when they went into operate.
SO, all that being said, splints work when they are monitored properly and not in all cases!
Let's all agree to disagree on this one! I'll probably drive everyone crazy saying this again, but we're all different! So, I guess it would be safe to say that splints don't work on everyone! :) But they do work on a lot of people and in various problem areas! You wouldn't put a cast on your ankle if it was sprained would you? Just like you wouldn't put a splint in your mouth for all situations either!
Cymy Sue is the perfect example for someone who should have had splints and NOT surgery. I needed surgery and no splints! You say tomato and I say tomahto!
Let's all stop trying to make cookie cutter fixes for ourselves based upon treatment that others have had! My treatment plan would not have worked for some of you and maybe it would help others! This site is to give input and to learn, not to criticize and critique!
Jennifer http://www.healthboards.com/ubb/hammer.gif
[This message has been edited by OHJELJ (edited 03-28-2003).]
Al4
03-28-2003, 02:05 PM
justanotherday:
I am living proof that some types of splints can cause some people (probably clenchers and/or grinders) more damage to their joints. I made sure in my post above to talk about "thick splint or object between BACK teeth". That does not reduce forces on the joints when you clench. For some people it provides a smoother surface on which teeth can glide. Also, when their teeth encounter a hard surface, they tend to stop clenching or grinding. For others like me, it just gives us a thick hard surface to clench on harder with greater forces on the joints. . What reduces the forces on the joints is putting an object between the front teeth (not back teeth). Try biting with a pen between your front teeth only and see that you cannot apply a great force on the joints that way. That is the principle the NTI splint is based on. Although that splint does better for people who clench than for those who grind. It may harm those who grind. I think the best way for those who want to continue with conservative treatment is to try different types, but that can be very expensive.
I am living proof that some types of splints can cause some people (probably clenchers and/or grinders) more damage to their joints. I made sure in my post above to talk about "thick splint or object between BACK teeth". That does not reduce forces on the joints when you clench. For some people it provides a smoother surface on which teeth can glide. Also, when their teeth encounter a hard surface, they tend to stop clenching or grinding. For others like me, it just gives us a thick hard surface to clench on harder with greater forces on the joints. . What reduces the forces on the joints is putting an object between the front teeth (not back teeth). Try biting with a pen between your front teeth only and see that you cannot apply a great force on the joints that way. That is the principle the NTI splint is based on. Although that splint does better for people who clench than for those who grind. It may harm those who grind. I think the best way for those who want to continue with conservative treatment is to try different types, but that can be very expensive.
GenDen
03-28-2003, 02:12 PM
I stick by my above comments. Splints are like shoes. They are wonderful when they fit. One size (or kind or fit) does NOT fit all. I personally know the difference between a good splint fit and a bad splint fit. The bad splint can and did cause damage. The good splint fit has made all the difference. My splint is like Marlene's. It is a lower splint that moves my mandible forward. The key is finding a specialist who indeed knows how to treat the condition. In addition, splints need to be monitored and adjusted regularly. When the muscles relax, the bite changes, etc., the splint needs to be adjusted. The use of a splint is a science and an art. It takes a dedicated and knowledgable professional to do it correctly.
Cymy Sue
03-28-2003, 02:36 PM
:D
justanotherday
03-28-2003, 05:25 PM
Listen to me. I just don't want people to get the wrong idea about splints. When they read a subject entitled beware of splints and what the original poster wrote it can instill a fear in them and they will resort to other treatments that have far worse consequences. Splint therapy should always and i mean ALWAYS be one of the first steps in your treatment for tmj. The tmj specialists who make your splints are highly trained in the field and you should know you are in good hands when you see 1. Why is splint therapy labeled a conservative form of treatment? because it is reversible and causes no permanent changes. Let me clarify some things. If it doesn't fit correctly sure it may aggravate your muscles etc. but it will not WORSEN your condition. What you do when this happens is pick up that handy dandy phone in your house, call up your tmj specialist and he will be happy to schedule an appointment with you and make some minor changes to it. and another thing I don't know what you are talking about using a splint that just covers the back teeth or front teeth. A splint is supposed to act as a platform in which ALL your teeth must touch it when you bite down. This is how you stabilize the bite. Splints are not useless as the original poster said they have done wonders for many many people and they would not even be around if they were considered useless. Now that's it end of story.
OHJELJ
03-28-2003, 05:30 PM
Justanotherday,
Some of what you say is definitely true. Splints are the recommended form of conservative treatment and are usually the first path a doctor will take. HOWEVER, they do cause bone damage when they are not properly seated in the mouth. I am the victim of that problem. My splint didn't bother me at all. I wore it for THREE years, had adjustments twice a month on a regular basis. I had irreversible damage to both sides of my jaw because the splint had me out of joint in two different directions. The disks were protected out of joint thank goodness, but the bones were forced together and were worn down due to continuous rubbing.
SO, until we've heard every case that there is, I think the safest way to handle this situation is to ask everyone to be careful of the way we word things when we post. There is NO absolute in this illness.
Thanks.
Jennifer
[This message has been edited by OHJELJ (edited 03-28-2003).]
Some of what you say is definitely true. Splints are the recommended form of conservative treatment and are usually the first path a doctor will take. HOWEVER, they do cause bone damage when they are not properly seated in the mouth. I am the victim of that problem. My splint didn't bother me at all. I wore it for THREE years, had adjustments twice a month on a regular basis. I had irreversible damage to both sides of my jaw because the splint had me out of joint in two different directions. The disks were protected out of joint thank goodness, but the bones were forced together and were worn down due to continuous rubbing.
SO, until we've heard every case that there is, I think the safest way to handle this situation is to ask everyone to be careful of the way we word things when we post. There is NO absolute in this illness.
Thanks.
Jennifer
[This message has been edited by OHJELJ (edited 03-28-2003).]
mbr22
03-28-2003, 06:06 PM
Hi justanotherday - most of what you say is true, however, when you say........."and another thing I don't know what you are talking about using a splint that just covers the back teeth or front teeth......"
The NTI splint, orthotic, or whatever you want to call it only covers the front 2 incisors. And, many neuromuscular type splints, including anterior repositioning splints, may only cover the back bottom molars. However, many splints do also cover all of the bottom or top teeth. So you see, there are many, many different types of splints.
I see your are in Michigan as am I. Have you found a good TMJ doc, and if so, would you recommend them?
Thanks,
mbr
The NTI splint, orthotic, or whatever you want to call it only covers the front 2 incisors. And, many neuromuscular type splints, including anterior repositioning splints, may only cover the back bottom molars. However, many splints do also cover all of the bottom or top teeth. So you see, there are many, many different types of splints.
I see your are in Michigan as am I. Have you found a good TMJ doc, and if so, would you recommend them?
Thanks,
mbr
Isew4work
03-28-2003, 11:28 PM
Dear Justanotherday,
Are you really my tmj dr. in congnito? You say the same things he says to me. I live in MI too!! I have been without my splint for a week because of coughing too much at night to deal with it, but I am also under way less stress this week for the first time in 6 months. I am not positive, but I think I feel better. I bet that is due to stress and not the splint though. I am just trying an experiment to see if I start to get worse and need my splint.
Mary
Are you really my tmj dr. in congnito? You say the same things he says to me. I live in MI too!! I have been without my splint for a week because of coughing too much at night to deal with it, but I am also under way less stress this week for the first time in 6 months. I am not positive, but I think I feel better. I bet that is due to stress and not the splint though. I am just trying an experiment to see if I start to get worse and need my splint.
Mary
Marlene
03-29-2003, 12:36 AM
justanotherday,
In an article written by David E. Grauer, DDS (he is a Diplomate of the American Board of Orofacial Pain, and practices in Park Ridge, IL.) he states:
"Some appliances actually increase bruxing and clenching instead of helping."
Marlene
In an article written by David E. Grauer, DDS (he is a Diplomate of the American Board of Orofacial Pain, and practices in Park Ridge, IL.) he states:
"Some appliances actually increase bruxing and clenching instead of helping."
Marlene
Cymy Sue
03-29-2003, 09:46 AM
GenDen's analogy is about as close as you can get with this one.
"Splints and Splint Therapy" depends on the expertise and knowledge of the designer and dedication to the patient's welfare during treatment.
Cymy Sue
[This message has been edited by Cymy Sue (edited 03-29-2003).]
"Splints and Splint Therapy" depends on the expertise and knowledge of the designer and dedication to the patient's welfare during treatment.
Cymy Sue
[This message has been edited by Cymy Sue (edited 03-29-2003).]
justanotherday
03-29-2003, 01:40 PM
after researching this some more this morning i have come to this final conclusion. There are 2 main types of splints. The first is a flat plane splint made of acrylic and covers all your teeth. When you bite down all your teeth touch it and this is the type of splint I have been referring to in my previous posts. It is a common nightguard used for bruxism and can also act as a retainer along with alleviating your tmj pain. Now this type of splint falls under the conservative category as i have said before. It may cause temporary changes in your bite while you wear it but that's it. Then there's the other type of splint known as the repositioning splint and this is the 1 to watch out for. This only covers the back teeth with a wiry bridge connecting it at the front and it does (yes i will admit) fall under the irreversible treatment category along with surgery etc. It will make changes in the structure of the joint as it is designed to move the jaw. So i will admit i was wrong in this sense because i don't have much knowledge in this type of splint. As that guy stated before maybe this type of splint does indeed increase the forces on the joint. However i still stand by my words the common flat plane splint will not make your tm joints worse and that's my final say on this subject.
mbr22
03-29-2003, 02:36 PM
justanotherday - Not that I care even in the slightest, you don't seem to even acknowledge what is probably the most well known splint, the NTI. Like I said, that splint only covers the top front 2 incisors. And furthermore, it is actually a splint that is usually covered 100% under medical insurance, becasue it has FDA approval for both migraine and tension headache treatment.
Here is an excerpt from a publication: The NTI has recently gained FDA approval for treatment of migraine or tension headaches. This allows patients to use their medical insurance for financial coverage. Used only at night, this tiny appliance fits over the 2 front teeth and prevents the grinding, eliminates the headaches etc., and can be custom made to fit. For severe tension headaches, an even smaller and more discrete device is available for daytime relief.
Just FYI. There are many types of splints.
mbr
Here is an excerpt from a publication: The NTI has recently gained FDA approval for treatment of migraine or tension headaches. This allows patients to use their medical insurance for financial coverage. Used only at night, this tiny appliance fits over the 2 front teeth and prevents the grinding, eliminates the headaches etc., and can be custom made to fit. For severe tension headaches, an even smaller and more discrete device is available for daytime relief.
Just FYI. There are many types of splints.
mbr
candicecat
03-30-2003, 07:55 PM
Hi,
Regarding the oral splint, I have a negative story
to tell about an oral splint. My close friend
had TMJ pain and the dentist said she couldn't open her mouth as wide as she should. She finally had some money to go to a TMJ specialist who had an MRI done
which showed my friend had a damaged jaw joint and she had the start of wear to the other joint on the other side. He made her up a splint and then
one day (after about 2 months of wearing the splint often), she couldn't clench her teeth. This was very traumatic. Worse was yet to come. She stopped wearing
the splint and her jaw dislocated about 4 times since then and now she has an appointment to see an oral
surgeon. She didn't have the jaw dislocate before she wore the splint and I am really worried the splint
caused further damage to the jaw joints. The other thing I have been told by an alternative therapist (who I phoned) is that a high percentage of nerves go through or near the jaw joint. So one should try to avoid surgery. I wish my friend had never seen the specialist and had never got the splint. She is too young to have these awful problems (she is under 21).
Candicecat
Regarding the oral splint, I have a negative story
to tell about an oral splint. My close friend
had TMJ pain and the dentist said she couldn't open her mouth as wide as she should. She finally had some money to go to a TMJ specialist who had an MRI done
which showed my friend had a damaged jaw joint and she had the start of wear to the other joint on the other side. He made her up a splint and then
one day (after about 2 months of wearing the splint often), she couldn't clench her teeth. This was very traumatic. Worse was yet to come. She stopped wearing
the splint and her jaw dislocated about 4 times since then and now she has an appointment to see an oral
surgeon. She didn't have the jaw dislocate before she wore the splint and I am really worried the splint
caused further damage to the jaw joints. The other thing I have been told by an alternative therapist (who I phoned) is that a high percentage of nerves go through or near the jaw joint. So one should try to avoid surgery. I wish my friend had never seen the specialist and had never got the splint. She is too young to have these awful problems (she is under 21).
Candicecat
candicecat
03-30-2003, 08:07 PM
Hi,
I posted the negative splint story (further
down this page). I had a question that has been
of concern to me. Has anyone thought of alternative
treatments for teeth clenching and grinding?
After all the grinding or clenching of teeth at night
may be a symptom rather than a cause. For instance, stress occuring in someone's life could be coming out
at night through teeth clenching and grinding.
What about relaxation therapy and hypnotherapy
and vitamins? I found a page that mentioned a lack
of vitamins/minerals as a possible contributing
factor too. See http://www.oc-j.com/june00/Splint1.htm
Candicecat
I posted the negative splint story (further
down this page). I had a question that has been
of concern to me. Has anyone thought of alternative
treatments for teeth clenching and grinding?
After all the grinding or clenching of teeth at night
may be a symptom rather than a cause. For instance, stress occuring in someone's life could be coming out
at night through teeth clenching and grinding.
What about relaxation therapy and hypnotherapy
and vitamins? I found a page that mentioned a lack
of vitamins/minerals as a possible contributing
factor too. See http://www.oc-j.com/june00/Splint1.htm
Candicecat
cathyk
03-30-2003, 08:59 PM
candicecat - thanks for sharing another perspective and for the website info, I use alternative therapies exclusively. And you're right, for those of us who are type A personality there most certainly is an anxiety component (physical and emotional) to our bruxing and clenching.
It's a real shame that your friend has been caught up in this mess at such a young age - in her case she may not even needed the splint, you're right. Unfortunately, there are too many doctors out there - as you can read from the boards - that have no business treating TMJ disorders - they don't understand them and therefore want to use the same approach on everyone who walks through the door. No one answer, traditional or alternative, is for everyone. Some have been extremely health challenged from bad surgeries, others have been helped and are pain free. We share so we can make decisions for ourselves.
I've been to a number of physicians over the years, done the pain and sleeping drugs and had surgery suggested and told I should go on permanent disability(I denied both of those). Nothing helped as I got progressively worse. I am incredibly blessed to have a TMJ specialist who is understanding and extremely knowledgeable. I have worn a splint for 2 years and I see him almost weekly to have my splint adjusted. He uses injection and physical therapies as needed. My jaw function and pain have improved 80% from working with him. I am very fortunate to be turning my health around because of alternative modalities like prolotherapy, massage, integrating anti-anxiety techniques (restorative yoga), trigger point therapy, nutrition, and NCR.
A huge disadvantage to those who want to do alternatives are that due to the healthcare politics in this country many alternatives are not covered, despite the scientific evidence that is shown supporting them. (It doesn't matter if you're an MD doing the therapies for that matter either.) This increases out-of-pocket costs, and in this economy it's yet another stress. This leaves the patient with very few choices.
I really hope your friend's surgery can help her.
[This message has been edited by cathyk (edited 03-30-2003).]
[This message has been edited by cathyk (edited 03-30-2003).]
It's a real shame that your friend has been caught up in this mess at such a young age - in her case she may not even needed the splint, you're right. Unfortunately, there are too many doctors out there - as you can read from the boards - that have no business treating TMJ disorders - they don't understand them and therefore want to use the same approach on everyone who walks through the door. No one answer, traditional or alternative, is for everyone. Some have been extremely health challenged from bad surgeries, others have been helped and are pain free. We share so we can make decisions for ourselves.
I've been to a number of physicians over the years, done the pain and sleeping drugs and had surgery suggested and told I should go on permanent disability(I denied both of those). Nothing helped as I got progressively worse. I am incredibly blessed to have a TMJ specialist who is understanding and extremely knowledgeable. I have worn a splint for 2 years and I see him almost weekly to have my splint adjusted. He uses injection and physical therapies as needed. My jaw function and pain have improved 80% from working with him. I am very fortunate to be turning my health around because of alternative modalities like prolotherapy, massage, integrating anti-anxiety techniques (restorative yoga), trigger point therapy, nutrition, and NCR.
A huge disadvantage to those who want to do alternatives are that due to the healthcare politics in this country many alternatives are not covered, despite the scientific evidence that is shown supporting them. (It doesn't matter if you're an MD doing the therapies for that matter either.) This increases out-of-pocket costs, and in this economy it's yet another stress. This leaves the patient with very few choices.
I really hope your friend's surgery can help her.
[This message has been edited by cathyk (edited 03-30-2003).]
[This message has been edited by cathyk (edited 03-30-2003).]
PINKYPRISCILLA
03-30-2003, 09:00 PM
I think you should give it up "another day" the unanimous replies show that a splint if not the proper one, and not fitted properly can cause more problems.
This is not a fear instilling topic just an important one for all to be informed about!!!!!!!!!!
[This message has been edited by PINKYPRISCILLA (edited 03-30-2003).]
This is not a fear instilling topic just an important one for all to be informed about!!!!!!!!!!
[This message has been edited by PINKYPRISCILLA (edited 03-30-2003).]
candicecat
03-31-2003, 04:33 AM
Hi CathyK and all,
My friend is only going to get an opinion on the
surgery and is not rushing into anything.
I am going to help her research some alternative
treatments (if there are any viable ones) before
undertaking anything so serious as jaw surgery.
From my research I have learnt the splint industry
is a multi million dollar industry and of course
the people making money out of splints and such
may not want to admit the splints may cause problems.
It does seem unatural when you think about it to stop
people closing their mouths for long periods of
time. Also if someone has a damaged jaw joint, then stressing it further by the use of a splint may not be appropriate.
Has anyone else also noticed some confusion in the
medical profession about jaw joints? Some people
seem to try to push the jaw joint problems towards
dentists but the jaw joint is not a tooth problem
although the bite (and teeth) can affect and
contribute towards problems in the jaw joint.
Perhaps a proper diagnosis and consideration of
all alternatives including alternative health should
be considered by all before thinking of adopting
splint treatment.
Candicecat
My friend is only going to get an opinion on the
surgery and is not rushing into anything.
I am going to help her research some alternative
treatments (if there are any viable ones) before
undertaking anything so serious as jaw surgery.
From my research I have learnt the splint industry
is a multi million dollar industry and of course
the people making money out of splints and such
may not want to admit the splints may cause problems.
It does seem unatural when you think about it to stop
people closing their mouths for long periods of
time. Also if someone has a damaged jaw joint, then stressing it further by the use of a splint may not be appropriate.
Has anyone else also noticed some confusion in the
medical profession about jaw joints? Some people
seem to try to push the jaw joint problems towards
dentists but the jaw joint is not a tooth problem
although the bite (and teeth) can affect and
contribute towards problems in the jaw joint.
Perhaps a proper diagnosis and consideration of
all alternatives including alternative health should
be considered by all before thinking of adopting
splint treatment.
Candicecat
Piperdreams
03-31-2003, 11:38 AM
I am a night time grinder. Without a splint at least 50% of the time I grind my teeth at night. On the other hand, if I wear my splint at night, I stop grinding but I clench. No win situation.
GenDen
03-31-2003, 01:47 PM
The NTI was designed to inhibit clenching. It does work.
fibrine
03-31-2003, 03:38 PM
I have read somewhere that splints should be used no more than a month, that the idea is to break muscle spasms and relax the jaws muscles and this is supposed to happen quite fast... After this period if it hasn't work it won't do any good, the brain will have adapted to the splint and will make you grind or bite on it.
I'm a clencher, grinder but I found out while researching on the web that it is normal and part of sleep cycles. Every body does it.I've read the brain needs it to reprogram the proper balance of muscles tension every night.
It does seem very unatural to me to use a splint every night for years. I've seen a tmjd specialist in Paris but I felt he was after my money. I wonder about this splint business that make dentists so wealthy... The difficulty is to find somebody that you feel can trust.
Fibrine
I'm a clencher, grinder but I found out while researching on the web that it is normal and part of sleep cycles. Every body does it.I've read the brain needs it to reprogram the proper balance of muscles tension every night.
It does seem very unatural to me to use a splint every night for years. I've seen a tmjd specialist in Paris but I felt he was after my money. I wonder about this splint business that make dentists so wealthy... The difficulty is to find somebody that you feel can trust.
Fibrine
justanotherday
03-31-2003, 06:01 PM
i know i said i wouldn't say anything more on this subject but this is just to much to pass up you state:
"She finally had some money to go to a TMJ specialist who had an MRI done which showed my friend had a damaged jaw joint and she had the START OF WEAR to the other joint on the other side." This is before she even started wearing a splint her jaw was already deteriorating so how can you be so sure that the splint was causing her further pains?
then you say: "She stopped wearing
the splint and her jaw dislocated about 4 times since then" So if the jaw started dislocating after she stopped wearing the splint why wouldn't it dislocate while she was on the splint? obviously this has nothing to do with the splint and is the result of arthritic changes in the jaw which you even stated earlier in her mri. The splint was in fact probably keeping her from dislocating as it relieved all the stresses on her joint. Another thing the splint is never intended as a long term permanent solution to your tmj problem. Its intended use is to control the muscle spasms and allow the joint to relax while you are slowly and carefully weaned off of it under the supervision of a tmj specialist. And by the way you are in the minority go to any tmj website and look at the statistics it will tell you somewhere around 80% of people will find relief or improvement with a splint.
"She finally had some money to go to a TMJ specialist who had an MRI done which showed my friend had a damaged jaw joint and she had the START OF WEAR to the other joint on the other side." This is before she even started wearing a splint her jaw was already deteriorating so how can you be so sure that the splint was causing her further pains?
then you say: "She stopped wearing
the splint and her jaw dislocated about 4 times since then" So if the jaw started dislocating after she stopped wearing the splint why wouldn't it dislocate while she was on the splint? obviously this has nothing to do with the splint and is the result of arthritic changes in the jaw which you even stated earlier in her mri. The splint was in fact probably keeping her from dislocating as it relieved all the stresses on her joint. Another thing the splint is never intended as a long term permanent solution to your tmj problem. Its intended use is to control the muscle spasms and allow the joint to relax while you are slowly and carefully weaned off of it under the supervision of a tmj specialist. And by the way you are in the minority go to any tmj website and look at the statistics it will tell you somewhere around 80% of people will find relief or improvement with a splint.
cathyk
03-31-2003, 07:46 PM
I don't know what is defined as "long-term" splint usage - everyone's case is different. I know some "authorities" say after 8 months it's a no-go. I couldn't disagree more. I'm going into my second year and will probably have this for another year. The splint started out rather large and gets smaller as adjustments are made. It's 1/2 the size it was when I started. Clenching and bruxing are extremely minimal, muscle contractions and MAJOR HEAD and ear pains are about gone. From having so much neurocranial restructuring and prolotherapy done my small disc has been in place, is stronger, and doesn't pop anymore. By some it may be considered long-term, for me it's fixing the problem. My specialist is fabulous.
[This message has been edited by cathyk (edited 03-31-2003).]
[This message has been edited by cathyk (edited 03-31-2003).]
candicecat
03-31-2003, 08:09 PM
A previous poster wrote
"This is before she even started wearing a splint her jaw was already deteriorating so how can you be so sure that the splint was causing her further pains?"
++Her GP thinks my friend may have been born with a
traumatised joint and it only started giving trouble
in the last 4 years. Knowing my friend, I would say
her TMJ could have been contributed to by stress and a bad bite (crowded mouth).
"She stopped wearing
the splint and her jaw dislocated about 4 times since then" So if the jaw started dislocating after she stopped wearing the splint why wouldn't it dislocate while she was on the splint? "
++After two months of wearing the splint my friend
woke up one morning to find she could not close her mouth. ie could not clench her teeth. I suppose wearing the splint had altered her bite or made the damaged jaw joint worse because she NEVER had that
problem before. It took muscle relaxants, pain killers and heat packs and luck to settle the mouth back to closing position over a whole weekend (I have read of other cases like this). Following this "frozen open" trauma, the jaw dislocated and then
did the same thing again over a short period. This
had not happened before. My friend stopped wearing the
splint because she woke up not being able to close her mouth.
"obviously this has nothing to do with the splint"
++Sorry, I disagree. No "frozen open" mouth prior to splint. No jaw dislocations prior to splint.
Definitely trash the splint - a waste of money that would have been better spent recieving treatment
for stress and alternative medicine (in my opinion).
In my opinion the splint was treating the symptoms
of this young patient and not the cause and only
served to aggravate the condition.
"This is before she even started wearing a splint her jaw was already deteriorating so how can you be so sure that the splint was causing her further pains?"
++Her GP thinks my friend may have been born with a
traumatised joint and it only started giving trouble
in the last 4 years. Knowing my friend, I would say
her TMJ could have been contributed to by stress and a bad bite (crowded mouth).
"She stopped wearing
the splint and her jaw dislocated about 4 times since then" So if the jaw started dislocating after she stopped wearing the splint why wouldn't it dislocate while she was on the splint? "
++After two months of wearing the splint my friend
woke up one morning to find she could not close her mouth. ie could not clench her teeth. I suppose wearing the splint had altered her bite or made the damaged jaw joint worse because she NEVER had that
problem before. It took muscle relaxants, pain killers and heat packs and luck to settle the mouth back to closing position over a whole weekend (I have read of other cases like this). Following this "frozen open" trauma, the jaw dislocated and then
did the same thing again over a short period. This
had not happened before. My friend stopped wearing the
splint because she woke up not being able to close her mouth.
"obviously this has nothing to do with the splint"
++Sorry, I disagree. No "frozen open" mouth prior to splint. No jaw dislocations prior to splint.
Definitely trash the splint - a waste of money that would have been better spent recieving treatment
for stress and alternative medicine (in my opinion).
In my opinion the splint was treating the symptoms
of this young patient and not the cause and only
served to aggravate the condition.
TiffanyAnn
03-31-2003, 10:33 PM
Well, this topic seems to be awfully hot. All I can say is that everyone is different and so are our situations. I say to each their own. Everyone has to do what works for them.
Tiffany
Tiffany
GJA
04-01-2003, 10:34 AM
--I have 2 splints, a very hard upper one I
wear at night--which has been adjusted 6 times--it covers all upper teeth. And a lower one which i just received for day use, it is very thin, allows me to talk, and I have my first adjustment scheduled.
During the adjustment period of the upper splint, i had very bad reactions in-between adjustments--
terrible headaches, stabbing pains in areas of my head, periods of numbness in my muscles.--As it has
been adjusted and i have gotten used to it--not an
easy thing to do--i have felt better in the last
45 days than i have felt in 18 months.
With time, and a dentist that understands it must
be adjusted, i believe a plint can help a lot of people.
-g
wear at night--which has been adjusted 6 times--it covers all upper teeth. And a lower one which i just received for day use, it is very thin, allows me to talk, and I have my first adjustment scheduled.
During the adjustment period of the upper splint, i had very bad reactions in-between adjustments--
terrible headaches, stabbing pains in areas of my head, periods of numbness in my muscles.--As it has
been adjusted and i have gotten used to it--not an
easy thing to do--i have felt better in the last
45 days than i have felt in 18 months.
With time, and a dentist that understands it must
be adjusted, i believe a plint can help a lot of people.
-g
sunshine123
04-01-2003, 10:43 AM
Hi GJA: I'm glad you're having success with splint therapy. I'm getting my new lower splint tomorrow. It's a hard one and I hope I'll be as lucky as you are. Have a great day. Sue
PINKYPRISCILLA
04-01-2003, 01:40 PM
To sum it all up: A splint, if not properly fitted, can do more damage to the jaw because it can move it into an uncomfortable position therefore putting more stress on the joint.
However if the splint is made properly it can dramatically improve all symptoms and muscle spasms.
However if the splint is made properly it can dramatically improve all symptoms and muscle spasms.
candicecat
04-01-2003, 07:08 PM
Also to sum it up, a splint may further damage a jaw
joint that is already damaged (as determined
by an MRI). Consider a splint carefully if you
already have a damaged jaw joint and have never worn
a splint. You only have to read the horror stories
about surgery to jaw joints to realise that the jaw
joint is one you don't want to aggravate if you already have existing damage you didn't know about.If grinding or clenching your teeth is something new
in your life, look at the big picture and see why
you may be having this reaction (which could be a reaction to stressors ie things that cause you stress
in your life). Try removing the stressors as much as possible. Good luck to everyone trying to cope with
TMJ.
Candicecat
joint that is already damaged (as determined
by an MRI). Consider a splint carefully if you
already have a damaged jaw joint and have never worn
a splint. You only have to read the horror stories
about surgery to jaw joints to realise that the jaw
joint is one you don't want to aggravate if you already have existing damage you didn't know about.If grinding or clenching your teeth is something new
in your life, look at the big picture and see why
you may be having this reaction (which could be a reaction to stressors ie things that cause you stress
in your life). Try removing the stressors as much as possible. Good luck to everyone trying to cope with
TMJ.
Candicecat
jladams
04-01-2003, 09:08 PM
I would just like to say that I was given a "one size fits all" splint by an orthodontist last week and was told to wear it 24-7. Four days later I ended up in the emergency room with more pain than any human being should ever have to endure. Needless to say, the splint came out...
[This message has been edited by jladams (edited 04-01-2003).]
[This message has been edited by jladams (edited 04-01-2003).]
justanotherday
04-01-2003, 09:23 PM
"To sum it all up: A splint, if not properly fitted, can do more damage to the jaw because it can move it into an uncomfortable position therefore putting more stress on the joint."
NO YOU ARE WRONG!!!!!!!! YOU ARE NOT A TMJ SPECIALIST OR AN ORAL SURGEON THEREFORE YOU HAVE NO CREDIBILITY!!! there is no proof that this is true there has been no scientific studies that say this is true so STOP IT! And tell me why you single out splints?? Why don't you single out drugs that can have much more harmful side effects? Why don't you single out tmj surgery which has such a high failure rate??huh? yeah what no answer!! Would you rather they cut you open and permanently mess up your jaw? Is that what you want people to do just go blindly straight into surgery? Unless you have some valid backing on this just leave the splints alone already...
NO YOU ARE WRONG!!!!!!!! YOU ARE NOT A TMJ SPECIALIST OR AN ORAL SURGEON THEREFORE YOU HAVE NO CREDIBILITY!!! there is no proof that this is true there has been no scientific studies that say this is true so STOP IT! And tell me why you single out splints?? Why don't you single out drugs that can have much more harmful side effects? Why don't you single out tmj surgery which has such a high failure rate??huh? yeah what no answer!! Would you rather they cut you open and permanently mess up your jaw? Is that what you want people to do just go blindly straight into surgery? Unless you have some valid backing on this just leave the splints alone already...
Marlene
04-01-2003, 10:11 PM
Pinky,
You said a MOUTH FULL!! (No punn intended! LOL)
Marlene http://www.healthboards.com/ubb/wow.gif
You said a MOUTH FULL!! (No punn intended! LOL)
Marlene http://www.healthboards.com/ubb/wow.gif
Marlene
04-01-2003, 10:23 PM
There was an article that appeared in the Mar. 4/96 edition of the Toronto Star newspaper, on Dr. Stewart Sigismund, a Toronto dentist whose practice is limited to people with jaw disorders. It states: "A jaw that is only a micromillimetre out can cause muscle spasms and result in agonizing pain. Corrective 'bite plates' worn over a patient's teeth have to be fitted meticulously. If an orthotic is off by the width of a pinhead it can throw the whole thing off and the patient can have all the symptoms continue."
Marlene
Marlene
GenDen
04-01-2003, 10:48 PM
To JustAnotherDay,
It seems to me that you think we are all saying that splints should not be used for TMJD. I am not saying that and though I can't speak for others, I don't interpret that they are saying that either. Splints are a conservative treatment for TMJD and statistics show that they are very effective. I just read an article I believe in Cranio Magazine that said there is an 80% success rate with the lower repositioning splints. What I am saying is that splints are only as good as the expertise of the specialists who are fitting and adjusting them. Because there is no dental specialty to be a TMJD specialist, anyone with a dental degree can treat TMJD with a splint. Just because someone with a dental degree fits a splint, doesn't mean that it will work. There is a tremendous amount of knowledge and skill that goes into this process. My specialist ordered an MRI and a tomogram. He took many transcranial xrays to make sure that my condyles were sitting correctly in the fossa with the splint in so that it wouldn't do damage. Then he has regularly monitored the splint from how I feel and also with additional transcranial xrays. He has spent many many hours planning my treatment and making my splints. Splints work and are a conservative treatment of choice for TMJD, but only in the hands of an expert professional. In fact, I believe the vast majority of people with TMJD can be helped with a splint, but only if the specific problem is correctly diagnosed and the splint is correctly fit.
It seems to me that you think we are all saying that splints should not be used for TMJD. I am not saying that and though I can't speak for others, I don't interpret that they are saying that either. Splints are a conservative treatment for TMJD and statistics show that they are very effective. I just read an article I believe in Cranio Magazine that said there is an 80% success rate with the lower repositioning splints. What I am saying is that splints are only as good as the expertise of the specialists who are fitting and adjusting them. Because there is no dental specialty to be a TMJD specialist, anyone with a dental degree can treat TMJD with a splint. Just because someone with a dental degree fits a splint, doesn't mean that it will work. There is a tremendous amount of knowledge and skill that goes into this process. My specialist ordered an MRI and a tomogram. He took many transcranial xrays to make sure that my condyles were sitting correctly in the fossa with the splint in so that it wouldn't do damage. Then he has regularly monitored the splint from how I feel and also with additional transcranial xrays. He has spent many many hours planning my treatment and making my splints. Splints work and are a conservative treatment of choice for TMJD, but only in the hands of an expert professional. In fact, I believe the vast majority of people with TMJD can be helped with a splint, but only if the specific problem is correctly diagnosed and the splint is correctly fit.
GenDen
04-01-2003, 10:52 PM
To JustAnotherDay,
It seems to me that you think we are all saying that splints should not be used for TMJD. I am not saying that and though I can't speak for others, I don't interpret that they are saying that either. Splints are a conservative treatment for TMJD and statistics show that they are very effective. I just read an article I believe in Cranio Magazine that said there is an 80% success rate with the lower repositioning splints. What I am saying is that splints are only as good as the expertise of the specialists who are fitting and adjusting them. Because there is no dental specialty to be a TMJD specialist, anyone with a dental degree can treat TMJD with a splint. Just because someone with a dental degree fits a splint, doesn't mean that it will work. There is a tremendous amount of knowledge and skill that goes into this process. My specialist ordered an MRI and a tomogram. He took many transcranial xrays to make sure that my condyles were sitting correctly in the fossa with the splint in so that it wouldn't do damage. Then he has regularly monitored the splint from how I feel and also with additional transcranial xrays. He has spent many many hours planning my treatment and making my splints. Splints work and are a conservative treatment of choice for TMJD, but only in the hands of an expert professional. In fact, I believe the vast majority of people with TMJD can be helped with a splint, but only if the specific problem is correctly diagnosed and the splint is correctly fit.
It seems to me that you think we are all saying that splints should not be used for TMJD. I am not saying that and though I can't speak for others, I don't interpret that they are saying that either. Splints are a conservative treatment for TMJD and statistics show that they are very effective. I just read an article I believe in Cranio Magazine that said there is an 80% success rate with the lower repositioning splints. What I am saying is that splints are only as good as the expertise of the specialists who are fitting and adjusting them. Because there is no dental specialty to be a TMJD specialist, anyone with a dental degree can treat TMJD with a splint. Just because someone with a dental degree fits a splint, doesn't mean that it will work. There is a tremendous amount of knowledge and skill that goes into this process. My specialist ordered an MRI and a tomogram. He took many transcranial xrays to make sure that my condyles were sitting correctly in the fossa with the splint in so that it wouldn't do damage. Then he has regularly monitored the splint from how I feel and also with additional transcranial xrays. He has spent many many hours planning my treatment and making my splints. Splints work and are a conservative treatment of choice for TMJD, but only in the hands of an expert professional. In fact, I believe the vast majority of people with TMJD can be helped with a splint, but only if the specific problem is correctly diagnosed and the splint is correctly fit.
candicecat
04-02-2003, 06:30 AM
To Justanotherday
I think you are being rude.
I joined this board searching for answers as
to why my friend ended up in pain, crying and
with a dislocated jaw at the emergency part of the hospital after wearing a splint (which I originally
thought was a good idea). I wondered how she could
end up with her mouth stuck open after wearing a splint. I'll tell my friend
who is now suffering daily increased pain since the
splint episode that you say I am no expert
but I don't think she will care what your opinion
or mine is at the moment.
Would you like to suggest she wear the splint?
Even her doctor thinks it best NOT to wear it now.
Sure, I am no expert by I do have common sense
and an analytical mind. The facts (in this case)
seem to indicate that the splint (in this case) may have agravated the jaw joint. Obviously
splints don't benefit everyone. It doesn't take
an expert to figure this out. With regards to
"picking on splints", this is an odd remark. I went
to the splint TMJ page to discuss splints, not other
issues. What other issues do you want to discuss?
Maybe you should try another board/topic for other
issues eg pills etc?
Candicecat
I think you are being rude.
I joined this board searching for answers as
to why my friend ended up in pain, crying and
with a dislocated jaw at the emergency part of the hospital after wearing a splint (which I originally
thought was a good idea). I wondered how she could
end up with her mouth stuck open after wearing a splint. I'll tell my friend
who is now suffering daily increased pain since the
splint episode that you say I am no expert
but I don't think she will care what your opinion
or mine is at the moment.
Would you like to suggest she wear the splint?
Even her doctor thinks it best NOT to wear it now.
Sure, I am no expert by I do have common sense
and an analytical mind. The facts (in this case)
seem to indicate that the splint (in this case) may have agravated the jaw joint. Obviously
splints don't benefit everyone. It doesn't take
an expert to figure this out. With regards to
"picking on splints", this is an odd remark. I went
to the splint TMJ page to discuss splints, not other
issues. What other issues do you want to discuss?
Maybe you should try another board/topic for other
issues eg pills etc?
Candicecat
Cymy Sue
04-02-2003, 06:47 AM
To Marlene & GenDen,
Marlene,
My Dentist said almost word for word what you have posted. He went a little further with his explanation regarding my case, saying years of surgical damage and no disc to absorb any movement also had to be taken into consideration in making a splint. He said my joints could not be disturbed in any way.
GenDen,
I'm not really sure why this subject has become so volatile.
We all know that there are Doctors and Dentists who make splints that don't work or cause problems. They do not know what they are doing.
Many of us have found Dentists or Doctors who understand the intricasies of Splint Therapy and we are improving. (and in my condition, that is somewhat short of a miracle)
However, I appear to have had better luck with splints throughout my TMJD treatment than most.( I have always been a grinder and clencher; the splints seem to inhibit this)
I used Splints the majority of the time from 1977 to 1992. I always seem to get some relief from them and don't believe they made my condition worse. This is pretty amazing, because they did not know the condition of my joints and disc until about 1990. These guys were Ortho's who knew what they were doing.
I had many different kinds, due to surgeries and changing Doctors (we moved to other cities a couple of times), but if memory serves, all of these splints were thin and did not keep my teeth very far apart.
I was put in full braces twice during this time and due to moving teeth, I believe the braces may have caused some trauma or damage. It's hard to know because I had 2 Bilateral Sagittal Splits during this time that caused major damage.
In 1992 when I had Auricular Cartilage Disc replacements, I was told by the Surgeon that I did not need to ever use a splint again. (That was incorrect. Medical Journals say that after this type of surgery a splint is needed for stabilization and support.) My Dentist voiced his concern emphatically, but I believed the Surgeon and I did so well, "FOR 2 YEARS". I ask the Surgeon about splint therapy again when the pain returned and was told it would not help.
The Auricular Cartilage had to come out in 1997, replaced with nothing, and off to the "Pain Center", my only option for the rest of my life. (Medical Journals also say that Splint Therapy is needed after Discectomy.)
I went back to this Surgical Group last fall and ask for Synthetic Implants or Complete Prothesis and was told I was not a candidate for any more surgeries due to multiple surgeries, they told me splint therapy would be a waste of time and money and told me to stay medicated.
Due to this board and the reports of splints helping people, I approached my Dentist who is highly trained in Individualized Splint Therapy. He took several months to decide what would be best, consulted with others who are treating those with severely damaged joints and designed a splint that is improving all of my symtoms and not causing any further damage or pain.
The moral of this story is:
I can understand the majority of the problems that are posted here. I've been where most of you are. Tired, scared, frustrated, angry and in awful pain. Looking for help and not knowing where to go or who to trust. I've lived with all of the symtoms,( plus surgically induced problems. I've been doing this for over 25 years.)
Unless you've had Surgical Procedures that failed (I've had 7) most of you can not imagine what kind of mess your face, head and body can become, and my problems are minor compared to the members who have failed implants.
This is not to diminish anyone's pain and suffering. My life was pathetic before I ever had a surgery.
TMJD IS AN AWFUL DISEASE, THAT HAS NO CURE, BUT CAN BE TREATED.
This post is to emphasize if a person with the kind of mess I have can get relief and improvement in symtoms with a Splint, more people should be getting relief with Splint Therapy.
The designers are the problem, not the concept.
Best wishes to all,
Cymy Sue
Marlene,
My Dentist said almost word for word what you have posted. He went a little further with his explanation regarding my case, saying years of surgical damage and no disc to absorb any movement also had to be taken into consideration in making a splint. He said my joints could not be disturbed in any way.
GenDen,
I'm not really sure why this subject has become so volatile.
We all know that there are Doctors and Dentists who make splints that don't work or cause problems. They do not know what they are doing.
Many of us have found Dentists or Doctors who understand the intricasies of Splint Therapy and we are improving. (and in my condition, that is somewhat short of a miracle)
However, I appear to have had better luck with splints throughout my TMJD treatment than most.( I have always been a grinder and clencher; the splints seem to inhibit this)
I used Splints the majority of the time from 1977 to 1992. I always seem to get some relief from them and don't believe they made my condition worse. This is pretty amazing, because they did not know the condition of my joints and disc until about 1990. These guys were Ortho's who knew what they were doing.
I had many different kinds, due to surgeries and changing Doctors (we moved to other cities a couple of times), but if memory serves, all of these splints were thin and did not keep my teeth very far apart.
I was put in full braces twice during this time and due to moving teeth, I believe the braces may have caused some trauma or damage. It's hard to know because I had 2 Bilateral Sagittal Splits during this time that caused major damage.
In 1992 when I had Auricular Cartilage Disc replacements, I was told by the Surgeon that I did not need to ever use a splint again. (That was incorrect. Medical Journals say that after this type of surgery a splint is needed for stabilization and support.) My Dentist voiced his concern emphatically, but I believed the Surgeon and I did so well, "FOR 2 YEARS". I ask the Surgeon about splint therapy again when the pain returned and was told it would not help.
The Auricular Cartilage had to come out in 1997, replaced with nothing, and off to the "Pain Center", my only option for the rest of my life. (Medical Journals also say that Splint Therapy is needed after Discectomy.)
I went back to this Surgical Group last fall and ask for Synthetic Implants or Complete Prothesis and was told I was not a candidate for any more surgeries due to multiple surgeries, they told me splint therapy would be a waste of time and money and told me to stay medicated.
Due to this board and the reports of splints helping people, I approached my Dentist who is highly trained in Individualized Splint Therapy. He took several months to decide what would be best, consulted with others who are treating those with severely damaged joints and designed a splint that is improving all of my symtoms and not causing any further damage or pain.
The moral of this story is:
I can understand the majority of the problems that are posted here. I've been where most of you are. Tired, scared, frustrated, angry and in awful pain. Looking for help and not knowing where to go or who to trust. I've lived with all of the symtoms,( plus surgically induced problems. I've been doing this for over 25 years.)
Unless you've had Surgical Procedures that failed (I've had 7) most of you can not imagine what kind of mess your face, head and body can become, and my problems are minor compared to the members who have failed implants.
This is not to diminish anyone's pain and suffering. My life was pathetic before I ever had a surgery.
TMJD IS AN AWFUL DISEASE, THAT HAS NO CURE, BUT CAN BE TREATED.
This post is to emphasize if a person with the kind of mess I have can get relief and improvement in symtoms with a Splint, more people should be getting relief with Splint Therapy.
The designers are the problem, not the concept.
Best wishes to all,
Cymy Sue
Marlene
04-02-2003, 12:06 PM
Hey Cymy Sue!
How ya doin' these days with your splint? Are you still experiencing some relief from your sypmtoms? I hope so!
Having never had surgery of any type in my life, I can't even begin to imagine the prolonged suffering you must have experienced with your TMJ! Even if I multipy my own TMJ suffering of several years ago ten-fold, it would be incomprehensible to me. You're an inspiration to us all!
Marlene
How ya doin' these days with your splint? Are you still experiencing some relief from your sypmtoms? I hope so!
Having never had surgery of any type in my life, I can't even begin to imagine the prolonged suffering you must have experienced with your TMJ! Even if I multipy my own TMJ suffering of several years ago ten-fold, it would be incomprehensible to me. You're an inspiration to us all!
Marlene
Cymy Sue
04-02-2003, 02:32 PM
Hi Marlene,
I am still improving. I had such a mess of nerve damage and muscle problems, I think I will continue to see a lessening of symtoms for a long time.
It is almost miraculous how quickly I started to repond to this splint. My Dentist apparently knew exactly what I needed to take the load off the joints, relax the muscles and take pressure off of nerves. The daily headaches and Tinnitus (that was driving me crazy) are at a tolerable level. I believe the Tinnitus will evenually be gone altogether. The last 25 years have been hard. The last 6 almost unbearable.
I am beginning to believe I will be able to get back to somewhat of a normal life.
I have never been called an inspiration before, http://www.healthboards.com/ubb/redface.gif Thank You. I do hope by posting that I have been helped so much with Splint Therapy (with this mess) it will help others to keep searching for the right treatment for them and never feel hopeless.
I have sought help for 25 years and mostly been hurt.
I know I will never be cured or completely normal, I have too much irreversible damage, but I am better.
I have finally found a Treatment that is making so much difference in my life. You and others on this board were my "Inspiration". I had pretty much given up when I found you. :angel:
Thank you & all who made posts of your experience with successful "Splint Therapy",
Cymy Sue
[This message has been edited by Cymy Sue (edited 04-02-2003).]
I am still improving. I had such a mess of nerve damage and muscle problems, I think I will continue to see a lessening of symtoms for a long time.
It is almost miraculous how quickly I started to repond to this splint. My Dentist apparently knew exactly what I needed to take the load off the joints, relax the muscles and take pressure off of nerves. The daily headaches and Tinnitus (that was driving me crazy) are at a tolerable level. I believe the Tinnitus will evenually be gone altogether. The last 25 years have been hard. The last 6 almost unbearable.
I am beginning to believe I will be able to get back to somewhat of a normal life.
I have never been called an inspiration before, http://www.healthboards.com/ubb/redface.gif Thank You. I do hope by posting that I have been helped so much with Splint Therapy (with this mess) it will help others to keep searching for the right treatment for them and never feel hopeless.
I have sought help for 25 years and mostly been hurt.
I know I will never be cured or completely normal, I have too much irreversible damage, but I am better.
I have finally found a Treatment that is making so much difference in my life. You and others on this board were my "Inspiration". I had pretty much given up when I found you. :angel:
Thank you & all who made posts of your experience with successful "Splint Therapy",
Cymy Sue
[This message has been edited by Cymy Sue (edited 04-02-2003).]
candicecat
04-02-2003, 08:45 PM
Re splints,
I thought I would clarify that my friend (who's
condition has been agravated by wearing a splint)
went to a specialist in splints and paid top
dollar for a custom made splint.
It was not a one size fits all or such
and the person who made the splint is of high repute.
It is not the splint that is the problem,
it was the wearing of a splint when it was
probably inappropriate to do so because of the
damaged jaw joint.
Candicecat
I thought I would clarify that my friend (who's
condition has been agravated by wearing a splint)
went to a specialist in splints and paid top
dollar for a custom made splint.
It was not a one size fits all or such
and the person who made the splint is of high repute.
It is not the splint that is the problem,
it was the wearing of a splint when it was
probably inappropriate to do so because of the
damaged jaw joint.
Candicecat
Al4
04-03-2003, 08:14 PM
Cymy Sue:
On a scale of 1 to 10 (10 being worst), how bad was your tinnitus before your splint therapy, and what level is it now? I hope it goes away completely. I know how horrible it can be as I am suffering from tinnitus in both ears. Good luck.
Al
On a scale of 1 to 10 (10 being worst), how bad was your tinnitus before your splint therapy, and what level is it now? I hope it goes away completely. I know how horrible it can be as I am suffering from tinnitus in both ears. Good luck.
Al
Cymy Sue
04-03-2003, 08:42 PM
Hi Al,
It was a 12. Of all the problems with TMJD I've had, the Tinnitus nearly put me over the edge. I only developed it about 2 1/2 years ago and it was like a jet roar, a billion crickets or a deafening hiss 24 hours a day. I did use the Jastreboff Method of "Noise Maskers" for the last year and that helped a little.
Since I got the splint in December, it has gone down to about a 2 or 3 some days. Somedays, I don't have it at all. On the days I have it, it's a low hiss that is tolerable. A Neurotologist told me a few months ago that my Tinnitus was caused by TMJD induced muscle spasms. He told me if I could get the TMJD treated, the Tinnitus would get better and possibly go away.
This splint has helped me so much with all of my symtoms and problems. I just made a post to report that my opening has gone from 19 mm to 31.75 mm.( in 3 months ) That means that the muscles have relaxed incredibly and I believe the Tinnitus will go completely away.
I hope you find help as I have.
Take care,
Cymy Sue
It was a 12. Of all the problems with TMJD I've had, the Tinnitus nearly put me over the edge. I only developed it about 2 1/2 years ago and it was like a jet roar, a billion crickets or a deafening hiss 24 hours a day. I did use the Jastreboff Method of "Noise Maskers" for the last year and that helped a little.
Since I got the splint in December, it has gone down to about a 2 or 3 some days. Somedays, I don't have it at all. On the days I have it, it's a low hiss that is tolerable. A Neurotologist told me a few months ago that my Tinnitus was caused by TMJD induced muscle spasms. He told me if I could get the TMJD treated, the Tinnitus would get better and possibly go away.
This splint has helped me so much with all of my symtoms and problems. I just made a post to report that my opening has gone from 19 mm to 31.75 mm.( in 3 months ) That means that the muscles have relaxed incredibly and I believe the Tinnitus will go completely away.
I hope you find help as I have.
Take care,
Cymy Sue
TiffanyAnn
04-03-2003, 10:28 PM
Wow http://www.healthboards.com/ubb/wow.gif has this topic ever gotten HOT. I think everyone joined this board for support and information. What works for one person may not work for another. But all of us who suffer with TMJ can at least support each other. I would not be interested in surgery but surgery may work well for someone else so I say to them good luck and I will be praying for you. But above all else let's support each other.
Tiffany
Tiffany