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re: Anyone ever seen a specialist for TMJ?

Posted on 5/12/14 at 10:27 pm to
Posted by Btrtigerfan
Disgruntled employee
Member since Dec 2007
21734 posts
Posted on 5/12/14 at 10:27 pm to
quote:

What specifically is this orthotic? When do you wear it?


It's like a crown over all of your lower front teeth. It's attached. You wear it everyday. No more flossing. You have to use a water pik. It actually looks very natural.
Posted by PythagoreanTiger
New Orleans
Member since Jan 2012
352 posts
Posted on 5/12/14 at 10:31 pm to
quote:

Night guard hasn't helped me at all. I'll probably go to a specialist one of these days. It sucks.


Same. If anything, I actually think it made mine worse.
Posted by ruzil
Baton Rouge
Member since Feb 2012
16984 posts
Posted on 5/12/14 at 10:32 pm to
Hmmm.....

So this device is cemented to your lower front teeth and you cannot remove it to clean. What will he do next? I ask because it sounds like this device will not allow your back teeth to touch and doesn't this make it difficult to eat.

How about a pic, just snap one with your phone and post.
Posted by Kingpenm3
Xanadu
Member since Aug 2011
8985 posts
Posted on 5/12/14 at 10:36 pm to
quote:

It's like a crown over all of your lower front teeth. It's attached. You wear it everyday. No more flossing. You have to use a water pik. It actually looks very natural.



PLEASE do not do this without trying the original removable version first. It's called a "NTI".

Super simplified, most mouthguards, that cover all of the teeth in one arch, just cause your joint and muscle pain to increase as you chew on the mouthguard all night long.

With a NTI, too much force is placed on just a few teeth, your brain says, "hey, stop doing that", the response is similar to what happens when you bite down on a BB, or anything else that is really hard and unexpected, your jaws pop open.

Here is a pic:



Any dentist should be able to make one, I use the "Keller" lab. I think I charge $300, maybe $400.
Posted by ruzil
Baton Rouge
Member since Feb 2012
16984 posts
Posted on 5/12/14 at 10:36 pm to
quote:

Night guard hasn't helped


Did they make you a soft/rubbery night guard or one that is made out of hard material.

Soft guards should rarely be used as the generally encourage more grinding and clenching making the condition worse.
Posted by Kingpenm3
Xanadu
Member since Aug 2011
8985 posts
Posted on 5/12/14 at 10:39 pm to
quote:

So this device is cemented to your lower front teeth and you cannot remove it to clean. What will he do next? I ask because it sounds like this device will not allow your back teeth to touch and doesn't this make it difficult to eat.


Exactly, so much wrong with this. And gross. And as the unopposing posterior teeth supererupt, you get to look like a thumbsucker once the open bite becomes apparent when the device is removed.

But... I'm about convinced that someone told someone about the thing that someone had, and somewhere along the line, the NTI that the original person had, became permanent, when it never was. (just my guess). I'm thinking that someone saw them wearing it during the day, and assumed that it must be cemented in.
This post was edited on 5/12/14 at 10:40 pm
Posted by Btrtigerfan
Disgruntled employee
Member since Dec 2007
21734 posts
Posted on 5/12/14 at 10:39 pm to
quote:

How about a pic, just snap one with your phone and post.


My wife is the patient. If she will let me, I will send you a couple.
<---at gmail.

She has the temp orthotic now. The part not covered is the $40000 worth of crowns and veneers to make it permanent.

I almost wish it didn't work.

She hasn't had a migraine since. I may be out of some money soon.
Posted by ruzil
Baton Rouge
Member since Feb 2012
16984 posts
Posted on 5/12/14 at 10:41 pm to
You have to watch out using an NTI with a patient with an anterior disk displacement. This device will make their condition much worse.

Full coverage hard splints can be made for the vast majority of patients and if adjusted properly, can improve their conditions tremendously.
Posted by Kingpenm3
Xanadu
Member since Aug 2011
8985 posts
Posted on 5/12/14 at 10:41 pm to
quote:

She hasn't had a migraine since. I may be out of some money soon.


!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

It's working!!!!!!!!!!!!!!, stop there!!!!!!!!!!!!!!!!!

eta: I'm assuming that we are talking about a "temporary appliance", and not a temporary mock up for a full mouth rehab.
This post was edited on 5/12/14 at 11:01 pm
Posted by Btrtigerfan
Disgruntled employee
Member since Dec 2007
21734 posts
Posted on 5/12/14 at 10:41 pm to
Posted by Btrtigerfan
Disgruntled employee
Member since Dec 2007
21734 posts
Posted on 5/12/14 at 10:42 pm to
quote:

stop there!!!!!!!!!!!!!!!!!


That's my plan until it falls apart.
Posted by ruzil
Baton Rouge
Member since Feb 2012
16984 posts
Posted on 5/12/14 at 10:44 pm to
quote:

The part not covered is the $40000 worth of crowns and veneers to make it permanent.


That's exactly what I suspected. Has your wife ever had a consultation with an actual TMJ specialist?

Posted by Kingpenm3
Xanadu
Member since Aug 2011
8985 posts
Posted on 5/12/14 at 10:45 pm to
quote:

You have to watch out using an NTI with a patient with an anterior disk displacement. This device will make their condition much worse.

Full coverage hard splints can be made for the vast majority of patients and if adjusted properly, can improve their conditions tremendously.


Agreed. I've just had some great results with my nti's, so it is my go to appliance these days. I've had some constricted opening cases that have incredible changes.
Posted by Btrtigerfan
Disgruntled employee
Member since Dec 2007
21734 posts
Posted on 5/12/14 at 10:45 pm to
quote:

That's exactly what I suspected. Has your wife ever had a consultation with an actual TMJ specialist?


She was a patient of Dr Kidder's for years. We still have the $3000 mouthpiece.
Posted by ruzil
Baton Rouge
Member since Feb 2012
16984 posts
Posted on 5/12/14 at 10:45 pm to
quote:

This link is how first heard of it


Tread lightly.
Posted by PythagoreanTiger
New Orleans
Member since Jan 2012
352 posts
Posted on 5/12/14 at 10:46 pm to
Mine was hard. It may have just been that the dentist I got it from didn't do a good job, but it hurt my gums to wear it and I would wake up with headaches almost every morning and tighter jaws than if I didn't. He also prescribed me muscle relaxers to take before bed. That didn't work either.
Posted by Kingpenm3
Xanadu
Member since Aug 2011
8985 posts
Posted on 5/12/14 at 10:46 pm to
*
This post was edited on 5/12/14 at 10:48 pm
Posted by ruzil
Baton Rouge
Member since Feb 2012
16984 posts
Posted on 5/12/14 at 10:48 pm to
quote:

She was a patient of Dr Kidder's for years. We still have the $3000 mouthpiece.


Sounds like you did try that route. Sorry it didn't work for your wife.

I guess you had better start saving the cash for that full mouth rehabilitation.
Posted by Btrtigerfan
Disgruntled employee
Member since Dec 2007
21734 posts
Posted on 5/12/14 at 10:48 pm to
quote:

Tread lightly.


Let me assure you, I am looking for alternatives. The only problem is the fact that she is singing the praises of how pain free she is.

Posted by Kingpenm3
Xanadu
Member since Aug 2011
8985 posts
Posted on 5/12/14 at 10:49 pm to
quote:

Mine was hard. It may have just been that the dentist I got it from didn't do a good job, but it hurt my gums to wear it and I would wake up with headaches almost every morning and tighter jaws than if I didn't. He also prescribed me muscle relaxers to take before bed. That didn't work either.



Read what I wrote about how a NTI works above.
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