Re: Can't Talk With this Splint
If the splint really is a well fitting repositioning splint you do need to wear it 24/7. You need to have your jaw in that position throughout the entire day. Taking it out allows your jaw to go back to the "incorrect" positioning.
During phase I, you are getting your muscles loosened up and used to your jaw being in the "correct" position. You are also seeing how well you do in that position. Your jaw and bite should be much "happier" after phase I before starting phase II. At this point, things are reversable if it doesn't help or work for you.
Phase II is permenant. With all the pain I was in, looking back, I know I would have regretted it if I went directly to Phase II. I was much better able to cope with the changes the braces have made in my bite with my muscles "happy" to start with. While I get a bit of resistance from the muscles during the treatment at times, they aren't working against the adjustments the braces are making like they would have before.
If you think the splint really is incorrect for you, go see your dentist to see if they can make adjustments. My dentist took 3D x-rays with the splint in to make sure things were in alignment with the splint in.
Also, it hurt when I started wearing the splint. My muscles were not happy and were fighting things. They were in a bad place before and it took a while to get them that unhappy so it stood to reason it would take a long time to adjust to a "correct" position. My sessions with my PT, receiving orofacial trigger point releases and ultrasound from my dentist were all part of my treatment as I started wearing the splint. Please don't discount the importance of supplementary therapy as part of your splint treatment. You need help to get through this. Also, when the muscle spasms were at their very worst, my ENT would prescribe short courses of low-dose anti-spasmotics to help me get through things as well.
Not everyone needs to go to Phase II after splint therapy. I had 4 choices that were presented to me as my phase I treatment was coming to an end. 1: stop wearing the splint and see how things went. 2: continue wearing the splint for as long as I wanted/needed. 3. Caps on all of my molars and other tooth adjustments as determined by my need. 4. Braces to help establish my bite into better positioning. I chose braces because I felt it would be the best option for me in the long run. It did take me quite a while to come up with the money for braces so I wore the splint for much longer than necessary for the phase I treatment.
Asthma, Allergies, severe LPR/GERD, Anemia, TMJD, Hearing Loss, Ulnar Impaction Syndrome, Shoulder Impingement--both shoulders, Benign Joint Hypermobility, possible Ehlers Danlos Syndrome