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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 04-27-2012, 12:46 PM   #21
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pamo810 HB Userpamo810 HB Userpamo810 HB User
Re: New to TMJ and severly depressed

Sorry I'm entering into the conversation late, but I can sort of relate to the things you are going through. I get muscle spasms which are called myofascial trigger points. I've also had a bilateral total joint replacement (but my joints were in really bad shape - I originally had surgery when I was 30 [I'm in my 50s now]). Post surgery I have had repeated problems, some of which are entirely muscular. I tend to grind/clench my teeth, so I take valium to relax the mouth enough at night so that I don't do this so much. I also see a pain management specialist, who will do trigger point injections (lidocaine + steroids) every 3-4 months as needed. This has help me in no uncertain terms!

One thing that I was struck by in your posts is that you never mentioned having an MRI or CT scan. These are much more definitive that simple X-rays - the MRI will also show soft tissue status (like your muscles). If you haven't already done so, I'd get an MRI of both TMJs. You may also try trigger point injections into your neck - this can be a major source of trigger points in the face.

Is there a dental school anywhere near where you live? If so, can you get in to see one of the faculty members such as an associate professor of oral and maxillofacial surgery? These schools can be a great source of help in managing TMJ Dysfunction.

Re the prothodondist - if the first one is no good - find another one. They specialized in making splints and other plates that won't harm your bite. Also, getting a feel of how a bite is doing by biting into cotton is absurd - you need something sturdier that will maintain the outline of the bite.

I hope this helps you a little. I really do feel for you! Let me know if any of this works!

Pam

 
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Old 04-27-2012, 02:57 PM   #22
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sweetness467 HB User
Re: New to TMJ and severly depressed

Hi Pam,

Thank you for the reply.

That's okay, don't worry about it.

I went to see a Oral and Maxillofacial surgeon on the 25th of April and he said, it's called mysofacial pain and it's hard to treat and offered to refer me to a pain clinic. My right joint some wearing and I'm in the remodelling phase after my jaw surgery, last year. So, he said, you're young and as long as you don't have arthritis, you can give it time to heal. One of my joint is smaller than the other too, the problem TMJ joint is smaller.

I'm very sorry that you had these problems . . . . That's really good that you're not in pain!

I did mention that I had a cone beam CT scan done on the 4th of April. I haven't had an MRI done, since it's very expensive and am thinking of it, but not sure if I should or not . . . . I would have to do it at the hospital so that it'll be cheaper . . . .

What would the trigger point injections into my neck do? . . . I'm pretty sure I'm having an infection in my ear, hence the reason why these lymph nodes appeared on my neck . . . .I don't see the need for the injections, if they will go away when the infection does . . .

I prefer trigger point massages not injections, as I don't like to deal with drugs, since it only slows and interupts the healing process of the body.

As what, MissJayKay said, that she bite through her mouthguards, I don't wish to have this done. As, I think, I probably bite on my retainer since it was something new in my mouth, so I don't want this problem.

It is weird, but I've read that it relaxes the bite, however, I was told to push forward and then bite on the cotton, to show me somewhat an idea of what my bite change will look like . . . . but, they will use those K7 TENS machine eventually to get a position . . . .

Thank you for the reply and suggestions.

 
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