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  • Wanted: San Diego TMJ Specialist

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    Old 04-04-2011, 09:18 PM   #1
    Crown3770
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    Wanted: San Diego TMJ Specialist

    Can anyone recommend a TMJ Specialist in San Diego that they have had successful therapy with?

     
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    Old 04-06-2011, 07:41 AM   #2
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    Re: Wanted: San Diego TMJ Specialist

    How far are you from UCLA? They have a great dental school!
    They also can run all the right tests to evaluate your condition.

    ~~~
    Tom

     
    Old 04-06-2011, 09:58 AM   #3
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    Re: Wanted: San Diego TMJ Specialist

    Quote:
    Originally Posted by PatientZero View Post
    How far are you from UCLA? They have a great dental school!
    They also can run all the right tests to evaluate your condition.

    ~~~
    Tom
    Tom,

    Thanks for the reply. Im in downtown San Diego, so Im a good long drive to UCLA. Ive had some tests/x-rays taken down here and am fairly certain I need splint therapy. My condyle is worn down on my left side, causing a cant and malocclusion. I've seen a couple "TMJ Specialists," but I'm not sure I feel comfortable with them, so I was hoping to find someone who has had positive experience with someone here in San Diego.

    Thanks,
    Key

     
    Old 04-06-2011, 01:52 PM   #4
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    Re: Wanted: San Diego TMJ Specialist

    Key,

    I would still consider UCLA for a complete diagnostic exam.
    MRI etc... Since they are a dental school they will have all the latest
    testing techniques. Plus major universities usually except most
    health insurances. Then you can take the test results anywhere.

    Also find a splint maker who can thoroughly read your test results
    and give you an honest answer to if splint therapy will even work
    in your case. A lot of people go right into splint therapy before they
    even have an MRI. Waste of money!

    Plus xrays only show bone not soft tissue. An MRI will show the doctor
    the condition and placement of the disc (joint) itself.

    I have TMJ disorder due to osteoarthritis. My left disc is almost gone.
    I wear a splint to take the pressure off my joints... but no splint therapy
    is going to recover my damaged left disc.

    Sorry for the rant... I feel for you! Trying to find an honest good
    quality tmj person is a real pain in the butt.

    Good luck and I'll keep my eye open for a good local doc for you!

    ~~~
    Tom

     
    Old 04-12-2011, 06:59 PM   #5
    sunshine123
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    Re: Wanted: San Diego TMJ Specialist

    I just posted on another thread about Dr. Greg Friedman in Scripps Ranch. He's good. Also, Dr. Paul Coleman in Poway is good. He's a neuromuscular dentist. Sue

     
    Old 04-18-2011, 12:17 PM   #6
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    Re: Wanted: San Diego TMJ Specialist

    I guess since I'm a newbie, I don't have that option.

    What I'm wondering is what was different about the treatment plan with Dr. Friedman vs. Dr. McCracken? Why was Dr. M unsuccessful? Did they use different splints?

    I too, have developed an open bite on my right side. I'm guessing it's about 4-6mm. (It's probably a result of using an NTI to prevent damage from clenching my teeth at night.)

    Now, I don't know how my situation compares to yours, however, I have been told I will need splint therapy for approx. 6 months and then I will need braces to stabilize my occlusion and close my open bite. (The splint that was recommended is a rotational splint that you take out when eating.)

     
    Old 04-18-2011, 01:22 PM   #7
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    Re: Wanted: San Diego TMJ Specialist

    I think that Dr. McCracken knew he wouldn't be able to close up my bite with a splint, but he had me coming to see him for several months so he could adjust the splint anyway. He also had me go to PT with a so-called expert in TMJ. That didn't work for me either. I only had 2 teeth that touched. That's how screwed up my bite was. I've been through TMJ therapy with 4 dentists already and Dr. Friedman was the only who really tried the most to help me. All the others looked at my bite like they had never seen anything so weird. lol. Anyway, I wore a splint for 6 months again with Dr. Friedman and he then had me wear braces for 16 months. I still grind and clench, but take Flexeril which keeps the bad headaches at bay. I also wear a splint to bed. So, I'm better than I was by a long shot and maybe if I weren't such a nervous Nelly I wouldn't still be grinding and clenching at night. Dr. Friedman does every aspect of dentistry; cleaning, xrays, TMJ treatment, crowns, and Orthodontics. I like that about him too b/c I didn't have to see more than one DDS again. He's still my dentist and my husband is also a patient of his. The NTI can definitely open up your bite. I wore one for a short time at the beginning of TMJ treatment. Did that help you decide? lol. Sue

    Last edited by moderator2; 04-18-2011 at 03:18 PM.

     
    Old 04-18-2011, 03:30 PM   #8
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    Re: Wanted: San Diego TMJ Specialist

    Quote:
    Originally Posted by sunshine123 View Post
    Anyway, I wore a splint for 6 months again with Dr. Friedman and he then had me wear braces for 16 months.
    Sue,

    I'm glad you have recovered. And thank you for being so available and open on this board. Seeking TMJ help is daunting, to put it mildly.

    Was the Splint that Dr. F had you wear different then the one you wore from Dr. M? If so, how? Do you think that made a difference in your recovery? Did you take your splint out when eating?

     
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    Old 04-18-2011, 07:37 PM   #9
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    Re: Wanted: San Diego TMJ Specialist

    Thanks Crown. You're welcome. It's been several years, so my memory isn't that clear on which splint I wore while eating. I hated doing that. I think the splint that Dr. McCracken was the same, but I'm not positive. I think wearing braces and taking Flexeril helped me the most. Also, I get Acupuncture once a week for my TMJ as well as couple other problems. Do you have problems with your neck? I have arthritis in mine and it gets really stiff sometimes. I haven't worn a splint while eating in a long time. Do you think you'll try McCracken? Any interest in seeing Dr. Coleman or Friedman? Good luck with whoever you decide to see and keep me posted. Sue

     
    Old 04-18-2011, 08:01 PM   #10
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    Re: Wanted: San Diego TMJ Specialist

    I get neck and shoulder stiffness and cracks. I used to think nothing of it. However, I am more in-tune to it now and convinced its a symptom of TMJ and everything overcompensating. I plan on moving forward with Dr. M's splint therapy. I already have an Ortho lined up for braces for phase 2. Was it difficult to get used to the splint 24/7? Talking? Also, although Im glad I wont have to eat with the splint, I can't figure out why its not required like so many other peoples treatment plan.

     
    Old 04-18-2011, 09:27 PM   #11
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    Re: Wanted: San Diego TMJ Specialist

    I would recommend getting an xray or even mri on your neck. Lots of people
    with TMJD have neck issues and sometimes it's TMJD related and sometimes its osteoarthritis.

    My TMJ doc sent me to a spine specialist and sure enough I had osteoarthritis on 3 discs. The spine doc said that working on a computer for the last 25 years is what probably caused it. Now I get trigger point injections and my neck pain and stiffness is all but gone. PT also helps.

    TMJD makes the neck muscles stiff but the cracking sounds are from osteoarthritis.

    You should also have an TMJ MRI done before you start any treatments.
    If the Doctor/Dentist that offers you treatments doesn't ask for an MRI you are going to waste a lot of money.


    ~~~
    Tom

     
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