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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 05-23-2010, 12:38 AM   #1
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TMJ specialist - bay area, CA

Has anyone had any success with any TMJ Specialist in the bay area? I was thinking about seeing Dr. Charles McNeill and Dr. Gary Grablin for a consulation. I've read that some people didn't have a positive experience with Dr. McNeill so I've been a little hesitant in seeing him. And he charges about $500 for a consultation. Is this typical for a consultation? Dr. Gary Grablin's website is very informative but I can't tell if he has the credentials. His focus is restorative and aesthetics dentistry.

Any advise or suggestions would be appreciated.

 
Old 05-24-2010, 04:47 PM   #2
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Re: TMJ specialist - bay area, CA

HI---I did research Gary G. last year extensively....He is a Roth Williams Orthodontist I believe treats tmj with an upper splint therapy. I did not go this route for many reasons..I went the neuromuscular route, with someone who does Functional Jaw orthodontics. There is a huge difference in treatment styles. IMO, I would consult with a NM dentist, who treats tmj primarily in the practice....and also does Functional jaw Ortho. I can't post the associations anymore that this particular kind of dentist belongs to, so you simply can call and ask if they have these credentials if you wish. Good luck to you....J
BTW----normal phase 1 tmjd costs are upwards of 4-5K

Last edited by Jill 227; 05-24-2010 at 04:47 PM. Reason: forgot..

 
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Old 05-24-2010, 11:20 PM   #3
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Re: TMJ specialist - bay area, CA

Thanks for the advice! The neuromuscular route is the way I want to go. I've checked out some of your posts and will keep researching.

I hope your treatment is going well.

Last edited by Ivy80; 05-25-2010 at 11:37 PM.

 
Old 06-30-2010, 10:16 PM   #4
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Re: TMJ specialist - bay area, CA

Has anyone been to Dr. Dwight Jennings in Alameda? It says that he uses "twin block crozat" appliance most often for treatment. I'm not sure what that is.

 
Old 07-02-2010, 06:16 AM   #5
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Re: TMJ specialist - bay area, CA

Hi----just google twin Blocks.....My daughter is actually in one right now....They hold your jaw into a new position 24/7----can't take it out....even when eating for this type of treatment. IT takes a while to get used to....

 
Old 07-06-2010, 11:24 PM   #6
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Re: TMJ specialist - bay area, CA

Hi Jill! Ouch! They look painful. What treatment is your daughter using them for? Is she going to the same specialist you are?

 
Old 07-06-2010, 11:36 PM   #7
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Re: TMJ specialist - bay area, CA

Hi Jill! Ouch! They look painful. Why does your daughter need them? Is she going to the same specialist you're seeing?

I had a consultation with a PT last week who recommended Dr. Jennings. He seems to have a lot of experience. His practice has been limited to orofacial pain, orthodontics, and dental medicine for the past 21 years. He uses twin block crozat for most treatment. It seems like most people have used splints vs twin blocks. I'm so scared to trust anyone out there since the bad dental job five years ago.

 
Old 07-07-2010, 12:44 PM   #8
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Re: TMJ specialist - bay area, CA

Hi again---My daughter goes to the same tmj specialist I go to in Wisconsin. She was born with an underdeveloped lower jaw, and also has a bit of an overbite. What the twin blocks are doing is bringing her lower jaw into a new neuromuscular position, respecting the muscle function, and the jaws...also, there is a bar in front of her top teeth that is slowly pulling her overbite inwards. She is almost 10 yrs. old, and thank God we switched her out of her old orthodontist because he did not have her in the right appliances, and was actually causing more harm than good. She did have about a week's adjustment period to get over some muscle spasms that came from moving her jaw forward,,,along with repositioning the tongue a bit, and learning how to function in a new position. I had to do some light cranial sacral work on her because of frontal headaches in her suture located above her nose....and some myofascial massage, but she is doing excellent now, thank goodness. My tmj specialist carefully measured the new jaw position with many diagnostic tests....These are the tests that he ran to find her jaw posiiton....
1. Tens unit treatment, to relax her muscles prior to all of this
2. EMG testing, to see exactly what muscles were properly functioning, and their electrical activity prior to making the appliance..
3. K-7 neuromuscular tests, jaw tracking device to locate new jaw position
4. Tomographic x-rays, done BEFORE and AFTER to check condyle position was correct...
5. Panoramic x-ray beforehand as well.

Dr. Insolera is a Neuromuscular dentist, along with being a Functional Jaw Orthodontist, and sleep apnea specialist. (There is an 80% overlapping in sleep apnea and tmd) IMO, these are the credentials that a good tmj specialist should have...

 
Old 07-17-2010, 12:15 AM   #9
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Re: TMJ specialist - bay area, CA

I'm sorry she had to go through such a horrible experience at a young age. I'm glad your TMJ specialist was able to help her. She's very lucky to have you and your TMJ Specialist help her through all of this - people that are knowledgeable and caring. I'm almost desperate enough for some relief to see him all the way in WI....if I don't find anyone here in CA.

I wonder though what appliance would be best for my situation. The unfit bridge which shifted my bite and teeth eventually caused a huge under bite (my lower jaw comes forward in front of my upper teeth) and it sometimes feels like it just hanging with no support to keep it up. It seems like a lot of people with TMJ have the opposite problem where they have an overbite or their jaw is too far back.

 
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