Re: Tmjd or something else?
It took me a couple tries to find an orthodontist who specialized in TMJ disorders, did a thorough exam and actually had a treatment plan that made sense to me.
It has been a couple years so I may not remember everything, but some of the tests that I had that gave me a more thorough understanding of my tmj issues were:
A thorough health history questionnaire
3D cone beam tomography
Joint Vibration Analysis
Computerized Jaw tracking
Occlusal bite analysis
Nasal airflow measurements (I don't remember the name of this test)
Recommendation for overnight sleep testing and oxymetry (I'd already been scheduled for this prior to my visit so that worked well.)
My testing visit was about 3 1/2 hours plus an additional visit to a specfic MRI center that did good TMJ scans. I had my records visit about a week later. At that visit, he discussed my issues and the range of treatment options available.
I chose to go with a lower mandibular repositioning splint and nighttime custom tmj/sleep splint for Phase I and self-ligating braces for Phase II. From what I understand about invisalign it moves the teeth, but doesn't substantially change a bite. With my discs slipped forward, my lower jaw was pushed back mm's towards my ear and I needed to get it permenantly positioned into proper forward location away from my ears.
I was also recommended to a great PT who worked on my alignment, jaw muscles, neck muscles and shoulder muscles. I had already seen her before I started TMJD treatment. When your TMJ is out of alignment, it can trigger alignment issues all the way down to your feet. Your sitting issues can certainly be related.
I will say that I've made tremendous progress with my ear issues and nighttime bruxism throughout my treatment for TMJD.
If you've read any of my other posts you may have seen that I found a book that gave great TMJD information and advice. I came out after I'd spent way too much money looking for answers, many of which are addressed in the book. Topics such as posture and sleeping posture are discussed. It is called The TMJ Healing Plan by Cynthia Peterson, PT. You might find it helpful in addressing some of your day-to-day habits.
Asthma, Allergies, severe LPR/GERD, TMJD, Hearing Loss, Ulnar Impaction Syndrome, Shoulder Impingement, Plantar Fasciitis, DeQuervains, Hypermobility, possible Ehlers Danlos Syndrome
Last edited by MountainReader; 09-05-2012 at 08:47 PM.