It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



TMJ Disorder -TemporoMandibular Joint Message Board

  • To splint or not to splint

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 11-01-2001, 06:53 PM   #1
    lynnmarie
    Newbie
     
    lynnmarie's Avatar
     
    Join Date: Oct 2001
    Location: Northern California
    Posts: 4
    lynnmarie HB User
    To splint or not to splint

    Hi everyone,
    I've just been diag. with TMJD and my doctor would like to see me start with a splint (just at night). I'm not aware of clenching my teeth but he thinks I am.
    My question is, is it really necessary to go out and pay 300+ for a splint, wouldn't a mouthguard do? Have any of you found that wearing a splint decreases the pain? I've got severe pain in my jaw and ear, pain in my neck and shoulder and "driving me crazy" headaches. I haven't experienced any locking, so far just popping on my right side only. In fact, my left side hardly bothers me at all, just light throbbing, but not the constant throbbing I get on the right side. I just hate to put out any more money and find the splint does nothing for the pain.
    Also, my throat is sore off and on - is this also a symptom of TMJD.
    I'm glad I found this board - very imformative. So far, I'm yet to find a doctor that really understands this - frustrating and confusing!
    Thanks everyone!
    Lynn

     
    Sponsors Lightbulb
       
    Old 11-02-2001, 08:05 AM   #2
    MissiM
    Member
     
    MissiM's Avatar
     
    Join Date: Jul 2001
    Location: Whitinsville, MA. USA
    Posts: 61
    MissiM HB User
    Re: To splint or not to splint

    lynnmarie- WELCOME!
    Everyones TMJD is different and unfortunatly most of us have had to experiment with different things to find what works best for each. I can tell you that I love my night splint I cannot sleep without it. My splint does not allow my back teeth to touch at all. Only my front teeth touch. If for some reason I forget to wear it I am in so much pain the next day! In the beginning I bought the soft mouthguard when that didn't work I bought the do it yourself hard guard and when that didn't work I had to have splints made. You can always buy the less expensive ones and see if they work.
    Good Luck!

     
    Old 11-02-2001, 10:57 AM   #3
    lynnmarie
    Newbie
     
    lynnmarie's Avatar
     
    Join Date: Oct 2001
    Location: Northern California
    Posts: 4
    lynnmarie HB User
    Re: To splint or not to splint

    Thanks for your reply MissiM. It's so hard to decide which route to take, and from reading the posts I can see that different things work for different people. I think I'll go ahead and try the splint. The pain is really too much to handle and is interfering with every aspect of my life. If the splint helps the money will be worth it - if not, I'll just have to look into different options. I had meningitis a few years back and I thought that was bad - it was a breeze dealing with meningitis compared to this. This pain is relentless - TMJD is a whole different animal!
    Thanks again,
    Lynn

     
    Old 11-02-2001, 11:22 PM   #4
    ArdyH
    Inactive
     
    Join Date: Oct 2001
    Location: Midwestern USA
    Posts: 0
    ArdyH HB User
    Re: To splint or not to splint

    Attn: Lynnmarie, elaine, missim, et. Al.
    I am going to tell you all of a dentist who wrote the book on tmj diagnosis and treatment over 45 yrs ago. He is soon to be 85 yrs old and his dental colleagues have silently looked up to him as his treatment has been most successful. He is semi-retired now, does occasional consultations in the office of his junior associate, but his mind is very sharp. His most notable book was written for the dental profession many yrs ago and sits in most of our country's dental school libraries; it is called "the dental physician". His paperback for the lay person is entitled "dental distress syndrome". He is aelred c. Fonder and he has treated many vip and famous people over the years. Lots of sufferers would come to him from around the world. He no longer lectures in any of the 50 countries he used to, but takes phone consultations to a limit. His treatment consisted of a non-surgical, non-drug, non-invasive, reversible approach, and alleviated a lot of patients from relying on their medical physicians' treatment, and the lifetime wearing of removeable splints. His modalities include fixed orthotics on the back or posterior teeth, frequently balancing the bite on these orthotics at a more neuromuscularly relaxed vertical dimension of occlusion/bite. Most often tmd patients have compressed joint spaces; their lower jaws and the ball and socket articulation with the skull require suspension by a posterior bite height to allow hinging, translation, and excursion on a full cartilagenous disc (which is usually squeezed out by joint compression, let alone chronic dental occlusion collapse). The fixed orthotics allow normal, 24/7 wear and function while the joint, jaw, head, neck and related body systems, structures and functions to heal and positively remodel, at nearly any age.
    You all might want to seriously look into this as a means to put an end to your living hell. I have witnessed many tmd/tmj sufferers stories, and their histories mimic all that you have posted. Drugs and surgery are definitely not the cure, and this is not "all in your head". You are pain sufferers because you have something physiologically, structurally, and dentally out of whack. Good luck to you all.

    ------------------
    i am a licensed dental hygienist since 1979, married with one son.

     
    Old 11-03-2001, 11:52 AM   #5
    Elaine
    Inactive
     
    Join Date: Nov 2000
    Location: Montana
    Posts: 407
    Elaine HB User
    Re: To splint or not to splint

    Ardy,
    I could probably write a book about TMJD myself. No drugs and surgery are not the answer but once you fall into the surgery trap as I did, you are already in! I have several books on TMJD and attended a TMJ conference in New York a year ago. The main point of the conference was there are NO safe implants and to avoid TMJ surgery. The only time it should even be
    considered is in a closed or open lock, otherwise leave it alone. I am way beyond non-surgical, non-invasive,irreversable approaches. I know about the removable splint you are talking about, I removed it and threw it in the garbage and I feel much better. I spent over $3000 on splints made by different dentists. I finally decided, that many dentists can't be wrong and gave up on them. My bite is so far out of whack, I even checked into braces. I was told I am not even a candidate for braces, that chances are it would make me even worse if that is possible. My jaw deviates to the right on opening, can't eat solid food but my opening is 13mm. After reading about the closed locks on this board, I guess I consider myself lucky!
    Elaine

     
    Old 11-03-2001, 05:41 PM   #6
    Sharbear
    Member
    (female)
     
    Sharbear's Avatar
     
    Join Date: Sep 2001
    Location: california
    Posts: 68
    Sharbear HB User
    Re: To splint or not to splint

    I personally think that splints are big money makers for oral surgeons. I feel that when they don't know what is wrong they say "oh, you need splint" that gives them anywhere from $400+ in thier pockets. I have been given splints in the past and all they did was make my situation even worse. Having something in my mouth just made me want to bite down hard. Other than when the splints were in my mouth, I never ever have clenched or ground my teeth.
    So my advice to Lynnmarie is if you are not grinding or clenching don't get the splints. It is a waste of your money. If you ground or clenched you would know it. Your teeth would hurt,I just really would think you would know.
    So don't fall into the splint money maker scam unless you are certain that you would need one! Take care and best of luck to you!
    Sharri <IMG SRC="http://www.healthboards.com/ubb/smile.gif">

     
    Old 11-03-2001, 10:18 PM   #7
    Dr.Phier
    Inactive
     
    Join Date: May 2001
    Posts: 56
    Dr.Phier HB User
    Re: To splint or not to splint

    Splints are easy money once you know how to make them, but thats not why they are given. They are given because its the one thing that seems to help many TMD sufferers and if done right causes no major side effects. Just because a splint doesn't work for you doesn't mean it won't work for someone else. I've seen people who would rather lose an arm then give up their splint. The problem with splints in TMD is that its very hard to know who would be helped by them. Also there are a few splints which I would call 'bad', one is the Gleb splint which is ment for short term use only, but people often wear them for years which causes the teeth to be open in the back, and the 'double decker' splints, which are REALLY thick.

     
    Old 11-03-2001, 11:22 PM   #8
    Elaine
    Inactive
     
    Join Date: Nov 2000
    Location: Montana
    Posts: 407
    Elaine HB User
    Re: To splint or not to splint

    Dr.Phier,
    Just because a splint didn't work for "me" that it wouldn't work for someone else. Don't put words into my mouth that I didn't say. All I was telling was "my experience" the rest can find out for themselves. Some do get relief but then there are some like me. Go from dentist to dentist with the promise that the next one will work. I still think a splint is a clenching device and for someone that is already a clencher, it is hideous results. I had one that only covered my back molars. Needless to say the molars are shoved down into my gums from clenching. The rest of them caused me to wake up with puking migraines. I didn't need anymore "maybe" splints. You, if you are a dentist, knows how much money is made off of a little piece of acrylic. It makes me sick, the last splint I had made, I paid $800.00 for. The first few adjustments were free, after that I paid $75.00 for an adjustment. That was when I got fed up, threw the splint in the garbage and have felt much better since, in that I no longer have puking migraines. I still have pain and I am learning to live with it with no choice of my own!
    Elaine

     
    Old 11-04-2001, 12:30 AM   #9
    Sharbear
    Member
    (female)
     
    Sharbear's Avatar
     
    Join Date: Sep 2001
    Location: california
    Posts: 68
    Sharbear HB User
    Re: To splint or not to splint

    Well, I really believe that not only does it depend on the patient but also the Doctor, some Doctor's really make them to help the patient and some Doctor's (like I have experienced) make them for money. That's why one should always get a second opinion. Don't just trust anyone with a "Dr." label in front of his or her name. Sometimes that means nothing.
    Sharri

     
    Old 11-04-2001, 11:28 AM   #10
    Dr.Phier
    Inactive
     
    Join Date: May 2001
    Posts: 56
    Dr.Phier HB User
    Re: To splint or not to splint

    <BLOCKQUOTE><font size="1" face="Verdana, Arial">quote:</font><HR>Originally posted by Sharbear:
    <B>
    So my advice to Lynnmarie is if you are not grinding or clenching don't get the splints. It is a waste of your money. If you ground or clenched you would know it. Your teeth would hurt,I just really would think you would know.
    So don't fall into the splint money maker scam unless you are certain that you would need one!
    Sharri <IMG SRC="http://www.healthboards.com/ubb/smile.gif"></B><HR></BLOCKQUOTE>

    If you read your quote I don't think I put words in your mouth. Also I have seen MANY MANY patients with classic signs of bruxism (grinding) who have NO clue they are doing it. Just because your jaw hurts and you saw a doctor doesn't make you one Sharri. I am highly critical of many TMD 'specialists', but equally critical of people with no real knowledge in the field trying to give advice they know very little about to other people.

     
    Old 11-04-2001, 01:57 PM   #11
    Elaine
    Inactive
     
    Join Date: Nov 2000
    Location: Montana
    Posts: 407
    Elaine HB User
    Re: To splint or not to splint

    Dr. Phier,
    I think Sharri has more than seen a doctor and by no means does she think she is one. Her condyles were totally destroyed by one of the famous "TMJ Specialists", I think that may be why her jaw hurts. What do you think of a doctor that put silastic implants in, didn't tell you that they were suppose to be in for a short period? 10 years later you find out online, by that time the jaw joint is destroyed. Splints that didn't work for her is one of the minor problems!!!! As for giving advice to other people, we who live this tmj hell everyday, have learned quite a bit about it by allowing oral surgeons to use us as
    "Guiena Pigs". Should have never happened but can't change what we allowed to be done. The only thing we can do is let other people know the consequences and hope it doesn't happen to them. I am not a doctor either butI sure have learned a lot from ones who call themselves "Doctor".
    Elaine

     
    Old 11-04-2001, 02:57 PM   #12
    lynnmarie
    Newbie
     
    lynnmarie's Avatar
     
    Join Date: Oct 2001
    Location: Northern California
    Posts: 4
    lynnmarie HB User
    Re: To splint or not to splint

    Elaine & Sharri, Thanks very much for sharing your experiences - it helps a lot!

    Dr. Phier, the reason I sought out a message board on TMJ was to get the advice and experience from others who have "been there, done that". I have found this board to be extemely helpful because people are willing to share their experiences, the good and the bad, so that I am well armed to deal with this problem. People who have lived day in and day out with this disorder understand what I am going through and happen to be very knowledgeable - more so than some of the doctors I have encountered. I do not feel anyone is trying to advise me one way or the other, rather they are letting me know what has/hasn't worked for them and presenting different options. At the end of the day, I am the one who will have to make the decisions on how to deal with this - however, by being a part of this board I feel much better equipped to make those decisions regarding that could have a huge impact on the rest of my life. This board also offers a wealth of support which is a key component to dealing with this disorder. We're here to support and be supported.
    Lynn

     
    Old 11-04-2001, 04:37 PM   #13
    Sharbear
    Member
    (female)
     
    Sharbear's Avatar
     
    Join Date: Sep 2001
    Location: california
    Posts: 68
    Sharbear HB User
    Re: To splint or not to splint

    Dr. Phier,
    First of all, I did not accuse you of putting words into my mouth. That was someone else. So next time before you go attacking someone else why don't you make sure you are posting to the right person. So now let's see you show me where I accussed you of putting words into my mouth.
    Second, no I am by no means a Doctor. I do not claim to be and have no desire to ever be one. I can give my opinions and advice all I like. I feel that i am entitled. Though, I may not be a Doctor I certainly am experienced with this TMJD stuff. I ahve suffered since I was about 16. I have had many surgeies and many other things done to "heal me" Due to the neglence of an Oral Surgeon I am currently sitting here with no condyles and am actively involved in litigation against one of the money maker Oral surgeon rip off artist. As a patient that has been through Hell, I a feel that I am qualified to give advice. Even my current OS agrees that I should ahve never had splints, I was ripped off and they made me worse.
    No, I do not think all Oral Surgeons are con-artisits, but many of them are. I can express my feelings all I like and you cannnot stop or intimidate me.
    Besides I don't even believe that you are a Doctor anyway. So who do you think you are on here giving "advice" and harrassing people who have had experiences with this stuff. Anyone who takes time to start a post about his "pet peeve" of people that refer to TMJD as TMJ defiently has some issues.
    Sharri

     
    Old 11-04-2001, 04:55 PM   #14
    Sharbear
    Member
    (female)
     
    Sharbear's Avatar
     
    Join Date: Sep 2001
    Location: california
    Posts: 68
    Sharbear HB User
    Re: To splint or not to splint

    ~~~LYNN~~~
    I am so sorry that you have had to read this agruing crap! Really, my intension was not to start an argument. Some people just can not handle the truth.(usually the Doctors they easily get offended I see )Lynn, I have learned through my 14 or 15 years of experience with tmj that it is really important to always get second even third opinions if you are able. I have found that many Surgeons claim to be "specialists" in TMJD but really have no clue. My "specialist" left Silastic Implants for over 10 years and never told me they were temporary. Two months ago I had them scraped off the base of my skull and the deteriated condyles were removed. I spent 11 days in the hospital and 8 of those days in the ICU all because of a "specialists" negligence. Also my "specialist" was one that tried the money maker scheme of splints on me. I do not clench or grind and never have. Splints are easy money for surgeons. Even my current Doctor admits this. Just make sure that you really need and will benefit from one before you agree to purchase one. (many times Ins companies will not even pay for them) I was once told that one way you can tell if you clench or grind your teeth is if you stick your tongue out and you have little ridges around your tongue then you probaly clench. The Dentist should be able to tell if you grind, just by looking at the shape of your teeth. (If Mr. Phier wants to challenge me on this he can talk to Dr. Shames he is active on many TMJD sites, he is a legitimate Doctor)
    Lynn, best of luck to you, just be so careful as to whom you trust, and always remeber the more opinions the better. You are doing the right thing by looking for other patients that have had experience with TMJ and procedures. We learn best from each other. I know that the Internet saved my life. My liar surgeon told me for years that my condyles looked great just because he did not want to get sued. Once I found some of these sites, I learned the truth! So the key is research, reasearch, there are many places online to learn, and hey, you don't even have to be a Doctor to have some knowledge.
    Take care <IMG SRC="http://www.healthboards.com/ubb/smile.gif">
    Sharri

     
    Old 11-04-2001, 05:42 PM   #15
    Sharbear
    Member
    (female)
     
    Sharbear's Avatar
     
    Join Date: Sep 2001
    Location: california
    Posts: 68
    Sharbear HB User
    Re: To splint or not to splint

    I really think that I need to try to stay out of here for a while. Each time I re read the post to me by Phier I get all fired up. It really takes a lot of nerve to say to someone "just because your jaw hurts and you saw a Doctor does not make you one" that really takes a lot of nerve espcially when you have no idea how much someone has been though. He knows nothing about me or my experiences. My jaw does more than just hurt and I have been to way more than one Doctor. The recent surgery that I just had Phier could not even phathom what I went through and all the learning and researching I did on it. I am sure that he could not even perform it.
    I just really think that before anyone makes rude comments or insuniations as he did, well I think you should rethink or reread what you type before you hit that "submit reply" key.
    What ever little respect that I may have had for him at one time if defiently long gone now, and if he really is a Doctor as he claims I really feel for his patients. I feel for them that they have such a cold and opinionated "Doctor"
    Sharri

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    getting results from splint therapy velvetrance TMJ Disorder -TemporoMandibular Joint 6 03-01-2007 03:28 PM
    Help please stablilisation repositioning splint. socilbliss2002 TMJ Disorder -TemporoMandibular Joint 0 07-04-2004 04:28 AM
    The Click during splint therapy gpw57 TMJ Disorder -TemporoMandibular Joint 4 05-11-2004 07:57 AM
    SPLINT: flat plane & teeth contact cvella TMJ Disorder -TemporoMandibular Joint 4 04-22-2004 11:16 AM
    I go in to be fitted for a hard splint today.. westin4 TMJ Disorder -TemporoMandibular Joint 5 04-16-2004 06:53 PM
    Words of caution with splint treatment Sunshinelife TMJ Disorder -TemporoMandibular Joint 10 03-10-2004 06:51 PM
    balancing the splint J-man TMJ Disorder -TemporoMandibular Joint 1 01-16-2004 12:14 PM
    Splint confusion and car accident Navy1990 TMJ Disorder -TemporoMandibular Joint 12 12-06-2003 01:51 PM
    Question about splint adjustments Arleen TMJ Disorder -TemporoMandibular Joint 15 09-01-2003 03:13 AM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 05:47 PM.





    © 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!