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TMJ Disorder -TemporoMandibular Joint Message Board

TMJ and Tooth Extractions

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Old 02-18-2003, 05:29 AM   #1
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cathyk HB User
Post TMJ and Tooth Extractions

This message is for those of you who have had tooth problems associated with TMJ. I went for a number of years without being properly diagnosed with TMJ, and in 2001 I ended up having 3 root canals and extractions on these same teeth - apparently with a crooked jaw I was bruxing so hard I cracked each of these teeth. The extractions took care of the tooth pain. I then was directed to a TMJ/head pain specialist who I see weekly. As my jaw is straightening out I have lost much of the TMJ pain/trigger point pain, but am now faced with possibly losing 2 more teeth. I can feel them dying as the pain is the same with the 3 I had previously extracted. I don't know if this is associated with my wearing my splint 24/7 and grinding during the night, or, if these teeth have gotten bad over time on their own (these are very old fillings I had replaced with composites 3 years ago). My night splint is too painful to wear so I wear my day splint 24/7. Have any of you experienced the cracking/dying/eventual extraction of teeth due to TMJ problems? Your help is appreciated, thanks!

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Old 02-18-2003, 12:56 PM   #2
Join Date: Dec 2002
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Merrida HB User

I don't know which came first, the chicken or the egg....

In my situation both are going on so acutely that I have no idea which caused which or which aggravated which.

I've lost most of my top teeth and almost all of my back teeth. I grind really bad at night and have fractured teeth as well as fillings. I get the headaches, ear aches, jaw pain, name it.

But I don't know which event is really responsible, just that I am continuing to battle both -- the loss of my teeth, and the jaw pain of TMJD.

Life isn't what happens to you -- it's how you react to it!

Thoughts don't make us who we are -- Actions do.

Old 02-18-2003, 02:05 PM   #3
Join Date: Jan 2003
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princessmom1 HB User

I have had similar problems, root canals that seemingly don't work, then the recomendation to pull the tooth. But being a hard head (or maybe chicken), I put it off. When it happened the second time, I was finally sent to an oral surgeon. He did diagnostic injections, trying to freeze my tooth without hitting the main nerve in my jaw, he even drilled a tiny hole in my tooth to test his theory. He was unable to freeze it, so he said it's probably the muscles in my jaw that are causing the real problems. So chances are that pulling my teeth won't help and the pain will just find a new place to annoy me.

So, now I have a new splint to wear. I have only had it a couple of weeks and I think it is helping. I'm not sure what he will suggest if it doesn't. I don't go back for about a month.

I'm not sure if this will help, but maybe it's an idea.

Good Luck

Old 02-18-2003, 05:32 PM   #4
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cathyk HB User

Merrida and princessmom1 - Thank you so for responding. I've not seen very much about root canals/tooth extractions associated with TMJ. I have had 5 root canals on the bottom and all 5 have been extracted. It never showed they were dying on the xrays but when they did the root canals they indicated the tooth was dead/dying, most likely from excessive grinding and clenching. Merrida I like the quotes in your response - anxiety is definitely a factor and I'm actively integrating resolving and dealing with it as part of my healing so thanks for the reminder. princessmom1 I will mention the technique you had done to my dentist on Friday. He wants to do whatever to save the tooth but I had the tooth pain that goes with a dying tooth. From a TMJ standpoint I'm definitely turning this around and reversing the effects of TMJ, but i'm finding the issues with the teeth unfortunately were caused awhile back and just now coming to the forefront so I'll deal with them too.

Old 02-20-2003, 04:48 AM   #5
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thisgirl HB User

i really don't know what connection TMJ had to my teeth problems, but it was at the dentist when i was getting my teeth extracted when i started noticing how much jaw clicking and pain i had from keeping my mouth open- which led me to look up TMJ symptoms on the web. (i hit my jaw in a car accident years ago, had a severe concussion, and the dentist who looked at me then told me i would probably have TMJ in the future) i rarely had cavities or any tooth problems all my life, and suddenly my teeth started chipping and breaking and i was in so much pain. i went to the dentist and i had SO many infected teeth and cavities, he called my mouth " a dentist's goldmine". i was horrified- i was 21 years old and 13 of my teeth were extracted in 3 visits. my parents were very concerned, asking the dentist what could have caused this, since i am young and have always had good teeth until now. he really didn't come up with an answer, and told me i needed to brush more. i think even poor brushing couldn't have caused ALL the problems i had. i just wonder if the accident and TMJ helped cause all the dental problems i had.

Old 02-20-2003, 11:45 AM   #6
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pennyb HB User

Just a quick question for you all..... Is anyone of you on antidepressants?? My antidepressant is causing me to bruxism really really bad which is causing a lot of my teeth to crack also. ummmmm just curious

Old 02-20-2003, 01:12 PM   #7
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cathyk HB User

pennyb - I'm not on antidepressants, but I will share with you something my dentist told me. He indicated that sometimes the cracked teeth come from emotional stress and bruxing (which is also very common in people without TMJ) but often times it's a physical stress when we sleep as the body tries to adjust a crooked jaw into its "normal" straight alignment. The outcome is the same of course, but I'm thinking it may not be the antidepressant?

Old 02-20-2003, 01:44 PM   #8
Cymy Sue
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Join Date: Oct 2002
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Cymy Sue HB User

Some antidepressants do list bruxism & clenching as a side effect, as do some other medications. I would do a search on the one you're taking and see what the side effects are and what other people say about it.

Cymy Sue

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