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TMJ Disorder -TemporoMandibular Joint Message Board

what are the chances of relapse?


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Old 02-08-2006, 08:58 PM   #1
laskalady
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what are the chances of relapse?

Hello,

Im beginning Phase1 and by the end of phase two I'll probably have spent around 15k getting this taken of care... does anyone know what the chances of my disc dislocating again?
does anyone know why braces are used as part of phase 2 treatment?

 
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Old 02-09-2006, 05:54 AM   #2
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Re: what are the chances of relapse?

Good Morning -

Phase I, splint therapy, gets your jaw into the proper position. It could be a rather thin, flat splint which is used to take the pressure off the muscles and allow your jaw to realax into position - or it could be a thicker, repositioning splint that actually pulls your jaw down and forward. There are all kinds of splints...top...bottom...NTI...some cover all the teeth...some just cover a few...

Anyway...after your jaw has been coaxed into a proper position and your symptoms have lessened (or hopefully disappeared) there needs to be something done to fix your bite in that new position unless you plan on wearing the splint for the rest of your life (which is a very valid alternative for some people). One of the Phase II methods used to stabilize your bite is braces (which is what my daughter is doing). Other methods include equilibriation (which is shaving down the height of your teeth), crowns or surgery.

Hope this helps,
mosmom

 
Old 02-09-2006, 05:59 AM   #3
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Re: what are the chances of relapse?

...oh

As far as the chances of the disc going back out of place...I don't really know. I can't really pose that question to our doctor because he believes that a repositioning splint, like the one my daughter had, doesn't really recapture a displaced disc...it kind of reshapes the disc.

 
Old 02-09-2006, 08:26 AM   #4
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Re: what are the chances of relapse?

Quote:
Originally Posted by laskalady
Hello,

Im beginning Phase1 and by the end of phase two I'll probably have spent around 15k getting this taken of care... does anyone know what the chances of my disc dislocating again?
does anyone know why braces are used as part of phase 2 treatment?
Hello,
If phase I is successful, your disc should return to its proper place. But the most important part is that you must have enough space on top and at the back. If phase I and II are successful, i don't see why your discs would dislocate again? Discs are out of place because your joints are out of place. If you joints are in the proper position, i just don't see how your discs would be out of position.
Mosmom is right. Braces are needed to stabilize the bite achieved during phase I. Most likely, your posterior teeth will be short after phase I and won't be able to close. So when you bite down, you won't have contact at the back. Using braces, the doctor pulls the teeth so they would be able to touch when you close. And then maybe straightwire to fix the front to have a perfect look. Neuromuscular dentists usually use crowns instead of braces. But the result is the same. Hope this helps.

GT

 
Old 02-12-2006, 08:46 PM   #5
laskalady
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Re: what are the chances of relapse?

That helps a lot! Thanks. To start, I am going to be getting the hard lower splint which is placed in the back of my mouth, on the bottom of my teeth..then he said I'd need braces for phase 2. Thanks for explaining the reason for phase 2... does anyone know if I can take out this splint when I eat?

 
Old 02-25-2006, 01:08 PM   #6
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Re: what are the chances of relapse?

in response to the disc dislocating again, it happened to me after my last arthroscopy. The doctors successfully recaptured the disc and it was in the right position. After 6 weeks, my doctors said I could do any kind of exercise I wanted to. I began to do strenuous exercise about 8 weeks after the procedure and lo and behold, the first time I began doing strenuous activity again, I felt something happen in the joint and went back to the doctor a few days later. I got another MRI and yep, it had come out of place again
I'm sure this doesn't happen to everyone, but I guess there is always a chance!

 
Old 02-25-2006, 03:59 PM   #7
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Re: what are the chances of relapse?

I'm sorry that happened.. Now what does the doctor want to do about the dislocation?

 
Old 02-25-2006, 08:41 PM   #8
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Re: what are the chances of relapse?

well, that happened in early january and before the arthroscopy I had an arthrocentisis about 2 months before that. Since then, I had another arthrocentisis two and a half weeks ago and it has not really helped. The doctors want me to do physical therapy for about 3 weeks and see if it helps. I have had pretty much the same thing done to the joint all three times, but they injected Botox this time and think it may help. It has yet to help yet, which makes them skeptical that it is because they said it normally takes 7-10 days to get to its full potential and it has been about 20 now... They are strongly thinking that they are going to have to open the joint and possibly replace the disc. The MRI showed that it has abnormalilities as well now and is severely displaced and the tissue is more than 3 times the size of the tissue on the right side. Also, the doctors said the joint was extremely hard to get into during all three procedures and that it was even more difficult this time. They think there could be something else going on with the joint such as a calcium buildup(?) or something about nerves...
So, I should see where this is going in the next couple of weeks...

 
Old 02-25-2006, 10:07 PM   #9
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Re: what are the chances of relapse?

I see, have you ever thought about using a splint 24/7 w/ some sort of therapy?

 
Old 02-26-2006, 07:14 AM   #10
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Re: what are the chances of relapse?

When the injury first happened, my symptoms were not that bad. My dentist created a splint and I began to wear it 24 hrs a day for a week. It significantly increased my symptoms and my jaw began to lock. Another dentist then adjusted the splint and I wore it like that for about another week and then my mouth locked so much that I could not even fit the splint into my mouth. I was then referred to a specialists and that was about 5 months ago. The splint never worked for me and I tried other conservative treatments along the way.
The specialist I am seeing currently told me that with an injury like the one I have, the quicker you treat it, the better. Since I did not have "immediate" treatment, then the joint is getting worse and worse and I am having more and more problems. My doctor is trying to eliminate the possibility of muscle spasms now before he considers more invasive surgery. After my past two surgeries, I did physical therapy and am doing it again now for about 3 weeks. The doctor said he thinks that it is not a muscular problem but rather a "mechanical" problem in the joint. He also said that splint therapy is not always helpful to every person since everyone has different problems and the joint is so sensitive and responds different ways for everyone.
I wish splint therapy and conservative treatments could have worked...

 
Old 02-26-2006, 01:12 PM   #11
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Re: what are the chances of relapse?

Hey navymid,
Why is the doctor concerned with trying to eliminate the possibility of muscle spasms before he considers invasive surgery?

I might be mislead by what you said. But are you saying he wants you to be clear of any muscle spasms before he considers going with surgery. Would the muscle spasms affect the surgery from being successful?

Just wondering because im thinking of going ahead with surgery but have constant muscle spasms in my jaw.

 
Old 03-04-2006, 04:36 PM   #12
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Re: what are the chances of relapse?

I just spoke with my doctor concerning this issue this week. He said basically that he wanted to see if eliminating the muscle spasms would decrease the pain enough to where I would be able to eat and basically be able to be as close to normal function as possible without pain. He just really wants to take all possible steps before surgery. However, the muscles are starting to spasm again and he said that we are going to have to do open joint now... I go on Wednesday to talk over the options...

 
Old 03-05-2006, 09:10 AM   #13
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Re: what are the chances of relapse?

Hey navymid,
So what has your doctor done to try eliminate the muscle spasms? All my dentist could do is give me some lame muscle relexants, that didnt work for nothing. These muscle spasms suck so bad, i swear.

What has your doctor attempted? If its anything different, ill ask my dentist if he can try it on me for relief.

Oh and im new to all this but what do you mean by, he will have to do a open joint now?

Last edited by Nonac; 03-05-2006 at 09:12 AM.

 
Old 03-06-2006, 07:41 AM   #14
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Re: what are the chances of relapse?

My doctor has done multiple things to try to eliminate the muscle spasms. I first tried the mucles relaxers as well and they did absolutly nothing. Then the first time I saw this new doctor, he did an injection into the muslces with muscle relaxant and it helped for about two days-- until it wore off. Then I just had another arthorcentisis done and they injected Botox into the mucles this time-- supposedly it relives mucles spasms--- well, it is SUPPOSED to... however, it did not in my case. Well, actually it did relive the spasms for about 3 days after the procedure and then they came back. So, my doctor is saying now that the "mechanical" problem I have with my joint is making these spasms worse and since I have already tried 2 arthrocentisis and an arthroscopy, the only option now is open joint surgery. In my case, open joint will entail moving the disc back into place and suturing it there, or completely taking hte disc out, or taking it out and replacing it. There is also a lot of damaged tissue they are going to remove and something about a ligament. I go Wednesday to find out more details about the options...

 
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