What Does a TMJ Orthotic Look Like? - Priya Mistry, DDS (theTMJdoc)
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- Опубліковано 4 жов 2024
- So many people ask me: "what does a TMJ orthotic look like?" OR "where can I order one of those?" Well, a few things to keep in mind - first, it's not so much what the orthotic looks like as it is the unique prescription built into it. This prescription is UNIQUE to EACH INDIVIDUAL - similar to the prescription built into corrective eye glasses. Just like all different types of eyeglasses, and orthotics and look similar to one another (or can even look like a nightguard!) but what sets them apart is the prescription built into them.
A skilled and experienced TMJ practitioners knows how to find this unique prescription. In this video, I will be showing you the different types of TMJ orthotics I use most commonly in my practice, with which I celebrate an over 90% success rate!
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WEBSITE: tmjdentaldoc.com/
FACEBOOK: / priya.mistry.942145
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#testimonial #headaches #neckpain #jawpain #tmjd #tmj #thetmjdoc #aqualizer #jawpops #lockedjaw #jawclicks #trigeminalneuralgia #orthotics #hemicraniacontinua
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This channel is all about TMJ disorders - what they are, how they manifest, what to do about them and how they relate to other issues that may be going unnoticed in the body such as tongue tie, sleep apnea, ADHD, and more! Thank you and I hope you enjoy my videos! - Наука та технологія
You need to put on a clinic! I’ve been to a few Dr’s and none have come close to explaining things as well as you do. I am incredibly thankful for all HCP’s and would never disrespect any. But some experts like yourself are in a class of their own.
yes, I'm thinking of creating some courses.
Agreed! I emailed her office. Hoping to hear back soon!
I was fitted for a prescription custom made orthotic by a neuromuscular dentist in April. I have had it adjusted twice and am now 95% pain from TMJ. I was in severe pain from December until April, ear fullness, constant ear pain in both ears, face pain, hard to open my mouth very wide, could only eat soft foods, and it even hurt to brush my hair on the right side. I’m not saying this will work for everyone; however it did for me. It was expensive, but you can’t put a price on your health.
I’m so glad this helped!!
I have ear fullness with TMJ like you did. Did you get ringing in your ears? Thank you.
@@dazzelpebbels1207 No, I
didn’t have ear ringing.
@@hlnr4817 Hi Thank you so much for replying. Just a few questions. How long did your ear fullness last for? Did you have fullness throughout the day or did it go in and out? When it went away, did it gradually go away or overnight? Thank you again.
@@dazzelpebbels1207 The ear fullness lasted around 6 months. It was there day and night. It went away gradually. It started to go
away after I started to wear the orthotic and thankfully hasn’t returned.
Thanks for your explanations
You’re welcome!
My TMJ doctor has me wearing the mora during the daytime and the ARA during the night. He said I will wean from the daytime one in a few months. My jaw has never locked though- I hope these are the right appliances for me. The daytime one is really hard to talk with.
Best of luck to you!
Unfortunately i live too far 😢😢
Love you content. 👏👏 very informative
Thank you!!! Where do you live?
Do you have a video explaining the different types of splints and their uses? For example the stabilization, NTI, Repositioning, and Interoccusal splint?
No but this is a great idea! I’ll make one.
@@theTMJdoc thank you beautiful!
I think I watched your video that was on night guards and how they sometimes make TMJ worse. Wish I had known that before I spent $$ a few weeks ago having one made at my dentist office. I tried wearing it for about a week before I noticed my TMJ symptoms were worsening. Now I can't use it and I don't have the $$ to have a one of these speciality guards made or even go to a specialist for TMJ...😔 I've suffered from Tinnitus since childhood. Used to be off/on but since I've gotten older its an all day, every day thing. My TMJ symptoms seem to make my Tinnitus worse when it flares up. The pain is sometimes all around my head and down the sides of my neck. When its at its worse my scalp is sore to the touch. I hold a lot of tension in my face muscles. I try catching my self when I'm doing it but being a nervous/worrisome person it's hard. I clench not grind that's why I was hoping a guard would help...💔
Sorry to hear that you’re going through this!
Kindly make video on michigan splint and anterior mid point permissive splints
I have zero experience with these splints so I do not feel comfortable making a video about them.
Hi Priya - how much do your orthotics cost? I know these can require adjustments over time. Do you have some built in adjustments with the cost or the appliance; how many adjustments? How much do additional adjustments cost? How much does the appliance itself cost? Thank you!
Hi there! Everything depends on the severity of the TMJ issue. I’d recommend setting up an online consultation with me - after which you will be provided a quote. You can set this up with the link below:
tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8
Does the TMJ appliance differ from what you would prescribe for bruxism? I ask because I have both but only bruxism treatments are covered by insurance.
@@MiceNine9 please watch this video:
OTC Nightguard vs. Dental Nightguard vs. TMJ Orthotic - Priya Mistry, DDS (the TMJ doc) #tmjorthotic
ua-cam.com/video/Gk0bt2Ayc6s/v-deo.html
Dr Mistry, after watching MANY of your very informative videos, I am certain that I am locked closed. Wish I could see you, but looking for a TMJD doc in the Columbus/Westerville OH area. Any recommendations? Thank you for all your time!
I’m sorry! I don’t know anyone there!
Thank you for a reply!
I had a consult from an ortho that recommended I get an MSE to break my palate and expand it. I am starting to see less pain from wearing an occlusal splint (flat plane) although I still have popping maybe once a day. I'm really nervous about doing anything permanent and that invasive. Is splinting for life really an acceptable option? I'm being told it's a band aid, but I don't feel good about the other options being shared.
Many of my patients wear a nighttime orthotic indefinitely.
I have both. The mora for day and farar for night.
wonderful!
Can very tight masstere muscles causes temporary mallocusion??
Yes they can
Hi mam, i want to know that how the emg tracks muscle activity...basically what the instrument reads in order to determine the different facial muscles activity.............
.for eg .if someone's massester muscle reading is say 50 on k7 system ...does that means it is tight? or it is over-stretched???....please answer
It’s best if you ask your TMJ dentist these questions.
Can a splint be used if there are bone spurs?
Yes :)
What questions are good to ask to make sure our drs can successfully treat tmjd? I’m getting impressions done in a couple days and a tongue tie release. From there I’m getting essentially “extra teeth” put on top of my back bottom molars to move my jaw forward. What questions should I be asking to make sure this is the right move.
that's not a question I can easily answer with typing. It depends a lot on your symptoms and your goals for treatment. If you'd like, you can email my office to set up a zoom meeting with me: patientcare@tmjdentaldoc.com
Hi Dr. Mistry! I told you how im starting my treatment with Dr. Hitesh Patel now. This is my 3rd day wearing my orthotic but im a little worried now because it doesn't have those indentations like yours do. Also it doesn't go on my front teeth at all like yours does. He called it a TMJ rescue appliance but I read my paperwork he gave me and found that it is a mora orthotic. But another reason im worried now is because im having problems with a closed lock and you said you use the ara orthotic for that right? It is on and off for me and it's been a little while since it has locked closed, so I was wondering if you only use the ara orthotic for your patients that are permanently locked closed? All I can say about mine is that it fits but not perfectly. But while im wearing it my jaw doesn't click or pop as much and that I haven’t locked closed yet. But when I take it out I still click and pop. I don't expect it to solve my problems in just 3 days but im worried now because the treatment is very expensive. Sorry for the long paragraph. I absolutely love your content btw! ❤
I don't use the ARA for every patient of mind that is locked closed - only if we are not progressing in treatment. As for your specific treatment, I can't really advise you much over the internet. Sorry and best of luck to you!
Awesome video! It made me so happy! Quick question? Can I use both sometimes at night I feel like my tongue wants to jump through my teeth and I end up biting my tongue a lot every night.
can you use both what? I make a TMJ orthotic to fit against one arch - upper teeth or lower teeth - not both.
@@theTMJdoc I see. Yeah both mouth pieces for upper and lower teeth. What can I do about my tongue it seems to have a mind of its own!
@@mauriciogadalupe I only answer 1-2 questions per viewer via comments. If you have more, you can set up a zoom meeting with me or come in for a new patient exam.
1)can i eat hot food with this one ? 2) is there a benefit of using k7 over tens therapy for orthotics ?
My patients don't wear the TMJ orthotics when eating. I use K7 and TENS therapy in fabricating my orthotics.
Would you recommend a tens machine? I'm about to break. The past 5 year's, I've said, I can't survive another year in pain like this. I'm at the point where even 6 more month's is not doable. But I've done it all. Perscriptions, bite guard, heat, ice, physio, acupuncture, and massage therapy with someone specialized with tmjd. I've used CBD numbing creams, tylenol and advil. Is tens machine or upressure something you would recommend?
The TENS unit I recommend is the one I talk about in the video linked below. Having said that, it's not common that the TENS unit will eliminate the pain entirely.
ua-cam.com/video/pNvplXi_pKU/v-deo.html
Are these made to put the jaw in it s right position? Or are those that you adjust for a year?
Is there a way you can find out the optimal position?
I find it this using the concepts and technology of neuromuscular dentistry
@@theTMJdoc thats such a general answer. Can you tell me please what tech? I need to know before I travel all thia way from Europe.
When I first got Invisalign they suggested I have jaw surgery to fix my jaw alignment. What is the difference with this orthotic and Invisalign? Why can’t Invisalign realign my jaw like this device and would it be wise to find a neuromuscular dentist once my Invisalign treatment is complete?
These questions are great but are far too complex for me to answer via comments. If you'd like you can email my office to set up a zoom meeting with me. patientcare@tmjdentalcare.com
Dr Mistry, do you make the orthotics yourself, or you send to a lab? I feel I can't rely on labs here, technicians rarely put effort to understand anything.
I send them to a local lab. My mentor trained the very skilled lab owner in exactly how to make these.
I have never had an orthotic that I could sleep in because when I clench into them it hurts and wakes me up. I have had regular OTC guards of every type and failed so my dentist fitted me with a custom ($500) guard intended to prevent tooth damage as she isn’t trained to treat TMJ. This was the worst and causes a full blown flair whenever I try to use it. Is the type you show enough different to make it worth trying?
A TMJ orthotic is totally different from a nightguard. Please watch this video:
ua-cam.com/video/ycAEBc6PFQI/v-deo.html
@@theTMJdoc ok thank you.
you're welcome!
Dr Mistry...
Should we wear the orthotic while eating or not? Please reply
It depends on who made your orthotic, how it’s designed and why it’s designed the way it is. It’s best to ask your TMJ dentist this question.
Do the teeth need to be straight before this can be used ?
No! :)
I'm doing hr ct scan report is normal but ringing sound in my ear daily in my life which problem is attack me ?
Im sorry but there’s no way I can answer this without follow up questions and discussion. If you’d like you can set up an online consultation with me using this link 😊🙏🏼
tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8
Hi Dr Priya
I have gotten my orthotic in April. I consistently found the need to have my upper teeth come in contact with the orthotic but my doctor advised that they should never be in contact. However, when i have the contact I feel much more comfortable.
Are patients usually advised to never feel contact from their upper teeth to the orthotic?
I advise my patients to have their teeth gently contact the orthotic in the grooves/indentations built into it for the upper teeth.
@@theTMJdoc What happens if the patient doesn't do that?
Mujhe to madam niche k teeth ka dr ne splint diye h.but pain jaw nahi raha h aur teeth sensitivity hoti h
Can you please write this in English? I don't understand your comment.
I recently went to a TMJ specialist cause of horrible pain in my jaw. He did a CT scan and actually gave me these splints here, but they all just gave me flare ups and I feel like made it worse. Are there other options besides splints?
The frustrating part is they are sooooo expensive, but all they have done is hurt me.
Sorry to hear this. All splints/orthtoics are not created equal. Have you told your provider that your pain is worse?
@@theTMJdoc Yes. I was emailing him a lot. He tried changing them, but every time I put them in my mouth it was immediate discomfort. He told me I’m just a tough case. But they both told me that I should only experience relief from my symptoms, and that if they hurt me to take them out. But now they just want me to keep trying even though they hurt me so bad.
Yo vivo en boston y es deficil encontrsr especialista y ademss tengo pocas muelas, eeo digiculta tratarlo con ortopedia?
You can still be treated if you're missing some teeth :)
Hi Dr, can you eat with the splint on? My doc tells me not to remove it while eating but it completely closes my oral cavity and i can only slip some foods inside and there isnt much room for my tongue to move??
I have an ARA appliance
It depends on the type of splint and your TMD condition
Hi doctor ,im located in Illinois is there a dentist for TMJ That you could know about
Dr Hitesh Patel comes recommended - he’s in Napierville, Chicago. I don’t know his exact methods of treatment
Can bells palsy affect TMJ because in 2020 I had bells palsy. Now I am suffering TMJ issues I have got my orthotic will it work for me after it
There is no way I can answer this question over the internet and without examining you.
Hello, do you have any doctors you recommend in the Bay Area, California? Ty!
I’m sorry, I don’t.
I am in bay area too, if you found any doctor please let me know too!
I got tmj arthrocentesis done as i got my jaw locked couldn’t open it more than one finger after the treatment i can open upto 3 and i was given a splint to wear in lower jaw idk which type is it they just took impression on wax and looks like just a copy of my lower teeth set, my question here is can i wear it for lifetime or not ??
I’d recommend asking your TMJ dentist that. I don’t feel comfortable making specific suggestions for you over the internet and without examining you.
@@theTMJdoc hmm true, though he said there’s no problem even if you wear it daily for lifetime i was just looking for some suggestions as there are literally next to zero doctors who really know in depth about tmj here in India, but thanks :)
Is it possible for your bite to settle / occlude ok on its own after wearing an orthotic for some time?
It’s possible I suppose but not likely.
Does occlude mean be recessed?
I have tmj problem, snd using split which you showed first. Recent times ( last 3 months ) i am getting huge pain at back side of head. It's huge pain. Any recommendations
I'm sorry to hear that. I cannot make recommendations for you over the internet and without examining you in person.
@@theTMJdoc thank you for your reply. I am staying in germany köln. I can not visit. Can you recommend any one in germany.
@@gopikiran2950 I’m sorry, I don’t know anyone there.
@@theTMJdoc no problem, i will try to find. still thanks a lot for allocating time for me
@@gopikiran2950 you're welcome! best of luck to you!
do you teach dentists?
I'm in the process of creating courses!
Do you think that it will take longer for a custom made orthotic to work for those who have been in chronic pain for 8years?
Also, is it normal to experience some throbbing while wearing it because the bite might be changing ?
Yes it can take longer if you have been in pain longer.
How do I find a good TMJ physician in my area? Most just want to prescribe a night guard.
It can be very difficult to find a good tmj dentist! Where do you live?
@@theTMJdoc Melbourne, FL (central East coast) I have seen several, but they just want to give me a night guard. Of course, I still clench in a night guard, so they are not helpful. Your videos have been very helpful! Sure wish I was closer to you. :-)
For how long to wear the first one ?
It depends on how quickly each patient responds to treatment.
@@theTMJdoc please do some live QnA ..I have some more queries. It There is so less material available on internet
@@sarazaidi789 you can email my office to set up a zoom meeting with me if you’d like: patientcare@tmjdentaldoc.com
What is the difference between a neuromuscular orthotic and an anatomical orthotic? Can one over the other reposition jaw joints that are posteriorly positioned?
I don't know what "anatomical orthotic" refers to. A neuromuscular orthotic is made via measurements of where the muscles are most relaxed.
@@theTMJdochere are not done by any measurements. They adjust it weekly for a year . I m at my 3rd splint, can you help me? What measurements do you use? Can you know what the ideal position is?
@@melaniagheorghe9256 I use the concepts and technology of neuromuscular dentistry.
@@theTMJdoc what does that mean please? Is it the same as ours? You adjust it in time or it s fitted perfect on the optimal position?.
How do you find the optimal postion?
What tehnology is that? We are many pacinets with splint fails. Is this any different?
What is NTR appliance ?
NTI?
@@theTMJdoc yes
@@preetsandhu1554 please watch this video and I think I go over and NTI nightguard here:
Bleaching Trays, Retainers, Nightguards, & TMJ Orthotics - Priya Mistry, DDS (the TMJ doc) #tmjd
ua-cam.com/video/iZEu0nD1ChQ/v-deo.html
Bangladeshi prices? Pls
Hi there! Please send an email to patientcare@tmjdentaldoc.com for more information about pricing!