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Old 04-19-2013, 12:52 PM   #1
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TMD/Bruxism story

Hi there,

My story starts roughly 7 months back: I was moving to the capital of our country, starting University, moving out of my mother's house along with all the other stresses that come with this change. Soon after moving there I began to feel a weird and sort of painful but more iritating sensation in my teeth (right side, bottom, molar). I thought nothing of it and thought it would go away - ~2 months before my last wisdom teeth were pulled (right side, left side done some time before, no issues on that side). The feeling didn't go away over time and I thought it might be caries or something common and fixable. Went to the dentist but he didn't seen anything off, he did say he thought it might be Bruxism. I thought "Naahhh that doesn't sound like me.." and went home thinking, again, it would go away.

Some time past and I began to find myself waking up clenching quite hard and especially when taking a quick nap - as I have often joyfully done in the past - I would be in limbo-sleep and notice the clenching. I went back the my dentist and said I wanted the TNI bite guard (the one that only fits over your two front teeth). This helped, but the sensation never really went away.. There was always some point in the afternoon/early evening that I would start to feel the weird sensation. Let me try to describe it to you more: a mild nagging pain, combined with the feeling that your teeth dont fit properly and a tingling sensation that gets a little worse when I push against one molar in particular and the one in front of it. This gives me an urge to eat something because when I eat something the feeling resides, almost back to normal for a while. Eating doesn't hurt - it takes the feeling away. When the tingling sensation is there I get the urge to bite together gently to sort of feel what is going on and make the tingling a bit worse - it gets worse when I bite together without food, yet when I eat food, it goes away.

So I went back to the dentist and told him I still thought there was something off with one or some of my teeth. He made an x-ray but it didn't showed anything. Maybe in some time he would need to replace a filling and perhaps there was a very small starting caries, but nothing he would drill into now - not for long. He did notice my gums would bleed too fast when he touched and poked into it so he gave me proper cleaining instructions and some anti-infection mouthwash I had to use for 3 days to make my gums less irritated. I've used this and it rarely bleeds now when I brush or floss etc. But the weird sensation in my tooth/teeth remained.

About a month ago I caught a bad cold. When it cleared I heard a ringing noise every night and morning when it was quiet, only in my right ear. I thought this was probably from the cold, something sinus related and thought it would go away. After a month it didn't and I went to the doctor. He checked my ears and said everything looked normal and that it would probably go away. I heard it constantly now, but only when in quiet surroundings. Meanwhile using the bite guard every night, I started to notice my bite changing somewhat, it already felt off from the start but now I could actually see it changing (opening) and noticed it was harder to, for example, bite off a piece of my chipped nail - I couldn't really bite down in it anymore with my front teeth.

Skip forward a few days and I find myself researching if the bite guard could cause an open bite on these forums. I ran into several posts of people saying Tinnitus was related to TMD and Bruxism... my heart sank, everything came together.

I have now stopped using the bite guard and am contemplating what to focus on: TMD? Is this causing my bite to feel off and is that causing the Bruxism and the tootache? Or am I clenching because I'm stressed, causing the TMD (well, Tinnitus mainly) and toothache? I just went to the store to get some magnesium because I read a few posts saying it might help relax the clenching.

I don't know what to do, I don't know I should "treat" but I do know there are two main things that are driving me mad: the weird, tingling sensation in my teeth and the Tinnitus. I hope someone recognizes what I'm saying and knows what actions to take.

Thank you for reading and please comment if you have anything that might be useful!

 
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Old 04-19-2013, 01:08 PM   #2
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Re: TMD/Bruxism story

I have that sensation in my bottom teeth as well. I went to the dentist in the past 3 years thinking I had a cracked filling or something. He said my fillings were fine and that it was probably due to my clenching at night (which I was wearing an over the counter mouth guard at the time) I still get that sensation off and on and it does go away when I eat so I KNOW what you are speaking about-- sometimes it feels as if a few teeth are loose almost... but the dentist told me they weren't. It's all a part of the bruxism. I just had a custom mouth guard made - it's hard, made of acrylic. My dentist said this will not only fit better but will not make my bite worse and will fix the alignment in my jaw as my bite is off as well. Some days it's different than other days. For the past 2 weeks I have worn NOTHING at night ... which is scary because for 3 years I've always worn a guard at night (one I made myself) due to clenching. We can't control clenching our teeth at night when we sleep... some just do it without knowing it. We can wake up sometimes and realize we are doing it. My dentist gave me valium in the mean time, to take before bed. My doc gave me Xanax and that has helped A LOT, I take one or the other only before bed. I get my guard on Monday- there has been some problems with making it as my bite is so strange the lab tech had a hard time making it fit right but we finally got it the best we could do and hopefully it helps. It's clear and it fits over all my top teeth. And it stays in place- that is the important, that it STAYS and fits snuggly on the top teeth. You should talk to your dentist about this. I'm surprised he didn't mention a custom guard. And a hard one is better for problems like this. I hope you get this all figured out! But I do get that sensation too, I just ignore it now. Lol
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Old 04-19-2013, 02:13 PM   #3
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Re: TMD/Bruxism story

So you think the pain/sensation in my tooth is from the clenching which also caused the TMD (tinnitus)? I believe it is possible to get the clenching under control, somehow. But first I need to know what the cause of the toothache/tingling and ear ringing is.

 
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Old 04-19-2013, 08:13 PM   #4
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Re: TMD/Bruxism story

yes tinnitus and any type of ache or tingling can be the cause of TMD. my tingling is more of an ache but a light ache, not painful but annoying and it feels like it's under three of my bottom teeth on the same side every time. my tongue is always playing with those teeth. i don't have tinnitus but i do have left ear pain which is caused by this whole TMD as my ears look fine (according to doc) when you eat or yawn do you notice a crackling in your ear?

i really think a custom guard will help this....
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The Lord is my strength and my shield; in him my heart trusts, and I am helped; my heart exults, and with my song I give thanks to him.

 
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Old 04-20-2013, 05:53 AM   #5
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Re: TMD/Bruxism story

There is some crackling in my right ear, which is the side of the toothache and ear ringing, what does this mean?

Edit: will a splint fix anything or just treat the symptoms?

Last edited by RawrG; 04-20-2013 at 05:54 AM.

 
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Old 04-20-2013, 09:44 AM   #6
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Re: TMD/Bruxism story

a splint wont' "fix" Tmd but it will help the symptoms... it will keep your teeth from being damaged and will fix your bite if your bite is off ( so i am told) but it wont' stop you from clenching it will just help with the damage clenching causes like the ear pain and and ringing. it may even help with the achiness...i know my old one did. but since i havent' been wearing one lately the achiness is back so i am suppose to get mine monday and hopefully it helps- if my symptoms get worse for some reason i will call my dentist and let him know the guard is not right- or they made it wrong.
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The Lord is my strength and my shield; in him my heart trusts, and I am helped; my heart exults, and with my song I give thanks to him.

 
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Old 04-20-2013, 12:10 PM   #7
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Re: TMD/Bruxism story

You were smart to stop wearing the NTI splint. Most dentists don't realize what a bad appliance this is. Yes it does cause an open bite, and can create more problems. I would stop seeing this dentist as it doesn't appear he/she knows much about treatment of TMD. All of your symptoms scream TMD. The xray your dentist used is not diagnostic for TMJ. I would recommend you see an oral and maxillofacial surgeon and get an MRI to see what is truly going on with your TMJs.

 
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Old 04-21-2013, 06:34 AM   #8
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Re: TMD/Bruxism story

Sorry to hear what you've been going through. I would try a diffferent night guard. I clench and have a custom made guard that covers all of teeth of my upper jaw. It doesn't prevent clenching but releives some of the stress clenching puts on your jaw. You do need to see a specialist in TMD disorders - you can also try a dentist that specialized in oral and facial pain. If you are really stressed, you should talk to your dentist or doctor about maybe some medication to help lessen anxiety or stress or see a psychologist or psychiatrist to help you learn how to manage the stress in your life better, if you can afford it. If you are at unversity - maybe there are free counselling services offered that you can take advantage of? The problems with your ears can be related to TMJ. But I would see an Ears Nose and Throat doctor who can check out your hearing (a regular doctor can only do so much since they don't have the specialized training or the specialized equipment). Good luck and take care.

 
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Old 04-22-2013, 07:30 PM   #9
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Re: TMD/Bruxism story

Canuck- is your night guard acrylic? Harder? I just got mine today-- but I can't seem to fit it! It's too hard to put on-- My dentist pushed it on with no problem...then said to put it in hot water if I need to before bed. Maybe that will help?? I am worried now that it will fall off or something and I will crack a tooth biting on it. They did 3 guards trying to get it to fit best and this was the best one out of all of them...but because it's so expensive I am scared!!!!

So was wondering if yours is a harder type splint. Mine too covers all top teeth- it's clear and it's flat on the bottom but does have some grooves for where my bottom teeth hit.
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Psalm 28:7
The Lord is my strength and my shield; in him my heart trusts, and I am helped; my heart exults, and with my song I give thanks to him.

 
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Old 04-23-2013, 05:51 AM   #10
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Re: TMD/Bruxism story

Quote:
Originally Posted by Mandolyn View Post
Canuck- is your night guard acrylic? Harder? I just got mine today-- but I can't seem to fit it! It's too hard to put on-- My dentist pushed it on with no problem...then said to put it in hot water if I need to before bed. Maybe that will help?? I am worried now that it will fall off or something and I will crack a tooth biting on it. They did 3 guards trying to get it to fit best and this was the best one out of all of them...but because it's so expensive I am scared!!!!

So was wondering if yours is a harder type splint. Mine too covers all top teeth- it's clear and it's flat on the bottom but does have some grooves for where my bottom teeth hit.
Manodolyn

My gaurd is acrylic, its fairly thin though and I guess hard though I don't think its super hard. I find sometimes when I put it on its a little tight but then it adjusts. I was told to run it under hot water to soften it up too. It won't soften up so much that it will slip off in the night. If you are concerned try wearing it for a couple of hours during the day when you are at home and see how it feels. Give it a week or so and if it feels uncomfortable or if you feel your teeth aren't hitting quite right, go back to your dentist and have it adjusted. Wearing the guard shouldn't hurt.I had to wear mine for about a month or so and had to have it adjusted several times before it really was comfortable. And now it is.

Good luck and I hope it helps.

 
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Old 04-23-2013, 09:18 AM   #11
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Re: TMD/Bruxism story

Thanks. I am used to wearing thick guards so that isn't a problem. Mine is kind of thick, it's thicker in the back- and a lot shorter in front. My front teeth are sore this morning- probably because it's a tighter guard. I'm not used to that. But I did ok with it. I wear a partial during the day for a missing tooth but I don't eat with it- so this morning my bite feels a little different, but I'm sure it's because of wearing that partial off and on. I'll just take it one day at a time and hopefully this guard is the right fit.

Thanks!
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Psalm 28:7
The Lord is my strength and my shield; in him my heart trusts, and I am helped; my heart exults, and with my song I give thanks to him.

 
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