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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 11-28-2010, 01:44 PM   #1
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New here, with questions.

Recently I was diagnosed with TMJ Disorder. Also recently I was told by a GP that I have some fluid build up in my inner ear, possibly caused by a eustachian tube not draining. Here's the story...

3 months ago I had serious sinus head ache and ringing in my ears. A GP said it was a sinus infection, put me on antibiotics and everything cleared up. A day and a half after I finished the antibiotics the ringing started again, along with pressure in my ear. Soon after, the sinus headache started again. The second round of antibiotics helped the sinus headache, but didn't do a thing for the tinnitus.

2 months ago I started having jaw pain. I went to the dentist and she said I had a slipped disk in my jaw and muscle spasm, and referred me to a TMJ specialist. I saw the specialist last week, and he confirmed that it was TMJ and has fitted me with a mouth splint (which I will get in 10 more days). Apparently I'm a "clencher".

Last week I also saw a GP because I couldn't stand the pressure and ringing in my ears anymore. Every time I swallow my ears crackle and pop, with absolutely no relief in regards to the ringing or pressure.

My main question is... does this all sound TMJ related? Could the blocked eustachian tube and fluid build-up be because of TMJ?

Is it normal for tinnitus to be the first symptom of TMJ? Pain seems to be most people's first symptom.

Also, for anyone who has had a mouth splint - did it help? And most importantly, did it help the tinnitus? I am going insane with it! I can tolerate pain much more than I can tolerate constant ringing in my ears.

Thanks!
Alyson

Last edited by BumbleBear; 11-28-2010 at 03:51 PM.

 
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Old 11-30-2010, 01:52 PM   #2
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Re: New here, with questions.

Hey there....Some people I know have had their TMD start with the ear symptoms...it's not always just jaw pain...or muscular pain that leads people to seek treatment. Sometimes it can be as frustrating as major dizziness....When you have an imbalance between how the jaw muscles are working...and how the jaw is functioning...you get a vicious cycle of symptoms...that can be better or worse depending on stress levels, sleep disorders, bruxism, etc. I have been in neuromuscular tmd treatment for a little over a year now. My main complaint was chronic myofascial pain..dizziness, and a bit of jaw joint pain...especially on the left. My specialist fitted me with a NM orthodic..after taking tons of diagnostic tests to determine the jaw position. It's a lower, hard acrylic orthodic, that is bumpy..to hold my jaw into the new position. I eat with it in..and sleep with it as well. It has greatly reduced all my symptoms...but I had to enter into alternative therapies as well such as CranioSacral Therapy, physical therapy, and A/O chiropractic care. An orthodic alone will not do the job..even in cases where the TMD was not longstanding...Good luck to you and your treatment...I hope you get some relief from the ear symptoms soon!

 
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Old 12-21-2010, 07:55 PM   #3
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Re: New here, with questions.

I was recently told I grind. My dentist fit me with a lower splint that covers the 4 teeth on the bottom sides and then a metal bar behind my front.
I am grinding like crazy on this thing! Is this normal?
are teeth or acrylic stronger? wont I break my teeth? what about protecting my top teeth? Headaches are still a problem, jaw crackles, my left ear pops all the time, and do not ask me to open my mouth all the way, that hurts!!!

Any thoughts? I do not see my dentist for a month for a check up, but I am worried wont I cause damage before then?

 
Old 12-22-2010, 09:28 AM   #4
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Re: New here, with questions.

Well....this all depends....how was your orthodic measured? Meaning, how did your doctor get the bite for the orthodic? What tests were done? Also, the vertical may be a bit too high if you are having increased clenching. Do you wear it 24/7....even while eating? Teeth are definitely stronger than acrylic...you would break the orthodic before your teeth. If you are having that much muscular pain, I would see if they can check the bite using EMG testing...if your dentist does that....that way they can check exactly what muscles are working properly, and what are NOT. They also can see by using EMG where to adjust the orthodic.

 
Old 12-22-2010, 09:41 AM   #5
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Re: New here, with questions.

Quote:
Originally Posted by Jill 227 View Post
Well....this all depends....how was your orthodic measured? Meaning, how did your doctor get the bite for the orthodic? What tests were done? Also, the vertical may be a bit too high if you are having increased clenching. Do you wear it 24/7....even while eating? Teeth are definitely stronger than acrylic...you would break the orthodic before your teeth. If you are having that much muscular pain, I would see if they can check the bite using EMG testing...if your dentist does that....that way they can check exactly what muscles are working properly, and what are NOT. They also can see by using EMG where to adjust the orthodic.
Well it all started when I went in for sensitive teeth. They did new Xrays, nothing, he looked and looked nothing. Then he asked about headaches, I said yes or about 6 months. He then told me I am grinding at night.
My husband agreed, as he has heard me.
The next week I went in for the molds. the following week I received the splint and he made some adjustments. I am waking at night grinding, I guess maybe it is louder then teeth on teeth?
I can see I have wore my teeth down some not a lot, and I defiantly see it on the guard.
I am supposed to go back in 30 days to check it. I dont feel like my headaches are going away. somedays are very bad, and I wake like I am chewing leather all night

 
Old 12-22-2010, 05:09 PM   #6
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Re: New here, with questions.

Did he make the orthodic to bring your jaw more forward? Or to simply protect your teeth. What was his goal? Also, has your posture been evaluated? Do you know if you have slight forward head posture? The compensating factors with the muscles when you have forward head posture can cause major issues, such as central nervous system sensitization. That is when you start to have issues with bright lites, anxiety, brain fog, dizziness, loss of balance, etc. Also, for every inch that your head is forward on your body....it adds 10 lbs. of pressure on your spine. It can also cause headaches...and spasms that are insane.

 
Old 12-22-2010, 07:23 PM   #7
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Re: New here, with questions.

Quote:
Originally Posted by Jill 227 View Post
Did he make the orthodic to bring your jaw more forward? Or to simply protect your teeth. What was his goal? Also, has your posture been evaluated? Do you know if you have slight forward head posture? The compensating factors with the muscles when you have forward head posture can cause major issues, such as central nervous system sensitization. That is when you start to have issues with bright lites, anxiety, brain fog, dizziness, loss of balance, etc. Also, for every inch that your head is forward on your body....it adds 10 lbs. of pressure on your spine. It can also cause headaches...and spasms that are insane.
Wow, he has done none of that. I came in for a sensitive tooth and he asked about headaches, and then scheduled me for getting my molds done. I guess his first step is to see if this guard would stop my headaches. I have only had it a week and it seems the headaches are worse. I go back Jan 14 to check the guard.
I am a novice at this, I had no idea about any of this until a week ago

 
Old 12-22-2010, 08:57 PM   #8
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Re: New here, with questions.

Well...I've been in neuromuscular TMD treatment for a bit over a year now...I wear an orthodic 24/7, that is repositioning my lower jaw into a more down and forward position, helping with the muscular pain, and swallowing issues that I had. I am also in Atlas Orthoganist Chiro. treatment, and CranioSacral Therapy to address cranial misalignments. The tests that my dentist does to make the NM orthodic are as follows...
1. Tomographic x-rays...before and after getting the bite for the orthodic..to check the condyle positions
2. EMG testing...to determine how the muscles are functioning..and where to adjust the orthodic
3. CMS testing..to record sounds within the joints
4. Ceph X-ray
5. K-7 diagnostic equipment to find the jaw position, used with EMG.....accuracy, within a 10th of a mm

Hope that helps......Merry Christmas! J.

 
Old 12-27-2010, 05:49 PM   #9
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Re: New here, with questions.

Quote:
Originally Posted by Jill 227 View Post
Well...I've been in neuromuscular TMD treatment for a bit over a year now...I wear an orthodic 24/7, that is repositioning my lower jaw into a more down and forward position, helping with the muscular pain, and swallowing issues that I had. I am also in Atlas Orthoganist Chiro. treatment, and CranioSacral Therapy to address cranial misalignments. The tests that my dentist does to make the NM orthodic are as follows...
1. Tomographic x-rays...before and after getting the bite for the orthodic..to check the condyle positions
2. EMG testing...to determine how the muscles are functioning..and where to adjust the orthodic
3. CMS testing..to record sounds within the joints
4. Ceph X-ray
5. K-7 diagnostic equipment to find the jaw position, used with EMG.....accuracy, within a 10th of a mm

Hope that helps......Merry Christmas! J.
He moved my appt to this Wednesday when i was talking to him. My guard is real loose now and just drops into place, not tight like it was before. I wonder if he will tighten it all all? How can he adjust it? It was flat, not anymore. My side teeth touch first and not even like it used to. What am I in for?

 
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