Perhaps you have addressed this in your posts. However, I was wondering if you have ruled out sinus problems with Mike. Sinus problems such as an inflamed concha bullosa or the paranasal sinus cavities can cause tinnitus and pain. The pain can perceived to be in a similar location to the TMJoints.
I have not asked Cheryl this but these things can often be caused by misalignment of the plates of the skull - miniscule compressions or misalignments can cause huge problems with the sympathetic anatomy. I wonder if he has ever had any head trauma - no matter how minor. Or played agressive sports..?
I have taken him to 2 different ENT's. They both were quite thorough with him. He did have a CT scan of the sinuses. The findings were normal other than a mucocyst in the left maxillary sinus. Both specialists said that these don't cause his type of symptoms. They usually cause no symptoms at all. Quite a large percentage of the population have these and don't even know it. Both of their reports leaned toward jaw problems, this was without me giving them the heads-up on what the other physicians have said.
I do appreciate you offering me any ideas that you have. I too, still look at all angles.
I'm abit excited today for the dentist has just called and his splint has come in a week early, so we're off to pick it up shortly.
I understand that you've taken the functional jaw orthopedics route. Has it helped you? I've been doing abit of reading about it lately, it sparked my interest.
[This message has been edited by CherylLynn24 (edited 09-04-2003).]
[This message has been edited by CherylLynn24 (edited 10-29-2003).]
[This message has been edited by CherylLynn24 (edited 10-31-2003).]
Yes, my TMJD specialist practices Functional Jaw Orthopedics. Yesterday he did one minor adjustment on my splint. If everything remains stable, I will begin the final phase in a month or two. He also practices Functional Jaw Orthodontics. He explained to me that some orthodontists are only concerned with aesthetics. The look is the only important thing. Sometimes the condyles get pushed back in the fossa and press on the tender tissues, vessels, nerves, etc. and TMJD results. Other anatomical distortions can also take place. The FJO approach makes sure that the condyles are in the perfect position the the jaw is in the correct position. If the joint is properly aligned, it functions optimally without pain or stress.
He brought my jaw down and forward so that the condyles were correctly positioned. It works for me.
So sorry Mike is having so much trouble. You have certainly taken him to the best ENT specialists. My sister's son is 13 and has some difficult health problems. In addition to getting treatment for his medical conditions, she has been taking him to a pediatric psychiatrist who specializes in treating children with health problems. Self esteem and well being can be real issues. She is pleased with the results. She also feels more comfortable with how much to expect of him and when not to baby him or allow him to use his medical condition to manipulate. You have done well for Mike. Good luck in his treatment and his new splint.
I have one quick question for you if you don't mind. My dentist--soon to be 'former' dentist--used the TENs to make my splint and called it a neuromuscular orthotic, but was also a FJO. Your FJO did not use the TENs to make your splint, did he? It is hard for me to believe that this dentist would use this type of splint on someone before braces. I hope not, since it has only made me worse.
Thanks for any information.
Also, Hi Cheryl! Thanks again for replying to my previous post.
My TMJD specialist did not use the tens to relax my muscles to determine the bite for the splint. He uses transcranial x-ray to determine where the condyles fit.
I will not be doing braces for the final phase. I will be having crowns. I think my post was confusing about the braces. He does functional jaw orthodontics on original patients without TMJD and he also fits braces on his TMJD patients who need that kind of finish after they are stabilized for some months with the splint. He always makes sure that the condyles remain in the perfect position. His theory is that if the joint is happy, the muscles will be happy. The neuromuscular dentists' theory is that if the muscles are happy, the joint will be happy. Who knows? Maybe they are both right.
No two patients are the same or need the same treatment. A good dentist will tailor the treatment for the patient. Some might need splints before the braces and others may not. An FJO specialist should be able to sort that out.