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Old 01-20-2004, 10:09 AM   #1
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saaraah HB User
arleen - nightsplint and your appointment

arleen, i was wondering how your appointment went last week at dr. r's.. were you treated better and more kindly?

i also had an appointment on the 13th, and i got my new nightsplint. in a sense, it looks like a very strange NTI. heh. because my bite is so nutty [openbite], janie and dr. r had to completely alter the nightsplint - only some of my molars are covered. ive been too scared to wear it because it feels very loose and it reminds me of the infamous NTI, which gave me an openbite.

i was hoping that the nightsplint would magically make me 100% better today, but ive got a killer migraine. ergh. i'll give the nightsplint some more time, tho, to see what happens to my symptoms.

do you have a nightsplint? i cant imagine you wearing it [the kind dr. r makes] because, after wearing it for the first time last night, my 2 front top teeth were very sore. im not sure how they expect you to wear it because of your gum/teeth pain.

anyway, i have another question for anyone out there - what are the risks of supra eruption?

i wear my nightsplint at night [obviously.. heh], but it doesnt cover all of my back molars. is it possible for my top molars to supra erupt in such a short time of 8 hours while im sleeping? i imagine im being overly paranoid... but im curious. the literature ive seen online said that it can take anywhere from 6 days to 10 years for teeth to supra erupt, and that's when the teeth arent touching at all - but i dont know if i should believe that.

- saaraah.

 
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Old 01-20-2004, 10:42 PM   #2
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Arleen HB User
Re: arleen - nightsplint and your appointment

Hi Saaraah:

Thank you for asking about my appt.They were kind enough, but I still had that feeling of being on an assembly line with no one really taking the time to get to the root of the problem.

I asked several times before I decided to see him if they've dealt with people with sore gums and teeth and managed to get them into splint therapy and the asst, told me yes, yes. So, I start there, and the dentist says no, no, we've never run into this before??! Then when I started wearing the splint and got gum sores and receding papilla, I asked the asst if they've dealt with people with gum sores. Yes, yes, but again the dentist says he's never seen anyone with my problems??! Someone, or both, are lying. I asked if he was going to look at the splint? No, you take care of your gum problems first, then we'll see about the splint. Considering I told them upfront I was concerned about my gums, why did they make me a splint without first sending me to a periodontist? $$$$ I feel so upset and discouraged, and feel very much like I've been lied to and manipulated. I no longer trust that office. The splint also made my front teeth move, even though it doesn't touch them. Other nightguards I wear don't do that. The dentist said because the splint doesn't touch the areas where I have gum sores, it can't be doing that. Yet, my teeth are moving in an area it doesn't touch.

I see a periodontist this week, although I'm not optimistic as it's one suggested by the dentist's office. He met this guy at a conference or something. On a positive note, I'm taking supplements that seem to be helping my gums, which is better than any dentist has suggested.

I think I read somewhere that you paid $1200 for your splints. Is that correct? The reason I ask is because I was quoted $1300 for two, although so far I only have the one, and won't go for another since this one isn't right yet.

Originally the dentist showed me 2 splints, a day and a night one that sounds identifical to what you just got. He had 2 very similar night splints. On witha flat ledge under the front teeth and one with a slanted ledge under the front teeth. He said some people find the slanted one hard on their bottom teeth, so he'd probably start me with the flat ledge if I needed a night splint. He said not everyone did, as some people's jaws stay in place wearing the day splint at night. They reminded me of NTIs too, except that all the teeth were encased. I wondered if it was possible to get an open bite from them. I also wondered about all the pressure on the upper front teeth. I told him my upper teeth can't handle pressure. He seemed to think it would be okay. I've had another dentist tell me that only to find when I got their mouthguard that I couldn't wear it because it put too much pressure on the front. I know these nightguards would put too much pressure on my teeth, so I'm not interested in trying them.

Saaraah, do the splints I described sound like the one you got? Did you get flat or hilly ledge? How did they alter the splint? Do you have your wisdom teeth? When you say it's loose, does it jiggle around? it shouldn't be moving.

I'd be concerned too if it didn't cover all my molars. I asked before I went there about if they made splints that cover the wisdoms, as I have all 4 of mine. I was told yes, and when I had my impression taking appt, they were having a hard time getting them into the mould. At one point the dentist mentioned to his asst about pulling them. I was shocked how cavalierly they viewed my wisdom teeth, although I've found that attitude at other dentists' offices too. There's no way I'd have my wisdoms pulled. They perfectly healthy teeth. They figured they might not be able to put them on the splint, but I was insistent. When I got the splint, most of the surface has metal mesh under the surface to give it strength - but not on the wisdoms, so I'm wondering if they will one day suggest removing those spots.

If you're worried about teeth erupting, maybe only wear the splint at night. If you eat without it, your teeth will be hitting opposing surfaces, so hopefully that's enough each day that they won't erupt. I don't know how long it takes for teeth to erupt. Maybe someone else on the board knows?? But teeth absolutely can erupt if they've no opposing surface. During the day, do you wear a splint that touches these teeth that don't touch at night?

I've found YOU have to look out for yourself. Talk to the dentist about this. Perhaps insist that they do something to the splint to ensure this doesn't happen. They've got their own lab, they can add material to the splint to cover all your molars. Let them find another way for that splint to fit you. If your teeth do erupt, it's you (not them) who have to live with it. To them, it will mean more money, as they go about correcting the problem. Easy to tell you to be insistence, but I'm still angry at myself because I didn't insist that they look at my splint and do something about it on my last appt.

Anyway, sorry to grip so much. I'm just so discouraged and feel I've spent money that could have been used better elsewhere. This is a big concern since I haven't worked in a year. Please let me know how you do with the splint and what the dentist's office says about your problems. A migraine headache is not a good sign.

Take care.
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Arleen

Last edited by Arleen; 01-20-2004 at 10:54 PM.

 
Old 01-21-2004, 11:04 AM   #3
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Re: arleen - nightsplint and your appointment

Arleen,

I can vouch from personal experience that Dr. Rondeau's office is most likely doing what they feel is best for your "particular case". It sounds like you don't feel this is the right treatment/dentist for you? Many TMJ sufferers have felt this way numerous times, and have felt it best to move on and "try again".

Marlene

 
Old 01-21-2004, 11:33 AM   #4
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Arleen HB User
Re: arleen - nightsplint and your appointment

Hi Marlene:

I don't know if this is the right treatment for me or not, but I feel I've been very misled. When I'm getting two different answers on whether they've treated people with gum problems before, and yet they're both treating the same patients, something is off.

It's easy to say move on, but I haven't worked in over a year and I've just spent a lot of money with this office. That's why I'm so upset. They knew about my gum problems, so why didn't they send me to a perio first before taking my money for a splint I can't wear? I told them up front about my gums and the trouble I had wearing my last splint.

Because my teeth and gums are sensitive, I started out wearing the splint to sleep, thinking maybe I could build up to wearing it 24/7. Then my papilla started receding and I noticed when I was flossing that some of the front teeth had bigger spaces between them, so the splint was obviously moving my teeth. I drove 2 hours, stayed overnight in a hotel so I could be on time for my 9:30 appt and not worry about getting caught in snow, and they don't even bother to look at the splint. It was like they took no responsibility for it doing any of the things I was experiencing because they said it doesn't even touch the front teeth. Yet when I wear my old nightguard, it doesn't move my teeth like that. Nor does it make my papilla recede. Because of snow on the way home, I was on the road for 5 hours (yes, I know that wasn't the office's fault), but it all adds up to a very bad experience.

And it's money I no longer have to spend on a new dentist. I doubled check several times before I saw him that they've had people with sore gums and sensitive teeth and that they managed to get them into splint therapy. I was told yes. I was also told yes, they've had people who get gum sores. And once I'm there and I've paid some money, I'm told no, that's not the case? If I had been told no at first, I wouldn't have gone there.

I know you think very highly of the office and I'm glad they were able to help you with your problems. I feel like I've spent a lot of money and was lied to, and I don't know what to do next, and I have no income. It's so upsetting.

Take care.
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Old 01-21-2004, 07:16 PM   #5
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saaraah HB User
Re: arleen - nightsplint and your appointment

*sigh*.. arleen. i feel so upset to hear of the problems you've had at the office. i dont understand why they would give you conflicting reports.. all that i can think of is money. ugh. im sorry.

i was thinking.. didnt they take a lot of pictures of your teeth and gums before starting splint therapy? if so, that's evidence showing what has happened to your gums.

i completely agree with you - it certainly sounds like you were manipulated.

btw, what's the periodontists name [if you dont mind saying]?

yup, i actually paid about $1200 for my splints plus about $100 for lab fees. i didnt get charged for my nightsplint because they had to drastically alter it, so janie wasnt sure if it'd do the job.

my nightsplint has a slanted ledge under the front teeth. i asked about the possiblity of getting a worse openbite from it, but i was told that it wouldnt be possible because my bottom jaw wouldnt be able to 'get behind' the ramp. im still nervous, tho, because i dont trust health professionals at all.

my nightsplint was altered by cutting off the back parts of the splint, so that only a couple of molars are covered. im not sure exactly why this was done except for the fact that i have a nutty open bite. the nightsplint doesnt seem stable - it's not tight enough, so im going to try to move the prongs in a bit to see if that'll help.

i have 2 or 3 wisdom teeth in, i believe. they also had problems taking molds including my wisdom teeth, too.

during the day, i wear my daytime splint, and my teeth touch which dont touch at night, so i imagine they wont erupt.

i really hope you have some success with the periodontist you'll be seeing.

take care,

- saaraah.

 
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