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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 01-19-2004, 05:31 PM   #1
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lucy25 HB User
Please Help

If I have ever needed you all it is right now. i have almost completed 4 months of splint therapy with minimal results. I went to my ortho for a third adjustment today and he said that my next visit will me to correct my bite! i know my bite is off because when i take my splint out to eat, my teeth don't go together anymore. But all you great people have said that I should be in a comfortable and relaxed postion before phase 2 begins. I told him this and he disagrees saying that i cant wear my splint forever! oh my gosh!!!!!!! i just got myself in debt for what???? i am so absolutely scared right now. He wants to file my teeth down to correct my bite! I was told that I shouldnt let him do that, EVER! So heres a question...what is phase 2 if he cant file my teeth down? please help me through this.
Lucy
ps...i am not giving up....i have been suffering for almost 3 years
I have also made a massage therapy appt for end of month - anything I should know about it?
OOps another quick question..i am going to have minor surgery(stomach) next week and am scared that they will hurt my jaw while putting in my breathing tube...will they be gentle?

 
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Old 01-19-2004, 08:15 PM   #2
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saaraah HB User
Re: Please Help

phase II should not be done until your symptoms have gone away for at least 6-8 months, imo. also, phase I can last well into a year; it takes awhile for things to heal. 4 months seems to be way too soon to consider getting your teeth filed down. phase II can involve orthodontics, crowns, and filing off the teeth. however, that is done when all symptoms have been resolved, and you're stable.

did the dentist discuss with you at the onset that he might consider filing down some teeth? if you're not feeling comfortable with what he's suggesting [and it certainly sounds that way], dont do it. you are in charge; dont feel persuaded by him to do it. if he pressures you, that'd be a deal-breaker [for me].

i disagree with your dentist - it is possible to get a permanent splint if you dont want to go thru with irreversible changes to your bite.

it's very important to let the anesthetist and/or surgeons know that you have TMJD. im not sure if they can intubate you nasally or not - it's something to look into, so your TMJs wont be compromised.

take care,

- saaraah.

 
Old 01-19-2004, 09:19 PM   #3
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Arleen HB User
Re: Please Help

Hi Lucy:

You're right, you should be comfortable and painfree, having been that way for a while before anyone starts phase II. You say yourself you've only seen minimal results so far in phase I. That sounds to me like you're no way ready to move to phase II. I wonder if the dentist doesn't know what to do next, since you've seen minimal results, and that's why he's rushing to move to phase II.

It's common that once you start wearing a splint when you're not wearing your teeth don't fit anymore. Like Saaraah mentioned (hi Saaraah!), phase II can involve orthodontics or restorative work to the teeth (e.g. crowns). Or a permanent splint. Not everyone wants their teeth adjusted.

I have to wonder why he is so quick to file your teeth down. Just remember that whatever you do, YOU are the one who'll have to live with the consequences, not the dentist. If you feel you've seen minimal improvement with the splint so far, maybe you and the dentist need to work on getting that right before you do anything else. You might also want to get a second opinion. It can't hurt (okay, it might hurt your pocketbook

Good luck with your surgery next week. Be sure that they're clear on your TMJ problems. You might want to talk to your doctor or surgeon about this beforehand and see if there's something they can do to avoid causing your joints a lot of stress.

Take care.
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Arleen

 
Old 01-19-2004, 10:26 PM   #4
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GenDen HB User
Re: Please Help

I would not let a dentist file down my teeth that was not concerned that I was completely out of pain for several months first. Actually, filing down the teeth weakens them and is usually not a good solution unless it is just one or two teeth. What if he files them down and you are still in pain? What then? I know this is not what you want to hear because of the cost, but I think you need to see someone else.

 
Old 01-21-2004, 10:35 AM   #5
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PINKYPRISCILLA HB User
Re: Please Help

Filing the teeth down do you mean an equilibration?
An equilibration is what I had done on my back molars
just small areas are shaved and shaped to "equilibrate"
you teeth he should not be shaving them -filing them down.

 
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