Does anybody know if there is a connection between trigeminal neuralgia and TMJ/occlusional issues?
I'm in a quandary but may just be starting to make sense of my problem
- Pre-molar extraction as a teenager
- result over closed bite and squished up jaw joints (on the scan they look like shepherds crooks)
I'm in a neuromuscular orthotic which has given me a better bite but I still have left sided pain. The only thing which really helps reduce this is holding my jaw down and forward so I'm thinking this must be the key to the whole problem.
Unfortunately I'm not Sherlock Holmes and need help
I looked at anatomy diagrams and the top of the jaw joint is at the same level as the base of the brain exactly where the trigemeninal nerve exits the brain stem. Most specialists now believe the shooting pain of neuralgia is caused by a blood vessel compressing the nerve at this point and there is a surgical proceadure to separate the two with a teflon sponge. I've seen a neurosurgeon and he says I have a clear 'vascular conflict' at the root entry zone of the left trigeminal nerve and that I am a candidate for the surgery. Trouble is it involves drilling open the skull behind the ear and going into the brain stem so I'm like whoa I need to make SURE first of all that this is a) the correct diagnosis and b) that there isn't someother way of fixing it
Is holding the jaw down and forward in effect decompressing this very tight area and taking the pressure off the nerve by giving the vessel more room?
I get the feeling that its some kind of weird hybrid deal falling between neurosurgery and orthodontics.
Can anybody relate?