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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 10-28-2009, 07:41 PM   #1
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Teeth pain

My teeth on the side that I had the tooth pulled really hurt tonight. I don't know if it is because of the TMJ (I can feel definite joint pain) or nerve damage or a torn ligament. I am very frustrated. My denrtist thinks it is muscularly related. It is a little better since I took the valium. It seems ok right when I first wake up and the gets gradually worse throughout the day. How can I have a tooth problem in three different teeth at the same time? (the one that was pulled and these two others. One is on top and one on bottom. I really don't want to jump the gun into more root canals. I thinks it would destroy my jaw at this point. Do you think this could be nerve related from the TMJ and all the trauma in my mouth?. (I had a failed root canal also on the tooth that was pulled) I don't know what is going on. Anyone else with similiar symptoms? Both of my jaws hurt also. Thanks for listening ... Shelley

 
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Old 10-28-2009, 09:06 PM   #2
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Re: Teeth pain

Sometimes a missing tooth can cause the balance or weight of the bite to shift as well as induce muscles to work harder or differently than they did before the tooth was missing so this pain could be referred pain not from the teeth themselves but from the jaw and muscles. Although tmj in its purest form suggests an issue with the joint, most times before it even gets that far, the issue starts with the bite - occlusion and alignment - so when your dentist said it may be muscle related he may be correct - however it shouldn't stop there with treatment limited to muscles relaxers - a more permament solution should be to restore the bite to a balance state - either through a splint and/or reconstruction (replacement of teeth, partials, dentures, crowns, etc). Teeth pain is not that uncommon with bite issues or with tmj and in my experience a poor bite can eventually cause such wear and tear on a teeth that eventually they do need root canals if not crowns or buildups.

 
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Old 10-29-2009, 07:44 AM   #3
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Re: Teeth pain

Quote:
Originally Posted by bearsky View Post
My teeth on the side that I had the tooth pulled really hurt tonight. I don't know if it is because of the TMJ (I can feel definite joint pain) or nerve damage or a torn ligament. I am very frustrated. My denrtist thinks it is muscularly related. It is a little better since I took the valium. It seems ok right when I first wake up and the gets gradually worse throughout the day. How can I have a tooth problem in three different teeth at the same time? (the one that was pulled and these two others. One is on top and one on bottom. I really don't want to jump the gun into more root canals. I thinks it would destroy my jaw at this point. Do you think this could be nerve related from the TMJ and all the trauma in my mouth?. (I had a failed root canal also on the tooth that was pulled) I don't know what is going on. Anyone else with similiar symptoms? Both of my jaws hurt also. Thanks for listening ... Shelley
HI Shelley,
If your dentist thinks it's muscular related, you probably need to be in some sort of splint to calm your muscles down, and then the doctor can look at WHY you are in muscular pain. It has to be from an unstable bite, in my opinion. Your muscles spasms are being triggered by some teeth throwing your bite off a bit, thus causing all the spasms. Are you going to a tmj specialist? Look on the ICCMO website and find a good tmj specialist that does neuromuscular dentistry along w-functional Orthodontics. Stay away from dentists that treat w-upper splints. In the long run, they can do more harm than good. Good luck, I hope you can get to someone who knows what they are doing and can pinpoint the problem quickly. That's 99% of the battle, in my opinion.

 
Old 10-29-2009, 09:40 AM   #4
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Re: Teeth pain

Hi, Thanks for responding. I have been using an NTI for 3 nights for clenching. Yes, I know I need to have something done with a TMJ specialist. I was hoping things would settle down, as I know I overstrained my muscles after 6 hours of dental work done in a very short time. Do either of you know a good muscke relaxer that can be taken during the day other than Flexeril and zanaflex? I am taking valium at night. Thanks, Shelley

 
Old 10-29-2009, 12:10 PM   #5
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Re: Teeth pain

I have a question for you guys. Are you finding out that any of these problems are covered under your medical insurance? Or just dental? which I have already used up for the year. Would you consider an oral maxillofacial surgeon a good person to go to fo a TMJ specialist? When I am looking under ICCMO there are specialists (Tufts craniofacial pain center) in Boston. Would an oral sugeon be just as good? It says they specialize in TMJ. I really am not sure where to go. The insurance issue is not good. What was your first step- did you see an oral surgeon? Shelley

 
Old 10-30-2009, 03:12 PM   #6
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Re: Teeth pain

I went to a TMJ Pain Mgmt Clinic at a dental school and the dr there prescribed Baclofen for daytime use - and he said there were other meds he could try if I found that too made me too drowsy but that most people were able to tolerate it and not see too many adverse side affects after a few days.

Oral surgeons are good if you need surgery - most are inclined to jump too quickly in that direction as that is their specialty and what they are trained to do so while you can get their opinions and have them do testing and such its best to leave them as a last resort - some however can refer you to tmj dentists that use more conservative approaches first. I started with OSs but quickly realized they wouldn't be of any help to me as mine was a cranio facial problem and msucle related.

Insurance can be iffy - but I found my medical covered much more than my dental - I was surprised to find that they covered my splints and orthotics, chiro, cranial sacral, and PT which consisted of ultra sound, heat wraps, deep tissue massages, and electrical stimulation (tens unit) and all my testing (tomograms, MRIs, CT scans, ICAT, EMG, etc) - it all depends on what they cover (some don't cover tmj but will cover myofacial, cranio-facial or orofacial pain syndromes) and also what treaments they allow for it.

 
Old 10-31-2009, 09:55 AM   #7
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Re: Teeth pain

Thanks for the info, I am finding that TMJ is not covered. But will look into these other diagnoses. I have heard the same things from other TMJ sufferers about Oral surgeons. I am trying to looks for functional jaw orthodontists/neuromusculaur dentistry. Thank you Shelley

 
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