Can Nightguards Treat TMJ Disorder?
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- Опубліковано 23 сер 2020
- At Sleep & TMJ Therapy we have many new patients tell us they were prescribed a nightguard for their TMJ disorder / TMD. They also report that the nightguard is causing them pain and has made their condition worse. Dr. Brown dives into this topic and explains what nightguards do, his opinion on them and when to utilize nightguards in a patient's treatment plan.
Watch this video if you want to know why night-guards are not a viable treatment option for TMJ Disorder, also known as TMD.
In summary, night-guards are great for protecting the teeth while you sleep if you are unconsciously grinding or clenching your teeth. If wearing a nightguard is not causing you any pain and you just need nighttime protection, go ahead and wear one. However, if you have an underlying TMJ problem, wearing a nightguard will not solve the root of the problem. If you are experiencing symptoms such as a jaw pain, popping and clicking in the jaw joints, ear ringing, neck pain, locked jaw, limited opening of the mouth, snoring and waking up unrefreshed, you likely have a TMJ problem and that needs to be addressed and treated properly. We recommend conservatively treating the TMJ problem with oral appliances (such as a modified lower splint or ALF appliances) so you can fix any disc displacement in the jaw joints, cranial distortions, airway issues, muscle tension, jaw joint inflammation and the many symptoms associated with TMJ / TMD. When the jaw joints are in a stable position, it is then safe to prescribe nightguards. In our experience, most patients do not need to wear nightguards because once TMJ treatment is completed, most of our patients stop clenching and grinding at night.
Dr. Jeffrey L. Brown, DDS, Fellow AACFP
www.sleepandtmjtherapy.com
Office Phone Number: 703-821-1103
2841 Hartland Rd. Suite 301 Falls Church, VA 22043
yeah, but honestly, how do you find a professional that doesn't just throw a night guard at you? Your kind of work is extremely rare.
It really does help! I have TMJ and my night guard has basically eliminated my issues and pain that I was having before. I have a custom hard plastic night guard on my uppers and it works great.
Do you also get sometimes breathing problems from TMJ? and if so, does the night guard help reduce the breathing problems from TMJ?
@@anagracie2362 as per my experience. No . But it may reduce teeth grinding and snoring. Has nothing to do with breathing. In most cases people sleep mouth open with guard
Did you have teeth throbbing?? What has helped you get relief
Can night guard stop popping in jaw,, must rply?
🎉
Thank you doctor for sharing all this info. You have saved so many people from their suffering. I hope you have a very peaceful and happy life.
This is GREAT content. There's not a lot of good content on nightguards/mouth orthodics.
Wow I think I’ve finally learned my problem. I think I have sleep apnea, these past few weeks one of my limbs will jerk and I’ll wake up, sometimes feel like my body forgets how to breathe. And that’s what is likely causing my tmj issues, my masseter is tight and painful from what I assume is clenching my jaw. And it’s happening because my body is trying to breathe at night! I’ll lose some weight in bulked up right now never been this high of a body weight hope that solves the issue. You’re the first person to mention this out of all the videos I watched. You know your stuff man salute to you ❤
Its helpful and great contexts thank you Doctor!!!
It's extremely rare to see a doctor knowing this subject well.
Most doctors are full of certitude while being ignorant on this issue. The result is that they often worsen the conditions of their patients.
Thank you soo much doctor for this valuable information 🙏 it helped a lot 😊 God bless you
I have a gelb splint. The lower one you mentioned I wear it 24/7 only remove to clean. Its absolutely saved my life
how fast did it work and how is it now??
Wish I had seen this before getting a night guard. Was just referred to a tmj specialist and told I’d need one to get help since that’d be the first thing they’d ask
Thank you Doctor 😌.
Great content 👍 Very rarely you hear a doctor/Dentist talk about getting to the root of the problem. They usually just mask the issue
The mask wearing is the issue! Having to wear a mask for 6-7 hr a day at work has caused me severe TMJ, now I need a $5k treatment from a specialist. The best advice to so stop wearing a mask.
yes, it works amazing. I suffer from horrible pain in my left ear with TMJ. As soon as I put my guard on in hours it is totally gone.
Thank you for the video. The best explanation I have heard regarding mouth guard. I spoke with an local TMJ specialist back a few months ago and he stated they could make a mouth guard but did not explain how to deal with the cause. He took CT scan and gave 3 options: 1. Custom mouth guard. 2. Physical therapy. 3. Do nothing.
I ended up by an over the counter guard that kept falling out at night. Stopped using after 1 week. I have been doing jaw exercises (UA-cam). Jaw discomfort has been more pronounced since I met with tmj specialist.
Saw my dentist today...she recommends a custom night guard her office can make. I like how your guards do more than just protect the teeth...it helps with the root of the problem. Wife and I have relatives in DC Metro area.
I will contact your office soon to get direction on possible next steps.
Once again...thank you Doctor. Subscribed....
Thank you for watching and sharing your story! We are sorry to hear you are experiencing discomfort however, we are happy to help. We look forward to hearing from you soon and getting to the root of the problem. Our phone number is 703-821-1103 or you can email our office at office@sleepandtmjtherapy.com
Very helpful
Ur an amazing doctor ❤
After hearing I had TMD 11 years ago from an ENT & not an ear infection, the progression has me at the point I can't take it anymore. Trigger points appeared in my neck & shoulder 2 years ago & it went downhill quickly from there. 5 medical medical professionals couldn't remove them. Tinnitus is almost constant now in my right ear but the left has begun. They either feel itchy or as if water is trapped inside (are always clear whenever drs examine). Sounds are becoming increasingly painful & I have to wear headphones constantly to drown them out. But that means I hear my blood pressure, equally painful. My jawbone is easily felt in my right ear, especially when opening my mouth & my right jawbone clearly pops out & chin swings left when doing so. It does feel as if my skull bones are smashed up. The excruciating pain on the right side of my face has caused countless sleepless nights & now the left has begun. The pain has branched out to the entire right side of my body. I can't recall the last time I didn't have a headache, the majority migraines. I receive Botox injections for them & my neurologist says each time she has trouble getting the needles in because my muscles are so constricted. I have constant sore throats & feeling that something is stuck in it & stuffy nose. Tests always come back fine. 3 of my teeth have broken, because of clencing I was told. I finally agreed to a bite guard. It is the clear hard material, is lower on the left (even I can tell my right side is lower) but covers only my 4 front teeth. I thought it would have been the entire bottom. I wanted to live to be a very old woman, but if I have to do it like this, I can't imagine.
Thank you for sharing your story with us. You have been though so much. Have you had an MRI of the temporomandibular jaw joints? If there is displacement of the articular discs in the joints this could be causing a lot of your symptoms (tinnitus, face and jaw pain, migraines/headaches, jaw popping, etc.). We see patients every single day with those symptoms and almost every single patient has displaced discs in the jaw joint and cranial distortions. We help treat this with the use of dental appliances. Are you able to travel to the Northern Virginia area? We would be happy to set up a time for you to meet with Dr. Brown so he can perform a thorough palpation exam. If there is an underlying TMJ problem noted, he would want to see a TMJ MRI to see the location of the articular discs so he knew how to treat you. He would also want a CBCT taken to check the cranial bones and cervical spine. It is important to know what you are treating before you give someone an appliance to wear. Regarding your hard night guard, we are happy you have something in your mouth taking pressure off of the jaw joints however, the appliances we design have coverage on the back of your teeth, not the front. The appliance height needs to be adjusted on the left and right side to balance your bite. When you open and close your mouth, your back teeth on your upper arch should be evenly hitting the lower appliance. It is not possible to balance an appliance when it is only on the four front teeth. The whole purpose of the appliance is to lower the condyles in the jaw joints to decrease compression and inflammation and give the discs a chance to move again. I hope that makes sense! Please let us know if you have any other questions for us, we are here for you. office@sleepandtmjtherapy.com Office# 703-821-1103
Are u ok now i m having tmj issu and also ear block its very much painful i cant take it😰😰😰
Same situation here! I could relate.. I also thought I had ear infection thats causing me so much head ache. I went to ENT and told me the floor of my ears were inflamed and cannot see any infection in my middle ear so he gave me muscle relaxant and recommended me to see a dentist because he suspected my TMJD is causing my ear and head pains.
Hey how you holding up? I’m only 25 already having these problems. I’m honestly scared I have asked asperger syndrome so I’m really prone to anxiety and depression. I honestly don’t think I can keep this up I’m already having bad thoughts. Any advice?
Look for TMj doctirs immediately do they can ordered the tmj MRI and any other test .
Don’t give up !🤗🤗
thank you. his makes so much sesnse.
I wish I had asked more questions and listened when dentists talked to me about TMJ Syndrome and my chronic clenching two decades ago. I have Ehlers Danlos and needed this jaw support. I developed disabling dystonia.
We are sorry to hear what you are going through. Please let us know if we can be of help!
Now that's a good content.
Many people are asking if night guards help TMJ disorder. In most cases these devices, although well meant, can make things worse depending on the situation. If the articular discs in the jaw joints are displaced, then wearing a nightguard might allow the discs to try to go back into the socket. If that happens, then the next morning you take out the nightguard, you would bite into the discs that tried to 'recapture' proper position while the nightguard was in place. This would mean that you would now bite down on the already displaced disc. This makes things worse in so many ways. My advice is to analyze the bigger issues first before contemplating a nightguard.
I started to grind my teeth since I got my wisdom tooth. Lower both of them were impacted. Right one was then removed. Since then my grinding and clenching got really bad. Teeth became sensitive. So I got a mouth guard made for lower teeth. This worked well getting rid of pain from teeth and sensitive improved. But my jaw line hurts so bad. TMJ join does not make any pops nor I have pain in the joint. But I have really bad facial/jaw bone pains. What should I do ? Please help
I visit Dr Harold Menchel in Florida he put me on flat splint but that thing is not doing anything clicking remain the same. He said clicking is not important
Omg I kn something ws wrong I keep saying the guard I'm wearing. it's not higher on my lef side I have to take to my dr again thanks very much I keep saying so all weekend
What if you don’t clench or grind but you have jaw issues and ear fullness and pain? Would the same bottom mouthpiece be used?
Hello! I found this video very helpful. I’m only 24, and have had tmj symptoms really bad the last few years. I believe my jaw is severely out of place because it pops out and almost makes a zig zag pattern when I open it wide. Because of this I went to the “best” specialist in Columbus, and they gave me the hard over night sleep guard you mentioned. I wore the mouth piece religiously for the first couple months and realized it was actually getting worse. My neck now hurts and my jaw barely opens, i feel so discouraged and scared because I want to fix it but am afraid to get constructive jaw surgery or find someone that really knows their stuff. Where are you located at?
Hello! Thank you for watching. We are sorry to hear you are experiencing symptoms. When you feel/hear popping and clicking while opening your mouth, that means there is disc displacement of the articular discs in the jaw joints. Since this is a 24/7 problem, a night appliance will not treat the underlying issue. Also, if the appliance is not adjusted properly or balanced correctly, this could cause discomfort. Our treatment plans are conservative and the appliances are worn 24/7 until the joints stabilized and the cranial bones aligned. We do not recommend surgery because TMJ dysfunction can be fixed conservatively if the case is not severe. We would be happy to help set up a consultation for you to meet Dr. Brown to discuss this in detail. We are located in Falls Church, Virginia however, we are able to do tele-consults if that is more convenient for you. Give us a call at 703-821-1103 or you can email our office: office@sleepandtmjtherapy.com
Same for 2 years felt so many symptoms. Now it's my neck feels stiff mouth barely opens :( they don't know our pain.
Hey, do you have an update on your TMJ? I’m now going through what you went through and could use any guidance!
If mouth gaurd is not use for slipped disc....then for what we use mouth gaurd please tell
I've been having these symptoms for nearly 10 years now. Since i was 12 or something!
Definitely get it looked at.
Hi i hope you see this.. thank you so much for this video as it was very informative.
Basically im 18 and i have had jaw pain for the last 2,3 months now maybe even longer and its my ears that ring too sometimes, clicking of jaw, and really tender jaw pain and the bones in my mouth all hurt. Its like ive been chewing for a long time or talking or laughing and therefore my jaw and bones infront of my ears and down below them all feel tender and like tired and exhausted almost? I went to the dentist and they told me its the wisdom tooth coming in so i went to the hospital to have it removed but they took an xray and said my wisdom teeeth are not coming in and i am fine in that sense, but they have made for me a custom mouth guard which i have not yet received in the post but he didnt specifically say its tmj but he did say its an issue in the bones and muscles and alignment which i think is basically tmj? Can u confirm this for me? Im waiting on the cutsom lower teeth night guards he has made for me to come so i can start wearing them but i just wanna confirm is this tmj pain? He checked every other possibility and had a long discussion with me on all my symptoms and even took xrays, but he said this is the only issue and nothing else is wrong in the teeth/gums. Please dr confirm this for me? And how long after wearing the night guards will i feel better? Will i feel better and then it goes away forever or will it come back 😭if i eat anything remotely sweet my jaw and ear bones start to throb insanely 🥺
Hii I have tmj problem more than 3 year in my right side jaw. I have neck, muscle, hand, shoulder pain at first. But last few weeks I have noticed that my right side leg also paining. Then I googled it and found that it is sciatica. My question is, is it possible my tmj problem cause sciatica. And I cannot walk properly in last few weeks.My doctor gave me night guard. But now my left side also paining. But doctor said jaw joint are relaxing that why I felt pain in my left side. Is it true?
Can we depend on it.... For cure tmj problem.... If no other treatment we take.... Only use mouth guard
Sir, what is the permanent solution of clicking sound due to TMJ problem?..... Is nightgard the permanent solution?....... Sir please help me.....i am so worried about my problem. I am eagerly waiting for your answer.
Hlw sir i m having tmj issu its been two month and i go to dentist now my teeth damage a lot.😭😭 and also ear block issu if i use tooth spling is it gonna help me? I i buy from medical shop ita gonna make my tooth balance and my teeth also imbalance😢 pls suggest me 😰😰😰
What if I have retainers
4Years ago I tried to control my yawn and I felt a pop and then nothing happened. 1 hear ago I had a chewing gum and next morning my mouth wouldn't open(No pain). The doctor gave me a biscuit to wear on my upper 2 teeth which keeps a gap of 2-3mm I guess. After few days my mouth used to open normal wide. He told me to wear that biscuit always at night. But I didn't used to wear it everynight, Only when I felt discomfort. Then I lost it. Last week I bit my nails and the tmj aggravated so I again made that biscuit. I was wearing it during day also due to discomfort then I was sleeping on my right side and surfing internet on phone and something weird happed on left side jaw socket and it felt pain and as if disk was displacing and placing kind off. Not extreme pain but sharp pain. Since then I started wearing that biscuit 24/7 and remove it only while eating. So now my mouth feels tired alot and when I remove the biscuit my bite is not okay its full on left side. I have an underbite but now jaw rests on left and forward. What shall I really do ?
Thank you for watching and sharing your story. It is totally normal to have an underlying TMJ problem with no pain. When the joints are popping and clicking, that is a big sign that the articular discs in the jaw joints are displaced. The biscuit or NTI device helps to take pressure off of the jaw joints however, we do not use that device in our office as it does not provide 24/7 support and it does not allow your back teeth to touch. This can cause your bite to shift/teeth to move.
Let's assume you have disc displacement in both jaw joints causing popping and clicking. If you have disc displacement in your jaw joints 24/7, wearing an appliance for 8 hours will only help for 8 hours. What about the other 16 hours in the day? It is like wearing a cast for a broken leg for 8 hours a day..not good! To heal and repair the damage, you need 24/7 support in our opinion. In our office we recommend 24/7 support, especially when chewing. When you chew, your condyle is moving in your socket. When the joint is functioning normally, the mandible moves smoothly in the joint because the articular discs sit on top of the condyle to help it glide. If the discs are displaced, the condyle is moving and the displacement discs, tissue or ligaments are being pinched/squished, causing potential further problems. When you hear a pop or click noise it is likely the discs being squished out of place within the joint.
At our office, we recommend having a TMJ MRI taken of both jaw joints to check for disc displacement. We then recommend you meet with a TMJ specialist. Specifically someone who helps people conservatively every day, not just once in a awhile. A full coverage modified splint or ALF appliance(s) with composite buildups are the two approaches we use most for the symptoms you described. The final determination as to which treatment plan comes from the MRI results, a palpation exam and a CBCT of the head and neck. All appliances are custom designed by Dr. Brown and help to lower the condyles in the jaw joints, which reduces inflammation, tension and helps to create more space for the articular discs to move around and function properly. Feel free to email our office should you have follow up questions at office@sleepandtmjtherapy.com . We also offer teleconsults if you would like to meet with Dr. Brown and speak with him face to face. Either way, I hope we were able to answer your questions and we are here if you need us!
What happens after the appliance. Do we feel relief long term
Is it allign teeth
My jaw is normal but rigid on right side but the left side moves in a 360 motion from physical trauma. Is that considered TMJ as well? What can be done? I am getting a night guard soon and i did physical therapy but not much help.
If you think there may be an underlying jaw problem, it is always best to see a TMJ Specialist so they can evaluate your symptoms and get to the root of the problem. If you don't think your jaw is moving correctly, a TMJ MRI will be able to show if there is disc displacement present. If there is, your TMJ Specialist can treat the displacement.
Does tmj affect muscles of the neck? I just went to a doctor a while ago because my right side neck is swollen but the doctor said he did'nt see any signs of inflammation, its only the muscles.
For how many months already, I have been experiencing clicking of jaw, and locking of jaw everytime i eat granola. Also My right ear sometimes ringing and my left ear has air blocking almost everyday even though i swallow and blow ,it doesn't help so i need to lie on my right side for how many minutes .
Great question! Yes, the whole body is connected. If there is an imbalance in the jaw joints, it can cause problems within neck, spine, hips, ankles, etc. If you are experiencing clicking in the jaw joints, that is a sign the articular discs in the jaw joints are out of place. That click or pop noise is your disc popping out of, and back into place. Our patients that have TMJ dysfunction have symptoms ranging from jaw pain, neck pain, back pain, muscle spasms, tics, ringing in the ears, numbing in the arms, bruxism, vertigo, breathing problems, sleeping issues, swallowing difficulties, migraines and much more. If you are able to, we recommend having a TMJ MRI taken on your jaw joints to see if there is internal displacement present.
I have a assymetrical jaw because of tmj im so depressed i got a night guard that prevents me from mewing as well 😢
This is very informative! I have a question though. My face seems to be asymmetrical due to my TMJ. My right side is very uneven to my left and I can tell my smile is uneven. Will resolving my tmj problem bring back the evenness of my face?
Great question! We do find that when you treat the jaw joints and align the cranial bones, your face becomes more symmetrical.
@@SleepTMJTherapyVienna I went to go see a TMJ specialist and they made me a custom night guard since I clench my teeth at night, do you think the night guard will help realign my jaw??
@@rngkuda2970 did it help?
Night guard do help in jaw alignment
If wearing mouthguard is not good. What should I use? I have bruxism and it damaging my teeth. Please reply 🥺
Thank you for reaching out. Nightguards are not a proper treatment plan if you have an underlying TMJ problem. If you do not have a TMJ/TMD problem, you can wear a night guard to bed, while working out, as needed. If you are experiencing any TMJ related symptoms, we recommend seeing a specialist to make sure the jaw joints are stable and healthy. The bruxism may be due to an underlying problem and a night guard is not going to treat that. I hope this information helps!
Also , what is the treatment of slipped jaw disc.
In out office we treat TMJ Dysfunction with custom removable orthotic appliances such as ALF Appliances and Modified Lower Splints. Everyone is different so treatment plans are not the same for everyone.
Sir How much does that procedure that you told approximately costs?
Thousands
Hallo! i would like to say thx first for the explanation and information that you told👍🏻 i agree, the night guards didn't mean can treat the TMJ,😖
so about 1 year ago i got jaw cracking and really hurts 😖 so i decided to use night guards so no more annoying when sleeping.. i used it only for half year or more but less than 2 year cz feeling so tired to use every night and uncomfortable 🥵 but now the annoying sound comes again😭 and hurt a bit.. but not much like before.. i can still handle the hurt. but unfortunately i forgot my night guards, what should i do to make this annoying sound can be reduced?
thx...🙂
Thank you so much for watching! We are sorry to hear about what you have been through. Since you are experiencing jaw cracking and pain, we would recommend that you see a TMJ Specialist so they can can treat the jaw joints. If you are noticing popping/clicking/cracking when you open in close your mouth that is a big indicator that there is displacement of the articular discs in the jaw joints. A TMJ MRI should show you exactly where the discs in the jaw joints are so your TMJ Specialist can then treat the problem accordingly.
@@SleepTMJTherapyVienna okay thank you so much🙂
Where are you guys located?
Does wisdom tooth affect the Tmj disorder or clicking jaw it is dangerous when u haven't removed it?? Please answer me!
Wisdom tooth removal can cause TMJ/TMD issues because you are losing posterior support for the jaw joints. Taking out the teeth can make big holes and your teeth can then shift. If you do need to have the wisdom teeth removed, make sure your dentist has a plan in place to protect and support the jaw joints.
I am confirmed to have TMJ, tinnitus and neck/back pain. I never realized they could all be connected till I saw your video. I do a lot of clenching and teeth grinding so I just got a top night guard that has a hard outside and soft inside. Because I have an overbite the mouth guard is kind of bulky where the roof of my mouth is, so my tongue doesn't easily touch the roof of my mouth. Should I take more action? Or wait to see if there are improvements to any of my health?
Thank you for watching our video! It is great to hear you are taking action already. In our office we do not use bulky upper nightguards as it is very important to have proper tongue seal. We also do not use upper nightguards in our office because they restrict cranial motion. Since you already began treatment, you can see if that appliance provides you relief. Take note of how you are feeling at every visit. What might also help is to see a body worker to adjust the rest of your body while your TMJ doctor addresses your jaw joints. You can see a Osteopathic Doctor for manual therapy, a Craniosacral Therapist or a Physical Therapist. Just make sure they are not doing any snapping or high maneuver moves on you. We hope you feel better soon and we are here if you need us!
Hello mam I from india I have suffering same problem 🙏🙏
@@deepakmahawar6810 me too but now I approached to a dentist and she gave me oral splint (night guard) for upper and it is really helpful
@@poetrysperiphery7908 good luck and get well soon my situation still tooo worst
@@poetrysperiphery7908 also gave me oral soft splint by dentist but I have no benifits
Can a nightguard fix my misaligned jaw ?
Oh please help me. I got mine but it causes me headache. The type my doctor made is not hard. It is soft. Full cover. But the thickness of the bigginings is higher than on the front . My doctor said that it is okay! But I don't feel that because it makes me hold my lower jaw! Because I can't close all my teeth while I am wearing it. What do you think ( it costs me 120 dollars 😫😫😫😫
I am sorry to hear you are experiencing headaches! Have your dentist adjust the guard or create a new one for you. Your back teeth should be able to make contact with the appliance. If your dentist could make you a hard, lower, full coverage appliance to wear at night, that would be ideal. With the hard nightguards, you can adjust the surface of them and your dentist can balance the appliance so your teeth touch the appliance evenly.
Does mse treatment helps the tmj problem because I have tmj problem and my doctor says I have to do mse treatment.Earlier I had cross bite and treated with braces.
A maxillary skeletal expander (MSE) is not something we could consider as a treatment option to completely treat TMJ/TMD. Also, we do not use these appliances in our office on our patients because the appliances apply a lot of force on the body which can cause more symptoms for our patient who are already in pain. We prefer to use ALF appliances with composite turbos to decompress the jaw joints and align the cranial bones.
I'm 17 and I really think I have tmj, my left jaw clicks when I open my mouth and one time I thought it's not going to go back to where it should be. I think it has to do with me being crossbite, is it possible that a tmj can be treated with the help of having braces? It's really scary to open my mouth like when I brush my tongue or when I'm simply going to yawn because it clicks and pops on the left side of my jaw and it's also hurting the inside of my ear.
Popping and clicking in the jaw joints is a sign that there is disc displacement in the jaw joints so it sounds like you may have a TMJ dysfunction (TMD). We recommend seeing a TMJ Specialist for an evaluation. You have to make sure the jaw joints are in a stable working position before going into to braces. We have found that when people have TMD and move forward with braces, it causes more symptoms and sometimes even pain. In our practice we treat the jaw joints first and then work on cosmetics after.
I have tendencies of accidentally biting my gum or grinding my teeth 😅
I have an upper device, can i use it meanwhile a have the money to afford the other splint?
Thanks for watching! That decision is ultimately up to you. We do not use upper splints in our office however, if you feel that it is helping you and your symptoms for the time being, it is better than using nothing.
I have tmj problem on my right jaw since march i consulted to my doctor he suggested me mouth gaurd....i wear it for 1 month 24/7 but there is no result...can you please tell me....So how much time will it take to get it right? And also please tell how wide i can open my mouth
A regular mouth guard does a great job of protecting the teeth from grinding however, if you have an underlying TMJ Dysfunction, a mouth guard will not treat slipped discs in the jaw joints. If the jaw problems persist, seek out a TMJ specialist for an evaluation. Adults should open 50mm from the edge of your top front teeth to the top edge of your bottom front teeth. Children should open to 54mm, edge to edge. We hope that helps and we hope you find relief soon!
Hi.
I have severe dizzines, brain fog, vision and hearing poor, pain jaw and neck from my TMJ I believe.
It started after a surgeon did something he shouldnt have done injections into the TMJs in operation and I woke up with all these horrible symptoms.
A dentist made a daytime lower orthotic that I wore during the day and also while I ate but only removed to brush my teeth and removed to replace with a night time upper splint that had a ramp on it to stop jaw falling back.
This got rid of all my symptoms but after many years of not wearing the splints as I no longer had them as broken or old....now all the symptoms worse so bad I ended up in neurological ward in hospital unable to walk Dizziness so bad and all other symptoms.
I have no one to help make splints up again so what can I do.
Can you tell me what type of splint do I need so I can try tell a dentist what type I need and I live in Australia.
Struggling to care myself let alone my poor kiddies very dark dark days as I don't want to die because struggling even just eat and feeling so dizzy and brain fog and vision terrible is not fun at all.
Thanks
Thank you for sharing your story and I am sorry to hear you are experiencing symptoms again. We use lower modified flat plane splints as well as ALF appliances. We do not have night and day appliances. The appliances mentioned are worn 24/7. Splints should be worn when eating to protect the joints. ALF appliances should be removed while eating. Both can be removed for cleaning however, they need to be worn 24/7. I hope this helps! Feel better soon.
I have a clicking sound when I open my mouth .. the doctor has suggested me to remove my wisdom teeth .. what should I do now? Should I get it removed or do anything else. TIA
From my perspective, he should have only recommended that if you mentioned pain from this. Because removing wisdom teeth could help relieve a lot of the pain because it could be a part of the cause in your case. But it does not affect your jaw clicking. Luckily though if it’s just clicking, it could go away if you start being conscious of certain things right away now instead of later. Which is not clenching your jaw, grinding your teeth, and getting a custom night guard which you may have been already considering if you watched this video. Hope this helped, I suffer from TMJ major. And have for a long time.
I have tinnitus due to my TMJ and face. like if i flex my jaw tinnitus will drop to 2, i release jaw it goes back to 9/10
The ringing in the ear is certainly a terrible symptom of TMJ disorder. We have found our treatment and focusing on getting the disc back in place helps greatly.
I can restore the disc in its position if i keep messing with my jaw ( open it and close it, move it in various directions etc ) but after a while say a day. it return to get locked aka disc out of place. or sometimes if i FULLY close my mouth ( means teeth fully colide ) the dics will always lock. i fear my issues are permnant. this is the biggest fear in my life that i will have ear rining for ever until i die. i am 23 years old.@@SleepTMJTherapyVienna
Where are you located and if u can tell me if there is any place here in Clovis California. Need to help with Tourette’s
Hello! We are located in Falls Church Virginia and this is our only location.
Can TMJ cause tinnitus? I can increase the volume of my tinnitus by clenching my jaw, opening my jaw wide open or stretching my neck. Or is it just the malfunctioning of the brain? Btw I have no hearing loss. I have short clicking sounds when moving jaw as well, but my tinnitus is non stop for half a year now. I have no pain in TMJ. Can someone ask god why are jaw nerves connected to hearing nerves in the brain? Are asymmetrical jaw bones a problem? One side of my jaw and teeth is closer than the other side. The side that is closer together is the side that has louder tinnitus. How to make my jaw bones and teeth symmetrical or its not needed?
Great question! We have found that our patients who are experiencing Tinnitus, have displacement of the articular discs in the jaw joints. The displaced discs cause compression of the joints, instability of the jaw joints, pinching of the surround nerves, pressure on the ear canals and swelling and inflammation in the TMJ area. So to answer your question, we do consider Tinnitus a symptom of Temporomandibular Joint Dysfunction (TMD). When we treat the jaw joint dysfunction by conservatively taking pressure off of the jaw joints with dental appliances, our patients say that their Tinnitus goes away. Dr. Brown actually wrote a blog on this topic recently. Click here to read: sleepandtmjtherapy.com/2020/07/the-case-of-treatment-for-tinnitus/
Feel free to email us if you have any other questions. Our office email is office@sleepandtmjtherapy.com
I hope this helps!
-Sleep & TMJ Therapy
www.sleepandtmjtherapy.com
@@SleepTMJTherapyVienna would you recomend me to put implants or a removible protesis. I have tmj problems I clenching my theet but also I do not have my two last molars on my lower mandible and my 2 last upper molars are descending. What would you recommend me?
@@veronicahidalgo9908 Thank you for your comment. We have made plenty of appliances for people with missing teeth in the past. To answer your question and give you advice, we would have to meet with you. I can tell you that we always try to take the conservative approach before recommending implants / surgery. We would be happy to set up a tele-consult for you if you would like to talk to Dr. Brown. He would be able to meet you, see you and give you guidance regarding the next step. Our email is office@sleepandtmjtherapy.com and our office number is 703-821-1103.
@@SleepTMJTherapyVienna Very interesting. I've now had nonstop tinnitus for few months and recently found out I have possible displacement in the TMJ joint, may be linked.
I have a tmj guard. Can you drink hot liquids with it in if you wear it day/night?
Kavon, thank you for your question. This would be a great question to ask the doctor who had the guard made for you. If they did not make it in their office, they can ask their lab what the restrictions are.
I have a misaligned jaw can night guard help?
What kind of Dr are you? I'm trying to find a Dr in my area to treat mine but every dentist I've seen blows it off like it's no big deal....they kind of just act like it'll resolve on its own. Well the clicking has been bad for years, but three weeks ago I got two molars pulled and woke up 2 days ago with lockjaw. No more clicking or popping but it's locked and painful (and feels swollen). I can't even open my mouth wide enough to eat a banana. 😿. It hurts in my ear, all the way across my lower jaw (like a bad toothache) and eating/talking/yawning is so painful. The only time it don't hurt as bad is when I put pressure on the joint. It's literally life-ruining. I just want to be normal again. I can't take anti-inflammatorys or steroids which makes it worse. Please help 💔😿
Thank you for reaching out. Dr. Brown is a Dentist that specializes in treating TMJ. Where are you located? We know it can be frustrating finding a provider who treats TMJ and that is why we have a lot of out of town patients that come see us. If we can be of any help, please let us know. We are located in Falls Church, VA, USA.
Im 14 and i didn’t think about it much until my jaw locked and I couldn’t open my mouth. Now my mouth pops when I open it.
Hello Danna, thank you for watching. We are sorry to hear what you are going through. Since you are experiencing jaw locking and popping/clicking in the jaw joints, we recommend seeing a TMJ Specialist for an evaluation. Usually when the jaw locks, the articular discs in the jaw joints are out of place (displaced) preventing the joints to glide or function properly. The popping sensation or noise in the joints is the articular disc moving around the jaw joint socket. A TMJ Specialist should be able to perform a screening and offer you a treatment plan to fix the TMJ Dysfunction.
hye dr your reply will save my life ...plz help....i was suffering from ear pain and jaw pain since 3 year...but now its been one year pain behind my right ear or minor pain in ear,front side of right neck, half side headache,pain around my right eye...but i have no problm while eating,yawning ,MRI brain reports are normal,i have also tried nerves pills but nothing resolved....temporal CT is normal ....my ENT said it may be TMJ sometimes pain dont occur while eating yawing opening mouth,,,,,plzz tell dr is it possible to have TMJ
It certainly is possible as the symptoms do not always need to be while your eating or yawning. When the discs are displaced the nerves can be pinched, neck pain from the pulling to compensate, ear pain from the pressure being placed from the displaced disc. You certainly sound like you have TMD issues.
Dear Sir,
Should I wear the mouth guard while eating also?
Thankyou
Sir please tell me
Permanent Treatment for
Tmj plx plx
mouth guard ❤️
Hello. Dr. Brown here. Let's clarify that a night guard should only be worn if the patient is not experiencing sleep apnea or TMD symptoms that are not managed. Also, the nightguard might damage the articular discs if you do not analyze the bigger picture.
I’m worried about ingesting all the plastic I grind off, is that safe?
Great question! It is not plastic. It is dental grade acrylic and is safe to ingest / have in your mouth.
Where do I get a check up for TMJ?
You would need to schedule an appointment with a TMJ Specialist.
I hope you see this. First thank you for the explanation, and second I'm sorry but english it's not my first language so I may have a problem explaining some things but I hope you understand.
I started to use braces when I was 12yrs old, I needed a head gear that I end up not using, after 2 years I was using braces. I used for four years taking it off when I was 16. Because I didn't use the head gear my orthodontist moved my bottom teeth to make my bite right, I ended up with uneven teeth, at first was ok, but then I realized that my retainer was a bit loose between the up and bottom teeth, then when I yawn my mouth was clicking and locking and my jaw started being uneven, I didn't care much, now Im 20yrs old and my jaw is SUPER uneven. I have no idea of what to do. Will using my retainer again help? Massages? Or I should look for a decent orthodontist? The last option it's a bit out of touch right now, I accept any advice.
Thank you.
Thank you for watching! Clicking and popping in the jaw joints is a sign that there is a TMJ problem. The clicking and popping sensation is your discs in your jaw joints popping out of place. Since the jaw joints are unstable, this can mess up your bite. We recommend having a TMJ MRI taken to see if there is an internal displacement of the articular discs in your jaw joints. It also sounds like you could benefit from seeing a TMJ specialist so they can make you appliances to level your cranial bones and fix the popping and clicking in your joints. If that is not an option for you, massages and craniosacral therapy will help with discomfort. If you would like to have a teleconsult with Dr. Brown, please let us know. You can call us at 1-703-821-1103 or email us at office@sleepandtmjtherapy.com.
@@SleepTMJTherapyVienna
Please tell me Tmj treatment
I am 21 years old. Sir plx. Help me
i’m not sure if i have tmj my jaw only click when i open mouth wide and when i yawn it doesn’t hurt and i don’t have any pain or headaches can it be tmj and is there something i can do?
Great question! Some people have TMJ/TMD with no pain. Since you are experiencing a click in your joints when you open your mouth, we recommend seeing a TMJ specialist so they can order a TMJ MRI for you. A TMJ MRI will let you know if your articular discs are in the correct position. In our experience, if someone's jaw is clicking or making a popping noise, that is an indicator that the joint is not functioning properly. The click or pop is the disc popping out of place in the socket. We always suggest seeing a specialist to see what is going on. That way if there is internal disc displacement, you can address it before pain or symptoms arise later on.
@@SleepTMJTherapyVienna i’m only 14 can i possibly have tmj too and if ye can u get rid of it permanently thanks for replying
@@kou979 Of course! Yes, someone who is 14 can have TMJ problems. TMJ/TMD can be treated conservatively by a specialist.
@@SleepTMJTherapyVienna thank you!
Incorrect, it pops when it is going back in place.
I have a lot facial discomfort and headache and ear pain. There is no tmj specialist here and can you pls suggest any way to get rid of this. I was a person who have a normal slimmed face.but now my face is huge and small and also my teeth are closed always. How long it takes to come back to my original face shape and I am just 19 years old only
Dr I am just 19 years old but I have a face of age old. Pls help me doctor
@@justlive9288 Thank you for reaching out. Please contact our office and we will do our best to help you. Office@sleepandtmjtherapy.com
I get clicking sound when i swallow food and water....please relpy i need help
It would be beneficial for you to see a TMJ specialist, Myofunctional Therapist or an ENT so they can evaluate you for an underlying problem causing swallowing issues. We hope you find relief soon!
I get this too.. My case is that my jaw goes more to the right side so whenever I swallow the left side of the jaw which is not correctly in its place makes that sound
What is the success rate of using Alf ?😊
Very high rate of success with all ages. We are averaging around 90%
I have TMJ disorder
But don't have any pain
My lower jaw deviat on opening mouth wider
Biggest problem is my upper teeth teeth are shifting ( inclining) that cause i feel musle stretch on teeth
Please reply
What should i do
@@aashajain7376 If you have a TMJ problem, it is best to start with treating the jaw joints and get them in a stable position and align your cranial bones. You can then address the teeth. Typically we use ALF appliances for TMJ problems in our office. They also help to align teeth while we are treating the TMJ problems. So it fixes many issues at once.
@@SleepTMJTherapyVienna sir but i m from india .. will not able to come your country. Have your any branch in india
My mouth is locked wht can i do
If your mouth is locked shut we recommend going to the ER or seeing a doctor who can manually unlock it for you. Please keep in mind this will not be a cure. If your jaw is locking, there is likely displacement of the articular discs and that needs to be treated so your jaw does not continue to lock. We hope you find relief soon!
Hi,so i had tmj pain that lasted for a month and it was very bad. Since then, i can open my mouth almost the way i used to but there always is a tenderness on my left tmj, no pain no nothing, BUT when i do fully open my mouth, i feel like it "pushes" my mouth to close, idk if that makes sense. Ever since, i had 2 tmj flare ups. One of them lasted almost a week. The second one, i am going through it now and it's been 1.5 week and the pain is still there, plus, i started grinding my teeth all of a sudden. Do you think my left tmj is out of place? If so, how do i treat this? Will this tenderness ever go away?
I am sorry to hear you are experiencing pain and so much tenderness. From what you have explained, it would be beneficial for you to meet with a TMJ Specialist for an evaluation. If they find that you do have an underlying TMJ issue (through a palpation exam), a TMJ MRI should be ordered. With a TMJ MRI you can see the location of the articular discs and see if they are displaced. If they are, the specialist can provide you with a treatment plan.
What if a patient lives i morocco and doctor here don't even know what tourettes syndrome is ?? Can you guys help me out get the mouthpiece i reaally really really need that you don't know how the rest of the world suffers from that I spent 2 years now i contacted all youtube doctors several times just for one mouthpiece this is going to change my whole life and no one of them answering... 😢
Thank you for reaching out. I am sorry you are going through this and we will do what ever we can to help. Please email our office at office@sleepandtmjtherapy.com or call us at 703-821-1103 so we can discuss your options.
i'm from morocco too and i don't know how to treat this or what doctor should i go to
@@Sop-hieBec0 Unfortanately we do not know of any TMJ specialists in Morocco. We do have many patients who travel to see us so if that is an option for you, we are happy to help. If not, please contact us and we can send over a TMD relief pamphlet to help ease the pain.
Sir I have stopped using my nightguard after using it for 6months.
I am feeling better after this treatment. My question is will my TMJ pain condition return?
Im guessing it would depend if you are still grinding or clenching your teeth
@@83dvl ya you are right. I had left wearing the guard but within two months time, my TMJ started to ache again. I realized that I am still grinding and clenching. I have started wearing the splint and feeling better. 😊
@@Seemaverma405 Can i ask , im just starting out is it normal that splint changes your bite or makes your jaw pain worse.
@@83dvl yes it does change your bite but never worsens the jaw pain. At least it was not in my case. Pain came only when I ate hard chewy food or opened my mouth wide like as in yawning or brushing the lower and upper teeth. Be careful not to eat chewing gum or the food that causes chewing movements in which the teeth lines meet. Ensure to use splint to prevent clenching grinding . Avoid stress as it increases bruxism and also stop or decrease use of caffeinated drinks as it gets the muscles angry. I'm also putting tense machine to relax the Massateur muscle. You can watch TMJ videos for better insight. Work on forward head posture, if there. Never do chin tuck exercises. I I hope this helps.
@@Seemaverma405 Thanks for information
I have clicking on my right side of my jaw it feels damaged even tho its probarbly not my dentist said i have healthy range of motion and he says it could be with eating on one side and not the other he recommend me a mouthguard will it stop my jaw clicking and will it even my jaw out again
Hello! Thank you for sharing your story. We always suggest to have a TMJ MRI taken if you have popping and clicking in your jaw joints. That sound means the articular disc(s) are not staying in the proper position. A TMJ MRI will let you know what is going on internally. If there is displacement of the discs, we suggest seeing a TMJ Specialist.
@@SleepTMJTherapyVienna so will a mouthguard/nightguard fix displacment of disks thanks for the reply by the way there is no tmj specialists near me i dont believe just dentists
@@brandon9831Thank you for your reply! Dentists can specialize in treating TMJ problems. Dr. Brown at our office is a Dentist and he treats TMJ and Sleep Apnea every day. Find someone who can meet with you and screen for TMJ and have a TMJ MRI taken so you can see if there is disc displacement in the jaw joints. From there, your doctor will be able to provide a treatment plan for you. In out office we use several oral appliances to treat TMJ depending on what displacement you have and the severity of the case. To answer your question about night guards/mouth guards, we do not recommend wearing night guards if you have disc displacement. If your discs are displaced 24/7, wearing a night guard 8 hours a day will not help as you would need 24/7 support to fix the problem.
@@SleepTMJTherapyVienna thanks for the help and information also one last question could a chiropractor help to fix a jaw disc displacement to put it back into the right place
@@brandon9831 For TMJ problems, we recommend seeing a TMJ specialist like a dentist for conservative TMJ therapy. From our experience, chiropractic methods do not treat slipped discs in the jaw joints.
Is it true that if you have TMD you can't use regular braces? My doctor told me I have to use Invisalign in case my jaw gets worse. Also is there any website where I can get an economic professional mouth guard? They are very expensive. Thank you in advance.
Braces align teeth but do not focus on treating TMJ problems. We do not recommend any sort of "teeth straightening" treatment plans when you have an underlying TMJ/TMD problem. Your doctor is likely recommending Invisalign because if you start to experience pain in the process, it is easier to remove the aligners than it is to remove braces. You must treat the jaw joints first and then worry about straightening the teeth. It is like building a beautiful house on uneven supports/foundation. It will look nice at first but it won't last long because the foundation is uneven. You must make sure the foundation (jaw joints) are in a are in the proper position before you build a beautiful house (smile). With that said, treat the jaw joints conservatively and then once that is taken care of, you can consider aligners or braces. Regarding a professional mouth guard, we do have website to recommend since everything we design in our office is custom made at the direction of Dr. Brown. I hope this helps!
This doctor wanted to charge me $8,000 for whatever he was going to use to treat my jaw TMD problem….. Anyways he made me waste my $500 dollars because he recommended some specific MRI even though I had one already. And then he charge me another $100 to read the MRI scan. At the end, I never went back to the office again.
If in one month there is no good result of wearing mouth.... can i wear mouthgaurd for 2 months....please reply asap it will be very helpful for me
There is any permanent solution or not
of this suicidal TMJ disorder 😢😢
Plz reply sa that i can take right step😔😔
There are solutions. Dr Brown has discovered our appliances can help correct and or reduce symptoms of TMD.. Please call our office and we can explain our treatment. 703-821-1103
Wear it, you may feel uncomfortable for a week or two then it's gonna be ok for the TMJ painful
My dentist gave me a lower teeth night guard.
Do you have relief?
@@SleepTMJTherapyVienna only for a couple hrs
I hate tmj its hard with it rn i have one so im watching it
I thank you for watching