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-   -   What is subluxation? Orthodontist visit? (https://www.healthboards.com/boards/tmj-disorder-temporomandibular-joint/388233-what-subluxation-orthodontist-visit.html)

iluvmydog66 05-03-2006 06:07 AM

What is subluxation? Orthodontist visit?
 
Hi -

I have posted before regarding my TMJ problems which began at the beginning of the year. They were complicated by a fractured tooth which I had a root canal on, and the tooth is now crowned (but I have not had it cemented permanent yet). The tooth that has the crown is still sensitive - but the endodontist says the tooth is perfectly fine. I have had the crown drilled down but it has not helped.

In addition my TMJ spasms continue - I had a tooth filled last night and today my spasms are going crazy.

I had an MRI done of my TMJ in February and it was then sent to the oral surgeon. That was at about the same time I had the root canal done -which causes me immense pain. When I called the oral surgeon's office they were not very helpful (looking back it was not their fault) so I decided not to return. I have yet to go pick up my films - but I did receive a report from the radiologist who said my TMJ was normal.

Last night when I saw my regular dentist she told me that the oral surgeon said my MRI was definitely NOT normal - I said what was wrong? She said a few things - and she said "subluxation or something like that".

My bite is also off - it has changed since the onset of the TMJ. My dentist suggests I see an orthodontist who specializes in orthodontics and dentofacial orthodontics.

I have a mouth guard that initially caused more pain - but I have gotten use to it and sleep with it at night. Keep in mind - that I am a daytime clencher - not so much a night time grinder. I usually wake up and feel better and get worse as the day progresses - as does the tooth with the crown. They think it is from my clenching during the day.

Should I see an orthodontist?
What is subluxation?

(I also see a chiropractor which definitely helps me. And after a particular bad day I take one half of a clonazapine which helps.)

Thanks.

Thelma-Louise 05-03-2006 10:27 AM

Re: What is subluxation? Orthodontist visit?
 
Ask your chiro about subluxation - that is the misalignment of your neck and spine and it can affect the balance and function of your lower jaw & can cause pain, spasms, etc. The head rests on the C1 vertebrae or atlas and if that rotates too far left or right, or is unbalanced it can contribute to your tmj symptoms/problems. Subluxtaion can occur pretty much anywhere there are bones, vertebrae, - moving parts, etc.

iluvmydog66 05-03-2006 10:30 AM

Re: What is subluxation? Orthodontist visit?
 
Thanks! So I am guessing he meant subluxation of my jaw. Since the MRI did no involve my spine.

Thelma-Louise 05-03-2006 10:53 AM

Re: What is subluxation? Orthodontist visit?
 
Did your dr recommend anyone in particluar? My biggest problem is finding the right dr - since my teeth are crowned or in bridges, I am not sure an orthodonist could help me. But prosthedontists are afraid to touch me. That is why I ended up with the guy in Orange Cnty - he feels sorry for me and has really cut his costs for me to see if could help.

iluvmydog66 05-03-2006 11:32 AM

Re: What is subluxation? Orthodontist visit?
 
The orthodontist she recommended is Dr. Clemente, in Ridgewood. He specializes in orthodontics and dentofacial orthodontics.

My dentist also recommended Dr. Rappuano in Ridgewood but he has been out on disability for months so I saw Dr. Saker and I was not pleased with the practice.

My chiro recommends Federman in Fort Lee.

agray329 11-09-2011 05:02 PM

Re: What is subluxation? Orthodontist visit?
 
[QUOTE=iluvmydog66;2330980]Hi -

I have posted before regarding my TMJ problems which began at the beginning of the year. They were complicated by a fractured tooth which I had a root canal on, and the tooth is now crowned (but I have not had it cemented permanent yet). The tooth that has the crown is still sensitive - but the endodontist says the tooth is perfectly fine. I have had the crown drilled down but it has not helped.

In addition my TMJ spasms continue - I had a tooth filled last night and today my spasms are going crazy.

I had an MRI done of my TMJ in February and it was then sent to the oral surgeon. That was at about the same time I had the root canal done -which causes me immense pain. When I called the oral surgeon's office they were not very helpful (looking back it was not their fault) so I decided not to return. I have yet to go pick up my films - but I did receive a report from the radiologist who said my TMJ was normal.

Last night when I saw my regular dentist she told me that the oral surgeon said my MRI was definitely NOT normal - I said what was wrong? She said a few things - and she said "subluxation or something like that".

My bite is also off - it has changed since the onset of the TMJ. My dentist suggests I see an orthodontist who specializes in orthodontics and dentofacial orthodontics.

I have a mouth guard that initially caused more pain - but I have gotten use to it and sleep with it at night. Keep in mind - that I am a daytime clencher - not so much a night time grinder. I usually wake up and feel better and get worse as the day progresses - as does the tooth with the crown. They think it is from my clenching during the day.

Should I see an orthodontist?
What is subluxation?

(I also see a chiropractor which definitely helps me. And after a particular bad day I take one half of a clonazapine which helps.)

Thanks.[/QUOTE]

agray329 11-09-2011 05:07 PM

Re: What is subluxation? Orthodontist visit?
 
If I were you, I'd contact the local dental school and see if there is an orofacial pain clinic there. If not, ask if they'd recommend anyone.

TMJ pain is pretty complex. I'm not sure the details of you case, but your original dentist may not have enough information to be able to correctly diagnose and/or treat you. Pain felt in the tempromandibular joint could be caused by problems with the joint itself or from surrounding muscles that refer pain to the joint.

Each cause of the pain is treated differently, so it's important to find a dentist who knows what questions to ask you, what tests to perform, and what x-rays to get in order to treat you properly.

agray329 11-09-2011 05:15 PM

Re: What is subluxation? Orthodontist visit?
 
Also, don't go see an orthodontist until you find a general dentist who knows what is going on. Until you get this treated, your bite could continue to change. It seems as though something is causing your condyle (part of your lower jaw in the TMJ) to resorb and change your bite...but I cannot be sure AT ALL as I know few details about your case.

Either way, a general dentist who knows more about orofacial pain will be able to create a plan for you, that may eventually involve an orthodontist or more crowns to stabilize your new bite. That general dentist needs to figure out the problem ASAP and control it before sending you to any specialists.


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