CBCT or MRI? - Priya Mistry, DDS (the TMJ doc)
ฝัง
- เผยแพร่เมื่อ 26 ก.ค. 2024
- Hello Friends! This video is all about Imaging - and what imaging is appropriate for accurate diagnosis in TMJ Disorders. I see a lot of questions on Facebook support groups about this from people who are suffering from headaches, jaw pain, neck pain, ear pain, popping or clicking in the joints, and/or a locked jaw! These comments and questions inspired me to make this video as a way to get more information out there. I hope you enjoy it!
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Other links:
WEBSITE: tmjdentaldoc.com/
FACEBOOK: / priya.mistry.942145
INSTAGRAM: / the_tmj_doc
TWITTER: PriyaTMJ?fbclid=I...
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CBCT Image:
www.sirona3d.com/galileos-comf...
MRI Image:
www.google.com/search?q=mri+m...
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Bensound
www.bensound.com/royalty-free...
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#cbct #mri #jawpain #neckpain #earpain #headaches #tmj #tmjd #imagingfortmj #clenching #bruxing
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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! I will also be posting about being a dentist and a working mommy to two wonderful children. Thank you and I hope you enjoy my videos! - วิทยาศาสตร์และเทคโนโลยี
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Good information on CBCT & MRI. Dr. Priya!!
Thank you!
Have watched most of your videos and been helped tremendously.
Question: my TMD issue is primarily pain in upper teeth to ear when I chew soft food. Any suggestions?
Additional info: 49 year old male developed pain free jaw clicking about a year ago til this pain manifested. Dentist ruled out tooth issue and sinusitis after a week of antibiotics. Thanks
Yes please watch my video “stuffy ears, vertigo and ear pain explained”. There is a muscle called the lateral pterygoid muscle that can refer pain to specific teeth and into the ear. We calm this muscle down with orthotics and myofascial release.
Hi doctor since the last 13 years I sometimes get twitching on the bottom of my lip and sometimes the bottom chin. And one time I used a new pillow a memory foam and it's set off that muscle spasms in the bottom of the chin and lip for a day or two. Do you think this can be related to the TMJ? What do you think this might be trigeminal nerve?
I don’t have an answer for that! sorry, I wish I did but it’s not something I have seen or treated.
Thanks Priya! Have you made a video yet about the connection between TMJ and Sleep Apnea? I looked for one but didn’t find it.
Not yet!
Did you find anymore info about this? Sleep apnea and TMD?
Hello!
I got three questions if you don’t mind:
1. Would it be able to diagnose if my “sharpened” joints are related to ICR or TMD or normal wear and tear?
2. Which of the two would be better in diagnosing ICR?
3. If both are needed for ICR and only one could be afforded because it would paid out of pocket, which is generally the cheaper one?
Thank you and God Bless!
A CBCT and bone scan can diagnose ICR
Hi Dr. , i got my cbct done and the report says:
Right tmj:
There is flattening of the superior surface of the right condylar head. In the closed position, right condylar head is located relatively well centrally in the glenoid fossa and translates to a point inferior to the summit of the articular disc.
Left tmj:
There is flattening of the left condlyar head. In the closed poition, the left condylar head is located relatively well centrally in the glenoid fossa and translates for point posterior to the summit of the articular emminence at maximal opening.
I have jaw pain and crepitus. I know it might be hard for you to say anything but does it look too bad and can this be managed with a stabilization splint at all? 😢
I cannot make a specific recommendation for your treatment over the internet and without examining you. Sorry.
How likely is it that osteoarthritic changes were not detectable or foreseeable from a CBCT ~9 months prior to detected arthritic changes, if the patient presented with limited range of motion and pain eating some food?
I don’t really understand the question - were two separate CBCTs taken 9 months apart?
I'm to get a cbct next week, how do I see if they look for this as y'all do? Can I send you a copy and you see if you can help me? Is there a specific MRI machine or kind that helps? Like fiesta MRI is best for TN. With contrast or can it be without is ok?
I’m sorry but I don’t look at scans unless you’re my patient. If you would like to set up a zoom meeting you can email my assistant Alex at patientcare@tmjdentaldoc.com
Hi Dr! has anyone mentioned that you have a similar voice as miley cryrus?!
Actually no but thanks 😊
Hi doctor! I recently went to an ENT specialist because of all the dizzines, pain behind the ear, tinnitus, etc. that I've been experiencing and he ordered an MRI of the brain, since everything appeared normal in my ear. I told him my dentist thought it was a TMJ problem and he thought I was crazy. Anyway, my question is, will an MRI of the brain with and without contrast show if there is a problem in the TMJ?
No it will not.
I have tmj/tmd and dizziness and wondering if it’s also causing my dizziness/vertigo. Have you figured this out yourself???
Hi doc, follow up question. Do you still use the traditional CT scan in Dentistry?
One OMFS asked me for a facial bone ct scan instead of a cbct scan which made me think is one better than the other?
In what instance is traditional CT still used/preferred?
Thank you in advance!
I use CBCT! :)
Hi, when would instances in getting both be helpful? I will be seeing an oral surgeon soon for chronic tmj/tmd issues, really hope they can do the imaging needed to aid in diagnosis n treatment.
a CBCT is always recommended. An MRI can be helpful if we are trying to determine if the disc inside the joint is displaced.
@@theTMJdoc thanks !!! is an internal derangement the same as joint displacement? a while bak a dentist told me i had internal derangement.
@@jakec5618 internal derangement is a blanket term for displacement of the disc without or without reduction.
@@theTMJdoc thanks so much, u have been tremendously helpful. im starting to get a much better understanding of my condition and how to be a better educated patient so i can make informed decisions moving forward. i cannot express in words how meaningful your responses have been and i truly appreciate it !!! God bless
@@jakec5618 thank you for your kind words! Please be sure to Subscribe to this channel and follow me on Instagram and TikTok - @the_tmj_doc
Do you have thoughts on a multidisciplinary approach to headaches
Yes I work with other body workers as needed to bring relief to patients 😊🙏🏼
Hello Doctor!!
Does TMJ cause light sensitivity by any chance??
Hi I haven’t heard that specifically but it’s not out of the realm of possibilities.
Hi Priya.
I have spoken to you before about my severe TMJ, brain fog, vertigo, dizziness, vision and hearing issues, ringing ears, jaw pain, neck pain.
I have spent the past 21days in neurological ward in hospital as I'm struggling to walk due to dizziness so bad and all other symptoms the drs wont believe me when I say it's from my TMJ.......I know that's where it's from as talking, eating, swallowing and brushing teeth an effort.
They are trying to say I have functional neurological disorder because all tests are clear.
I still cant find anyone to do splint so is there another way of treating it without splint....I cant find dentist do splint in OZ.....what splint would help me so I can ask dentist try make up.
Do you think it's still TMJ or this functional neurological disorder I don't think it is.
I cannot diagnose you over the internet. Sorry. Can you see an osteopath or a TMJ physical therapist in your area?
How are you today? Have you findr relief and diagnosis? OZ means Australia?
I feel the same way. Any update of your symptoms. I have tmj/tmd and sever dizziness and vertigo
Hi mam, good video.. I have recently done a CT scan for PNS, would that help in determining TMJ disorder?
The CT scans will show the bony components of the joints, the nasopharyngeal airway, upper cervical vertebrae, and more. It does NOT show the articular disk or the muscles. The CT scan is just one piece of the puzzle in diagnosing TMJD.
Hi Priya, thankyou for making this video. I have a question - I had an MRI which came back negative but wondered if I need a CBCT scan done also? I have TMD but still don't know a cause
IT doesn't hurt to have a CBCT. what are your symptoms?
@theTMJdoc thanks Priya. Grating and clicking sound near tmj and jaw pain. I'm having acupuncture which seems to be helping so far. Like you said no harm in doing it, so I've got one booked. Thanks
What treatment do you recommend the most when it comes to MRI diagnosed as DDWR (Displaced Disc with Reduction)?
We treat this with orthotics, myofascial release and osteopathic manual jaw manipulation. We do weekly and biweekly sessions with this protocol and typically see recapture of the disc within 4-6 months.
@@theTMJdoc thanks for your quick response! Is the Orthotic worn only at night or during the day as well? I’ve been doing TMJ physio and Myofacial release for over 2 years with no disc improvement just more clicking and pain on the right side of my head but less jaw pain. As well as joint noises/ear popping, really not sure what other treatment can help my symptoms
@@rachelsanelli3482 we make day and night orthotics with the plan to wean off the daytime within 12-16 weeks. These orthotics along with myofascial release and osteopathic manual jaw manipulation done weekly over 4-6 months is what recaptures the discs.
Do you also do arthroscopy for tmj? Which one is better night guard or splint? Thank you always and your video helps alot
Can manual manipulation for the jaw works for bilateral internal derangement?
Can cephalometric analysis for corrective jaw surgeries be performed using MRI?
I have read on some articles in medical journals that claim so (I'm not a medical student). Please guide.
I believe CBCT or lateral ceph are best for analysis.
@@theTMJdoc
Thanks a lot. Just wanted to know if the patient can make a choice. So, is there a choice?
@@abhinavtripathi9678 a choice between what?
@@theTMJdoc
Between CT and MRI for cephalometric analysis for corrective jaw surgery planning.
Hi doctor. Is contrast necessary with MRI for TMJ? Thank you.
No! :)
Definitely shouldn't get the contrast, I got poisoned by it :( Check my profile I posted information for anyone interested, hope to warn others.
Normall MRI which is done for brain scans usually Takes images of facial area too, can detect TMJ dysfunction as well ???
No it has to be an MRI of the Jaw joint in open mouth and closed mouth position :)
@@theTMJdoc okay Thank You Dr.I have Both Tmj's Pain and stiffness,fatigue.The days When my these symptoms are severe,So the sensations of lightheadedness and Imbalance in walking occur too.Are these symptoms linked to TMJ in your clinical record and studies???
@@blessed2986 yes they are!
My endodentist say no disc displaced by seeing OPG x ray
Is he done right ?
Will in OPG ,u can see disc is it k or not ?
You cannot see the disc in anything but an MRI.
Hi doctor , i got my mri done and report says: everything is normal.
But when i got T scan for bite the left bite force was weaker than right side .
Can this cause the popping and tinnitus and ear fullness.
Thanks
It can, yes.
Madam impacted wisdom tooth after stich remove 10days.but my mouth completely not open.upper and lower both remove but my mouth open not completely open 12 days completely surgery why?
I’m sorry but there’s no way I can answer this over the internet and without examining you!
I am scheduled for cd scan for tmj but i am very very much afraid of the radiation so i am looking for a doctor who will give me mri. My ct appointment is tomorrow but i want to cancel that. What do u think? Can i see the same results on mri instead d scan?
No they show different things. A CBCT is less than 1% of the radiation of a regular medical CT scan
@@theTMJdoc well i am in canada n i do not know about dct. I know of ct, xray n mri. But i do coke to usa alot. As some of my family lives there. Again tell me mpre about ct , xray n mril
@@peacepeace7302 my video explains it all. I don’t really know what else to tell you.
How long do you have to keep your mouth open all the way for that portion of the MRI? Worried about it causing too much strain or pain. It took a year for me to get out of pain after a tonsillectomy.
Omg no way a whole year 😢 Jesus I’m considering to help with my sleep apnea
@@Itsfrannysworld yes and it is still tight. It only hurts once in a while now, but not all day like it was.
I think the entire MRI procedure is an hour long. But they do imaging with your mouth closed AND open.
8 minutes for opening. You have to bite something to keep it opened. Since I have clenching I thtought im going to break the syringe. If you have phobia for. Enclosed area it will add up to your clenching. Last is open jaw I thought im not gonna finish it but thankfully I was able to do it. I have a diagnosis now. It’s worth it plus it has no radiation involved.
Is there any surgeries available for a displaced disc while opening mouth?
surgery is the last resort.
You say MRI as needed, but aren't both necessary for an accurate diagnosis? The only way you're going to see disc displacement is via MRI. Correct?
THe only way to see the disc is with an MRI, yes. But you can often figure out what’s happening based off of symptoms, muscle and joint palpation, joint noises, and range of motion.
What about icat? I am checking around which Dr. to see and they use Icat.
iCat the same type of imaging but CBCT focuses on what dentists will want to see and evaluate.
@@theTMJdoc thank you. I'm told I'm out of alignment and referred to oral surgeon.
@@MsAlpacafarm good luck!
I just went to a TMJ specialist and they only did CBCT, I am confused should they be doing MRI then?
I only do a CBCT for over 95% of my patients.
Ma'am, could u pls mention me wat kind of MRI
Like simple Tmj MRI
Or
Open n closed tmj MRI ?
Open and closed both joints. no contrast.
So only mri can look at the muscles and soft tissue? Does cbct show the position of the jaw? Thanks
Nothing images dysfunctional muscles unfortunately. The MRI can capture images of the articular disc and the CBCT shows the condition of the bone.
@@theTMJdoc thanks. Sorry I thought you said in the video that mri looks at the ptyoglioids. What scan is best to look at the whole position of the jaw? Thanks for your help x
@@annea549 a lateral cephalometric is best for that
Please tell me what is the cost of full mouth MRI or CBCT SCAN
Costs vary depending on where you get these done. I cannot give you costs for those. I also do not discuss my costs online.
Oral x ray is best ? Tmj treatment
CBCt and sometimes MrI as needed. But neither of those can image dysfunctional muscles.
How does Tscan help in TMD diagonsis?
TScan helps in diagnosing imbalances in the bite/occlusion of the teeth.
@@theTMJdoc Thanks a lot Priya.
@@swostyable you’re welcome
@@theTMJdoc Can CBCT provide the same information as a TSCAN?Asking to know which test will help to identify the problem accurately as they all on the expensive side.
@@swostyable no they provide totally different information
I have a jaw infection. Revision with liquid metronidazole did not help. What should I do? I'm in pain Dr 😭😭
I cannot give you treatment options over the internet and without examining you. I’d recommend seeing a local dentist or oral surgeon immediately.
Will a brain or cervical mri show mri? Ive had those 2 already.
Show MRI?
Can cbct detect sleep apnea or if youre tmj already cause sleep problem?
No and No. :)
Does cbct can show the hyoid bone position or if theres a problem with hyoid bone Dr? Thanks so much for your time. It really helps a lot specially for chronic pain sufferers 🙏
What kind of MRI needs to be done though? Do you need to do it with the mouth closed, and with the mouth opened at various stages? Please reply.
Thanks :)
Yes, it needs to be done with the mouth open and with the mouth closed.
@@theTMJdoc I called a few places in my country that do MRIs, and I asked about the temporomandibular MRI, and they all said they do it with the mouth closed.
I don't think I'll be able to convince anyone to do mouth open and mouth closed, unless maybe if I do 2 separate MRIs - one with mouth closed and one with mouth opened.
So unfortunate I live where I live :( :p
Where do you live? They need to do it open and close to see if there an internal derangement, displacement in both sides, if theres an effusion I guess but it needs to see what was going open when your mouth is open. 😞 In which country do you live I guess if you can go out of country and have it check it definitely worth it than suffering
@@candlelovervlog2388 I'll be going out of country about my TMD problem. Still, whatever happens, it seems like I'm damaged for life now. I don't see any real solutions to this to be honest. Yeah occlusion, yeah orthotic, yeah MRI, yeah supplements, yeah natural adaptation, but, whatever you do you're just rolling the dice.
Healthcare is so f****ng primitive I can't even believe it. With all the technology humanity has, and there isn't a single health problem that can be fixed for real. Ugh...
Hi Priya, Im struggling here with the right treatment. My TMD doctor did a CBCT scan and found I had a deviated septum on right nose. They said my body is compensating for this and thats why I got TMD. My bite has started shifting as I keep biting my left cheek when I eat. But I also have clicking in my neck right side. Thats getting worst. I saw a cervical spine doctor and waiting on results. How do I go about knowing what caused all these symptoms, so I can pick the best treatment? How can I answer the question, did the neck cause TMD or the TMD caused neck pain?
Your questions are difficult to answer via TH-cam comments and it can be hard to know which came first - neck issues or TMJ issues.. sorry but I can’t really tell you much more over the internet and without further discussion/evaluation.
@@theTMJdoc no worries but what is the connection between nasal deviation and TMD? Im struggling to understand.
@@gl2461 I think I’ve explained it in these videos:
Tongue Tie, Airway, & TMJD - Priya Mistry, DDS (the TMJ doc) #tonguetie #airway #tmjd
th-cam.com/video/ezmCHs2rf9s/w-d-xo.html
Tongue Posture, Diet, & Orofacial Development - Priya Mistry, DDS (the TMJ doc) #tmjd #tonguetie
th-cam.com/video/nNUyj91wp8o/w-d-xo.html
Hi. Is 3 CBCT okay within two months period?
The radiation involved with CBCT imaging is the same as a two hour flight. If you’re OK with three flights in a two month period, then you should be OK within a three CBCTs month period. 🤍😊
Ma'am, today I did tmj laser therapy, I can eat soft rice chew food ,or liquid diet
Pls say
Thnx in advance
I cannot advise you over the internet and without examining you.
@@theTMJdoc tysm atleast u replied to me
Actually m from india
Ma'am, one quest, I wanna go for MRI to see condition of disc,so I want i need to say to Diagonistic center Like MRI of wat ??
How can I get rid of brain fog?believe from TMJ or does it come from neck too
That can be from the neck too.
@@theTMJdoc
Can acupuncture help as I cant find anyone to make orthotic for me where I live.
Would the MRI on the jaw show adenoids?
No it won’t