I just had my appliance inserted for my tmj. The Dr. didn’t explain or tell me what MORA and ARA stands for and what they ment, until I found this video! Thank you Dr. Mistry!!!
I'd be in your office next week it I were in your area - thank you so much for the info. I didn't know what my tinnitus, neck & jaw pain and vertigo was caused from 15 years ago. After seeing many other specialist I went to a TMJ doctor. Unfortunately the splints that were made kept me awake at night and tend to make me grind even more. I'll check with my Dr. about the other two modalities. Thank you so much for sharing this content!
Hi Dr. Just want to say I think you are an angel doing God's work. Helping a problem that does not get talked about or people dont know how to treat. And providing information and taking the time to answer questions on youtube when you are already busy is so kind! Do you know long tmj episodes can last usually? As far as weeks or months?
it's great to learn from your video's. Very much informative, here we don't have specific TMJ doc so we have to learn own our own. I have already recommended your channel to my fellow doctors . Kindly give more information regarding tmd so we together make world better. May god bless you TMJ doc.
my doctor suggesting phase 1 and phase 2 treatment. 1) phase 1 orthodontics alignment slipnt= 6 months 2) braces treatment= 1 year Total cost 2 Lakhs Can I belive on that
Great information! Is it possible to not have TMJ pain, only popping on one side but have terrible pulsatile tinnitus- on the opposite side that gets louder when you apply resistance to jaw? Tinnitus also gets louder pressing on scalp same side and also get facial numbness. Ears constantly stuffy as well. I saw ENT, they did a CTA and everything is normal. No one can offer up an explanation. Thanks
Thank you for the video. Can you please do a video on what you recommend for those living with a chronic lock meaning there’s no hope for the disc to recapture since the condyle has been remodeled?
What do you mean by the condyle being remodeled? I think I may have this. I basically don't have that bony nob on the right side of my Jaw unlike my left side. This makes my jaw just hard to control. It feels loose and it gets tired quickly. Sometimes you try to talk and it just does dosent operate like I'm telling it to.
@@zakvince7425 When the disc is displaced without reduction and you are bone on bone the condyle changes shape with time it can become flatter. I have never met a dentist who knows how to treat disc displacements without reduction
@@absolutelynot5xc7789 I know this is a super late reply, but maybe this helps someone. I had the same issues for 2 months (so not for too long). Dentists and jaw surgeons said everything was "fine" and only gave me pills to relax the muscles. Took me 2 months to persuade them to get an MRI scan to find out that my disc was forward and didn't return as it should. Every jaw surgeon said nothing can help me. I got a teeth guard (nothing too special because of where I live there were no expert dentists, my right side bites down and the other side doesn't even touch, not that great). Moved for a weak to a big city and found a physiotherapist tmj specialist and an osteopath also tmj specialist ( so not dentists or jaw surgeons). In just one week there was a loud clic and my muscles feel a lot better. The osteopath said that we got the disc unstuck. Also, my pain and muscle pain and tightness and also my jaw opening, all improved already from just the 1st appointment of osteopathy. Physiotherapy and mouth guards are also essential because these results are temporary if you don't have healthy function and habits and my mouth can lock again. In just one week I feel almost normal. I hope I manage to keep these results. But everyone was telling me that nothing would help which is a lie.
Excellent! Do you have some sort of resource to refer us to doctors that are as good as you in different parts of the US? I bet some form of accreditation you could provide to those dentists would be really great
I wish I did! Where do you live? I may know someone in your area, but there is no specific directory I know of for providers who do this the same way I do.
@@ArroganceClause the closest I know is Dr Sandra Fuller in Greensboro. She comes highly recommended. I don’t know her exact methods of treatment. Best of luck to you!
@@ArroganceClause Hi Flemington, I also live in North Carolina and was wondering if you've been able to find a treatment provider yet. I'm also looking for someone whose treatment is similar to Dr. Mistry's.
I've had this for 5 years😭😭😭and it's just not going away. I think it's gotten worse because I get the worst migraines on the side of the tmj and I have started to get motion sickness as well. Please tell me what to do. I don't want to to get surgery. I'm scared
Great advice ! I am getting myofacial release on my jaw today from massage therapist. Also, what are you thoughts on lidocaine injections or the trigger point injections ??
Hello! Doctor how much you charge for a night guard anh how much is cost fir each time therapy? I live in Portland, where us your clinic location .Thanks.
I don't make nightguards. I make TMJ orthotics. I also don't discuss my fees online. You can call my office to make an appointment. Here's my website: tmjdentaldoc.com/
Do you recommend any of your patients to get braces or Invisalign after the orthotic? Is it ever required to fix tooth positioning after correcting the jaw positioning?
Thanks Dr for sharing this useful information with us. I'd like to know if you have treated TMJ patients with tinnitus, if so, have they improved their symptoms?
@@theTMJdoc it is a bad nwes for me becauseI have a stron rining nois in my ears and after I sow you videos,I had hope that this treatmant can improved my simptoms😢😢😢
Hi Dr. Priya, thanks for your video, I am just curious, for the 10% that cannot be helped, what is usually the reason? Is it that they need surgery? Thanks!
No, they don't typically need surgery because it's usually the muscles that we just cannot calm down. I'm getting trained in using TekScan (also called T Scan) and I'm hopeful that that will be the solution for at least some of those 10%!
I received Orthotics when i was done wearing braces but i repeatedly got them broken on accident and the waiting period between each time made my TMJ worse. It's located on my left joint mostly and a little at the righ joint. It feels like my jaw is being pushed to one side by the pressure. I've been living with this problem for over 12 years, it messes with my orientation too like i can't tell where my front middle is and i need to focus extra hard to walk straight. Balance is completely off.
Thanks Doc for the video. My wife has suffered with TMJ for years. Unfortunately, she has dentures and the uppers most often hurt her gums (which seem to swell). Any suggestions for TMJ self treatment (or ??) for denture wearers?
Hi Dr! I just got diagnosed with TMD disc displacement with reduction on both sides. The doctor wants to use an orthotic for 1 year used all the time except for eating. He wants to re center the condyle and then allow the tissue to form a new pseudo disc in which to properly function. After a year the goal is to then wean to nighttime orthotic only. Does this creation of a pseudo disk sound right to you? He said it’s a 99% success rate if the patient is compliant. Also I’ve had a few burning teeth pains in the past and he suspects trigeminal neuralgia. Could the TN be due to my TMJD? Coils treating the TMd with orthotic fix the TN tooth pain?
Hi there! I cannot answer these questions about your specific condition and treatment without follow up questions and discussion. If you’d like, you can email my office to set up a zoom meeting with me - patientcare@tmjdentaldoc.com
My symptoms got worse after i received a temporary crown. I have had tmj issues in the past but ever since i got prepped for the crown i had a headache on the same side as that crown. I now have the permanent crown in and still having headaches. I have an appointment with a chiropractor to see if that will help.
Thank you! How do you keep your patients' spirits up while they go through treatment. It took me several months to realize this is TMD pain and now it will be two more weeks before I get my orthotic splint. Sometimes I don't know how I can keep it together pain wise and I keep worrying what if this treatment doesn't work for me?
Hello Doctor, good to know the healing rate at your clinic. I am based in India and suffering severe TMJ pain after a physical trauma and also accompanied by Neuralgia due to TMJ. Is there a way you can treat me and will the neuralgia worsen with the above TMJ treatment techniques you mentioned? I am currently taking ultrasound physiotherapy for some relief. Thank you! Regards!
Hi there! It’s hard to say if I can help you without follow up questions and discussion - if you’d like you can email my office to set up a zoom meeting: Patientcare@tmjdentaldoc.com
@@theTMJdoc Thank you Doctor for your response. I have been feeling slightly better since the ultrasound physiotherapy sessions. However, I will see if this further heals or else take an appointment with you. God bless you!
@@theTMJdoc Cool, would i have to pay to get told what the osteopathic technique is? 😭 *Or do you have a video?* _(If you tell me for free, that would be greatly appreciated im young and broke kind of)_
Hello Dr. Mistry, How do I know if I need an orthotic or just myofacial release? I don't have clicking or popping, just tight, sore masseter and temporalis muscles. They give me a nonstop "tension headache" affecting the forehead, temples and sometimes down to my left upper jaw and molars. Thx for any guidance you have. G from Ontario Canada
So grateful for your information that you bring to us. I do have muscle pain on my right side of jaw which I believe TMJD. I wear a nightguard, but feel an orthotic would be better for me. I have had the nightguard for quite a few years, and the guard has indentations from my bites at night. Will the orthotic help with not only the muscle pain but also from grinding? I am also diagnosed with Trigeminal Neuralgia. In your opinion, is it possible that the jaw pain from TMJ could cause TN?
I have been putting a small piece of cotton in my painful ear with lavender essential oil on it. It works and if I don’t have it in the pain comes back. I take it out at night and it doesn’t bother my hearing at work.
I had custom orthotics made but my jaw was never relaxed with them because my teeth wouldn’t “rest together” right. I would constantly grind on the orthotic and move my teeth around to find a good position to relax in, but couldn’t. Would you say that’s because the orthotic perhaps just wasn’t made right or the right kind, or that I would just need a much longer time wearing it for my mouth to become used to it? It was made after connecting sticky measuring devices to my face to see on a screen where my jaw seemed comfortable most. The orthotics also began shifting my bite, so my bottom teeth would close right under my top teeth, making my smile no longer aligned then. My regular dentist urged me to stop wearing it immediately (the orthotic was made by a neuromuscular dentist).
Yes drastically different. Please watch this video for more info: OTC Nightguard vs. Dental Nightguard vs. TMJ Orthotic - Priya Mistry, DDS (the TMJ doc) #tmjorthotic ua-cam.com/video/Gk0bt2Ayc6s/v-deo.html
I almost died because i have this and didn't know. I had constant chronic migraines and was taking up to 15 excedrin migraine pills per day. I ended up with 4 ulcers which I'm still recovering from. I'm the only parent of a special needs child. We're both on disability and on public insurance. Almost nobody treats this and nobody at all that takes my insurance. I'm barely hanging on as it is and can in no way afford getting to another state for this. I'm so desperate and in so much pain all the time.
Is very frustrating diferent doctors have diferent opinions about splints and treatments. And why neuromuscular dentist are not accepted with conventional dentist and vice-verse?
@@theTMJdoc Thanks doc for you reply. I visited a Maxillofacial surgeon, he claims Im level 2, but I dont really want a surgery for this. I want another option although it takes longer to solve it.
Hi Dr. Priya, My daughter had a cavity filled, and that same day her jaw starting poppin. Did her ligaments maybe stretch to much? Do you think exercises will Help? Thank you
I have started wearing day and night orthotic for about a week now. I dont notice any change. Feels like more pain at the jaw. How long before I notice any changes?
You may want to talk to the dentist that fitted it. It may need to be adjusted. When I was fitted for mine, it took a little time for my jaw to adjust at first. Don’t give up hope. I have been wearing my daytime orthotic for 3 months and am almost pain free, and I was in a LOT of pain to start with. Praying the same outcome for you!
I really can't answer this without examining you with and without the orthotic in. I'd recommend asking the provider who made this for you. Best of luck!
Hi Doc thank you so much for the genuine video. I have been having tmj issue since 2017. I tried splints. And doing chiropractor as well. But lately if I wear my splint my neck stiffness won't let me live and if I don't wear my splint jaw kills me.. not sure what to do ? Do you have any suggestions? I have been searching answers my whole life and please let me know if have any advise. Thank you so much
Do night guards help? I have one from the dentist but no one takes insurance for TMJ in CO and I have spent so much just with tmj consolations. I get headaches dizziness and popping and clicking.
Would you ever suggest an arthroscopy for displaced disc with reduction? And do you have patients that the clicking/popping never goes away even once disc and pain is stabilized?
It’s not about the name or type of splint, it’s about the prescription built into it that is unique to each individual. Kind of like all prescription eyeglasses looking similar but it’s the prescription built into it that makes the difference. 😊🙏🏼
if it's a regular nightguard, it likely won't help with pain. if it's a tmj orthotic that's made correctly, it will. the term "splint" can be used to describe a nightguard or an orthotic, so it's hard for me to answer your question.
Hi Dr! I know this is a weird question but do you know any drs that know what you know in the Chicagoland area? I wish I lived near you,. Thank you for all of your videos! ❤
Hi Priya. I have had jaw problems ever since I was young and I used to get a lot of pain. The last couple years the pain has basically gone away, but I believe this is because it has actually gotten worse and I am passed the pain stage. I am now 18 and I have difficulty controlling the right side of my Jaw when talking, eating, etc. When I put my fingers on the condyle(bone that moves down when you open your jaw I believe) the right side is almost non existent. You can feel it move slightly, but it's nothing like the left side where you really feel the knob. Is this tmj without reduction or could it be a partial jaw dislocation that I have been living with for a few years? The second option doesent seem likely to me, but I don't have any other explanation as to why the actual bone/condyle isn't as prominent on the right side? Any help would be greatly appreciated thankyou.
Hi there! Sorry you're going through this. It's hard for me to speculate on what exactly is going on without examining you in person and without imaging. Have you seen a TMJ dentist?
No I haven’t. I made an appointment to see one and she blew me off. And next day, she emailed me to ask me would I be coming the following day and I said NO! Anyone who blows off a meeting /office with w/o talking to me directly is not worth seeing. I already don’t trust her. Not Good! If I have to, I will fly there to see a doc. Tomorrow I’m going to chiropractor who wks with TMJ pax. So we will see. I really want to see you. You are very good and has demonstrated concern about your patients. I like that. I can pay to talk to via the phone or if you know of a doctor who deals with TMJD.
Ma'am am watching all your videos, very much helpful, I wish you were in chennai, I would get treated for my TMJD. May I get an online consultation with you.
I had a positive home sleep study. Is it possible that is causing tmj because of night grinding and then an orthotic isn’t needed? But I also have a posterior tie and maybe a small palate and realizing the issues are complex. I’ve also been told MAD always changes the bite or can make tmj worse. Is it best to just use a machine?
@@goodvibesxox there’s no way I can answer these questions without follow up questions and discussion. If you’d like you can set up an online consultation with me using the link below: tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8
Very helpful information! I had an ear infection back in December 2020 from swabbing both ears. Was given antibiotics but it didn’t work. What lead to healing the infection was from taking prednisone for a week. I had a CT scan, MRI, and a hearing test and it all came back normal. To this day, chronically I’d feel dizzy and nauseous. I have no fever or any fluids coming out of my ear. Also, my upper teeth feels achy. I have 2 questions… 1) can there be residue from the ear infection? 2) does TMJD can be traced back from the ear infection?
Is it possible for TMJ to cause a tightness in the jaw on the affected side? I have always had clicking, but somehow I really flared myself up and there is pretty minimal pain, it just feels like my entire jaw area is extremely tight, mostly on the affected side. Do you recommend neuromuscular dentist or orofacial pain specialist?
Hi mam Thanks for the useful content My doctor has given me orthotics and i am doing everything but my neck pain is not going. Can you please suggest anything?
Headaches. What do I about headaches? Please refer me to a Dr here in Chicago. I wish I lived near you. This evening is my first time experiencing a headaches. I agree with you about checking the orthopedic. My orthopedic is hard. Should be that way?
In your experience, is it possible for a patient to end up with an open bite or their teeth coming together differently, after wearing these removable orthotics for several months? If so, is there any way to prevent this or minimise the chance of creating long term / permanent changes in occlusion, as a result of orthotic therapy? As you know, some patients cannot financially afford Phase 2 orthodontics and this is why I'm asking this question. Also, why do different TMD dentists use different types of orthotic treatment protocols? Neuromuscular and ICCMO dentists such as you, use the removable day time and night time orthotics which are protrusive and bring the mandible forward and decompress the joint. Orthopedic dentists use a removable single orthotic which the patient must wear 24/7. Some dentists such as your colleague Dr Alex, use a fixed single orthotic which must be worn 24/7. And some dentists recommend stabilisation splints such as the Tanner appliance because they are the most conservative and have the lowest chance of causing any long term changes in occlusion. For patients like me it is very difficult to make an informed decision regarding which type of orthotic is best for us. What is your advice for patients who need to determine which type of orthotic is best for their particular case? If I ask the dentists in my country they never give me any clear answers.
My method - which involves removing the orthotic when eating - minimizes chances of the bite changing. However, there's about a handful of patients per year whose bites change through treatment. For a few of these patients, we can do minor occlusal adjustments at the end of treatment to balance the bite to match the muscles and joints. For the rest, orthodontic or crown work is needed. As for which orthotic is best for you, it truly depends on the severity of your TMJ problem.
@@theTMJdoc Thank you very much for your reply. I really appreciate it. For patients with debilitating TMD pain and disc displacement, who have clicking/popping and episodes of the jaw catching/locking, how can these patients eat safely and properly without their day time orthotic? I have all of these same symptoms and eating food is one of the main times that I would need the stability and support of the orthotic and so logically I'm thinking it will be necessary to wear the orthotic when eating? What are your thoughts on this?
@@theTMJdoc Okay, thank you very much for confirming. And thank you so much for providing this channel and videos. They give hope for millions of TMD sufferers like me.
Thank u.. I have show many dentists here in India... But i haven't received any proper treatment they've not been able to even diagnose TMJD. I wish I stayed in USA so i could have taken treatment from you. 🥲
Is it a normal ATM splint that you keep on adjusting or custom made to fit the optimal jaw position from the first use? Cause been in 3 splints so far. Can you help me?
Will orthotics help with arthritis? I went to orofacial pain clinic and they think that’s my cause . My face feels tense around cheek area, neck pain, headaches on forehead . Already schedule an appt with tmj specialist to see if this is the cause or not . Do you have any recommendations in Southern California ? Im between orange and Los Angeles county . I want to explore my options .
![Lp. Сердце Вселенной #60 РОЖДЕНИЕ ЛОЛОЛОШКИ [Финал] • Майнкрафт](http://i.ytimg.com/vi/YoR0pAV9FVQ/mqdefault.jpg)
I just had my appliance inserted for my tmj. The Dr. didn’t explain or tell me what MORA and ARA stands for and what they ment, until I found this video! Thank you Dr. Mistry!!!
@@mariakrauss4553 you’re welcome! ☺️
Dr. Parker is the best!!! I moved to Vegas and 7 years later, im dealing with all kinds of problems. I wish 1 of you were here. 😢
Aww sorry! You can always fly to see me :)
@@theTMJdoc I wish I would have known about you 3 weeks ago.. I was in portland for 2 days. Thanks 👍 😊
I'd be in your office next week it I were in your area - thank you so much for the info. I didn't know what my tinnitus, neck & jaw pain and vertigo was caused from 15 years ago. After seeing many other specialist I went to a TMJ doctor. Unfortunately the splints that were made kept me awake at night and tend to make me grind even more. I'll check with my Dr. about the other two modalities. Thank you so much for sharing this content!
Best of luck to you!!!
Did you vertigo go away.does it happened everyday?
This is the most useful and well presented explanation of TMJD.
@@GREENBUDDHAA thank you!!
Hi Dr. Just want to say I think you are an angel doing God's work. Helping a problem that does not get talked about or people dont know how to treat. And providing information and taking the time to answer questions on youtube when you are already busy is so kind! Do you know long tmj episodes can last usually? As far as weeks or months?
Thank you for your kind words! The episodes can last from days to weeks to months. It can vary a lot.
@@theTMJdoc okay thank you♥️
Thank you. Much Appreciated
Brilliant information & precise description by an intelligent professional doctor...Respect you
Thank you! 🙏🏼😊
What is the cost for locked jaw treatment with the history of clicking?
I have given 4 lakh rupees approx to a tmj specialist
I don't discuss my fees online :)
Consult RS dental and implant centre, gurgaon, search on google
Contact RS dental and implant centre, gurgaon ,search on Google
it's great to learn from your video's. Very much informative, here we don't have specific TMJ doc so we have to learn own our own. I have already recommended your channel to my fellow doctors . Kindly give more information regarding tmd so we together make world better. May god bless you TMJ doc.
thank you for your kind words! Much appreciated :)
my doctor suggesting phase 1 and phase 2 treatment.
1) phase 1 orthodontics alignment slipnt= 6 months
2) braces treatment= 1 year
Total cost 2 Lakhs
Can I belive on that
I'm sorry, but I cannot answer this question over the internet and without examining you. Sorry!
Can't wait to recieve this treatment in just a couple weeks! :D
Wonderful!
@@theTMJdoc .my tooth hurts and my jaw:(
@@genie395 sorry to hear that!
I have learned soo much from this channel!
glad to help! Dont forget to subscribe!
Extremely grateful for your channel I have not found relief neither have I found a dentist that can help me
Sorry to hear you haven't found relief!
You sound very competent and dedicated. Do you have any practices in London where I need (desperate) help?
I’m so sorry I don’t! I’m working on it though!
Great information! Is it possible to not have TMJ pain, only popping on one side but have terrible pulsatile tinnitus- on the opposite side that gets louder when you apply resistance to jaw? Tinnitus also gets louder pressing on scalp same side and also get facial numbness. Ears constantly stuffy as well. I saw ENT, they did a CTA and everything is normal. No one can offer up an explanation. Thanks
Yes it's possible to have all of this in relation to TMJ/TMD.
@@theTMJdoc Thank you!
I’m getting fit for a splint on Monday, I live in Washington and think I will call and see if I can get an appointment with you also!
Yes come see me!
Thanks for the important information.
You’re welcome!
Thank you for the video. Can you please do a video on what you recommend for those living with a chronic lock meaning there’s no hope for the disc to recapture since the condyle has been remodeled?
You’re welcome! It depends on pain level, range of motion, quality of life, etc.
What do you mean by the condyle being remodeled? I think I may have this. I basically don't have that bony nob on the right side of my Jaw unlike my left side. This makes my jaw just hard to control. It feels loose and it gets tired quickly. Sometimes you try to talk and it just does dosent operate like I'm telling it to.
@@zakvince7425 When the disc is displaced without reduction and you are bone on bone the condyle changes shape with time it can become flatter. I have never met a dentist who knows how to treat disc displacements without reduction
@@absolutelynot5xc7789 well thats just great
@@absolutelynot5xc7789 I know this is a super late reply, but maybe this helps someone. I had the same issues for 2 months (so not for too long). Dentists and jaw surgeons said everything was "fine" and only gave me pills to relax the muscles. Took me 2 months to persuade them to get an MRI scan to find out that my disc was forward and didn't return as it should. Every jaw surgeon said nothing can help me. I got a teeth guard (nothing too special because of where I live there were no expert dentists, my right side bites down and the other side doesn't even touch, not that great). Moved for a weak to a big city and found a physiotherapist tmj specialist and an osteopath also tmj specialist ( so not dentists or jaw surgeons). In just one week there was a loud clic and my muscles feel a lot better. The osteopath said that we got the disc unstuck. Also, my pain and muscle pain and tightness and also my jaw opening, all improved already from just the 1st appointment of osteopathy. Physiotherapy and mouth guards are also essential because these results are temporary if you don't have healthy function and habits and my mouth can lock again. In just one week I feel almost normal. I hope I manage to keep these results. But everyone was telling me that nothing would help which is a lie.
Does it resolve the problem? I don’t want treatment, I want it fixed 😖.
Yes of course!
So glad i found your page ive been suffering way to long i think my TMJ comes from my anxiety and panic attacks will this help me?
I’m sorry - will what help you? I don’t understand your specific question..
You are an an angel I live in Chicago please can you recommend a good doctot
Dr Hitesh Patel and Dr Ira Shapira come highly recommended. I don’t know their exact treatment methods.
Do you know any TMJ specialists in the Northern VA area?
Dr Pamela Marzban - Burke, Virginia 😊
Excellent! Do you have some sort of resource to refer us to doctors that are as good as you in different parts of the US? I bet some form of accreditation you could provide to those dentists would be really great
I wish I did! Where do you live? I may know someone in your area, but there is no specific directory I know of for providers who do this the same way I do.
@@theTMJdoc thanks! I’m in the Raleigh Durham area in NC
@@ArroganceClause the closest I know is Dr Sandra Fuller in Greensboro. She comes highly recommended. I don’t know her exact methods of treatment. Best of luck to you!
@@ArroganceClause Hi Flemington, I also live in North Carolina and was wondering if you've been able to find a treatment provider yet. I'm also looking for someone whose treatment is similar to Dr. Mistry's.
@@canigetawitness1992 I haven’t looked yet
I've had this for 5 years😭😭😭and it's just not going away. I think it's gotten worse because I get the worst migraines on the side of the tmj and I have started to get motion sickness as well. Please tell me what to do. I don't want to to get surgery. I'm scared
I cant tell you what to do over the internet and without examining you. Can you come see me?
Great advice ! I am getting myofacial release on my jaw today from massage therapist.
Also, what are you thoughts on lidocaine injections or the trigger point injections ??
I've heard that these injections work well but I don't do them at my office :)
Hi Dr., thank you for your videos, what is your opinion on Botox in the masseter to treat bruxism and day time clenching? Thank u
Please watch this video :)
ua-cam.com/video/ZW9iMjsLKhc/v-deo.html
Thank god I found your channel.
I'm glad you did! Don't forget to Subscribe!
Hello! Doctor how much you charge for a night guard anh how much is cost fir each time therapy? I live in Portland, where us your clinic location .Thanks.
I don't make nightguards. I make TMJ orthotics. I also don't discuss my fees online. You can call my office to make an appointment. Here's my website:
tmjdentaldoc.com/
Do you recommend any of your patients to get braces or Invisalign after the orthotic?
Is it ever required to fix tooth positioning after correcting the jaw positioning?
Sometimes I do.. :)
hi. thanks for this Dr Mistry. Have you seen tmg or teeth clenching to be the reason for tinnitus or even worse hearing loss? thanks
Yes and yes!
thank you and what are my options here without pulling all my teeth tho I am actually ready to do that. @@theTMJdoc
I have no pain or popping, but my mouth sways off to one side if I open or close really wide.
Sorry to hear that!
Thanks Dr for sharing this useful information with us. I'd like to know if you have treated TMJ patients with tinnitus, if so, have they improved their symptoms?
Hi there! Unfortunately, I've found that tinnitus is the one symptom that does not respond predictably to treatment.
@@theTMJdoc it is a bad nwes for me becauseI have a stron rining nois in my ears and after I sow you videos,I had hope that this treatmant can improved my simptoms😢😢😢
Hi Dr. Priya, thanks for your video, I am just curious, for the 10% that cannot be helped, what is usually the reason? Is it that they need surgery? Thanks!
No, they don't typically need surgery because it's usually the muscles that we just cannot calm down. I'm getting trained in using TekScan (also called T Scan) and I'm hopeful that that will be the solution for at least some of those 10%!
Great, thank you!
You’re welcome!
I received Orthotics when i was done wearing braces but i repeatedly got them broken on accident and the waiting period between each time made my TMJ worse. It's located on my left joint mostly and a little at the righ joint. It feels like my jaw is being pushed to one side by the pressure. I've been living with this problem for over 12 years, it messes with my orientation too like i can't tell where my front middle is and i need to focus extra hard to walk straight. Balance is completely off.
Sorry to hear that!
I own you my life. Thanks for help mam
Glad to help!
How do I find a doctor using this protocol that is closer to me? Las Vegas is the closest large city to me…
I don't know anyone that uses this exact protocol. Sorry!
My nightime orthotic muscle reluxes but my left joint constant pain...what should i do ?
I’m so sorry, but I can’t advise you over the Internet and without examining you.
Thanks Doc for the video. My wife has suffered with TMJ for years. Unfortunately, she has dentures and the uppers most often hurt her gums (which seem to swell). Any suggestions for TMJ self treatment (or ??) for denture wearers?
An orthotic can still be made for denture wearers!!
@@theTMJdoc ohh thank God that's amazing t hear
Hi Dr! I just got diagnosed with TMD disc displacement with reduction on both sides. The doctor wants to use an orthotic for 1 year used all the time except for eating. He wants to re center the condyle and then allow the tissue to form a new pseudo disc in which to properly function. After a year the goal is to then wean to nighttime orthotic only. Does this creation of a pseudo disk sound right to you? He said it’s a 99% success rate if the patient is compliant.
Also I’ve had a few burning teeth pains in the past and he suspects trigeminal neuralgia. Could the TN be due to my TMJD? Coils treating the TMd with orthotic fix the TN tooth pain?
Hi there! I cannot answer these questions about your specific condition and treatment without follow up questions and discussion. If you’d like, you can email my office to set up a zoom meeting with me - patientcare@tmjdentaldoc.com
My symptoms got worse after i received a temporary crown. I have had tmj issues in the past but ever since i got prepped for the crown i had a headache on the same side as that crown. I now have the permanent crown in and still having headaches. I have an appointment with a chiropractor to see if that will help.
Sorry to hear that! I hope you feel better soon.
Txn you for sharing Relly I need did
You're welcome!
So the appliances help recapture the disks? Or to form a pseudo disk?
Wish I could go see you, Dr. Priya. Do you know any TMJ specialists in Louisiana or possibly Houston, TX? Thanks for all your helpful videos!
I’m sorry but I do not.
@@theTMJdoc Do the orthotics work well for treating deviation?
very helpful information.
Glad it was helpful!
Thank you! How do you keep your patients' spirits up while they go through treatment. It took me several months to realize this is TMD pain and now it will be two more weeks before I get my orthotic splint. Sometimes I don't know how I can keep it together pain wise and I keep worrying what if this treatment doesn't work for me?
it can be hard but if my patients are having severe pain I usually see them weekly for TENS treatment and craniofacial therapy until they feel better.
@@theTMJdoc I finally got my occlusal flat plane splint. I wish I could be your patient but I live in south Florida. Thank you.
@@vidhyaravi200 I hope it helps and best of luck to you!
Thanks for sharing 👍
No problem 👍
Have you seen in your clinic cases when TMJD causes hearing loss?
Hello Doctor, good to know the healing rate at your clinic. I am based in India and suffering severe TMJ pain after a physical trauma and also accompanied by Neuralgia due to TMJ.
Is there a way you can treat me and will the neuralgia worsen with the above TMJ treatment techniques you mentioned?
I am currently taking ultrasound physiotherapy for some relief.
Thank you! Regards!
Hi there! It’s hard to say if I can help you without follow up questions and discussion - if you’d like you can email my office to set up a zoom meeting:
Patientcare@tmjdentaldoc.com
@@theTMJdoc Thank you Doctor for your response. I have been feeling slightly better since the ultrasound physiotherapy sessions. However, I will see if this further heals or else take an appointment with you. God bless you!
Can you recommend someone near Toronto Ontario Canada? Thank you so much for your amazing videos 😊
I’m sorry but I don’t know anyone there!
Would love to know if you found a good specialist in Toronto
8:20 can you elaborate a bit more what you mean by jaw manipualtion and what does it ential? Does it mean chewing gum or something?
It does not mean chewing gum. Its an osteopathic technique my mentor taught me that I do for my patients. Its gentle but effective.
@@theTMJdoc Cool, would i have to pay to get told what the osteopathic technique is? 😭 *Or do you have a video?*
_(If you tell me for free, that would be greatly appreciated im young and broke kind of)_
Hello Dr. Mistry, How do I know if I need an orthotic or just myofacial release? I don't have clicking or popping, just tight, sore masseter and temporalis muscles. They give me a nonstop "tension headache" affecting the forehead, temples and sometimes down to my left upper jaw and molars. Thx for any guidance you have. G from Ontario Canada
Everyone needs both in my opinion.
So grateful for your information that you bring to us. I do have muscle pain on my right side of jaw which I believe TMJD. I wear a nightguard, but feel an orthotic would be better for me. I have had the nightguard for quite a few years, and the guard has indentations from my bites at night. Will the orthotic help with not only the muscle pain but also from grinding? I am also diagnosed with Trigeminal Neuralgia. In your opinion, is it possible that the jaw pain from TMJ could cause TN?
I have been putting a small piece of cotton in my painful ear with lavender essential oil on it. It works and if I don’t have it in the pain comes back. I take it out at night and it doesn’t bother my hearing at work.
It’s not a cure but it saved my life. I wear a nightguard that my dentist made every night. I have tried everything else
I don’t think TMD can cause TN but it can mimic it.
I had custom orthotics made but my jaw was never relaxed with them because my teeth wouldn’t “rest together” right. I would constantly grind on the orthotic and move my teeth around to find a good position to relax in, but couldn’t.
Would you say that’s because the orthotic perhaps just wasn’t made right or the right kind, or that I would just need a much longer time wearing it for my mouth to become used to it? It was made after connecting sticky measuring devices to my face to see on a screen where my jaw seemed comfortable most.
The orthotics also began shifting my bite, so my bottom teeth would close right under my top teeth, making my smile no longer aligned then. My regular dentist urged me to stop wearing it immediately (the orthotic was made by a neuromuscular dentist).
I’m sorry but there’s no way I can answer this over the internet and without examining you with and without the orthotic in..
hello, is Dr Parker located in Houston, just wondering if he is the same Dr I visited
thanks
Nope - Portland, Oregon :)
thanks for replying
Is an orthotic different from a custom dental guard?
Yes drastically different. Please watch this video for more info:
OTC Nightguard vs. Dental Nightguard vs. TMJ Orthotic - Priya Mistry, DDS (the TMJ doc) #tmjorthotic
ua-cam.com/video/Gk0bt2Ayc6s/v-deo.html
Do you treat patients who live in a different state? I’m from New Mexico and there are no dentists here that specialize in TMJD.
If you can travel to see me, I can treat you :)
I almost died because i have this and didn't know. I had constant chronic migraines and was taking up to 15 excedrin migraine pills per day. I ended up with 4 ulcers which I'm still recovering from. I'm the only parent of a special needs child. We're both on disability and on public insurance. Almost nobody treats this and nobody at all that takes my insurance. I'm barely hanging on as it is and can in no way afford getting to another state for this. I'm so desperate and in so much pain all the time.
Hi Priya namaste, do we need surgery to resolve TMJ on my right jaw? Please advise. Thank you.
I cannot advise you on your specific condition over the internet and without examining you.
@@theTMJdoc ok, thanks for the advise.
It's a big risks and a very little hope for situation changing for better.
@@natalifi Ya, no worries now. I have accepted it and I have started living with it.
So glad I found this video. So eye opening and informative plus you're so pretty! 😍
Thank you so much!!
Is very frustrating diferent doctors have diferent opinions about splints and treatments. And why neuromuscular dentist are not accepted with conventional dentist and vice-verse?
I’m sorry but I don’t have a good answer for this. All I can say is that there are different schools of thought regarding splints.
Hi Dr Mistry, please how many stages of severity has the TMJD?
Well, I diagnose four different levels of severity according to what I learned from my mentor.
@@theTMJdoc Thanks doc for you reply. I visited a Maxillofacial surgeon, he claims Im level 2, but I dont really want a surgery for this. I want another option although it takes longer to solve it.
Did you find another solution, any relief? I wish it's so.
What’s the difference between the TMJ mouth guard and the kind that a regular dentist makes?
ua-cam.com/video/Gk0bt2Ayc6s/v-deo.html
Hi Dr. Priya, My daughter had a cavity filled, and that same day her jaw starting poppin. Did her ligaments maybe stretch to much? Do you think exercises will Help? Thank you
It's hard to say what caused it. There are typically many factors involved. I wouldn't recommend doing jaw exercises as this can make things worse.
You are awesome! Do you know anyone in Boston area? I wish I could see you on regular basis.
I’m sorry I don’t
Can you show these osteopath adjustments?
No, I don’t show these because they’re very technique sensitive and I don’t want people hurting themselves or others trying to do them at home.
Dr. Could you please recommend a dentist you can trust in south Florida please !!!
I don’t know a dentist there but Dr Robert Murdocco is a wonderful TMJ Physical Therapist and he likely knows a good TMJ dentist in the area 😊
I have started wearing day and night orthotic for about a week now. I dont notice any change. Feels like more pain at the jaw. How long before I notice any changes?
You may want to talk to the dentist that fitted it. It may need to be adjusted. When I was fitted for mine, it took a little time for my jaw to adjust at first. Don’t give up hope. I have been wearing my daytime orthotic for 3 months and am almost pain free, and I was in a LOT of pain to start with. Praying the same outcome for you!
I really can't answer this without examining you with and without the orthotic in. I'd recommend asking the provider who made this for you. Best of luck!
Is it normal to have swelling right in front of your ear and right under the ear with TMJ? Or would this be more likely something else?
I wouldn't say it's the most common sign of TMD, but it can happen yes. I'd definitely recommend seeing a doctor to rule out infection!
Hi Doc thank you so much for the genuine video. I have been having tmj issue since 2017. I tried splints. And doing chiropractor as well. But lately if I wear my splint my neck stiffness won't let me live and if I don't wear my splint jaw kills me.. not sure what to do ? Do you have any suggestions? I have been searching answers my whole life and please let me know if have any advise. Thank you so much
I’m sorry but I can’t really make a great recommendation without examining you in person.. have you tried any neck stretches?
Did you find any solution for symptoms relief?
Do night guards help? I have one from the dentist but no one takes insurance for TMJ in CO and I have spent so much just with tmj consolations. I get headaches dizziness and popping and clicking.
No a nightguard does not help with TMJ/TMD..
Would you ever suggest an arthroscopy for displaced disc with reduction? And do you have patients that the clicking/popping never goes away even once disc and pain is stabilized?
I don't believe that an arthroscopy can help DDWR long term. Yes, I have some patients where the click/pop remains even after the pain is gone.
please suggest good doctor in India.
I'm sorry, but I don't know anyone there.
How do you give treatment to indians is there any online appointment kindly please contact
I have to see people in person for treatment but I can do an initial consultation online. 😊
Hi is tmj happened due to artharitics and what is the solution plz suggest
I cannot give you a solution over the internet and without examining you. Sorry.
what do you ment by jaw manipulation ? is it through a surgery ?
Nope it’s not surgery! Gentle Manipulation using my hands.
@@theTMJdoc Thank you
Hi Dr how to select which type of splint to be used ?
It’s not about the name or type of splint, it’s about the prescription built into it that is unique to each individual. Kind of like all prescription eyeglasses looking similar but it’s the prescription built into it that makes the difference. 😊🙏🏼
When I go swimming, I feel much better but sometimes it's gets worsen for a day, Should swimming be avoided or how should it should be done?
I really don't feel comfortable making specific recommendations for you over the internet and without examining you. Sorry.
Hello Mam, My dentist suggested me for splint..Is splint is good of jaw headache pain...???
if it's a regular nightguard, it likely won't help with pain. if it's a tmj orthotic that's made correctly, it will. the term "splint" can be used to describe a nightguard or an orthotic, so it's hard for me to answer your question.
Has anyone tried Invisalign or braces to heal TMJ? What about dental implants?
Please watch this video:
Phase 1 vs. Phase 2 TMJD Treatment - Priya Mistry, DDS (the TMJ doc) #tmjd #headaches #tmj
ua-cam.com/video/ZFVYD3ul6iM/v-deo.html
I have arthritis so I'm using an Orastretch press
was this recommended to you for arthritis?
what are the results for people whose main or only symptom is a dull burning pain inside of the ear?
Also, is there anyone that you recommend in the bay area? More so around the San Jose area.
I'm sorry I don't know of anyone there.
I have a 90% success rate treating the pain in the ear.
I did Botox and it worked
Hello - is trigger point injection something you do for your patients with TMJ / neck issues?
No I do not :)
Hi Dr! I know this is a weird question but do you know any drs that know what you know in the Chicagoland area? I wish I lived near you,. Thank you for all of your videos! ❤
Dr. Hitesh Patel in Napierville comes highly recommended. I don't know his exact methods of treatment.
My Jaws and tooth hurts and I tried to massage it never worked please help me:(
Sorry to hear that! Have you seen a TMJ dentist or TmJ physical therapist?
Hi Priya. I have had jaw problems ever since I was young and I used to get a lot of pain. The last couple years the pain has basically gone away, but I believe this is because it has actually gotten worse and I am passed the pain stage. I am now 18 and I have difficulty controlling the right side of my Jaw when talking, eating, etc. When I put my fingers on the condyle(bone that moves down when you open your jaw I believe) the right side is almost non existent. You can feel it move slightly, but it's nothing like the left side where you really feel the knob. Is this tmj without reduction or could it be a partial jaw dislocation that I have been living with for a few years? The second option doesent seem likely to me, but I don't have any other explanation as to why the actual bone/condyle isn't as prominent on the right side?
Any help would be greatly appreciated thankyou.
Hi there! Sorry you're going through this. It's hard for me to speculate on what exactly is going on without examining you in person and without imaging. Have you seen a TMJ dentist?
Asasaaaasssaaàasaasaàaaaaaaa see s ess eeeeeeeeeeeeee eeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee
No I haven’t. I made an appointment to see one and she blew me off. And next day, she emailed me to ask me would I be coming the following day and I said NO! Anyone who blows off a meeting /office with w/o talking to me directly is not worth seeing. I already don’t trust her. Not Good! If I have to, I will fly there to see a doc. Tomorrow I’m going to chiropractor who wks with TMJ pax. So we will see. I really want to see you. You are very good and has demonstrated concern about your patients. I like that.
I can pay to talk to via the phone or if you know of a doctor who deals with TMJD.
Here in Chicago!😊
Please.,. My right TMJ joint gets stuck whenever I eat or talk to someone. please Help Ma'am, I am waiting for your reply.
Ma'am am watching all your videos, very much helpful, I wish you were in chennai, I would get treated for my TMJD. May I get an online consultation with you.
Yes please email patientcare@tmjdentaldoc.com to set up a zoom meeting
Hi Ramya. U can also fb group TMJ-India. To get to know hospitals in India from our patients.
I had a positive home sleep study. Is it possible that is causing tmj because of night grinding and then an orthotic isn’t needed?
But I also have a posterior tie and maybe a small palate and realizing the issues are complex.
I’ve also been told MAD always changes the bite or can make tmj worse. Is it best to just use a machine?
@@goodvibesxox there’s no way I can answer these questions without follow up questions and discussion. If you’d like you can set up an online consultation with me using the link below:
tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8
Which doctors can find this problem
A skilled and experienced tmj dentist or a skilled and experienced tmj physical therapist
This problem not applied to ENT doctors
Very helpful information! I had an ear infection back in December 2020 from swabbing both ears. Was given antibiotics but it didn’t work. What lead to healing the infection was from taking prednisone for a week. I had a CT scan, MRI, and a hearing test and it all came back normal. To this day, chronically I’d feel dizzy and nauseous. I have no fever or any fluids coming out of my ear. Also, my upper teeth feels achy. I have 2 questions…
1) can there be residue from the ear infection?
2) does TMJD can be traced back from the ear infection?
It’s likely not residue from an ear infection. It may have been tmjd all along. Or tmjd that developed during or after your ear infection.
@Vitra Vaah you would have to be an established patient of mine and come to my office for treatment .
Is it possible for TMJ to cause a tightness in the jaw on the affected side? I have always had clicking, but somehow I really flared myself up and there is pretty minimal pain, it just feels like my entire jaw area is extremely tight, mostly on the affected side. Do you recommend neuromuscular dentist or orofacial pain specialist?
Yes TMD can definitely cause tightness. I'd recommend a skilled and experienced neuromuscular dentist.
Does anyone have any recommendations for doctors who treat TMJ this way in NYC??
Dr. Martha Cortes comes highly recommended. I don't know her personally or her exact treatment methods.
Hi mam
Thanks for the useful content
My doctor has given me orthotics and i am doing everything but my neck pain is not going. Can you please suggest anything?
I'm sorry but I cannot make suggestions for your treatment over the internet and without examining you in person.
What do you do if someone has a very serious gag reflex and can't wear orthotics? I have a lot of sensory issues and am autistic.
I’m sorry but I don’t have a solution beyond the orthotics and therapy I offer
Headaches. What do I about headaches? Please refer me to a Dr here in Chicago. I wish I lived near you. This evening is my first time experiencing a headaches.
I agree with you about checking the orthopedic. My orthopedic is hard. Should be that way?
You can see Dr. Hitesh Patel - Napierville, Chicago.
Mam can i wear anterior positioning splint over a root canal tooth.
I would recommend speaking to your TMJ dentist about this. I cannot advise you unless you are a patient of mine.
Hello Dr Priya. I will going to have get on braces this Saturday. I have TMJD l. Is is ok if I put braces? Thank you
I'm sorry but I cannot give you advice on your treatment over the internet and without examining you in person.
In your experience, is it possible for a patient to end up with an open bite or their teeth coming together differently, after wearing these removable orthotics for several months?
If so, is there any way to prevent this or minimise the chance of creating long term / permanent changes in occlusion, as a result of orthotic therapy?
As you know, some patients cannot financially afford Phase 2 orthodontics and this is why I'm asking this question.
Also, why do different TMD dentists use different types of orthotic treatment protocols?
Neuromuscular and ICCMO dentists such as you, use the removable day time and night time orthotics which are protrusive and bring the mandible forward and decompress the joint.
Orthopedic dentists use a removable single orthotic which the patient must wear 24/7.
Some dentists such as your colleague Dr Alex, use a fixed single orthotic which must be worn 24/7.
And some dentists recommend stabilisation splints such as the Tanner appliance because they are the most conservative and have the lowest chance of causing any long term changes in occlusion.
For patients like me it is very difficult to make an informed decision regarding which type of orthotic is best for us. What is your advice for patients who need to determine which type of orthotic is best for their particular case? If I ask the dentists in my country they never give me any clear answers.
My method - which involves removing the orthotic when eating - minimizes chances of the bite changing. However, there's about a handful of patients per year whose bites change through treatment. For a few of these patients, we can do minor occlusal adjustments at the end of treatment to balance the bite to match the muscles and joints. For the rest, orthodontic or crown work is needed. As for which orthotic is best for you, it truly depends on the severity of your TMJ problem.
@@theTMJdoc Thank you very much for your reply. I really appreciate it.
For patients with debilitating TMD pain and disc displacement, who have clicking/popping and episodes of the jaw catching/locking, how can these patients eat safely and properly without their day time orthotic?
I have all of these same symptoms and eating food is one of the main times that I would need the stability and support of the orthotic and so logically
I'm thinking it will be necessary to wear the orthotic when eating?
What are your thoughts on this?
Yes but if you wear the orthotic when eating, your bite will definitely change.
@@theTMJdoc Okay, thank you very much for confirming. And thank you so much for providing this channel and videos. They give hope for millions of TMD sufferers like me.
@@tomwhite9966 you’re welcome. 🙏🏼
Thank u.. I have show many dentists here in India... But i haven't received any proper treatment they've not been able to even diagnose TMJD. I wish I stayed in USA so i could have taken treatment from you. 🥲
Sorry to hear this!
@@theTMJdoc can you give some other remedies on this channel ? . Pls
@@agastya8999 please watch my UA-cam playlist “tmj exercises/muscle releases”. Many people have tried these and said they helped.
Is it a normal ATM splint that you keep on adjusting or custom made to fit the optimal jaw position from the first use? Cause been in 3 splints so far. Can you help me?
what is "a normal ATM splint"?
Will orthotics help with arthritis? I went to orofacial pain clinic and they think that’s my cause . My face feels tense around cheek area, neck pain, headaches on forehead . Already schedule an appt with tmj specialist to see if this is the cause or not . Do you have any recommendations in Southern California ? Im between orange and Los Angeles county . I want to explore my options .
Yes an orthotic can still help. Dr John Kim in Irvine comes highly recommended. I don’t know his exact methods of treatment
@@theTMJdoc thank you ! This is who I schedule my appointment with 😊. Sadly his out of the office and won’t see me till July 😭
Did you find any solution for arthritis symptoms relief?
those custom orthotics to be used for lifetime?
The nighttime one, yes. The daytime one, no.