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Old 04-10-2012, 12:03 PM   #1
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Should I let TMJ dentist try to manually reposition my jaw?

Hi everyone - so my jaw has been locked closed since mid Jan (at 32 mm). For various reasons, mainly because I had no pain and my local dentists here told me not to worry about it, I didnt seek treatment from a TMJ specialist until last week after experiencing CRAZY pain in my left jaw. The specialist told me that since it has been closed for so long, that there was not a great chance (he did give me percentages which I can not remember now) that he could get it back open. My disc has slipped forward limiting the opening, he thinks. But, he wants to try. I would be sedated. I've been locked about 3 months.

This guy has 40 years experience just with TMJ, his practice is almost entirely TMJ patients, and he is affiliated with a major university. I want to trust what he says... but yeah I'm nervous. Has anyone had this done? What are the risks? I am going to ask all these questions to him when I am at my next consultation but am just wondering if I should pass and just move directly to splints.

 
Old 04-10-2012, 12:30 PM   #2
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Re: Should I let TMJ dentist try to manually reposition my jaw?

gretel07
ask him what is the worst case scenario that could happen. Is there a chance that your jaw gets substantially worse? If this is to happen, what would be his plan B? Is he sure you won't get out of his office in the worse condition than you came in?

If he says that the worst that could happen is that the manual repositioning simply would not help, I think you should go for it.

If you find something that does help, make sure you ask him what to do to ensure your disc does not get out of place again.

 
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Old 04-10-2012, 05:23 PM   #3
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Re: Should I let TMJ dentist try to manually reposition my jaw?

sorry if I'm not clear with the situation......but this is something a splint wouldn't help?

 
Old 04-11-2012, 06:14 AM   #4
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Re: Should I let TMJ dentist try to manually reposition my jaw?

I think he wants to try a manual reposition first, and then a splint.

 
Old 04-11-2012, 08:42 PM   #5
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Re: Should I let TMJ dentist try to manually reposition my jaw?

He wants to manually reposition your jaw?

I would run and get another opinion. I've been here since around 2003 and I've read of a few people having this done and ending up worse. Maybe you can do a "search" on this forum and find other member's posts from the past.

Best,

 
Old 04-12-2012, 07:52 PM   #6
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Question Re: Should I let TMJ dentist try to manually reposition my jaw?

Quote:
Originally Posted by CherylLynn24 View Post
He wants to manually reposition your jaw?

I would run and get another opinion. I've been here since around 2003 and I've read of a few people having this done and ending up worse. Maybe you can do a "search" on this forum and find other member's posts from the past.

Best,
" I would run and get another opinion. I've been here since around 2003 and I've read of a few people having this done and ending up worse. maybe you can do a "search" on this forum and find other member's posts from the past."

 
Old 04-12-2012, 07:59 PM   #7
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Re: Should I let TMJ dentist try to manually reposition my jaw?

Quote:
Originally Posted by TMJ Sufferer View Post
" I would run and get another opinion. I've been here since around 2003 and I've read of a few people having this done and ending up worse. maybe you can do a "search" on this forum and find other member's posts from the past."
hello,..to other tmj sufferers,.. as well as... myself,... i have had several TMJ surgeons to help me as far back as... 9 surgeries ago,...Unfortunately,..for me,...Presently,....I graduated to having implants during my first scheduled surgery,...way back in 1991. after that, here i sit,..... running out of oral & maxilliofacial surgical options,....within my state who can operate on my jawjoints....making this,..my future,..#...10,...surgery...possibly more than that.

 
Old 04-13-2012, 11:23 AM   #8
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Re: Should I let TMJ dentist try to manually reposition my jaw?

Hi Gretel,
I have tmj and sometimes it locks open during a yawn. But then I close my mouth and get extreme pain.... bad for me..

But it sounds like he wants to manually manipulate your jaw to get it open. Non-surgical procedure...right? You might be stuck between a rock and a hard place. How have you been able to eat??

 
Old 04-16-2012, 01:57 PM   #9
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Re: Should I let TMJ dentist try to manually reposition my jaw?

Quote:
Originally Posted by gretel07 View Post
Hi everyone - so my jaw has been locked closed since mid Jan (at 32 mm). For various reasons, mainly because I had no pain and my local dentists here told me not to worry about it, I didnt seek treatment from a TMJ specialist until last week after experiencing CRAZY pain in my left jaw. The specialist told me that since it has been closed for so long, that there was not a great chance (he did give me percentages which I can not remember now) that he could get it back open. My disc has slipped forward limiting the opening, he thinks. But, he wants to try. I would be sedated. I've been locked about 3 months.

This guy has 40 years experience just with TMJ, his practice is almost entirely TMJ patients, and he is affiliated with a major university. I want to trust what he says... but yeah I'm nervous. Has anyone had this done? What are the risks? I am going to ask all these questions to him when I am at my next consultation but am just wondering if I should pass and just move directly to splints.
Hi gretel07,

Have you decided if you are going to let the doctor manually reposition your jaw? Please keep us posted.

Thanks,

Jen

 
Old 04-18-2012, 09:02 AM   #10
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Re: Should I let TMJ dentist try to manually reposition my jaw?

I met with the TMJ dentist on Monday -- he is proposing the non surgical procedure for next week. I have no interest in surgery and he is anti surgery as well. Basically the dentist explained that he pumps up the space in joint (where the ball and socket should meet) with Lithocane (sp?) to widen the space where my joint and muscles are all swollen to allow some space for potentially the disc to fall back into. Then he uses a soft little rolls of cotton to slowly widen my jaw to increase the opening and allow maybe the disc to recapture, or parts of the disc to recapture (if I am lucky). At best, my disc will be recaptured or I'll get a little bit further opening. At worst, it sounds like I have no progress if he can't get them to move. Since it has been less than 6 months since I lost my discs, there is an OK chance but not great chance of them being recaptured. If they had been lost for 10 years or something, he would not even suggest it.

After he does the procedure, he will fit me with splints immediately. He is putting me in a repositioning splint. I am nervous about this as well (dang Internet) - but he provided me with several studies that he has conducted on hundreds of his patients using his splints that showed an 87% rate in decrease of pain. He explained to me that the use of repositioning splints really depends on the skill of the dentist fitting them to the patient, not so much the splint itself. It also depends on whether the user consistently wears them.

I am very very nervous, but the dentist told me that the likelihood of increased pain after the procedure is unusual among patients. He unlocks jaws routinely every week. He said sometimes they unlock, sometimes not, it is just a case by case basis. If he's unable to unlock my jaw, the ability for the splint to recapture the disc is 26%. Not great, but at least its a chance! Even if he can't recapture the disc, it sounds like there would be a good chance that my pain would go down which is my number 1 concern right now.

Everything I've read so far (and emailed with other TMJ dentists) says this procedure can be done if the dentist knows what he is doing, and has skill and practice. I think I am going to go for it and hope for the best. Will keep you posted.

 
Old 04-18-2012, 09:53 AM   #11
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Re: Should I let TMJ dentist try to manually reposition my jaw?

Hi please let us know how your disc recapture procedure goes! My left tmj disc slipped out of place a year ago, which is beyond the 6 month range, but if it works on you I might flight to your doctors office for a consultation.

Jen

 
Old 04-25-2012, 06:02 AM   #12
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Re: Should I let TMJ dentist try to manually reposition my jaw?

Jen - I just made another post. My "reposition" was a success and my left disc was recaptured. Didnt take long at all, but I was very very scared. However, I was ecstatic to get my mouth open again. My new problem though is the disc will not "stay" because my ligaments are loose. The disc keeps slipping to the front of where it is supposed to be. I am in a huge (and I do mean huge- 10mm in the back) repositioning splint and then will start injection therapy in a month. I am having a very difficult time speaking and just managed to barely get an Ensure drink down. But - the pain in my ears - upon awakening this morning - is pretty much gone! And, no joint paint for the moment.

My biggest issue right now is mostly vanity. I look really ridiculous with an open bite in the front and hardly being able to talk. At least I will be thin??? Trying to find humor in all of this...

 
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