Thank you for this Doc. My husband just got diagnosed with TMJ OsteoArthritis and having anxiety because we don’t understand this yet. But your videos really helps and give us hope. ❤
What sort of TMJ Orthotic is it that decompresses the joint? You mention MORA in a different video, but I was told I am too old for it. Does Invisalign help the joint space? You did not mention the Gelb appliance but I have heard bad things about it lol.
I have OA in both joints. No pain. My pain is my facial muscles. My discs aren’t in place (one recaptured, one doesn’t, upon opening) but my lower jaw feels best if I jut it forwards a millimeter or so because that takes pressure off my condyles somehow. I love this video explaining all the facets of OA.
Hi I am so glad that I found you. I have seen many different specialists for many years and was never given a full explanation of my problem. I have learned more from your video than I have from anyone else. I have severe TMJ arthritis. I have had amniotic injections, steroid injections, PT, massage, acupuncture, laser heat therapy, mouth guards and Botox. I have had Botox done 6 times. The first two times it worked and lasted a year each time but the last 4 totally failed. They were no help at all. Do you have any idea why Botox would stop working? I am desperate for pain relief! Thank you
Hi and sorry you’re in pain! There’s really no way I can answer this without follow up questions and discussion. If you’d like you can set up an online consultation with me using this link 😊🙏🏼 tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8
Hi Doctor. Thanks for this video, I just subscribed to your channel! Question: Are there specific OA TMJ excercises or the same general TMJ ones apply as well? Also, is it possible to have a normal lifestyle with moderate OA? Or will it always be about managing pain and eating soft foods?
There are no exercises for OA. Having said that, the pain is typically coming from the muscles so if we can calm the muscles down, you’ll feel better long term.
Hello Dr. PM, you say estradiol and relaxin are associated with Osteoarthritis. Do you have any guess if testosterone levels are associated with not having arthritis? Ive seen claims that it helps, but in others, if they take it when they shouldn't be, at a young age, then, they get either arthritis or tendon problems.
I just got diagnosed with OA, "incipient and active DJD" i was given a splint / mouth guard that pushes my lower jaw forward so i cant clench at night. I also have sleep apnea that im treating. I tried a normal mouth guard but woken up fully clenched. I believe im in the beginning phases? Is the repositioning guard what you mean by having good orthotics? Also thank you, you decreased my stress level about this! You get overwhelmed by people saying theyve had pain for 10 years.
Thank you for your kind words and I'm sorry but I can't really answer your questions without follow up questions and further discussion. If you'd like, you can email my office to set up a zoom meeting with me. patientcare@tmjdentaldoc.com
Dear Dr. Priya, Thank you for these great videos. I am wearing an orthotic to keep my jaw in the right position as a therapy for TMJ. I have always suffered from Teeth clenching/grinding, but since I have the orthotic this problem has increased drammatically: I wake up many times at night noticing that I bite the splint so hard like a dog biting a bone. As a consequence, the jaw and temporal muscles ache even more than before I started the therapy. Is there an orthotic which could cure both malocclusion and bruxism? If not, do I need to live with bruxism making my TMJ orthotic therapy less effective? Thank you
I got a splint that move my lower jaw forward, Anterior Repositioning Splint. See if that might work for you. I had a normal mouth guard, and i vividly remember waking up fully clenched.
I have OA. The muscles inside my mouth are always red and rigid, and asymmetrical. Would an orthotic hypothetically/potentially help loosen up these constantly tight intraoral muscles? Massage barely does anything anymore, because I've degraded so much and am considering getting an orthotic to at least save one of my joints even the other is getting replaced.
Dr. Mistry, Is there a test or scan to see if there is arthritis of jaw joints, bones around the area? Or even the condition of the jaw joints? Thank you. Kally from Canada
Hello Doctor. I am a general medicine student in the final year. I have a relative who suffers from TMJD . Today, one of the dentists specializing in treatment TMJD performed a fluid injection and then pulled it from the joint. Actually, I did not understand the significance of this operation. im from iraq . I loved your videos and explanations
thanks for watching my videos! i cannot really tell you the significance of the procedure you witnessed without knowing what was injected and where and also what the patient's condition is.
I have OA and had an arthroscopy in Aug for diagnosis. I have not been able to open my mouth nor eat even since the procedure. I have been told I need to have a joint replacement but I am looking for alternatives. How can I open my mouth again without joint replacement? I am a singer and musician so surgery is my last choice. Thanks so much.
I’m being flooded with like this and cannot thoroughly answer them all. If you’d like you can email my office to set up a zoom meeting with me so I can better evaluate whether or not I can help you - patientcare@tmjdentaldoc.com
Did the arthroscopy hurt? And if it did, how much from 1 to 10 scale? Please I have the same problem and it would help me to know this. I am sorry about tmj hurting your singing.
Hello from Ukraine. I have spinal cord dysfunction with disc dislocation without reduction. This problem has been around for almost a year. I have pain in the area of the joint, ear, and head, which I relieve with massage and exercises. I have the following question for you: I am planning a pregnancy in the near future, I want to understand whether pregnancy will become a factor for the worsening of the condition with SNS? Is it really possible to endure it while pregnant? I hope for your understanding, I look forward to your experience. thank you
Hi doc , I was wondering if you have any tips on dizziness from tmj ? I just found this channel today but have had tmj since I was 17 , I’m now 29 and it’s way worse , my ent basically won’t do much about it as therapy in our area is almost non existent.
I got hard splint recently, they took teeth bite and impressions for this and said to wear it throughout day except while eating and drinking, how can I know is it Splint or any other mouth appliance ? By the way I am experiencing some pain while wearing it and after removing it . Will it go in a week or some days later , as I was changed from soft splint to hard splint. I saw your video on night guard retainers Orthotics/splint but there you showed only splint pls show all at a time in a video to find them easily by seeing. Lots of grateful ❤😊for your videos as dentists won't explain in this way for patients they just end up by saying it's TMJ early degeneration.
What about surgery as an option if the pain is still there? I’ve had a custom made orthotic from a really great neuromuscular dentist but still in severe pain… I’m going to consider the injections you mentioned, but we might have to do surgery depending on what they notice in the imaging.
I really don't recommend surgery for pain in the vast majority of cases. If you'd like, you can email my office to set up a Zoom meeting with me so we can discuss your condition in more depth. patientcare@tmjdentaldoc.com
Hi Dr. Mistry, would OA lead to inflammation around the jawline, specifically in front of the ear? I dont have any pain but I always wake up with swelling/inflammation around this area. Do you have any reasons I continue to get this inflammation? Is it just due to overwork of the masseter? As I do see this happen when I eat hard food as well. thanks!
Vancouver WA is very far from NYC where I am. I haven't been able to find anyone who can help me with my destroyed degenerated TMJs. Is there anyone you know of who is at least half the doctor you are in NYC? I desperately need joint space. All I have is a splint which barely or doesn't distract my joint. Even when I go to the ER, they refuse to help me.
Hello Dr. Priya Mistry, I want to ask you a question, and I hope you will answer and answer. A patient came to the hospital where I work suffering from TMJ ankylosis. The patient did radiotherapy in the neck as a result of having cancer in the lymph nodes in the neck without undergoing surgery more than a year ago. We did panorama rays, there is no Bone adhesion in the joint, but when I examined the muscles when I did the palpation test there is steffness in masseter and sternocleidomastoid and muscle and other muscles of mastication and neck and muscles is very hard in palpation My question is is it useful to do sessions with the J5 TENS device For such a case and how many sessions the patient needs, I hope you will respond to me because the patient is suffering severely because he is unable to eat. He can open his mouth less than one finger.
@@theTMJdoc Thank you very much for your quick response to my inquiry, but the reason for the muscle spasm is the patient's exposure to several sessions of radiotherapy, and one of his problems is muscle spasm, which develops later if the patient does not do exercises after radiotherapy, causing TMJ ankylosis
I have tmj osteoarthritis and my local tmj dentist wants to inject with dextrose called prolotherapy. You didnt mention that. What do you think of prolotherapy?
Mam, i have a non round shape of condlyar process in one side of mandible .where orther side is normal ( i have class || malocclusion)well asymmetric face , is this condlyar process can be restored with any hormone like calitonin or growth hormone?
Hi doctor. Is it normal for you to have cases where when you finish treatment with patients and while most symptoms are gone, clicking/popping sounds while eating/talking continue? Or still some slight resistance when opening wide? Will this possibly resolve as they continue wearing the orthotic even though treatment with you is over, or is it just something to deal with that won't go away?
Yes - clicking and popping do NOT always go away completely. The noises can decrease or soften and we can prevent the clicking/popping from turning into jaw locking.
In terms of things to help slow my OA, I’ve tried #1, #3, #6. I’ve been looking for a place that does acupuncture and if that doesn’t help, I want to see if I can find a doctor who can inject steroids into the joints. (I did have several rounds of Botox but only on my masseters, pterygoids, and neck muscles - that won’t help my OA but the facial soreness I have all the time lessens with Botox)
Hi dr , how r u Could extracting the lower molar tooth potentially worsen the issue of disc displacement in the jaw joint and jaw clicking? Because I have an old silver filling that broke, I went to the dentist and they placed a composite filling for me, but the pain still persists even after the filling. Additionally, the tooth is severely cracked and fractured, and I can taste metal in the tooth after it broke. I am very afraid that my jaw will be further affected after extracting my tooth.
Yes, extracting a tooth (or any dental procedure) can exacerbate TMD. Please watch this video for tips on how to get through dental treatment when you have TMJ/TMD: th-cam.com/video/_VBbXjTK3aM/w-d-xo.html
Tests showed I have osteoarthritis on my jaw joints. Can this be the cause of the pain I have the last 10 months on my left upper jaw teeth (last 3 teeth that I had root canals)?
Mam i have disc displacement of my tmj disc on left side due wo this my last molars are fitting properly in upper teeth and sue to these conditions i also have facial assymetry i am so depressed what should I do?
Is it possible that once a disk is fully dislocated (without reduction without limited opening) they’re won’t be a deviation when someone opens their mouth? If the other side is ok?
I have experienced almost 2 yrs of TMD with no medical/dental relief. No one in my local area treats this issue. Why don't more MD's or Dentists specialize in TMD? OA is a medical issues. I believe TMD is then a medical problem.....not covered by insurance?
There’s really no great training in medical or dental school for TmD. The one speciality program that’s recognized focuses more on stress relief and medications when I’ve found that TMD is often more structural. It’s definitely a medical issue - bones, joints, posture, alignment, etc. And I don’t see treatment covered by medical insurance often though in my opinion, it should be.
Wow what a rude comment. If you don’t like it, don’t watch. I have an entire playlist with actual muscle releases/self massage. You should do more research before commenting.
Thank you for this Doc. My husband just got diagnosed with TMJ OsteoArthritis and having anxiety because we don’t understand this yet. But your videos really helps and give us hope. ❤
Glad to help and I hope your husband finds relief soon!
What sort of TMJ Orthotic is it that decompresses the joint? You mention MORA in a different video, but I was told I am too old for it. Does Invisalign help the joint space? You did not mention the Gelb appliance but I have heard bad things about it lol.
No one is too old for a MORA!
I have OA in both joints. No pain. My pain is my facial muscles. My discs aren’t in place (one recaptured, one doesn’t, upon opening) but my lower jaw feels best if I jut it forwards a millimeter or so because that takes pressure off my condyles somehow. I love this video explaining all the facets of OA.
thank you for your kind words!
Hi I am so glad that I found you. I have seen many different specialists for many years and was never given a full explanation of my problem. I have learned more from your video than I have from anyone else. I have severe TMJ arthritis. I have had amniotic injections, steroid injections, PT, massage, acupuncture, laser heat therapy, mouth guards and Botox. I have had Botox done 6 times. The first two times it worked and lasted a year each time but the last 4 totally failed. They were no help at all. Do you have any idea why Botox would stop working? I am desperate for pain relief! Thank you
Hi and sorry you’re in pain! There’s really no way I can answer this without follow up questions and discussion. If you’d like you can set up an online consultation with me using this link 😊🙏🏼
tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8
You are so good! I have osteo in jaw and have so much anxiety with it.
Try not to stress!
Hi Doctor. Thanks for this video, I just subscribed to your channel! Question: Are there specific OA TMJ excercises or the same general TMJ ones apply as well? Also, is it possible to have a normal lifestyle with moderate OA? Or will it always be about managing pain and eating soft foods?
There are no exercises for OA. Having said that, the pain is typically coming from the muscles so if we can calm the muscles down, you’ll feel better long term.
Love this! I was wondering what your opinion on DTR therapy is?
I don't have a strong opinion because I've never used/done DTR therapy.
Hello Dr. PM, you say estradiol and relaxin are associated with Osteoarthritis. Do you have any guess if testosterone levels are associated with not having arthritis? Ive seen claims that it helps, but in others, if they take it when they shouldn't be, at a young age, then, they get either arthritis or tendon problems.
I don’t know if testosterone is related or not. Sorry!
I just got diagnosed with OA, "incipient and active DJD" i was given a splint / mouth guard that pushes my lower jaw forward so i cant clench at night. I also have sleep apnea that im treating. I tried a normal mouth guard but woken up fully clenched.
I believe im in the beginning phases? Is the repositioning guard what you mean by having good orthotics?
Also thank you, you decreased my stress level about this! You get overwhelmed by people saying theyve had pain for 10 years.
Thank you for your kind words and I'm sorry but I can't really answer your questions without follow up questions and further discussion. If you'd like, you can email my office to set up a zoom meeting with me. patientcare@tmjdentaldoc.com
I am eagerly waiting for the Orthotics videos mam❤
I'll make it soon!
Dear Dr. Priya, Thank you for these great videos. I am wearing an orthotic to keep my jaw in the right position as a therapy for TMJ. I have always suffered from Teeth clenching/grinding, but since I have the orthotic this problem has increased drammatically: I wake up many times at night noticing that I bite the splint so hard like a dog biting a bone. As a consequence, the jaw and temporal muscles ache even more than before I started the therapy. Is there an orthotic which could cure both malocclusion and bruxism? If not, do I need to live with bruxism making my TMJ orthotic therapy less effective? Thank you
I'm sorry but I cannot make a specific recommendation for you over the internet and without examining you.
@@theTMJdoc ok,many thanks anyway for the wonderful informative work you do on TMJD!
@@antonyandthesea_7601 you’re welcome! Best of luck to you!
I got a splint that move my lower jaw forward, Anterior Repositioning Splint. See if that might work for you. I had a normal mouth guard, and i vividly remember waking up fully clenched.
I have OA. The muscles inside my mouth are always red and rigid, and asymmetrical. Would an orthotic hypothetically/potentially help loosen up these constantly tight intraoral muscles? Massage barely does anything anymore, because I've degraded so much and am considering getting an orthotic to at least save one of my joints even the other is getting replaced.
If it’s made properly, it should help!
Dr. Mistry, Is there a test or scan to see if there is arthritis of jaw joints, bones around the area? Or even the condition of the jaw joints? Thank you. Kally from Canada
Please watch this:
th-cam.com/video/j2yixq5AgTM/w-d-xo.htmlsi=gokjQWXd3oEZ2cS3
Hello Doctor. I am a general medicine student in the final year. I have a relative who suffers from TMJD . Today, one of the dentists specializing in treatment TMJD performed a fluid injection and then pulled it from the joint. Actually, I did not understand the significance of this operation.
im from iraq . I loved your videos and explanations
Not puled😂 withdraw
thanks for watching my videos! i cannot really tell you the significance of the procedure you witnessed without knowing what was injected and where and also what the patient's condition is.
I have OA and had an arthroscopy in Aug for diagnosis. I have not been able to open my mouth nor eat even since the procedure.
I have been told I need to have a joint replacement but I am looking for alternatives.
How can I open my mouth again without joint replacement?
I am a singer and musician so surgery is my last choice.
Thanks so much.
I’m being flooded with like this and cannot thoroughly answer them all. If you’d like you can email my office to set up a zoom meeting with me so I can better evaluate whether or not I can help you - patientcare@tmjdentaldoc.com
Did the arthroscopy hurt? And if it did, how much from 1 to 10 scale? Please I have the same problem and it would help me to know this. I am sorry about tmj hurting your singing.
Hello from Ukraine. I have spinal cord dysfunction with disc dislocation without reduction. This problem has been around for almost a year. I have pain in the area of the joint, ear, and head, which I relieve with massage and exercises. I have the following question for you: I am planning a pregnancy in the near future, I want to understand whether pregnancy will become a factor for the worsening of the condition with SNS? Is it really possible to endure it while pregnant? I hope for your understanding, I look forward to your experience. thank you
Hi there! I’ve seen TMD get worse during pregnancy and I’ve also seen it get better. It could really go either way!
Hi doc , I was wondering if you have any tips on dizziness from tmj ? I just found this channel today but have had tmj since I was 17 , I’m now 29 and it’s way worse , my ent basically won’t do much about it as therapy in our area is almost non existent.
The way I treat this is with orthotics and manual therapy. I don't know of a home solution - sorry!
I got hard splint recently, they took teeth bite and impressions for this and said to wear it throughout day except while eating and drinking, how can I know is it Splint or any other mouth appliance ?
By the way I am experiencing some pain while wearing it and after removing it . Will it go in a week or some days later , as I was changed from soft splint to hard splint.
I saw your video on night guard retainers Orthotics/splint but there you showed only splint pls show all at a time in a video to find them easily by seeing.
Lots of grateful ❤😊for your videos as dentists won't explain in this way for patients they just end up by saying it's TMJ early degeneration.
I'll be making a video soon on the different types of orthotics I use.
@@theTMJdoc - Thank you and hope your orthotic video will cover option when the bottom teeth have too much bone loss to incorporate/pull jaw forward
What about surgery as an option if the pain is still there? I’ve had a custom made orthotic from a really great neuromuscular dentist but still in severe pain… I’m going to consider the injections you mentioned, but we might have to do surgery depending on what they notice in the imaging.
I really don't recommend surgery for pain in the vast majority of cases. If you'd like, you can email my office to set up a Zoom meeting with me so we can discuss your condition in more depth. patientcare@tmjdentaldoc.com
Ok I sure will ; thank you
Ok I sure will ; thank you
Ok I sure will ; thank you
Hi Dr. Mistry,
would OA lead to inflammation around the jawline, specifically in front of the ear? I dont have any pain but I always wake up with swelling/inflammation around this area. Do you have any reasons I continue to get this inflammation? Is it just due to overwork of the masseter? As I do see this happen when I eat hard food as well. thanks!
OA alone won't lead to this. Inflammation is typically caused by muscle dysfunction.
Vancouver WA is very far from NYC where I am. I haven't been able to find anyone who can help me with my destroyed degenerated TMJs. Is there anyone you know of who is at least half the doctor you are in NYC? I desperately need joint space. All I have is a splint which barely or doesn't distract my joint. Even when I go to the ER, they refuse to help me.
Hi! I’ve heard good things about Dr Laura Torrado but I don’t know her exact treatment methods.
I have it now in left side already had a joint replacement on the right my doctor explained to me I have joint space narrowing (disc is thinning)
Sorry to hear that!
Hello Dr. Priya Mistry, I want to ask you a question, and I hope you will answer and answer. A patient came to the hospital where I work suffering from TMJ ankylosis. The patient did radiotherapy in the neck as a result of having cancer in the lymph nodes in the neck without undergoing surgery more than a year ago. We did panorama rays, there is no Bone adhesion in the joint, but when I examined the muscles when I did the palpation test there is steffness in masseter and sternocleidomastoid and muscle and other muscles of mastication and neck and muscles is very hard in palpation My question is is it useful to do sessions with the J5 TENS device For such a case and how many sessions the patient needs, I hope you will respond to me because the patient is suffering severely because he is unable to eat. He can open his mouth less than one finger.
The TENS can certainly be helpful to the muscles but it depends on what's causing the limited range of motion.
@@theTMJdoc Thank you very much for your quick response to my inquiry, but the reason for the muscle spasm is the patient's exposure to several sessions of radiotherapy, and one of his problems is muscle spasm, which develops later if the patient does not do exercises after radiotherapy, causing TMJ ankylosis
I have tmj osteoarthritis and my local tmj dentist wants to inject with dextrose called prolotherapy. You didnt mention that. What do you think of prolotherapy?
I don't do prolotherapy so I can't really speak on it :)
Mam, i have a non round shape of condlyar process in one side of mandible .where orther side is normal ( i have class || malocclusion)well asymmetric face , is this condlyar process can be restored with any hormone like calitonin or growth hormone?
not that I know of!
Hi doctor. Is it normal for you to have cases where when you finish treatment with patients and while most symptoms are gone, clicking/popping sounds while eating/talking continue? Or still some slight resistance when opening wide? Will this possibly resolve as they continue wearing the orthotic even though treatment with you is over, or is it just something to deal with that won't go away?
Yes - clicking and popping do NOT always go away completely. The noises can decrease or soften and we can prevent the clicking/popping from turning into jaw locking.
In terms of things to help slow my OA, I’ve tried #1, #3, #6. I’ve been looking for a place that does acupuncture and if that doesn’t help, I want to see if I can find a doctor who can inject steroids into the joints.
(I did have several rounds of Botox but only on my masseters, pterygoids, and neck muscles - that won’t help my OA but the facial soreness I have all the time lessens with Botox)
sorry to hear that! I hope you find relief soon.
Hi dr , how r u
Could extracting the lower molar tooth potentially worsen the issue of disc displacement in the jaw joint and jaw clicking?
Because I have an old silver filling that broke, I went to the dentist and they placed a composite filling for me, but the pain still persists even after the filling. Additionally, the tooth is severely cracked and fractured, and I can taste metal in the tooth after it broke.
I am very afraid that my jaw will be further affected after extracting my tooth.
Yes, extracting a tooth (or any dental procedure) can exacerbate TMD. Please watch this video for tips on how to get through dental treatment when you have TMJ/TMD:
th-cam.com/video/_VBbXjTK3aM/w-d-xo.html
@@theTMJdoc thank you dr 🌹🌹🌹🌹🌹🌹🥰
Love ur videos,... I would like to see one case... Your treatment....
thank you!
@@theTMJdoc and now you know blender for dental? THIS a big tool to joint jaw disorders
Tests showed I have osteoarthritis on my jaw joints. Can this be the cause of the pain I have the last 10 months on my left upper jaw teeth (last 3 teeth that I had root canals)?
tooth pain is typically referred from muscles not from osteoarthritic joints :)
@@theTMJdoc thank you so much for your reply
Mam i have disc displacement of my tmj disc on left side due wo this my last molars are fitting properly in upper teeth and sue to these conditions i also have facial assymetry i am so depressed what should I do?
sorry to hear this. I'd recommend trying to see a skilled and experienced TMJ dentist.
Is it possible that once a disk is fully dislocated (without reduction without limited opening) they’re won’t be a deviation when someone opens their mouth? If the other side is ok?
yes it's possible.
What about prolotherapy/prp/prf/stem cells?
I don't do any injections at my practice so I cannot speak to this.
Hello, I got diagnosed with TMJ OA flattening on condyle. Is there a way to restore the symmetry of jaw I once had without surgery?
I really cannot answer this over the internet and without examining you. Sorry!
Am i doing more damage hearing the sound with opening
No not necessarily. However if you have crepitus, it’s a good idea to t get a tmj orthotic to protect your joints.
Stem cell in tmj?. Wich are the advances. The is couple studies in pubmed who say it works
I can't speak to this because I haven't used it in my practice. Sorry.
I have experienced almost 2 yrs of TMD with no medical/dental relief. No one in my local area treats this issue. Why don't more MD's or Dentists specialize in TMD? OA is a medical issues. I believe TMD is then a medical problem.....not covered by insurance?
There’s really no great training in medical or dental school for TmD. The one speciality program that’s recognized focuses more on stress relief and medications when I’ve found that TMD is often more structural. It’s definitely a medical issue - bones, joints, posture, alignment, etc. And I don’t see treatment covered by medical insurance often though in my opinion, it should be.
Mam my problem is overjet
Braces can solve this problem?
I'd recommend getting an evaluation with an orthodontist for more information :)
Using ice on the face works well
Great!
Do you ship to the UK for your rollers?
I believe we can, but we would charge for shipping.
Dr. You telling more theory but not live demonstration of exercises for tmj. Wasting viewers time.
Wow what a rude comment. If you don’t like it, don’t watch. I have an entire playlist with actual muscle releases/self massage. You should do more research before commenting.