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  • TMJ without pain/clicking?

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    Old 08-26-2015, 02:55 PM   #1
    gizeh's Avatar
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    gizeh HB User
    TMJ without pain/clicking?

    Hello everyone,

    I suspect from my symptoms that I could be suffering from TMJ. I had to have two of my upper back teeth removed this year and also one wisdom tooth which I am sure is affecting my bite.

    I spoke to the surgeon about my symptoms and he said that it could be TMD and that I would probably need to have a splint made. I am currently waiting to go back to my regular dentist for a new xray and to follow this up.

    The sensation I experience I would not describe as painful... annoying/uncomfortable absolutely!

    It feels as though the left side of my jaw is in a constant spasm or as though something is pulling it back (hard to describe) I can open my mouth without any problems and there is no clicking.

    I sometimes wake up and it is fine but then throughout the day it starts to come back. I notice this mostly when I sit down on my computer or lay my head back on something. It also goes away for a couple of days but then it comes back.

    I do not think it is a tooth problem as I have had regular check ups this year and any problems I had have now been dealt with and now I just need to get implants made for the missing teeth when the gum is healed.

    I wondered if anyone with a bit more experience thinks this is a TMJ problem or could it be something else like a nerve problem? Most symptom checkers describe TMJ as painful or with clicking noise from the jaw, which I am not experiencing. Hence the confusion!

    I would be extremely grateful for any feedback/opinions. I am going a little out of my mind

    Thanks for reading and have a great day!

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    Old 09-04-2015, 12:38 PM   #2
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    Re: TMJ without pain/clicking?

    Hi Gizeh,
    I'm not a dentist or healthcare professional (Yet!), but know quite a bit through my own experience of TMJD. As you had two back teeth removed, either upper or lower, this can have huge affect on the bite and ultimately can affect the amount of space behind the condyle (The ball and socket bone where your lower jaw meets upper). This lack of space can cause a little disc which allows the jaw to perform a smooth movement through opening and closing to become pushed out of it's normal resting place, which is what causes clicking. Now with you, depending on whether you had pain before the tooth removal will give you a hint. A possibility is that as a result of the tooth removal the jaw is now sitting slightly further back and has reduced condyle space slightly. Just enough to cause discomfort from the condyle rubbing on the back of the joint space tissue and therefore causing jaw/facial muscles to overwork to protect things - hence the headaches, but not far back enough to cause clicking. So you may still be suffering from something similar to TMJD. Some clicking is quiet. Clicking alone does not indicate a TMJ condition, it does when accompanied by locking and/or pain. A simple test you can perform to be sure of whether your little disc is dislocating upon opening/closing is this: Insert both little fingers into either ear and open and close. Do you hear any little pops or grates? If so, the sound may be inaudible normally, but you are still affected by clicking. In which case I would say you are suffering from a TMJD. By the sound of your symptoms, it does not sound like a bad case, which is excellent. If I were you, I would visit an experienced Osteopath purely for a diagnosis, even if treatment does little. It is the diagnosis' which are most valuable. If like you say the issue is nerve related then the Osteopath will instantly know what's up. If the issue persists then visit a TMJ specialist (A normal dentist with extra training in TMJD), and ask whether the back teeth are causing you TMJ issues, as you may need to have the tooth removal procedure reversed. These dentists have additional training and understand the anatomy and actual cause of TMJD.
    If you have any additional questions please ask, I've suffered from TMJD and solved the issue using functional orthodontics.

    Take care

    Stay away from permanent procedures, such as surgery.

    Last edited by TMJLuke; 09-04-2015 at 12:39 PM.

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