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Old 10-30-2009, 11:30 PM   #1
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Unhappy tmj problems..help!!

My teeth are misaligned and I need braces. I have a crossbite and my teeth are crowded. My dentist also says my pallet is too small (whatever that means.) But, before I could have any orthodonture work done, he told me I needed to get all 4 of my wisdom teeth taken out because they were growing in the wrong way, causing even more crowding. He also told me that my jaw was "clicking" slightly which was a result of my misaligned teeth. It never bothered or hurt me though and only did it on occasion. Then, about 2 weeks after my wisdom teeth procedure, my jaw began clicking more and more and now it does it every time I open my mouth. Whenever I eat or aggravate it, it gets stuck and i cannot open my mouth for some period of time, until the tension goes away and is only relieved when my jaw can "pop" open again. Today was the longest it ever got stuck for which was a few hours. It doesn't hurt while its stuck, unless I try to open my mouth really wide. At this point I feel pain and have to close my mouth until it eases up and allows me to pop it back open. I'm going to see the dentist again this week, but can anyone tell me what is going on? And also, will this have an effect on getting my braces? Does my jaw need to be fixed before I get them, or will getting braces realign my mouth correctly to cure this? This is really bothering me so any help is appreciated !!

 
Old 10-31-2009, 08:12 AM   #2
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Re: tmj problems..help!!

Quote:
Originally Posted by missbritt0928 View Post
My teeth are misaligned and I need braces. I have a crossbite and my teeth are crowded. My dentist also says my pallet is too small (whatever that means.) But, before I could have any orthodonture work done, he told me I needed to get all 4 of my wisdom teeth taken out because they were growing in the wrong way, causing even more crowding. He also told me that my jaw was "clicking" slightly which was a result of my misaligned teeth. It never bothered or hurt me though and only did it on occasion. Then, about 2 weeks after my wisdom teeth procedure, my jaw began clicking more and more and now it does it every time I open my mouth. Whenever I eat or aggravate it, it gets stuck and i cannot open my mouth for some period of time, until the tension goes away and is only relieved when my jaw can "pop" open again. Today was the longest it ever got stuck for which was a few hours. It doesn't hurt while its stuck, unless I try to open my mouth really wide. At this point I feel pain and have to close my mouth until it eases up and allows me to pop it back open. I'm going to see the dentist again this week, but can anyone tell me what is going on? And also, will this have an effect on getting my braces? Does my jaw need to be fixed before I get them, or will getting braces realign my mouth correctly to cure this? This is really bothering me so any help is appreciated !!
Yikes, reading your story brought back all the mess I was in 20yrs. ago. Your case mirrors mine very closely, because before I had braces, I had my wisdom teeth removed, and after that, all hell broke loose. The reason why you are clicking, even before your wisdom teeth were taken out is that your bite is off, and it's dislocating one of your discs. The pop you hear is the disc recapturing itself, or going back into the correct place. When you lock, the disc is being displaced, and you need to be very careful to not force your jaw open. An easy way to unlock that will not damage the disc is to gag yourself really hard, the motion your lower jaw makes in the gag will usually recapture the disc. I used to have to do that all the time. IT's unpleasant, but it is MUCH safer than manually trying to force the disc back into place. This can permanently tear it, and then you are basically up a creek. I can't stress this enough, get to a competent specialist, one that has treated tmjd for at least 10-15yrs., and someone who can do the right tests and know how to fix your bite. Make sure that they are a Functional Jaw ORthodontist, and do neuromuscular dentistry. You can look under the ICCMO website and see if someone is in your area. Post where you live and maybe we can find you someone. If you are locking, you need to get into a splint, at least for nighttime for a while before braces are even put on you. Don't let anyone change your bite at all until you get to the right doctor and have an exam.
My tmd was mistreated for so long now, my discs are torn, and I have permanent damage because I was with a dentist that didn't know how to treat tmd correctly, and didn't know how to finish my case correctly either. Good luck with everything, and let me know if you have a hard time finding someone, maybe I can help. -------J.

 
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Old 10-31-2009, 02:15 PM   #3
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Re: tmj problems..help!!

jmitchell has got the idea for sure.

the discs fit in between an area in your skill and the bone that fits into it right in front of your ears called a condyle. when the disc slips and gets caught that's when it pops or, worse, gets stuck.

the therapy i'm getting prevents me from my teeth touching. this allows the disc a greater area to get back into the position it needs to be in. you sound like a grinder as well.

braces are generally cosmetic and only straighten your teeth, not align them. i would not suggest that as your first option. also, orthodontists are not good TMJ specialists (in my opinion) so i would not seek their advice. look up a TMJ specialist in your area. chances are the removal of your wisdom teeth gave you a different bite therefore giving you all of the dreaded symptoms. although, in the long run, those needed to come out. braces i would REALLY hold out on because again, they are mostly for looks. also, teeth can shift back after braces if that's not where they wanna be so the problem could start all over again.

 
Old 11-07-2009, 10:38 AM   #4
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Re: tmj problems..help!!

Thanks so much..I live in Bellerose, New York. I'm going to start trying to look for a specialist, or see if my regular dentist can recommend one. I'd really just like to get this taken care of because it is soo uncomfortable!! It bothers me when I eat, and that is especially when it seems to lock up. Whats been working for me is that after it locks up I don't put any stress on my jaw or try to open it for a little while, then it seems to release and go back into place. Do you know how long the treatment with the split takes before I can get my braces put on?

 
Old 11-07-2009, 01:08 PM   #5
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Re: tmj problems..help!!

Quote:
Originally Posted by missbritt0928 View Post
Thanks so much..I live in Bellerose, New York. I'm going to start trying to look for a specialist, or see if my regular dentist can recommend one. I'd really just like to get this taken care of because it is soo uncomfortable!! It bothers me when I eat, and that is especially when it seems to lock up. Whats been working for me is that after it locks up I don't put any stress on my jaw or try to open it for a little while, then it seems to release and go back into place. Do you know how long the treatment with the split takes before I can get my braces put on?
HI there---As far as how long you will be in splint therapy, it depends on the severity of your case, if they are trying to recapture discs, etc. It is different for everyone. As for my case, I will probably be in my splint for a little over a yr. and then I will get expanders, then braces. I think I can post the names of the doctors that I believe can help you. Just not their websites. The first one is Dr. Ramin Mehregan, in Mass. , the second one is Dr. Peter Ferro, in NY, NY. There is also one in Middletown, Ny as well. They belong to the ICCMO, are Functional Jaw Orthodontists, and are neuromuscular dentists as well. Let me know if you have any other questions. Take care, J.
ps--you need to get to a specialist who treats tmjd, don't rely on your dentist making you wait forever for an appt.--you could also even call Dr. Mehregan and get his advice?

Last edited by Jill 227; 11-09-2009 at 11:09 AM. Reason: left out stuff

 
Old 11-09-2009, 10:30 AM   #6
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Re: tmj problems..help!!

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Originally Posted by jmitchell View Post
HI there---As far as how long you will be in splint therapy, it depends on the severity of your case, if they are trying to recapture discs, etc. It is different for everyone. As for my case, I will probably be in my splint for a little over a yr. and then I will get expanders, then braces. I think I can post the names of the doctors that I believe can help you. Just not their websites. The first one is Dr. Ramin Mehregan, in Mass. , the second one is Dr. Peter Ferro, in NY, NY. There is also one in Middletown, Ny as well. They belong to the ICCMO, are Functional Jaw Orthodontists, and are neuromuscular dentists as well. Let me know if you have any other questions. Take care, J.
Well I called my regular dentist and they said they want me to come in to do some more x-rays and examine the problem further. (I havn't been to him since before I had the wisdom teeth taken out.) Then, he says he will recommend me to a specialist to start the treatment. The only problem is I couldn't get an appointment until the 30th! I'm in pain and my jaw is getting stuck more frequently. Any ideas on how to control the pain/locking of my jaw until the appointment? Thanks!

 
Old 11-09-2009, 11:07 AM   #7
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Re: tmj problems..help!!

Quote:
Originally Posted by missbritt0928 View Post
Well I called my regular dentist and they said they want me to come in to do some more x-rays and examine the problem further. (I havn't been to him since before I had the wisdom teeth taken out.) Then, he says he will recommend me to a specialist to start the treatment. The only problem is I couldn't get an appointment until the 30th! I'm in pain and my jaw is getting stuck more frequently. Any ideas on how to control the pain/locking of my jaw until the appointment? Thanks!
OMG--that's ridiculous that they can't get you in until the end of the Month. You are in an emergency situation, in my opinion, you need to get a splint to open your joints a bit so the locking stops. If I were you, I would call one of the specialists' that I posted for you and see if they can see you asap. Are you near any of them? When are you locking, at night or during the day? try to keep your lips together, teeth apart at all times if you can, and don't eat anything hard. Go on a soft diet until you can get in to someone. I would take 2-3 advils with some magnesium supplements to help with pain and muscular issues, and if it gets locked, remember to gag yourself til the disc recaptures, not force it open, or wait long to do it as well. Let me know if you have any other questions, good luck----J.

 
Old 11-12-2009, 12:46 PM   #8
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Re: tmj problems..help!!

Quote:
Originally Posted by jmitchell View Post
HI there---As far as how long you will be in splint therapy, it depends on the severity of your case, if they are trying to recapture discs, etc. It is different for everyone. As for my case, I will probably be in my splint for a little over a yr. and then I will get expanders, then braces. I think I can post the names of the doctors that I believe can help you. Just not their websites. The first one is Dr. Ramin Mehregan, in Mass. , the second one is Dr. Peter Ferro, in NY, NY. There is also one in Middletown, Ny as well. They belong to the ICCMO, are Functional Jaw Orthodontists, and are neuromuscular dentists as well. Let me know if you have any other questions. Take care, J.
ps--you need to get to a specialist who treats tmjd, don't rely on your dentist making you wait forever for an appt.--you could also even call Dr. Mehregan and get his advice?
Hi there- since my last post my tmj has gotten worse. Ever since monday morning my mouth got "stuck" again so i couldn't open it all the way, and its been like that ever since. It is now thursday. After two days of trying to get in contact with my dentist, I finally did and he told me to go directly to the specialist because there was nothing he could do. The specialist he sent me to is the same place that I got my wisdom teeth removed, because the surgeon specializes in tmj disorders as well. So, I went there today and he prescribed me some anti inflammatory medication, which is a steroid, and told me not to eat any difficult foods for the next 10 days or so, to ease the tension on my jaw. He scheduled me back in 2 weeks to see if I am making any progress, and if not he says we will go into splint therapy. I feel comfortable with the specialist because I finally feel like there is someone who knows what they are doing who can help me (since my regular dentist has been no help at all.) Hopefully he can fix the problem before it gets any worse, and hopefully I'm on the long road to recovery. I just hope it works! I don't know what I'm going to do if my jaw doesnt unlock soon..it is sooooo uncomfortable.

 
Old 11-12-2009, 01:05 PM   #9
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Re: tmj problems..help!!

Quote:
Originally Posted by missbritt0928 View Post
Hi there- since my last post my tmj has gotten worse. Ever since monday morning my mouth got "stuck" again so i couldn't open it all the way, and its been like that ever since. It is now thursday. After two days of trying to get in contact with my dentist, I finally did and he told me to go directly to the specialist because there was nothing he could do. The specialist he sent me to is the same place that I got my wisdom teeth removed, because the surgeon specializes in tmj disorders as well. So, I went there today and he prescribed me some anti inflammatory medication, which is a steroid, and told me not to eat any difficult foods for the next 10 days or so, to ease the tension on my jaw. He scheduled me back in 2 weeks to see if I am making any progress, and if not he says we will go into splint therapy. I feel comfortable with the specialist because I finally feel like there is someone who knows what they are doing who can help me (since my regular dentist has been no help at all.) Hopefully he can fix the problem before it gets any worse, and hopefully I'm on the long road to recovery. I just hope it works! I don't know what I'm going to do if my jaw doesnt unlock soon..it is sooooo uncomfortable.
HI---please do this asap to try to unlock your joint, go gag yourself really hard, it needs to be a hard gag to recapture your disc. The gag will hopefully put your jaw into the correct position to move the disc back into the proper place. I know it works, I've done this several times myself. It sounds nasty, but don't wait to try it. The longer your jaw is locked, the harder it is to get your disc back. Keep us posted!! good luck.

 
Old 11-13-2009, 12:25 PM   #10
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Re: tmj problems..help!!

Quote:
Originally Posted by jmitchell View Post
HI---please do this asap to try to unlock your joint, go gag yourself really hard, it needs to be a hard gag to recapture your disc. The gag will hopefully put your jaw into the correct position to move the disc back into the proper place. I know it works, I've done this several times myself. It sounds nasty, but don't wait to try it. The longer your jaw is locked, the harder it is to get your disc back. Keep us posted!! good luck.
Thanks, I will try in a couple hours (I just ate and i dont want to make myself throw up) Hopefully it will go back into place. How long has yours ever been stuck for? Because mines been stuck since monday. Its only my second day on the medication, but today is friday and it is still locked. I told the specialist this and he told me just to take the medication and not eat anything that will put stress on my jaw. He also said not to try to open my mouth too wide..so do you think it will be ok to try to unlock it even though he said that? Thanks

 
Old 11-13-2009, 05:06 PM   #11
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Re: tmj problems..help!!

Quote:
Originally Posted by missbritt0928 View Post
Thanks, I will try in a couple hours (I just ate and i dont want to make myself throw up) Hopefully it will go back into place. How long has yours ever been stuck for? Because mines been stuck since monday. Its only my second day on the medication, but today is friday and it is still locked. I told the specialist this and he told me just to take the medication and not eat anything that will put stress on my jaw. He also said not to try to open my mouth too wide..so do you think it will be ok to try to unlock it even though he said that? Thanks
Absolutely ok. The times I had to do this, it was within a 10hr. period that I gagged myself and it popped right back into place..(the disc, that is.) Please try, a couple times to do this. It will not hurt you, or cause more damage. The only thing that is going to happen, is it won't work. Maybe put moist heat on the joint first, like a hot towel, then try the gag thing. Good lUck..I feel for you. Whatever you do, do not let anyone talk you into surgery for replacing the disc. Try to recapture it with a splint. Good tmjd specialists know how to do this. Look on the ICCMO site, and see who is near you if you want a second opinion. If you need help locating someone, let me know.
Later----J

 
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