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Old 03-24-2013, 12:37 PM   #1
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Unhappy Masseter Muscles Spasm due to Tmj?

Hi everyone,

I am really hoping someone can provide insight.
About a week ago I went in for some routine fillings, and then again to get the bite adjusted. Four days later, my lower tooth was sensitive to hot and cold, and my jaw muscles won't stop spasm-ing. It's like every time I put my teeth together, they chatter. It's been five days now and I'm miserable. Could this be due to Tmj? I don't know what to do. I've never had issues like this before. I am a teeth grinder, but I don't use a mouth guard and I've never had any issues.

Has anyone ever experienced this? I'm stressing out!

 
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Old 03-24-2013, 02:17 PM   #2
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Re: Masseter Muscles Spasm due to Tmj?

Whoa- you are a teeth grinder and you DON'T use a mouth guard or splint? YOU NEED TO!!!
Yikes! Not only is it bad for your jaw and yes can cause TMJD but that also ruins your teeth if you have no mouth guard. I use one that is over the counter. A lot of people are fine with that and a lot of people say NO NO get one your dentist makes. I can't afford the one my dentist makes. I have jaw pain in the left side due to clenching my teeth at night, but fortunately my teeth are all ok because of the guard. Before I wore a guard I cracked a filling. DO GET A GUARD!

 
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Old 03-24-2013, 05:29 PM   #3
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Re: Masseter Muscles Spasm due to Tmj?

Go back to your dentist immediately. Maybe the bite still needs to be adjusted. If you grind your teeth, you do need a mouth guard to wear at night. Ask him if he can one for you or if not ask him to refer you to specialist.

Good luck and I hope you feel better.

 
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Old 03-24-2013, 07:32 PM   #4
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Re: Masseter Muscles Spasm due to Tmj?

Hi...I did go back to him. He said that its not the bite because he checked it three times. He said its neuro muscular and I have to get a $450 Tmj exam to find out for sure. I don't have that kind of cash.
I was wondering if anyone has experienced pain like this?
I'm going to try to book a consultation with another dentist this week.

 
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Old 03-24-2013, 10:59 PM   #5
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Re: Masseter Muscles Spasm due to Tmj?

Many TMJD symptoms are related to the muscle spasms.

I had a PT who did oral-facial trigger point releases for me. She was able to 'release' the knots/tightness in my masseter and pterygoid muscles in my mouth. It really does work.

If you can't afford treatment, there are a couple good books out there.
  • The TMJ Healing Plan by Cynthia Peterson
  • The Trigger Point Therapy Workbook by Davies and Davies

It is a good idea to get a custom occulsal guard for sleeping to help protect your teeth if you are a bruxer.
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Old 03-25-2013, 06:49 AM   #6
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Re: Masseter Muscles Spasm due to Tmj?

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Originally Posted by Sd123 View Post
Hi...I did go back to him. He said that its not the bite because he checked it three times. He said its neuro muscular and I have to get a $450 Tmj exam to find out for sure. I don't have that kind of cash.
I was wondering if anyone has experienced pain like this?
I'm going to try to book a consultation with another dentist this week.
I think your idea about going to a different dentist and getting a second opinion is a good idea. I don't know alot about nuero muscular dentistry but it seems suspicous to me that your symptons came on after getting routine fillings and it seems to me this exam could be just one step that becomes a very expensive proposition. So go to a different dentist and make sure the fillings were done correctly, your bite's correct, that there isn't nerve damage from doing the fillings etc.. Also, any good dentist would recommend a night guard for you if you are a grinder. A dentist should be able to tell if you grind your teeth at night and the fact that he isn't suggesting this disturbs me. So get a second opinion, and then you can decide what to do and whether you want to proceed with the neuromuscular exam. Definitely get a custom night gaurd made - these can be expensive - but they are worth it - they will save your teeth in the long run and I believe grinding can also contribute to muscles spasms.

Take care and hope you feel better and let us know what happens.

 
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Old 03-25-2013, 12:06 PM   #7
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Re: Masseter Muscles Spasm due to Tmj?

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Originally Posted by MountainReader View Post
Many TMJD symptoms are related to the muscle spasms.

I had a PT who did oral-facial trigger point releases for me. She was able to 'release' the knots/tightness in my masseter and pterygoid muscles in my mouth. It really does work.

If you can't afford treatment, there are a couple good books out there.
  • The TMJ Healing Plan by Cynthia Peterson
  • The Trigger Point Therapy Workbook by Davies and Davies

It is a good idea to get a custom occulsal guard for sleeping to help protect your teeth if you are a bruxer.
Thank you so much everyone. I have an appointment with another dentist tomorrow and hopefully he will be able to shed some light on this. I also went to a doctor who did a check up of me and said that it's not neurological, so it is most likely something that is happening with my TMJ.

Mountainreader, this is a strange question but what is a PT? Is that a physiotherepist? How would you know whether they have training in this particular area?

I live in Calgary and there is a chiropractor here who apparently does something called "Active Release Technique" (ART) which is supposed to help TMJ. Do you think that something like that could help?

 
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Old 03-25-2013, 09:33 PM   #8
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Re: Masseter Muscles Spasm due to Tmj?

There are no weird questions. PT is actually Physical Therapy. I saw one who is actually trained in manual physical therapy and orofacial trigger point releases.

I don't have any experience with the ART, but it really looks like it might be useful for tmjd.

Good luck at your appointment tomorrow.
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Old 03-25-2013, 09:49 PM   #9
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Re: Masseter Muscles Spasm due to Tmj?

When should the tightness, soreness go away after having a TMJ episode? My left side is STILL tight and I can't open my mouth as wide (nor will I try) but brushing my teeth is a pain!! I have all my wisdom so I have to get way back there and it's hard not to open my mouth ... I have NEVER had this problem until 3 weeks ago. And I have always worn OTC mouth guards and never had this problem or jaw pain at all. When I wake up my jaw feels fine but after I eat breakfast and brush them it starts acting up again and my left ear. My left ear always feels like there is air in it. My dentist just says to get a custom mouth guard. I know this did not happen from my mouth guard though. This all happened 3 weeks ago when I was opening my mouth as wide as I could to look at my tongue. Then when I brushed my teeth that night I felt soreness up there and then a shift... like the bone shifted or something. When I saw my dentist he didn't do anything for me. I CANNOT afford this. Just wondering when the pain/soreness should go away. I try to eat softer things too.

 
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Old 03-26-2013, 07:15 AM   #10
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Re: Masseter Muscles Spasm due to Tmj?

Quote:
Originally Posted by Sd123 View Post
Thank you so much everyone. I have an appointment with another dentist tomorrow and hopefully he will be able to shed some light on this. I also went to a doctor who did a check up of me and said that it's not neurological, so it is most likely something that is happening with my TMJ.

Mountainreader, this is a strange question but what is a PT? Is that a physiotherepist? How would you know whether they have training in this particular area?

I live in Calgary and there is a chiropractor here who apparently does something called "Active Release Technique" (ART) which is supposed to help TMJ. Do you think that something like that could help?
Active release technique is a technique used by physios and chiropractors not just on the TMJ joint but on other parts of the body as well, I think the theory is that it is supposed to help release adhesions that can keep muscles from moving properly. I had ART done my leg to mixed results. If your pain is muscular, then getting the muscles to release may help the pain - but you don't necessarily need ART do it, though you could certainly try it. When I first had my TMJ problem, my muscles spasmed and wouldn't release (but my teeth wasn't chattering). I had these huge muscle knots and I went to a physiotherapist who basically stuck a very fine needle into the muscle which released the muscle - it was painful and it worked (better than the muscle relaxants I was on). Its not acupuncture, I forget what's called but that might be also something to look into. Acupuncture can also be beneficial.

However, if you are in a lot of pain, I would hold off doing anything until you get a second opinion as to what is going on. If your jaw is painful, any physio or ART may risk increasing the pain - at the very least discuss this before you have any treatment. Also, look for someone who has experience working with TMJ. So ask the chiro how much experience he has. My experience is that generally most phsyios/chiros have little experience working with TMJ and if you really want results - you need someone with experience.

Good luck and I hope you feel better and get some answers soon.

 
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Old 04-09-2013, 10:46 AM   #11
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Re: Masseter Muscles Spasm due to Tmj?

Hello everyone -

I really appreciate all of the advice that people gave me from this health board. I just wanted to let you know that my muscles have FINALLY stopped spasm-ing and I am no longer in agony. That being said, the weird thing is that my teeth are still throbbing.

For a quick recap, I had four dental fillings done about three weeks ago, and shortly after my teeth wouldn't stop chattering and my massetar muscles were spasming. I went to a dentist who said that my bite was high (my old dentist was a quack), and it was making my TMJ worse. So he fixed it, and about 5 days later the muscles stopped spasming.

But the issue now is that my teeth are still throbbing, and so are my temples. I get ringing in my ears from time to time as well.

Would splint therapy be the next recourse? Should I do to a orthodontist for that?

Thank you

 
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Old 04-10-2013, 07:59 AM   #12
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Re: Masseter Muscles Spasm due to Tmj?

Glad to hear you are feeling better. How did he fix your bite?

With respect to your ongoing issues, talk to your dentist. If he doesn't know perhaps he can recommend a specialist. I had been treated by dentist that specialize in oral and maxiofacial pain, so I'm not sure what specialist would be appropriate. Do you grind or clench? If so you, at the very least you need a guard to wear at night to reduce the impact on your jaw and teeth from grinding and clenching. Some splints, gaurds (I don't really know the difference) do more and actually reposition the jaw to get it into a better position, but since this results in permanent changes, go slowly with this type of therapy.

 
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Old 04-10-2013, 08:53 AM   #13
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Re: Masseter Muscles Spasm due to Tmj?

Hi there -

I don't know if I grind, but I DO know that I clench. I have an appointment with my dentist tomorrow and he said that if the problem isn't better, he will refer me to a jaw joint specialist (an orthodontist as far as I know).

Canuck65, or anyone for that matter, perhaps you can provide some insight...basically what I am experiencing is swelling and tenderness under and around my ears, and a buzzing sound in my right ear. My right side is always where I believe I clench. This is in addition to the throbbing (which was initially chattering) in my teeth. Does this sound like a TMJD to you? Also, would an orthodontist be the best person to visit in this case? I trust my new dentist, he seems to know what he is talking about, and I don't believe that he makes mouthguards, so perhaps another specialist will be able to help.

To answer your question, Canuck65, my new dentist told me that the first dentist didn't shave down my new fillings enough, and the bite was still high. After he adjusted it, my painful muscle spasms stopped.

Also Canuck65, if you please don't mind, could you give me the name of your dentist? I am moving to Toronto in December to get married to my fiance, and if I need to still get treatment, it would be wonderful to go to someone who is recommended.

Thanks!

 
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