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 07-14-2011, 08:12 PM   #1
Junior Member
(female)
 
Join Date: Jan 2011
Location: Canada
Posts: 25
sadtmj HB User
TMJ Treatment Phase 2: Orthodontics

So I'm getting my phase 2 treatment in september, which is orthodontics according to my Dr. At the moment I have used splints to shift my lower jaw forward..... for those who's had this treatment, could you PLEASe tell me in detail what the phase 2 orthodontics actually LOOK like? Is it visible from the outside, like those traditional orthodontics people usually wore as teens? Or does it look more like a bionator? Also, I don't understand HOW it will pull up my molars? Is it really uncomfortable?? I just really wish I could visualize it/...

thank you..

 
Old 07-15-2011, 03:17 AM   #2
Senior Member
(female)
 
Join Date: Nov 2009
Location: UK
Posts: 252
Amanda6 HB UserAmanda6 HB User
Re: TMJ Treatment Phase 2: Orthodontics

Hi, I am currently having phase 2 orthodontics. I started off having my upper arch expanded using an ALF appliance. This is inside the upper arch so that isn't visible. During the expansion it created gaps between all of my teeth, as I didn't have any crowding of teeth before my arch was expanded. I then had fixed braces fitted to my upper teeth to move my teeth forward and to close the gaps created by the expansion. When the movement of my upper teeth was completed, I had lower braces fitted. The braces are metal brackets which are visible. I have continued wearing my lower splint 24/7 during all of this time. I have not yet got to the stage where the back molars are pulled up, but as far as I understand they remove the back end off the splint one molar tooth at a time, and the molars grow up (errupt) themselves. If molar teeth do not have an oppostite tooth touching when you bite, they naturally grow upwards until they meet. I think in some cases it might have to be helped with elastics, but as I haven't yet got to that stage I am not certain. As far as what appliances are used for the orthodontics, and whether they are visible depends really on your case, and also the orthodontist.

 
Sponsors Lightbulb
   
Old 07-15-2011, 08:29 AM   #3
Senior Member
(male)
 
Join Date: Nov 2010
Location: AZ
Posts: 105
saltyk9 HB Usersaltyk9 HB Usersaltyk9 HB User
Re: TMJ Treatment Phase 2: Orthodontics

Quote:
Originally Posted by Amanda6 View Post
Hi, I am currently having phase 2 orthodontics. I started off having my upper arch expanded using an ALF appliance. This is inside the upper arch so that isn't visible. During the expansion it created gaps between all of my teeth, as I didn't have any crowding of teeth before my arch was expanded. I then had fixed braces fitted to my upper teeth to move my teeth forward and to close the gaps created by the expansion. When the movement of my upper teeth was completed, I had lower braces fitted. The braces are metal brackets which are visible. I have continued wearing my lower splint 24/7 during all of this time. I have not yet got to the stage where the back molars are pulled up, but as far as I understand they remove the back end off the splint one molar tooth at a time, and the molars grow up (errupt) themselves. If molar teeth do not have an oppostite tooth touching when you bite, they naturally grow upwards until they meet. I think in some cases it might have to be helped with elastics, but as I haven't yet got to that stage I am not certain. As far as what appliances are used for the orthodontics, and whether they are visible depends really on your case, and also the orthodontist.
Amanda,
How has your success been with your phase II with an ALF appliance and braces? Were all of your symptoms gone before proceeding to phase II?
Did you look goofy with all of those gaps between your teeth created by the ALF and did it expand and pull out your maxilla?

I have a TMJ dentist who wants to go this route with me. Like you, I don't have any crowding in my teeth, so I'm sure I would have big gaps between all my teeth as well.

 
Old 07-15-2011, 10:24 AM   #4
Junior Member
(female)
 
Join Date: Jan 2011
Location: Canada
Posts: 25
sadtmj HB User
Re: TMJ Treatment Phase 2: Orthodontics

Thank you Amanda, so much. Your situation sounds similar to what my Dr described. How long did your Dr say your whole phase 2 will last? Mine said 3 years.. :S

 
Old 07-15-2011, 12:12 PM   #5
Senior Member
(female)
 
Join Date: Nov 2009
Location: UK
Posts: 252
Amanda6 HB UserAmanda6 HB User
Re: TMJ Treatment Phase 2: Orthodontics

Hi Salty,
My symptoms were not gone before proceeding to phase 2. My dentist fitted the ALF one month after I got the 24/7 lower splint. He doesn’t wait until symptoms are treated with the splint only first. It did expand my maxilla, and move my front teeth forward. I don’t think it needed expanding by very much in my case.

Sadtmj, my treatment was expected to take approx 2 and half years. I started 2 years ago.

 
Old 07-15-2011, 01:13 PM   #6
Senior Member
(male)
 
Join Date: Nov 2010
Location: AZ
Posts: 105
saltyk9 HB Usersaltyk9 HB Usersaltyk9 HB User
Re: TMJ Treatment Phase 2: Orthodontics

Quote:
Originally Posted by Amanda6 View Post
Hi Salty,
My symptoms were not gone before proceeding to phase 2. My dentist fitted the ALF one month after I got the 24/7 lower splint. He doesnít wait until symptoms are treated with the splint only first. It did expand my maxilla, and move my front teeth forward. I donít think it needed expanding by very much in my case.

Sadtmj, my treatment was expected to take approx 2 and half years. I started 2 years ago.
Did you have any airway issues? A lot of times people with airway issues need their maxilla expanded for this reason... was this an issue for you? If so, has the expansion helped you breath better? Did you ever have any sleep breathing issues like sleep apnea or UARS?

 
Old 07-15-2011, 01:28 PM   #7
Senior Member
(female)
 
Join Date: Nov 2009
Location: UK
Posts: 252
Amanda6 HB UserAmanda6 HB User
Re: TMJ Treatment Phase 2: Orthodontics

I don't think I had much of an airway issue. I am not aware that I have sleep breathing difficulties, but I am aware that I have bruxism in my sleep. I had orthodontics as a child where they removed 4 premolars, which was why my maxilla needed expanding. The expansion enables the lower jaw to come further forward and to recapture the displaced discs.

 
The Following User Says Thank You to Amanda6 For This Useful Post:
sadtmj (07-17-2011)
Old 07-17-2011, 07:22 PM   #8
Junior Member
(female)
 
Join Date: Jan 2011
Location: Canada
Posts: 25
sadtmj HB User
Re: TMJ Treatment Phase 2: Orthodontics

Amanda, when you had your upper palate/arch expanded, did it create a difference in your physical appearance especially when you smile? I have a very 'flattened smile' so everytime I do my mouth goes in and my chin sticks out a LOT. So I was wondering if having your upper palate expanded would help.. also, did it make any difference to your nose shape?? Did it make it look bigger/taller/smaller?

And how long did you wear the expander for?

Lastly if you don't mind me asking, how old are you? How do they expand upper palate in adults when their bones have fused already? I read that usually this is done via surgery??

Last edited by sadtmj; 07-17-2011 at 07:55 PM.

 
Old 07-18-2011, 03:25 AM   #9
Senior Member
(female)
 
Join Date: Nov 2009
Location: UK
Posts: 252
Amanda6 HB UserAmanda6 HB User
Re: TMJ Treatment Phase 2: Orthodontics

Quote:
Originally Posted by sadtmj View Post
Amanda, when you had your upper palate/arch expanded, did it create a difference in your physical appearance especially when you smile? I have a very 'flattened smile' so everytime I do my mouth goes in and my chin sticks out a LOT. So I was wondering if having your upper palate expanded would help.. also, did it make any difference to your nose shape?? Did it make it look bigger/taller/smaller?

And how long did you wear the expander for?

Lastly if you don't mind me asking, how old are you? How do they expand upper palate in adults when their bones have fused already? I read that usually this is done via surgery??

The upper arch expansion has not made a significant difference in my appearance that I am aware of. But in my case it was only expanded by a small amount, about 2mm I believe. Although I understand it is possible to expand by more than that in people if necessary. My lower jaw was positioned too far back before treatment, giving the appearance of a receding lower jaw. Expanding my upper arch and with the lower splint also has brought my lower jaw further forward. I wore the ALF appliance for nearly a year, and after that had fixed braces fitted.
The fact that cranial bones are fused in adults and cannot be moved with orthodontics is a belief which surgeons have. They aren’t necessarily correct. Cranial Osteopaths and SOT chiropractors are of the opinion that the cranial bones are not completely fused in adults, and they can moved and be expanded. The ALF appliance uses the same principles of cranial osteopathy. If you had the maxilla expanded with surgery, they would insert metal plates and screws. According to cranial osteopaths this would then restrict movement of the cranial bones.
I am 39.

Last edited by Amanda6; 07-18-2011 at 03:28 AM.

 
Old 07-18-2011, 12:09 PM   #10
Senior Member
(female)
 
Join Date: May 2011
Location: Tampa, Fl, USA
Posts: 295
TMJ82 HB UserTMJ82 HB UserTMJ82 HB UserTMJ82 HB UserTMJ82 HB UserTMJ82 HB UserTMJ82 HB User
Re: TMJ Treatment Phase 2: Orthodontics

Amanda6
was your maxilla only expanded 2mm? That is not much and can be easily achieved by tipping teeth alone with braces or ALF. I have seen damon braces cases where the patients have gained 8-10mm of maxillary posterior space without surgery - now, that is amazing. Sometimes, teeth are positioned very inefficiently in the jawbone, creating a narrow or collapsed maxilla appearance. Such adult cases could be resolved by braces or ALF. If the deficiency is skeletal, unfortunately, in adults it can only be resolved by surgery.

 
Old 07-18-2011, 12:16 PM   #11
Senior Member
(female)
 
Join Date: May 2011
Location: Tampa, Fl, USA
Posts: 295
TMJ82 HB UserTMJ82 HB UserTMJ82 HB UserTMJ82 HB UserTMJ82 HB UserTMJ82 HB UserTMJ82 HB User
Re: TMJ Treatment Phase 2: Orthodontics

I am in the phase II therapy now, just started about a month ago. I have had a bilateral crossbite that has collapsed on one side leading to asymmetrically narrowed maxilla and TMJ problems. Now, the goal is to 1. get rid of the unilateral crossbite; 2. expand the maxilla (not much, maybe 5mm or so); 3. make the arches symmetrical (expansion on one side somewhat more); 4. make the lower jaw ideally match the upper jaw, i.e. in width, molar lenght etc. That should take about 2 years.
It was decided to use the self-ligating brackets and their "memory" archwires. I am really looking forward to continue the treatment, as now they only slightly level the maxilla. Everything will really start in a few months as they put on the lower brackets, elastics, bite splints etc. As I said, I am really anxious but hope that everything will work out as nicely as we discussed.
I hope that your treatment turns out in the best possible way for you!

 
The Following User Says Thank You to TMJ82 For This Useful Post:
sadtmj (07-18-2011)
Old 07-27-2011, 03:41 PM   #12
Junior Member
(female)
 
Join Date: Jan 2011
Location: Canada
Posts: 25
sadtmj HB User
Re: TMJ Treatment Phase 2: Orthodontics

I would really appreciate if you guys could perhaps write an update, if any.... just to see how things are going....

And did you guys have the EMG test before starting phase 2? Apparently it's to see orthodontics is right for you or not?? What's it for? And how much was it? Mine is apparently 900 dollars.

 
Old 07-27-2011, 07:08 PM   #13
Facilitator
(female)
 
MountainReader's Avatar
 
Join Date: May 2006
Location: Out West
Posts: 3,674
MountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB User
Re: TMJ Treatment Phase 2: Orthodontics

I can't answer your questions but I wish you luck progressing.

I'll be meeting with my tmj specialist withing the next month to proceed with my phase 2 treatment. I'll update you after I meet with him. As much as I don't want braces at my age, I'm looking forward to the treatment and end results.
__________________
Asthma, Allergies, severe LPR/GERD, TMJD, Hearing Loss, Ulnar Impaction Syndrome, Shoulder Impingement, Plantar Fasciitis, DeQuervains, Hypermobility, possible Ehlers Danlos Syndrome

 
Old 10-15-2011, 11:47 AM   #14
Inactive
(male)
 
Join Date: Mar 2007
Location: Ireland
Posts: 257
pipdog HB Userpipdog HB User
Re: TMJ Treatment Phase 2: Orthodontics

Quote:
Originally Posted by sadtmj View Post
So I'm getting my phase 2 treatment in september, which is orthodontics according to my Dr. At the moment I have used splints to shift my lower jaw forward..... for those who's had this treatment, could you PLEASe tell me in detail what the phase 2 orthodontics actually LOOK like? Is it visible from the outside, like those traditional orthodontics people usually wore as teens? Or does it look more like a bionator? Also, I don't understand HOW it will pull up my molars? Is it really uncomfortable?? I just really wish I could visualize it/...

thank you..
Hi
I'm in phase 2 TMD treatment. I've been wearing an ALF to develop my upper dental arch and a lower repositioning appliance to bring my mandible forward. In 10 months of ALF treatment the distance between the canine tips has increased from 34.5mm to 41mm. It sounds like a lot but part of the increase is due to the tips being straightened up (they inclined inwards before) but there are good spaces opening up all around the arch. My premaxilla is being developed outwards, it was dished in beforehand because I had 4 premolars extracted for earlier ortho work.
Probably in January I will go into upper and lower Damon braces to achieve the final alignment and opening up the extraction sites for either bridges or implants.
I read through this tread and one poster raised the issue of airway space. This is central to cases of retruded mandibles, my breathing has got so much better since my mandible was repositioned forward. Before I was often dizzy and suffered from cognitive impairments, not surprising when the body is struggling to get enough oxygen. I heard about one guy with airway issues due to a retruded mandible, his windpipe was only 4mm in diameter, a drinking straw is 6mm!

Last edited by pipdog; 10-15-2011 at 11:38 PM.

 
Old 12-10-2011, 11:53 AM   #15
Senior Member
(female)
 
Join Date: Nov 2009
Location: UK
Posts: 252
Amanda6 HB UserAmanda6 HB User
Re: TMJ Treatment Phase 2: Orthodontics

Quote:
Originally Posted by pipdog View Post
Hi
I'm in phase 2 TMD treatment. I've been wearing an ALF to develop my upper dental arch and a lower repositioning appliance to bring my mandible forward. In 10 months of ALF treatment the distance between the canine tips has increased from 34.5mm to 41mm. It sounds like a lot but part of the increase is due to the tips being straightened up (they inclined inwards before) but there are good spaces opening up all around the arch. My premaxilla is being developed outwards, it was dished in beforehand because I had 4 premolars extracted for earlier ortho work.
Probably in January I will go into upper and lower Damon braces to achieve the final alignment and opening up the extraction sites for either bridges or implants.
I read through this tread and one poster raised the issue of airway space. This is central to cases of retruded mandibles, my breathing has got so much better since my mandible was repositioned forward. Before I was often dizzy and suffered from cognitive impairments, not surprising when the body is struggling to get enough oxygen. I heard about one guy with airway issues due to a retruded mandible, his windpipe was only 4mm in diameter, a drinking straw is 6mm!
Hi Pipdog,
are you still wearing a splint 24/7 while you are having your ALF expansion and orthodontics? If so does your splint cover only the surfaces of you molar teeth, and not over the surfaces of your 6 front teeth?
I have had the ALF appliance while wearing a 24/7 lower splint which covers over only the biting surfaces of my molars. I then had the ALF removed and fixed braces fitted, still while wearing my splint 24/7. With my splint in place my front teeth don't meet, as there's about a 4mm gap between them. My dentist is about to start erupting my molars next, and I asked how he is working out how much to erupt them, and if they will be erupted to the same height as my current splint. He said he won't be erupting them to the same height as my splint, he is erupting them so that my front teeth will meet when I bite, so it seems that it's wherever the front teeth meet that determine how much to erupt the molars by. I hadn't been sure what was going to be done during the orthodontics stage, but I can't really understand why the splint for treating my TMJ has been higher than the height my molars will be erupted by. I wonder if the splint needs to be higher so that the TMJ is able to heal, but after that it doesn't need to remain so high. Do you have any understanding of this?

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
TMD treatment update... Jill 227 TMJ Disorder -TemporoMandibular Joint 15 05-08-2012 12:30 PM
TMJ / TMD Treatment icor1031 TMJ Disorder -TemporoMandibular Joint 9 06-29-2010 12:09 PM
Your thoughts on treatment...confused jennck35 TMJ Disorder -TemporoMandibular Joint 5 08-07-2009 11:51 PM
Advice on tmj treatment and diagnosis? jimmyswife08 TMJ Disorder -TemporoMandibular Joint 6 07-27-2009 10:04 AM
2 yrs into splint treatment, doc wants to start phase 2 kvtip TMJ Disorder -TemporoMandibular Joint 10 04-02-2009 04:43 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




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Botox
Flexeril
Ibuprofen
Klonopin Motrin
  Neurontin
Tylenol
Valium
Vioxx
Xanax




TOP THANKED CONTRIBUTORS



MountainReader (77), Canuck65 (36), Shirlett (26), TMJ82 (22), Jill 227 (17), judye (16), Marlene (13), navymid (10), clencher1 (9), saltyk9 (8)

Site Wide Totals

teteri66 (1177), MSJayhawk (1004), Apollo123 (903), Titchou (847), janewhite1 (823), Gabriel (758), ladybud (753), sammy64 (668), midwest1 (668), BlueSkies14 (610)



All times are GMT -7. The time now is 08:26 AM.



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!