Re: Facial assymetry, TMJ - should consider surgery?
Hello, I hope you don't mind me saying this, but both dentists scare me. Surgery should never be suggested to someone (TMJ or not) unless there is a big problem and quality of life is going down hill dramatically. It does not sound like that for either TMJMom and REina-Marie. Is there something else going on that's not mentioned here?
TMJMom, I don't mean to sound so dramatic, but take your daughter to a different dentist and get her away from this guy. TMJ is diagnosed when there is PAIN and when there is POPPING and LOCKED JAW. Your daughter has none. Assymetry means nothing. PAIN and FUNCTION means everything. I will almost come out bluntly and say your daughter does not have TMJ. Even a disc that is out of joint does not mean TMJ. Many people who do not have TMJ or pain have both assymetry and out-of-joint discs.
Please take your daughter to someone else - a "specialist" in TMJ. Could be a dentist, orthodontist, or oral surgeon. I'm not even sure she needs to wear the bite splint. I do not know Dr. Piper, but if he has a reputation for TMJ surgery and is an advocate of surgery as the way to fix TMJ, I would hesitate to go to him. I will pray that everything works out and that you find a good TMJ Specialist.
R_Marie - now that I have scared TMJMOM, I hope you won't mind if I say something similar to you. Surgery is the LAST step and even then, I don't know. Braces is also a pretty drastic step particularly if you are only having occasionally popping sound. Lots and lots of people have that. It really means nothing. About the splint - I just don't know what to tell you. If I were you, I think I'd go get 2nd and 3rd opinions. Bite splint might not be necessary. Or if you are having problems with this one, a different kind might be better.
But, don't just take my word for any of this. Get 2nd, 3rd, 4th, etc., opinions from trained TMJ people. See what others have to say on this board and others. I would like to know the outcome, though, when you get to that point.
You will both be in my prayers.