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Old 04-05-2013, 09:42 AM   #1
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had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

So I have been going for TMJ treatment to a specialist for the last three weeks. Apparently he is very good but I am having reservations. When they first gave me a bite pressure test, the left side of my mouth bit with 75% while the other with 25%, so that we concluded is not normal.

I have been given a splint to wear two weeks ago and have been doing that. Today, they gave me a bite test, and afterwards, they did a brief "teeth polishing" in which they grinded some of the edges of my back teeth. Instantly, the pressure went from 75% to 69%. I got worried asking if thats the case, whats the purpose of the splint? They say they do the teeth adjustment every 3 weeks of the 15 week treatment. Should I continue doing this, even though im worried? My teeth don't really look different but Im still very skeptical. Im just tired of the discomfort but am not really sure they are doing this just to get there money and have the results physically show that my bite improve. Even though the pressure subsided, I am still hearing popping sounds in my ear. He also told me to hold off on my pending wisdom tooth extraction because it my irritate the symptoms. Please help!!

 
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Old 04-05-2013, 12:04 PM   #2
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

dzech1

Be very careful with teeth grinding as this is a permanent and non reversible treatment that is normally done with people that are having phase 2 treatment for TMJ and even then it has to be carefully considered.

What was their reason for grinding your teeth down apart from bit pressure difference?

Have they looked at other aspects of treatment or did they just go to teeth grinding, they should have done assessment to see if their is any jaw misalignment or any other physical reasons for the issue. Do you have any neck and shoulder issues. What are your symptoms and what other treatment have you had?

 
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Old 04-05-2013, 12:15 PM   #3
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

Thank you for the reply. they said that the reason was muscular more than jaw related. They did a pressure test when I began the treatment that confirmed that my bite was off and my muscle was being pulled to one side. My left side was overcompensating for the uneven bite. I have been having neck and shoulder pain, as well as brain fog and head tension for months and this doctor was my last resort after numerous ENT, neurologists, brain scans, and even physical therapy.

I should mention that they polished the teeth or shaved off some impurities. They said it was like 1/1000th of a shave or something. Still I don't get why I am wearing a splint at night when they could have done this in the beginning to bring the pressure percentage down.

 
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Old 04-05-2013, 02:51 PM   #4
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

Dczech1,

I personally think you should get a second opinion. I have seen a lot of doctors of over the past few years and have learned to trust my gut instinct. I am no expert but I am surprised if they indicated that your issues are muscular rather than jaw related they are filing down your teeth. In my view, if the problem is muscular I would expect doing physio and massage to try to relax the muscles and perhaps coupled with a drugs such as muscle relaxants to help the muscles relax, at least as a first step before trying something that is permanent.

What's the purpose of the splint at night?

 
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Old 04-05-2013, 03:06 PM   #5
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

the thing is they are trying to relax the muscles. They give me cold laser therapy and deep ultrasound messages to try and relax the muscles. They called this teeth polishing an "adjustment" so I really don't know. I tried muscle relaxants and physical therapy but I knew that wasn't working. My neck pain was being caused by something else

 
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Old 04-05-2013, 10:05 PM   #6
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

When did all of this start happening?
I'm sure you grind or clench your teeth at night as that is the main reason why people suffer from TMD. Wearing the splint at night helps, not only protect your teeth but my dentist said it will actually correct your bite if your bite is off and align your jaw if your jaw is out of alignment. I trust my dentist- have known him a long time. He has always saved me money and even paid for some of my treatments! I've always been very satisfied with his work so I really hope he is right.

There was a time I thought my teeth should be shaved down in areas, but he never did it and I didn't ask him to. My left side hits before my right when I bite down too.
Sometimes I think my actual disk has slipped in that jaw because I still can't open far enough for a lot of foods. And I eat soft foods.
I was not "referred" to any specialist. My dentist treats TMD with acrylic splints. If that does not help, he refers his patients to an oral surgeon for CT scans.
He just watched me bite down and could see with his eyes that my right side didn't touch in the back. Then he felt the condoyles on both sides and said my left side was lower. He said the guard/splint will help correct this. But I only wear it at night as that is when I clench my teeth. I don't think I clench my teeth during the day.

Do you clench or grind your teeth during the daytime?
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Old 04-06-2013, 06:24 AM   #7
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

Quote:
Originally Posted by dczech1 View Post
the thing is they are trying to relax the muscles. They give me cold laser therapy and deep ultrasound messages to try and relax the muscles. They called this teeth polishing an "adjustment" so I really don't know. I tried muscle relaxants and physical therapy but I knew that wasn't working. My neck pain was being caused by something else
Are you sure your neck pain is being caused by something else? I have chronic neck pain which is related to my TMJ. And many people who have TMJ issues have neck pain. What kind of diagnotistic tests have you had? MRI? CT Scan? Have you tried massage therapy?

I appreciate how you must feel - I know you want to get better and I know how frustrating it can be when you try everything and there is no relief. Honestly though, if you some misgivings and haven't had a second opinion about the treatment involving shaving your teeth - I would get one. It can't hurt.

 
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Old 04-06-2013, 11:32 AM   #8
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

Quote:
Originally Posted by dczech1 View Post
So I have been going for TMJ treatment to a specialist for the last three weeks. Apparently he is very good but I am having reservations. When they first gave me a bite pressure test, the left side of my mouth bit with 75% while the other with 25%, so that we concluded is not normal.

I have been given a splint to wear two weeks ago and have been doing that. Today, they gave me a bite test, and afterwards, they did a brief "teeth polishing" in which they grinded some of the edges of my back teeth. Instantly, the pressure went from 75% to 69%. I got worried asking if thats the case, whats the purpose of the splint? They say they do the teeth adjustment every 3 weeks of the 15 week treatment. Should I continue doing this, even though im worried? My teeth don't really look different but Im still very skeptical. Im just tired of the discomfort but am not really sure they are doing this just to get there money and have the results physically show that my bite improve. Even though the pressure subsided, I am still hearing popping sounds in my ear. He also told me to hold off on my pending wisdom tooth extraction because it my irritate the symptoms. Please help!!
Grinding bits off teeth to align the bite, isn't called 'teeth polishing', it's called Equilibration. Teeth polishing is what Hygienists do to scale and polish your teeth to remove tarter buildup from your teeth.

Grinding bits off teeth to treat the TMJ should only be done at the very end of treatment, after the jaw is correctly positioned and aligned and functioning normally, using a 24/7 splint and then if necessary using orthodontics to align the jaw. Only then should it be done by removing the smallest amount necessary so the teeth meet better.
It sounds like they are using TScan to check your bite, but if you have displaced discs, TScan alone does not help diagnose what is wrong with your bite. Be careful with dentists using TScan as while it may be useful, if the dentist is not well skilled in equilibrating teeth and treating displaced discs, they may be relying too much on getting the right measured results from Tscan. Some dentists can check the bite just as well using blue strips.

 
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Old 04-08-2013, 12:50 PM   #9
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

Quote:
Originally Posted by dczech1 View Post
the thing is they are trying to relax the muscles. They give me cold laser therapy and deep ultrasound messages to try and relax the muscles. They called this teeth polishing an "adjustment" so I really don't know. I tried muscle relaxants and physical therapy but I knew that wasn't working. My neck pain was being caused by something else
If you have neck pain have a look at other areas in your body for tension, a lot of time it can be lower back problems and any alignment issues there will affect the neck. You should be able to release tension in your neck which will help your jaw muscles.

 
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Old 10-17-2014, 01:23 PM   #10
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

Can you please tell me the name and location of the clinic where this tmj work was done.? I would like to inquire for myself.... thanks. How are you now? Did you continue occlusal equilibriation?

 
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Old 10-18-2014, 12:14 PM   #11
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Re: had "teeth adjustment" during TMJ treatment today. Kind of worried. Help?

Teeth adjustsments or Equilabration is a highly controversial form of treatment for TMJ amongst the Dental community. For a doctor to start it after such a short period of time and without trying other options first, I think you are right to be concerned.

 
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