Forces of Chewing vs Forces of Clenching & Bruxing - Priya Mistry, DDS (the TMJ doc)
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- เผยแพร่เมื่อ 28 ส.ค. 2024
- In this video, I go over the forces (in Newtons) involved with chewing, clenching, and bruxing. These forces can vary a lot but the forces of clenching/bruxing are definitely significantly higher. These forces can fracture teeth, damage the jaw joints, and put the muscles of the head, neck, and jaw in a dysfunctional state.
Be sure to watch until the end to see my new segment, "Highlighting a TMJoiner". In this segment, I highlight a comment from one of my awesome viewers!
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#testimonial #headaches #neckpain #jawpain #tmjd #tmj #thetmjdoc #aqualizer #jawpops #lockedjaw #jawclicks #trigeminalneuralgia #orthotics #hemicraniacontinua
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This channel is all about TMJ disorders - what they are, how they manifest, what to do about them and how they relate to other issues that may be going unnoticed in the body such as tongue tie, sleep apnea, ADHD, and more! Thank you and I hope you enjoy my videos!
Thank you Dr. Mistry for taking the time to educate us about TMJD 😁🙏🏼 the more I learn, the better I get at managing the pain.
You’re so welcome! Please do Subscribe!
Thank you Dr. Mistry. Can you please make a video about how to chew food properly to take care of our jaw and teeth
I don’t really know how to do that..? I’d recommend chewing equally on both sides.
it would have been nice to see what chewing looks like too. THanks for showing clenching and bruxing
You can chew a piece of food and look in the mirror :) I'm sorry, but I don't feel comfortable chewing on camera.
I discovered your videos recently, in a desperate attempt to find answers for my situation. About 2,5 years ago, I started having some unknown pain and I kept saying 'My face hurts, my face hurts'... The pain has never left and becomes 10-100 times stronger during moments of stress.
I live in Romania. It took me 2 years of seeing doctor after doctor only to find out that the pain is in my actual muscles and nerves, both sides of my face. MRI showed a slight dislocation of the right condyle, but one physiotherapist said my pain is much stronger than it should be considering the MRI. I am in the process of having a mouth guard done by an orthodontist, who is in a hurry every time I see her.
I clench, I don't brux, and the TMJ doesn't actually pop nor does it hurt when I eat. It's just a constant pain in my muscles :( making all life activities so difficult.. A few seconds of stress are enough to increase the pain, many times to unbearable levels. Have you encountered this? What other tests can I do to see what is causing the strong constant pain? As I write, on a scale of 1-10, it's an 8,5.
Sorry for the long message! I appreciate your videos and also read your TMJ-related PDF. Thank you for sharing your thoughts with us!🙏💗
Yes, I've definitely encountered what you are describing. Your pain is likely muscular in nature. The muscles of the head, neck, and jaw can enter a dysfunctional state and once there, they are in a cycle of chronic pain/spasm. It takes the proper treatment to get the muscles calmed down. Once out of the dysfunctional state, pain goes down.
@@theTMJdoc Thank you so much for taking the time to respond. It makes sense.
The neurologist I recently saw diagnosed me with fibromyalgia and prescribed me Lyrica. The side effects were so bad I couldn't take more than one pill. During check up she said Lyrica was basically my only hope..
Is there any way you could possibly advise me towards a proper treatment? Or is it something only a local doctor could do? (Though at this point, I've exhausted my local options.) Thank you so much once again! 🙏
@@Missramy100 hi! I can likely advise you via zoom. You can email my office if you’d like to set up a consultation with me - patientcare@tmjdentaldoc.com
@@theTMJdoc Thank you, I'll do that!
Hi Priya, thank you for making this video!
I noticed that I can't help clenching when I'm concentrating - after hours of work or study, my muscles get so sore and sometimes my jaw joint area hurts.
You mentioned that its difficult to change the bad habit. Can you please share some tips? I went to a TMJ doctor in Vancouver, Canada, but before I save enough money for the treatment, I really hope to get some tips so I can stop clenching as much as possible :)
Here's a video on how to stop clenching during the day:
th-cam.com/video/pXQmqIku27Q/w-d-xo.html
Just been making my way through several of your videos. Thank you for putting them together.
Since about November last year when I unusually had 3 large bowls of crispy honey flakes (like cornflakes), I've had a problem with my left jaw. I barely move my jaw and it's a very minimal grinding movement but it's like I'm grinding/crunching my cartlidge . Everyday the cartlidge feels solid when I wake up but I started to grind/crunch away at it and within a matter of about 30 seconds or so I start to break it down. Externally you can barely see any movement of my jaw.
My lower jaw goes slightly to the left and when I slide my lower jaw forwards it makes a dry sliding sound (like cartlidge on cartlidge) compared to the right side
The majority of the crunching isn't painful as such but because I crunch /grind away for hours each day, it can inflame that area and I sometimes get ear pain. I also don't know if my constant grinding can be heard outside of my face by others around me. I also possibly don't drink enough water each day(??).
I also have OSA for which I have a CPAP machine and I put my upper teeth guard in to, just to give my jaw/cartlidge a break. I sleep on my left side and have a firm neck support pillow.
Is the above condition known as anything in particular and do you have any good exercises for it?
Many thanks if you can shed any light on the matter etc
Kind regards
Sue x
I’m sorry but I really can answer without further discussion and follow up questions. If you’d like you can email my office to set up a zoom meeting with me - patientcare@tmjdentaldoc.com
@@theTMJdoc Thanks - I'm in the UK. Would this be a completely free zoom arrangement or would you be charging consultation fees etc? Thanks Sue
@@suzannealford232 there is a fee. Please email my office for details 😊
Do you believe that clenching can cause tooth root damage? I went to my dentist a few days ago and she did full mouth X-rays. She then said I need at least one, maybe two root canals because my jaw had dark areas that resemble abscesses? But I have no dental symptoms- only the TMJ symptoms. I was evaluated by an endodontist 5 years ago for the same area/ same thing and he said root canal was not indicated but offered no other explanation. I honestly don’t know what to do.
Hm whether it does or not, you should definitely address the TMJ.
Even if clenching did not cause tooth root damage (which I suspect it does) you should be addressing clenching anyway.
@@AznDudeIsOn You are absolutely right. I have failed with dental night guards and stupidly did not realize that a TMJ splint was not the same thing. I went to my dentist this past week with the intention of discussing this but she was preoccupied with what she saw on my X-rays so it got put on the back burner (again). I don’t live in an area that offers much choice in medical professionals without a 3-5 hour drive, sadly. That’s why I love TH-cam and kind people like Dr. Mistry who are willing to help.
If you're unsure of whether or not you need a root canal, you can always get a second opinion. And yes, clenching can definitely cause tooth damage - including the root.
@@theTMJdoc Thank you.
@@chrislynn9666 you’re welcome!
From last few month I had clicking sound but suddenly my mouth get locked in closed position, mouth opening is only 2 finger width.
I have deepbite and right side deviations of jaw while opening mouth .
(In mri of TMJ both joints are normal.)
But I can't open my mouth more than 2 finger width.
Please can you tell me what is the reason of reduced mouth opening and what are treatment .
I am using removable appliance (orthodontics) in upper teeth for the deep bite .
When was the MRI taken? Before or after your restricted opening?
@@theTMJdoc after restricted opening
How I wish I could clone you and have your clone open an office in Washington DC (if you have a colleague in the area, please let me know) . I have seen lots of your informative videos, and it has helped guide me on my journey. I suffer from vestibular migraines, and I try to manage it with diet and sleep. However, I do believe that my neck and TMJ disfunction do affect the migraines and my overall health (I have a poping sound on the left and tinnitus). I am currently doing invisalign to fix my bite. Going to the chiropractor to address the position of the atlas and axis. Doing the jaw massages you have shown on another video. I am looking for a dentist who can determine if I need a mouth guard after the invisalign. I can't thank you enough, I am doing all of these thanks to the information you have shared. 🌻
Thank you for your kind words and best of luck to you. Many people travel to see me but I wouldn't be able to start treatment until you're done with Invisalign - if traveling is even an option for you :)
Thank you for your reply. My sister moved to Seattle and I am due for a visit, so there is a possibility of visiting you too. 🥰 Once I am done with Invisalign, I will go. ✈️
Could we also be clenching because of not getting enough oxygen at night, due to a too narrow airway? What type of expansion do you recommend for adults? thanks
Hi Christina - I only answer 1-2 questions per viewer and I have answered many for you. I've offered you a zoom meeting so you can ask all your questions but you declined. I cannot continue to answer your questions because of the large number of comments I continue to receive. Best of luck to you!
Yes lack of oxygen can cause clenching, look into obstructive sleep apnea. Treatment involves CPAP devices or mandibular advancement devices to keep the airway open at night. See your doctor if you think you may have osa
pls talk about bite ing tougue.thank you..i wakeup everytime i bite my tougue..so hard..pls and thank you
i'm sorry but I don't see my patients biting their tongues.
From past 10 years i am suffering from TMJ in my both side
Now dr has suggest me about splint
By using splint 24/7 now i have less eye and teeth pain
But my pain and clicking song is not curable..
This TMJ pain has decreased my Quality of life 🥹 so depressed
Is splint and Tmj orthotic are same ?please reply dr
A splint and an orthotic are not necessarily the same thing. Please watch this video for more info:
th-cam.com/video/Gk0bt2Ayc6s/w-d-xo.html
oops! just saw the end of your video, got it.:)
great!
Ma'am, I have a uncomfortable feeling when I have air in my mouth(that is when I keep my upper and lower teeth apart) to keep my tongue on my roof. Is it okay to have this air in mouth? When I blow the air out and keep my mouth airless, my teeth touches.
Are your lips together when your teeth are apart?
@@theTMJdocYes Ma'am, I can keep my lips together while keeping my teeth apart, but I sense to have some air under my tongue while doing so(between my tongue and the floor of the mouth under the tongue).
So when I removing that air bubble out of the mouth, my tongue automatically touches the back of my upper teeth, and my lower teeth go behind my upper incisors(This is my usual tongue and mouth posture).
I had a very good looking face, high cheekbones and good looking eyes and lips. But ever since I, without any proper instruction/guidance/advice, changed my tongue posture consciously(for no reason), my face has become less attractive. I am 18 now and I was considered very good looking till recently, until 15.
And here's my doubt ma'am, do you have any air/air bubble in your mouth under the tongue while maintaining the correct tongue posture Ma'am? If so, does maintaing the tongue posture like that cause a slight pain/discomfort under the tongue while doing so?
And I am sorry for writing a lot Ma'am, it was to give as much details as I can so you can have an easier time analyzing my problem. Hope you reply to my question above ma'am!🤗
@@Goldenlegend1000 some people shouldn’t have their tongue up against the roof of the mouth if it stressed the muscles that surround and support the tongue. I’d recommend seeing a myofunctional therapy provider for an evaluation. Megan VanNoy is excellent!
@@theTMJdoc I have edited my above reply to give more clear details on my problem ma'am. And I am from India, so how can I contact Megan Vannoy?
Hello i got TMJ from opening my mouth too wide a few years ago. recently its flared up again with neck pain and, jaw pain and pressure around the eye. Whats the best way to treat this?
This is the best way in my opinion :)
How I Treat TMJD - Priya Mistry, DDS (the TMJ doc) #tmjtreatment #holistic #health
th-cam.com/video/iF-min1q24M/w-d-xo.html
@@theTMJdoc Thanks! How do i get access to these treatments if im not from the US? Should i look for a specialist that offers these treatments?