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Old 05-27-2003, 11:55 PM   #1
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Post Open bite & TMJ?

Hi! I know I posted this before but I don't think I addressed my open bite question. I am 22 years old and have had an open bite for nearly 10 years (my parents opted for an 'orthodontic treatment' that obviously failed because I have 2-3 mm of an open bite). Just recently I've experienced the following symptoms:
- Swollen lymph node (went away after taking antibiotics) on left side
- Pain at left jaw joint
- Discomfort around left neck area (comes and goes)
- Odd feeling in left hand (almost as if I have slight arthritis)
- Increased pressure in left ear
- Headaches localized behind left ear


I've had 2 oral surgeons, 2 endodontists, 2 periodontists & 3 dentists look at my situation. The 2 oral surgeons have said I may have TMJ but they're not quite sure. One oral surgeon at UCLA said that I need to correct my open bite (1 year orthodontics & orthognathic surgery).

So my question is:
1. Has anybody here had an open bite & TMJ? If so, how did you go about with treatment? If you had orthodontic work, did that aggravate your TMJ?

2. Will splint therapy still work on those with open bites? How successful is splint therapy and what is it? Is it like a huge head-gear? I have no clue what it looks like but I'm imagining some massive thing I would have to wear. What are the down-sides to splints?

3. If I'm feeling pressure in my ear and blurry vision, does that mean that my hearing and vision will go down-hill?

Thanks everybody!

 
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Old 05-28-2003, 01:26 PM   #2
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hello, I'm 16 and I also have an open bite & tmj. I had braces before TMJ so my original orthodontic case involved having elastics to fix my open bite. However, because of my TMJ they don't want me wearing elastics and now they are also telling me that if I didn't have TMJ my bite still couldnt be fixed with elastics. So I am getting orthognathic surgery over the summer. I had one splint which actually made my open bite worse. One of my doctors said I will need another splint b4 i get surgery but then I went to a new doctor and he told me that a splint is not going to help me. We know my bite is a probelm that needs to be fixed. So I am not getting another splint so I am getting surgery over the summer
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Old 05-28-2003, 01:42 PM   #3
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Thanks for your reply!
For those with a open bite & TMJ, is there any sort of splint that prevents (or does not cause) further opening or aggravates the open bite? Also, for those that have a splint...is this a common thing? To have your open bite worsen? Thanks!

 
Old 07-31-2003, 01:09 PM   #4
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I am going through the exact same thing as you and so confused by all the conflicting information.

[Edited to remove email address.]

[This message has been edited by Well-come (edited 07-31-2003).]

 
Old 07-31-2003, 02:42 PM   #5
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Quote:
Originally posted by Literati:
Hi! I know I posted this before but I don't think I addressed my open bite question. I am 22 years old and have had an open bite for nearly 10 years (my parents opted for an 'orthodontic treatment' that obviously failed because I have 2-3 mm of an open bite). Just recently I've experienced the following symptoms:
- Swollen lymph node (went away after taking antibiotics) on left side
- Pain at left jaw joint
- Discomfort around left neck area (comes and goes)
- Odd feeling in left hand (almost as if I have slight arthritis)
- Increased pressure in left ear
- Headaches localized behind left ear


I've had 2 oral surgeons, 2 endodontists, 2 periodontists & 3 dentists look at my situation. The 2 oral surgeons have said I may have TMJ but they're not quite sure. One oral surgeon at UCLA said that I need to correct my open bite (1 year orthodontics & orthognathic surgery).

So my question is:
1. Has anybody here had an open bite & TMJ? If so, how did you go about with treatment? If you had orthodontic work, did that aggravate your TMJ?

2. Will splint therapy still work on those with open bites? How successful is splint therapy and what is it? Is it like a huge head-gear? I have no clue what it looks like but I'm imagining some massive thing I would have to wear. What are the down-sides to splints?

3. If I'm feeling pressure in my ear and blurry vision, does that mean that my hearing and vision will go down-hill?

Thanks everybody!
hell. an yes i too have an open bite at the molors, mine is so bad you can put a pencil on top of my molor on the bottom an close my mouth an just hit my upper molor a bit , so yes i'm in all metal braces , with bitsplints , an will be for a while an it's working , i have very little TMJ discomfort now , joe martin

------------------

 
Old 07-31-2003, 02:43 PM   #6
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Quote:
Originally posted by Literati:
Hi! I know I posted this before but I don't think I addressed my open bite question. I am 22 years old and have had an open bite for nearly 10 years (my parents opted for an 'orthodontic treatment' that obviously failed because I have 2-3 mm of an open bite). Just recently I've experienced the following symptoms:
- Swollen lymph node (went away after taking antibiotics) on left side
- Pain at left jaw joint
- Discomfort around left neck area (comes and goes)
- Odd feeling in left hand (almost as if I have slight arthritis)
- Increased pressure in left ear
- Headaches localized behind left ear


I've had 2 oral surgeons, 2 endodontists, 2 periodontists & 3 dentists look at my situation. The 2 oral surgeons have said I may have TMJ but they're not quite sure. One oral surgeon at UCLA said that I need to correct my open bite (1 year orthodontics & orthognathic surgery).

So my question is:
1. Has anybody here had an open bite & TMJ? If so, how did you go about with treatment? If you had orthodontic work, did that aggravate your TMJ?

2. Will splint therapy still work on those with open bites? How successful is splint therapy and what is it? Is it like a huge head-gear? I have no clue what it looks like but I'm imagining some massive thing I would have to wear. What are the down-sides to splints?

3. If I'm feeling pressure in my ear and blurry vision, does that mean that my hearing and vision will go down-hill?

Thanks everybody!
sorry the word is HELLO not the other very sorry

------------------

 
Old 07-31-2003, 03:42 PM   #7
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Hi Joseph!

Did they ever tell you how your open bite came about? Mine isn't from tongue thrusting or thumb sucking as it developed after braces and I've had it for nearly a decade. So I'm assuming its skeletal. Prior to putting on your braces, did you have MRI/tomos done to make sure you didn't have osteoarthritis or condular problems? Also, are your discs displaced? Will you be having orthognathic surgery after braces? Sorry for the questions--hope everything is going well on your side. :O)

 
Old 07-31-2003, 06:14 PM   #8
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Interesting...I am going through the process of trying to figure out how to correct my open bite, tmj, receding chin, etc. I am getting told so much conflicting information by dentists, orthodontists, oral surgeons. I also have a reversed neck curve, have been in three car accidents that past 10 years, am a mouth breather, have a deviated septum, nasal polyps and enlarged turbinates, braces at 14...so what caused what and what do i do about it? (i am 27 years old)

[Edited to remove email address.]

[This message has been edited by Well-come (edited 07-31-2003).]

 
Old 08-01-2003, 11:34 AM   #9
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Hi process! I just noticed you are in Los Angeles. I have also been to numerous dentists, orthos and oral surgeons. Although the majority of them haven't been conflicting, I had one who tried to explain that my anterior open bite was the symptom of something else going on, namely, "bad oral posture." He suggested that I go to Dr. Larry Wolford in Dallas, TX to 1) clean out my airway (mine is very small), 2) correct my open bite, 3) reposition my discs that are partially anteriorly dislocated, and 4) possible implant surgery for my very small condulars (my left has an osteophyte). This ortho also told me I had a deviated septum, although other doctors claim its no biggie.

I have a few questions that I hope you might be able to answer so I can better understand your situation...

1. How big is your open bite? Is it anterior or posterior? (Mine is 2 mm)

2. How long have you had an open bite? Did it appear after braces? After puberty?

3. How did you reverse your neck curve? (I have a loss of neck curvature that they hope will be corrected by physical therapy)

4. Who are you seeing for your TMJ? Did you have MRIs/tomos done? If so, did they notice any skeletal abnormalities, i.e. small condulars, intra-cranial notching (the wearing down of jaw bone near the neck area) or other such TMJ-related problems such as osteoarthritis or displaced discs?

As for the cause of your open bite, only a professional can explain that to you. However, I have been told that anterior open bites in adults often develop due to skeletal abnormalities. This malocclusion is also commonly seen in mouth breathers. I will post more later as I am late for work. I'm so sorry you are going through this...although I am glad to know I am not alone. Take care.

 
Old 08-08-2003, 05:52 PM   #10
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Thanks for the reply.
I am a mouth breather and basically, the left side of my nose is blocked with polyps, enlarged turbinate and deviated septum (I have had these problems since I was a kid- I am 27now). I just got back from an appointment with an allergist to see what is the cause of my huge nasal polyps (I only have allergies to mold so he recommended I use nasal spray and see what happens- most likely will need surgery to remove polyp). He confirmed that mouth breathers have jaw/bite problems. I had an orthodontist bring this up with me during a consult (he was the only one out of 6).
I think my open bite is 4mm.
I just got records done by an ortho Wed. and have a consult with him next week to discuss the treatment plan. This ortho thinks the braces will be able to correct my bite with no surgery but that was without looking at x-rays, molds, etc.
I had braces at 14 for 1.5 years.
I noticed that my teeth started moving inward and my chin was "disappearing" about three years ago.
I have no idea how I got a reversed neck curve. I have been in 3 car accidents that past 10 years. I know my cervicals are always out and the cervicals control sinuses (i.e. nasal polyps, turbinates, etc.).
The oral surgeon I saw about three weeks ago took a TMJ x-ray and he said I don't have arthritis and no wearing down of the bone.
I am just confused on what started what (does it matter now ?) and what is the appropriate action to take to correct the issues.
I have consulted with 6 orthodontists. Am I allowed to list the ortho's name? The ortho I am leaning towards (and where I got my records done) wants to put a splint on me for three months before I get the braces to get rid of the inflammation in my joints. Another ortho said that the splint was a waste of time and to just get the braces and oral surgery. Another ortho (the one who brought up the mouth breathing) wouldn't comment on anything until he saw x-rays first. Two orthos said braces would fix me and I could use Invisalign (found out I can't because it doesn't do much for bite problems) and said nothing about oral surgery.
I have a mild case of TMJ (grinding teeth, muscle tension)
I had a nightguard 6 years ago that was made improperly and may have contributed to the bite problem. The guard wasn't flat on the bottom... I noticed my bottom teeth started shifting. So I have been going nightguard-less for about 3 years. Mu gums are starting to recede. I had one dentist tell me that if I don't fix the TMJ, I will be in dentures in 10 years...
So I am curious to hear what you have been told by all the docs. Thanks!

 
Old 08-09-2003, 10:41 AM   #11
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Unlike you, I haven't been visiting around to a large amount of orthodontists. Actually I'm a little afraid seeing how my last consult resulted in the introduction of $50,000 worth of surgery by some dude name Larry Wolford in Dallas, TX (I'm a student in Los Angeles, CA). I would like to see some UCLA orthodontists but my dental insurance maxed out months ago. Plus my TMJ specialist is concerned that I may have arthritis in the joints as I have very small condulars with an osteophyte on my left condyle. My disks are also bilaterally/partial/anteriorly displaced (if that makes any sense). So braces may not even be an option for me.

You may want to see another TMJ specialist concerning the condition of your condulars. You mentioned in your post that you noticed your open bite getting worse. Usually this occurs because of a skeletal change, i.e. bony changes in the condyles. Of course, this isn't the only reason so don't worry too much. Just make sure you get a 2nd opinion.

Do you have a lot of teeth wear? I was told that my open bite creates a lot of pressure on my molars/pre-molars so I've grinded them flat. I have some gum sensitivity but was never told that I "would be in dentures in the next 10 years." Although I have a lot of cavities to warrant that statement. What is the condition of your teeth to cause someone to predict denture-use in a decade?

 
Old 08-11-2003, 02:35 PM   #12
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Thanks for the reply.

I am going to get some neck xrays again this week. So I will print your reply out and ask my chiro what he thinks. I also have a consult with the ortho (also a "tmj specialist") to go over my records Wed.
My gums are receeding from all the grinding and no night guard. I can't have cold food and have to use a straw for cold drinks because my teeth are so sensitive. Usually worse if I have been grinding my teeth a lot at night.
Most orthos will give you a free consult. Am I allowed to list the orthos names without getting banned from this board? If so, I will tell you who I have seen.


 
Old 08-11-2003, 03:01 PM   #13
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I think its okay to post an orthos name. I've posted many TMJ specialists.

 
Old 08-11-2003, 03:13 PM   #14
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Current ortho/tmj frontrunner is Dr. Mario Paz.
Other orthos consulted:
Dr. Jeff Cohen
Dr. Moe Yazdi
Dr. Kathleen Knuckles
Dr. Collins in Westwood

Dale Stringer and Dr. Charles Kauffman (or Koffman) recommended for oral surgery but did not meet.

Dr. Shaun Daneshgar- tmj specialist and oral surgeon.

 
Old 08-11-2003, 03:21 PM   #15
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oh wow, I was going to go to Dr. Knuckles. How did that go?

 
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