It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



TMJ Disorder -TemporoMandibular Joint Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 01-10-2010, 07:04 PM   #1
Newbie
(female)
 
Join Date: Nov 2009
Location: New York State
Posts: 8
Cloudymoor HB User
Using retainer instead of a splint

I had braces as a teen that were ineffective. In the mid-90s (twenty years later) I had braces for a couple of years and wore the retainer sporadically after they were removed. Some years later I developed TMJ that has gotten quite serious on my left side only. I notice that when I wear my upper and lower retainer the cartilage grinding sound I hear whenever I open my mouth is greatly diminished for the first few hours in the morning. How is this different than wearing the splint that everyone is talking about? My teeth cannot meet at all when I wear my upper and lower retainer. I have a definite impediment in my speech so I can't wear it all day (I work with the public and have a hearing loss so things are complicated enough !)
Thanks in advance.

 
Sponsors Lightbulb
   
Old 01-11-2010, 10:52 AM   #2
Senior Veteran
(female)
 
Join Date: Apr 2004
Location: Rockland County, NY
Posts: 3,278
Thelma-Louise HB UserThelma-Louise HB UserThelma-Louise HB User
Re: Using retainer instead of a splint

Splints are usually designed to cover the surface of teeth and alter the biting surface to either correct malocclusion, equalize an imbalanced bite or change the vertical dimesnion within the oral cavity or mouth - some are further designed to actually reposition the jaws to either allow more room for the tm joints and condyles to properly function or provide for better arch support for misaligned jaws and teeth.

The primary purpose of a retainer is to prevent teeth from shifting after othodontia treatment as most time the teeth will try to return to their former postions - most are not designed to alter how and where teeth meet and therefore are not designed to correct some deficiency but some however do have the affect of altering the movement of the tongue and jaw and for that reason they can have a similar affect of a splint. Not all retainers cover the surface of teeth - some are simply a removable or fixed wire positioned in front or behind teeth, however newer ones that do cover the surface of the teeth are designed to protect the teeth from the affects of possible clenching and grinding.

The fact that your teeth do not meet at all with the retainer in - yet the grinding sounds of cartilidge is reduced at that time suggests you need an increase in vertical dimension (height) or need to have your teeth repostioned to ensure proper jaw alignment and positioning however only a dentist trained in ortho and FJO with experience in treating tmj issues - like an orthopedic dentist if you will, would be able to determine exactly what is wrong.

 
Sponsors Lightbulb
   
Old 01-11-2010, 12:17 PM   #3
Senior Veteran
(female)
 
Join Date: May 2009
Location: Illinois
Posts: 753
Jill 227 HB UserJill 227 HB UserJill 227 HB UserJill 227 HB UserJill 227 HB UserJill 227 HB User
Re: Using retainer instead of a splint

Quote:
Originally Posted by Thelma-Louise View Post
Splints are usually designed to cover the surface of teeth and alter the biting surface to either correct malocclusion, equalize an imbalanced bite or change the vertical dimesnion within the oral cavity or mouth - some are further designed to actually reposition the jaws to either allow more room for the tm joints and condyles to properly function or provide for better arch support for misaligned jaws and teeth.

The primary purpose of a retainer is to prevent teeth from shifting after othodontia treatment as most time the teeth will try to return to their former postions - most are not designed to alter how and where teeth meet and therefore are not designed to correct some deficiency but some however do have the affect of altering the movement of the tongue and jaw and for that reason they can have a similar affect of a splint. Not all retainers cover the surface of teeth - some are simply a removable or fixed wire positioned in front or behind teeth, however newer ones that do cover the surface of the teeth are designed to protect the teeth from the affects of possible clenching and grinding.

The fact that your teeth do not meet at all with the retainer in - yet the grinding sounds of cartilidge is reduced at that time suggests you need an increase in vertical dimension (height) or need to have your teeth repostioned to ensure proper jaw alignment and positioning however only a dentist trained in ortho and FJO with experience in treating tmj issues - like an orthopedic dentist if you will, would be able to determine exactly what is wrong.
I agree with Thelma-L. You definitely need an exam with a good tmjd specialist. Wearing retainers long term, or sporadically will not adress the issues you have. I know Dr. Peter Ferro, in Ny is a good FJO, and tmjd specialist. I don't know what the fees will be, but if you have ins., or if they can bill under MPD, Mayofacial pain disorder, you may get some covered. Good luck!! I am in treatment right now with a FJO, tmj specialsit if you have questions. Take care----J.. ps--I too got tmj from braces being done incorrectly back in 1990..it's been a long road..

 
Old 01-12-2010, 06:12 AM   #4
Newbie
(female)
 
Join Date: Nov 2009
Location: New York State
Posts: 8
Cloudymoor HB User
Re: Using retainer instead of a splint

Thanks you both for the comprehensive answers to my question. I just started seeing my 2nd ENT for my hearing and sinus issues which are pretty intense. He already has acknowledged in visit 1 my TMJ, and is saying that down the road he will see how he can deal with this through insurance channels.


I really appreciate mentioning the name of your TMJ expert and the offer to answer more questions. I will probably take you up on it in the near future!

Best regards!

 
Old 01-15-2010, 07:01 PM   #5
Junior Member
(female)
 
Join Date: Oct 2009
Location: Roswell Ga
Posts: 24
unlikeothers HB User
Re: Using retainer instead of a splint

Quote:
Originally Posted by Thelma-Louise View Post
Splints are usually designed to cover the surface of teeth and alter the biting surface to either correct malocclusion, equalize an imbalanced bite or change the vertical dimesnion within the oral cavity or mouth - some are further designed to actually reposition the jaws to either allow more room for the tm joints and condyles to properly function or provide for better arch support for misaligned jaws and teeth.

The primary purpose of a retainer is to prevent teeth from shifting after othodontia treatment as most time the teeth will try to return to their former postions - most are not designed to alter how and where teeth meet and therefore are not designed to correct some deficiency but some however do have the affect of altering the movement of the tongue and jaw and for that reason they can have a similar affect of a splint. Not all retainers cover the surface of teeth - some are simply a removable or fixed wire positioned in front or behind teeth, however newer ones that do cover the surface of the teeth are designed to protect the teeth from the affects of possible clenching and grinding.

The fact that your teeth do not meet at all with the retainer in - yet the grinding sounds of cartilidge is reduced at that time suggests you need an increase in vertical dimension (height) or need to have your teeth repostioned to ensure proper jaw alignment and positioning however only a dentist trained in ortho and FJO with experience in treating tmj issues - like an orthopedic dentist if you will, would be able to determine exactly what is wrong.

 
Old 01-15-2010, 07:13 PM   #6
Junior Member
(female)
 
Join Date: Oct 2009
Location: Roswell Ga
Posts: 24
unlikeothers HB User
Smile Re: Using retainer instead of a splint

May I correct you on the purpose of the retainer? It is not used because teeth will return to their original pre orthodonture state. The purpose of a retainer is to hold the current state the teeth are in until which time they are no longer loose form being moved for however long the treatment took place. Teeth that have been moved through orthodonture are "loose" and it takes a good six months for the teeth to "set" once braces are removed. I have not seen any of our cases "return" to the original preothodontic state even if the patient did not wear the retainers! The teeth may shift a little but NEVER return to their original state. I will say that we have seen many cases where the 4 bi cuspids were removed and in those cases, I will say there is usually a 70% failure rate if you did not wear the retainers the rest of your life. We also found through a study of over 300 patients treated orthodontically who HAD the 4 Bi Cuspid extracted during treatment, 98% developed jaw joint disfunction of some kind. We do non extraction orthodontics in our office for that reason.:

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Hawley retainer Sue21 Dental Health 1 05-16-2010 09:43 PM
Did my retainer crack my teeth? efam99 Dental Health 0 02-14-2010 08:42 AM
Major Discovery: Internal Retainer on Bottom Teeth Made Problem Much Worse! maxwell29 TMJ Disorder -TemporoMandibular Joint 31 05-21-2009 08:46 AM
retainer re-opened bite? sweetpea46 Dental Health 0 04-30-2008 03:51 PM
splint/retainer cindygal TMJ Disorder -TemporoMandibular Joint 4 11-29-2005 09:36 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 05:23 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!